Home > Associations between socio-economic factors and alcohol consumption: A population survey of adults in England.

Beard, Emma and Brown, Jamie and West, Robert and Kaner, Eileen and Meier, Petra and Boniface, Sadie and Michie, Susan [PLOS One] . (2019) Associations between socio-economic factors and alcohol consumption: A population survey of adults in England. Public Library of Science. PLoS ONE, 14 (2)

URL: https://journals.plos.org/plosone/article?id=10.13...

AIM: To gain a better understanding of the complex relationships of different measures of social position, educational level and income with alcohol consumption in England.

METHOD: Between March 2014 and April 2018 data were collected on n = 57,807 alcohol drinkers in England taking part in the Alcohol Toolkit Study (ATS). Respondents completed the AUDIT-C measure of frequency of alcohol consumption, amount consumed on a typical day and binge drinking frequency. The first two questions were used to derive a secondary measure of quantity: average weekly unit consumption. Socio-economic factors measured were: social-grade (based on occupation), employment status, educational qualifications, home and car ownership and income. Models were constructed using ridge regression to assess the contribution of each predictor taking account of high collinearity. Models were adjusted for age, gender and ethnicity.

RESULTS: The strongest predictor of frequency of alcohol consumption was social-grade. Those in the two lowest occupational categories of social grade (e.g. semi-skilled and unskilled manual workers, and unemployed, pensioners, casual workers) has fewer drinking occasions than those in professional-managerial occupations (β = -0.29, 95%CI -0.34 to -0.25; β = -0.31, 95%CI -0.33 to -0.29). The strongest predictor of consumed volume and binge drinking frequency was lower educational attainment: those whose highest qualification was an A-level (i.e. college/high school qualification) drank substantially more on a typical day (β = 0.28, 95%CI 0.25 to 0.31) and had a higher weekly unit intake (β = 3.55, 95%CI 3.04 to 4.05) than those with a university qualification. They also reported a higher frequency of binge drinking (β = 0.11, 95%CI 0.09 to 0.14). Housing tenure was a strong predictor of all drinking outcomes, while employment status and car ownership were the weakest predictors of most outcomes.

CONCLUSION: Social-grade and educational attainment appear to be the strongest socioeconomic predictors of alcohol consumption indices in England, followed closely by housing tenure. Employment status and car ownership have the lowest predictive power.

Item Type:Evidence resource
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD prevention, AOD disorder harm reduction
Source:PLOS One
Date:February 2019
Page Range:e0209442
Publisher:Public Library of Science
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
G Health and disease > Substance use disorder > Alcohol use > Alcohol dependence
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
L Social psychology and related concepts > Physical context or place > Housing
L Social psychology and related concepts > Inclusion and exclusion
MA-ML Social science, culture and community > Social position > Social equality and inequality
MA-ML Social science, culture and community > Social condition > Poverty
MP-MR Policy, planning, economics, work and social services > Labour and work > Employment and unemployment
N Communication, information and education > Educational level
VA Geographic area > Europe > United Kingdom > England

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