Alcohol and educational inequalities

Background: We examined educational inequalities in hazardous drinking prevalence among individuals aged 50 or more in 14 European countries, and explored educational inequalities in mortality in hazardous drinkers in European regions. Methods: We analyzed data from waves 4, 5 and 6 of the Survey of...

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Autores: Trias Llimós, Sergi|||0000-0002-8052-6736, Bosque Prous, Marina|||0000-0002-8830-8880, Obradors-Rial, Núria|||0000-0003-4981-3187, Teixidó-Compañó, Ester|||0000-0002-0565-7023, Belza, María José|||0000-0003-4816-7750, Janssen, Fanny|||0000-0002-3110-238X, Espelt, Albert|||0000-0002-8625-4356
Formato: artículo
Fecha de publicación:2021
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:237337
Acesso em linha:https://ddd.uab.cat/record/237337
https://dx.doi.org/urn:doi:10.1080/08897077.2020.1773597
Access Level:acceso abierto
Palavra-chave:Alcohol
Middle-aged
SEP differences
Hazardous drinking
Europe
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spelling Alcohol and educational inequalitieshazardous drinking prevalence and all-cause mortality by hazardous drinking group in people aged 50 and older in EuropeTrias Llimós, Sergi|||0000-0002-8052-6736Bosque Prous, Marina|||0000-0002-8830-8880Obradors-Rial, Núria|||0000-0003-4981-3187Teixidó-Compañó, Ester|||0000-0002-0565-7023Belza, María José|||0000-0003-4816-7750Janssen, Fanny|||0000-0002-3110-238XEspelt, Albert|||0000-0002-8625-4356AlcoholMiddle-agedSEP differencesHazardous drinkingEuropeBackground: We examined educational inequalities in hazardous drinking prevalence among individuals aged 50 or more in 14 European countries, and explored educational inequalities in mortality in hazardous drinkers in European regions. Methods: We analyzed data from waves 4, 5 and 6 of the Survey of Health Ageing and Retirement in Europe (SHARE). We estimated age-standardized hazardous drinking prevalence, and prevalence ratios (PR) of hazardous drinking by country and educational level using Poisson regression models with robust variance. We estimated the relative index of inequality (RII) for all-cause mortality among hazardous drinkers and non-hazardous drinkers using Cox proportional hazards regression models and for each region (North, South, East and West). Results: In men, educational inequalities in hazardous drinking were not observed (PRmedium = 1.09 [95%CI: 0.98-1.21] and PRhigh = 0.99 [95%CI: 0.88-1.10], ref. low), while in they were observed in women, having the highest hazardous drinking prevalence in the highest educational levels (PRmedium = 1.28 [95%CI: 1.15-1.42] and PRhigh = 1.53 [95%CI: 1.36 1.72]). Overall, the Relative Index of Inequality (RII) in all-cause mortality among hazardous drinkers was 1.12 [95%CI: 1.03-1.22] among men and 1.10 [95%CI: 0.97-1.25] among women. Educational inequalities among hazardous drinkers were observed in Eastern Europe for both men (RIIhazardous = 1.21 [95%CI: 1.01-1.45]) and women (RIIhazardous = 1.46 [95%CI: 1.13-1.87]). Educational inequalities in mortality among non-hazardous drinkers were observed in Southern, Western and Eastern Europe among men, and in Eastern Europe among women. Conclusions: Higher educational attainment is positively associated with hazardous drinking prevalence among women, but not among men in most of the analyzed European countries. Clear educational inequalities in mortality among hazardous drinkers were only observed in Eastern Europe. Further research on the associations between alcohol use and inequalities in all-cause mortality in different regions is needed. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501SMURhttp://purl.org/coar/version/c_71e4c1898caa6e32info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/237337https://dx.doi.org/urn:doi:10.1080/08897077.2020.1773597reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest material està protegit per drets d'autor i/o drets afins. Podeu utilitzar aquest material en funció del que permet la legislació de drets d'autor i drets afins d'aplicació al vostre cas. Per a d'altres usos heu d'obtenir permís del(s) titular(s) de drets.https://rightsstatements.org/vocab/InC/1.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2373372026-06-06T12:50:31Z
dc.title.none.fl_str_mv Alcohol and educational inequalities
hazardous drinking prevalence and all-cause mortality by hazardous drinking group in people aged 50 and older in Europe
title Alcohol and educational inequalities
spellingShingle Alcohol and educational inequalities
Trias Llimós, Sergi|||0000-0002-8052-6736
Alcohol
Middle-aged
SEP differences
Hazardous drinking
Europe
title_short Alcohol and educational inequalities
title_full Alcohol and educational inequalities
title_fullStr Alcohol and educational inequalities
title_full_unstemmed Alcohol and educational inequalities
title_sort Alcohol and educational inequalities
dc.creator.none.fl_str_mv Trias Llimós, Sergi|||0000-0002-8052-6736
Bosque Prous, Marina|||0000-0002-8830-8880
Obradors-Rial, Núria|||0000-0003-4981-3187
Teixidó-Compañó, Ester|||0000-0002-0565-7023
Belza, María José|||0000-0003-4816-7750
Janssen, Fanny|||0000-0002-3110-238X
Espelt, Albert|||0000-0002-8625-4356
author Trias Llimós, Sergi|||0000-0002-8052-6736
author_facet Trias Llimós, Sergi|||0000-0002-8052-6736
Bosque Prous, Marina|||0000-0002-8830-8880
Obradors-Rial, Núria|||0000-0003-4981-3187
Teixidó-Compañó, Ester|||0000-0002-0565-7023
Belza, María José|||0000-0003-4816-7750
Janssen, Fanny|||0000-0002-3110-238X
Espelt, Albert|||0000-0002-8625-4356
author_role author
author2 Bosque Prous, Marina|||0000-0002-8830-8880
Obradors-Rial, Núria|||0000-0003-4981-3187
Teixidó-Compañó, Ester|||0000-0002-0565-7023
Belza, María José|||0000-0003-4816-7750
Janssen, Fanny|||0000-0002-3110-238X
Espelt, Albert|||0000-0002-8625-4356
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Alcohol
Middle-aged
SEP differences
Hazardous drinking
Europe
topic Alcohol
Middle-aged
SEP differences
Hazardous drinking
Europe
description Background: We examined educational inequalities in hazardous drinking prevalence among individuals aged 50 or more in 14 European countries, and explored educational inequalities in mortality in hazardous drinkers in European regions. Methods: We analyzed data from waves 4, 5 and 6 of the Survey of Health Ageing and Retirement in Europe (SHARE). We estimated age-standardized hazardous drinking prevalence, and prevalence ratios (PR) of hazardous drinking by country and educational level using Poisson regression models with robust variance. We estimated the relative index of inequality (RII) for all-cause mortality among hazardous drinkers and non-hazardous drinkers using Cox proportional hazards regression models and for each region (North, South, East and West). Results: In men, educational inequalities in hazardous drinking were not observed (PRmedium = 1.09 [95%CI: 0.98-1.21] and PRhigh = 0.99 [95%CI: 0.88-1.10], ref. low), while in they were observed in women, having the highest hazardous drinking prevalence in the highest educational levels (PRmedium = 1.28 [95%CI: 1.15-1.42] and PRhigh = 1.53 [95%CI: 1.36 1.72]). Overall, the Relative Index of Inequality (RII) in all-cause mortality among hazardous drinkers was 1.12 [95%CI: 1.03-1.22] among men and 1.10 [95%CI: 0.97-1.25] among women. Educational inequalities among hazardous drinkers were observed in Eastern Europe for both men (RIIhazardous = 1.21 [95%CI: 1.01-1.45]) and women (RIIhazardous = 1.46 [95%CI: 1.13-1.87]). Educational inequalities in mortality among non-hazardous drinkers were observed in Southern, Western and Eastern Europe among men, and in Eastern Europe among women. Conclusions: Higher educational attainment is positively associated with hazardous drinking prevalence among women, but not among men in most of the analyzed European countries. Clear educational inequalities in mortality among hazardous drinkers were only observed in Eastern Europe. Further research on the associations between alcohol use and inequalities in all-cause mortality in different regions is needed.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
SMUR
http://purl.org/coar/version/c_71e4c1898caa6e32
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/237337
https://dx.doi.org/urn:doi:10.1080/08897077.2020.1773597
url https://ddd.uab.cat/record/237337
https://dx.doi.org/urn:doi:10.1080/08897077.2020.1773597
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://rightsstatements.org/vocab/InC/1.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
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collection Dipòsit Digital de Documents de la UAB
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repository.mail.fl_str_mv
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