Home > Birth cohort trends in the global epidemiology of alcohol use and alcohol-related harms in men and women: systematic review and metaregression.

Slade, Tim and Chapman, Cath and Swift, Wendy and Keyes, Katherine and Tonks, Zoe and Teesson, Maree [BMJ Open] . (2016) Birth cohort trends in the global epidemiology of alcohol use and alcohol-related harms in men and women: systematic review and metaregression. BMJ Publishing. (10) e01182. 10.1136/bmjopen-2016-011827

URL: http://bmjopen.bmj.com/content/6/10/e011827.full


Objective Historically, alcohol use and related harms are more prevalent in men than in women. However, emerging evidence suggests the epidemiology of alcohol use is changing in younger cohorts. The current study aimed to systematically summarise published literature on birth cohort changes in male-to-female ratios in indicators of alcohol use and related harms.

 

Methods We identified 68 studies that met inclusion criteria. We calculated male-to-female ratios for 3 broad categories of alcohol use and harms (any alcohol use, problematic alcohol use and alcohol-related harms) stratified by 5-year birth cohorts ranging from 1891 to 2001, generating 1568 sex ratios. Random-effects meta-analyses produced pooled sex ratios within these 3 categories separately for each birth cohort.

 

Findings There was a linear decrease over time in the sex ratio for all 3 categories of alcohol use and related harms. Among those born in the early 1900s, males were 2.2 times more likely than females to consume alcohol, 3.0 times more likely to drink alcohol in ways suggestive of problematic use and 3.6 times more likely to experience alcohol-related harms. Among cohorts born in the late 1900s, males were 1.1 times more likely than females to consume alcohol, 1.2 times more likely to drink alcohol in ways suggestive of problematic use and 1.3 times more likely to experience alcohol-related harms.

 

Conclusions Findings confirm the closing male–female gap in indicators of alcohol use and related harms. The closing male–female gap is most evident among young adults, highlighting the importance of prospectively tracking young male and female cohorts as they age into their 30s, 40s and beyond.

Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD prevention, AOD disorder harm reduction
Source:BMJ Open
Date:October 2016
Pages:e01182
Publisher:BMJ Publishing
Volume:6
Number:10
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
T Demographic characteristics > Woman (women / female)
T Demographic characteristics > Man (men / male)
T Demographic characteristics > Gender differences
VA Geographic area > International aspects

Repository Staff Only: item control page