IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0160666.html
   My bibliography  Save this article

Deconstructing the Alcohol Harm Paradox: A Population Based Survey of Adults in England

Author

Listed:
  • Emma Beard
  • Jamie Brown
  • Robert West
  • Colin Angus
  • Alan Brennan
  • John Holmes
  • Eileen Kaner
  • Petra Meier
  • Susan Michie

Abstract

Background: The Alcohol Harm Paradox refers to observations that lower socioeconomic status (SES) groups consume less alcohol but experience more alcohol-related problems. However, SES is a complex concept and its observed relationship to social problems often depends on how it is measured and the demographic groups studied. Thus this study assessed socioeconomic patterning of alcohol consumption and related harm using multiple measures of SES and examined moderation of this patterning by gender and age. Method: Data were used from the Alcohol Toolkit Study between March and September 2015 on 31,878 adults (16+) living in England. Participants completed the AUDIT which includes alcohol consumption, harm and dependence modules. SES was measured via qualifications, employment, home and car ownership, income and social-grade, plus a composite of these measures. The composite score was coded such that higher scores reflected greater social-disadvantage. Results: We observed the Alcohol Harm Paradox for the composite SES measure, with a linear negative relationship between SES and AUDIT-Consumption scores (β = -0.036, p

Suggested Citation

  • Emma Beard & Jamie Brown & Robert West & Colin Angus & Alan Brennan & John Holmes & Eileen Kaner & Petra Meier & Susan Michie, 2016. "Deconstructing the Alcohol Harm Paradox: A Population Based Survey of Adults in England," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-17, September.
    • Handle: RePEc:plo:pone00:0160666
    DOI: 10.1371/journal.pone.0160666
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0160666
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0160666&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0160666?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Lumley, Thomas, 2004. "Analysis of Complex Survey Samples," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 9(i08).
    2. Oakes, J. Michael & Rossi, Peter H., 2003. "The measurement of SES in health research: current practice and steps toward a new approach," Social Science & Medicine, Elsevier, vol. 56(4), pages 769-784, February.
    3. G. David Batty & Abita Bhaskar & Carol Emslie & Michaela Benzeval & Geoff Der & Heather Lewars & Kate Hunt, 2012. "Association of life course socioeconomic disadvantage with future problem drinking and heavy drinking: gender differentials in the west of Scotland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 119-126, February.
    4. Duncan, G.J. & Daly, M.C. & McDonogh, P. & Williams, D.R., 2002. "Erratum: Optimal indicators of socioeconomic status for health research (American Journal of Public Health (2002) 92 (1151-1157))," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1212-1212.
    5. Ram, Rati, 1982. "Composite indices of physical quality of life, basic needs fulfilment, and income : A principal component representation," Journal of Development Economics, Elsevier, vol. 11(2), pages 227-247, October.
    6. Jha, P. & Ranson, M.K. & Nguyen, S.N. & Yach, D., 2002. "Estimates of global and regional smoking prevalence in 1995, by age and sex," American Journal of Public Health, American Public Health Association, vol. 92(6), pages 1002-1006.
    7. J.M. Batista-Foguet & J. Fortiana & C. Currie & J.R. Villalbí, 2004. "Socio-economic Indexes in Surveys for Comparisons between Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 67(3), pages 315-332, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sadie Boniface & Dan Lewer & Stephani L Hatch & Laura Goodwin, 2020. "Associations between interrelated dimensions of socio-economic status, higher risk drinking and mental health in South East London: A cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-12, February.
    2. Jin-Won Noh & Kyoung-Beom Kim & Jooyoung Cheon & Yejin Lee & Ki-Bong Yoo, 2019. "Factors Associated with Single-Use and Co-Use of Tobacco and Alcohol: A Multinomial Modeling Approach," IJERPH, MDPI, vol. 16(19), pages 1-11, September.
    3. Emma Beard & Jamie Brown & Robert West & Eileen Kaner & Petra Meier & Susan Michie, 2019. "Associations between socio-economic factors and alcohol consumption: A population survey of adults in England," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-15, February.
    4. Lucy Bryant & Carly Lightowlers, 2021. "The socioeconomic distribution of alcohol-related violence in England and Wales," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-18, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Emma Beard & Jamie Brown & Robert West & Eileen Kaner & Petra Meier & Susan Michie, 2019. "Associations between socio-economic factors and alcohol consumption: A population survey of adults in England," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-15, February.
    2. Steven Prus, 2007. "Age, SES, and Health: A Population Level Analysis of Health Inequalities over the Life Course," Social and Economic Dimensions of an Aging Population Research Papers 181, McMaster University.
    3. Concepción Moreno-Maldonado & Francisco Rivera & Pilar Ramos & Carmen Moreno, 2018. "Measuring the Socioeconomic Position of Adolescents: A Proposal for a Composite Index," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(2), pages 517-538, April.
    4. Lockwood, Tony & Coffee, Neil T & Rossini, Peter & Niyonsenga, Theo & McGreal, Stanley, 2018. "Does where you live influence your socio-economic status?," Land Use Policy, Elsevier, vol. 72(C), pages 152-160.
    5. Yuwei Qi & Annemarie Koster & Martin van Boxtel & Sebastian Köhler & Miranda Schram & Nicolaas Schaper & Coen Stehouwer & Hans Bosma, 2019. "Adulthood Socioeconomic Position and Type 2 Diabetes Mellitus—A Comparison of Education, Occupation, Income, and Material Deprivation: The Maastricht Study," IJERPH, MDPI, vol. 16(8), pages 1-13, April.
    6. Joseph Wolfe, 2015. "The Effects of Socioeconomic Status on Child and Adolescent Physical Health: An Organization and Systematic Comparison of Measures," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 123(1), pages 39-58, August.
    7. Vanessa Tan & Cynthia Chen & Reshma Aziz Merchant, 2022. "Association of social determinants of health with frailty, cognitive impairment, and self-rated health among older adults," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-18, November.
    8. Verity Watson & Chris Dibben & Matt Cox & Iain Atherton & Matt Sutton & Mandy Ryan, 2019. "Testing the Expert Based Weights Used in the UK’s Index of Multiple Deprivation (IMD) Against Three Preference-Based Methods," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 144(3), pages 1055-1074, August.
    9. Rahman, Tauhidur & Mittelhammer, Ron C. & Wandschneider, Philip R., 2011. "Measuring quality of life across countries: A multiple indicators and multiple causes approach," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 40(1), pages 43-52, February.
    10. Rajko Tomaš, 2022. "Measurement of the Concentration of Potential Quality of Life in Local Communities," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 163(1), pages 79-109, August.
    11. Hoeck, Sarah & François, Guido & Van der Heyden, Johan & Geerts, Joanna & Van Hal, Guido, 2011. "Healthcare utilisation among the Belgian elderly in relation to their socio-economic status," Health Policy, Elsevier, vol. 99(2), pages 174-182, February.
    12. Banerjee, Asis Kumar, 2010. "A multidimensional Gini index," Mathematical Social Sciences, Elsevier, vol. 60(2), pages 87-93, September.
    13. Maciej Berk{e}sewicz & Herman Cherniaiev & Robert Pater, 2021. "Estimating the number of entities with vacancies using administrative and online data," Papers 2106.03263, arXiv.org.
    14. David Yoon Kin Tong & Chau Keng Tee & Hishamuddin Ismail, 2016. "Developing the Profile of Green Consumer and Family Decision Making Model: A Review," Journal of Emerging Trends in Marketing and Management, The Bucharest University of Economic Studies, vol. 1(1), pages 282-291, September.
    15. Isabelle Roskam & Jean-Christophe Meunier & Marie Stievenart, 2015. "From Parents to Siblings and Peers," SAGE Open, , vol. 5(4), pages 21582440156, October.
    16. Aue, Katja & Roosen, Jutta, 2010. "Poverty and health behaviour: Comparing socioeconomic status and a combined poverty indicator as a determinant of health behaviour," 115th Joint EAAE/AAEA Seminar, September 15-17, 2010, Freising-Weihenstephan, Germany 116401, European Association of Agricultural Economists.
    17. Jesus Perez-Mayo, 2005. "Identifying deprivation profiles in Spain: a new approach," Applied Economics, Taylor & Francis Journals, vol. 37(8), pages 943-955.
    18. Vítor João Pereira Domingues Martinho, 2019. "Social Justice: Disparities in Average Earnings across Portuguese Municipalities," Social Sciences, MDPI, vol. 8(4), pages 1-17, April.
    19. Shoham, David A. & Vupputuri, Suma & Kaufman, Jay S. & Kshirsagar, Abhijit V. & Diez Roux, Ana V. & Coresh, Josef & Heiss, Gerardo, 2008. "Kidney disease and the cumulative burden of life course socioeconomic conditions: The Atherosclerosis Risk in Communities (ARIC) Study," Social Science & Medicine, Elsevier, vol. 67(8), pages 1311-1320, October.
    20. J. Michael Brick & Michael E. Jones, 2008. "Propensity to respond and nonresponse bias," Metron - International Journal of Statistics, Dipartimento di Statistica, Probabilità e Statistiche Applicate - University of Rome, vol. 0(1), pages 51-73.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0160666. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.