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Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain

Author

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  • Marta Donat

    (Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain)

  • Gregorio Barrio

    (Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain)

  • Juan-Miguel Guerras

    (CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, 28029 Madrid, Spain)

  • Lidia Herrero

    (Instituto Valenciano de Estadística, 46004 Valencia, Spain)

  • José Pulido

    (CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, 28040 Madrid, Spain)

  • María-José Belza

    (Escuela Nacional de Sanidad, Instituto de Salud Carlos III, 28029 Madrid, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    These authors contributed equally to this work.)

  • Enrique Regidor

    (CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Departamento de Salud Pública y Materno-Infantil, Universidad Complutense de Madrid, 28040 Madrid, Spain
    Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), 28040 Madrid, Spain
    These authors contributed equally to this work.)

Abstract

Alcohol-related harm decreases as socioeconomic position increases, although sometimes the opposite happens with alcohol intake. The objective was to know the educational gradient in monthly measures of drinking amount and heavy episodic drinking (HED) among people aged 25–64 years in Spain from 1997–2017. Such gradient was characterized with the relative percent change (PC) in drinking measures per year of education from generalized linear regression models after adjusting for age, year, region, marital status and immigration status. Among men, the PCs were significantly positive ( p < 0.05) for prevalence of <21 g alcohol/day (2.9%) and 1–3 HED days (1.4%), and they were negative for prevalences of 21–40 g/day (−1.1%), >40 g/day (−6.0%) and ≥4 HED days (−3.2%), while among women they ranged from 3.6% to 5.7%. The gradient in prevalences of >40 g/day (men) and >20 g/day (women) was greatly attenuated after additionally adjusting for HED, while that of ≥4 HED days was only slightly attenuated after additionally adjusting for drinking amount. Among women, the gradients, especially in HED measures, seem steeper in 2009–2017 than in 1997–2007. Educational inequality remained after additional adjustment for income and occupation, although it decreased among women. These results can guide preventive interventions and help explain socioeconomic inequalities in alcohol-related harm.

Suggested Citation

  • Marta Donat & Gregorio Barrio & Juan-Miguel Guerras & Lidia Herrero & José Pulido & María-José Belza & Enrique Regidor, 2022. "Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4371-:d:787371
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    References listed on IDEAS

    as
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