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The link between per capita alcohol consumption and alcohol‐related harm in educational groups
Stockholm University, Faculty of Social Sciences, The Swedish Institute for Social Research (SOFI).ORCID iD: 0000-0002-5746-7723
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences. Karolinska Institutet, Sweden.ORCID iD: 0000-0001-6114-4436
2020 (English)In: Drug and Alcohol Review, ISSN 0959-5236, E-ISSN 1465-3362, Vol. 39, no 6, p. 656-663Article in journal (Refereed) Published
Abstract [en]

Introduction and Aims

Research based on individual‐level data suggests that the same amount of alcohol yields more harm in low‐socioeconomic status (SES) groups than in high‐SES groups. Little is known whether the effect of changes in population‐level alcohol consumption on harm rates differs by SES‐groups. The aim of this study was to elucidate this issue by estimating the association between per capita alcohol consumption and SES‐specific rates of alcohol‐related mortality.

Design and Methods

Per capita alcohol consumption was proxied by Systembolaget's alcohol sales (litres 100% alcohol per capita 15+). Quarterly data on mortality and alcohol consumption spanned the period 1991Q1‐2017Q4. We used two outcomes: (i) alcohol‐specific mortality (deaths with an explicit alcohol diagnosis); and (ii) violent deaths. SES was measured by education. We used three educational groups: (i) low (<10 years); (ii): intermediate (10–12 years); and (iii) high (13+ years). We applied error correction modelling to estimate the association between alcohol and alcohol‐specific mortality, and seasonal autoregressive integrated moving average‐modelling to estimate the association between alcohol and violent deaths.

Results

The estimated associations between per capita consumption and the two outcomes were positive and statistically significant in the two groups with low and intermediate education, but not in the high education group. There was a significant gradient in the level of association between alcohol consumption and alcohol‐related harm by educational group; the association was stronger the lower the educational group.

Discussion and Conclusions

Our findings suggest that the association between per capita consumption and alcohol‐related harm was stronger the lower the educational group.

Place, publisher, year, edition, pages
2020. Vol. 39, no 6, p. 656-663
Keywords [en]
alcohol, mortality, time-series, Sweden, education
National Category
Sociology
Identifiers
URN: urn:nbn:se:su:diva-183921DOI: 10.1111/dar.13114ISI: 000547298500001OAI: oai:DiVA.org:su-183921DiVA, id: diva2:1457399
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2017‐01769Available from: 2020-08-11 Created: 2020-08-11 Last updated: 2022-02-26Bibliographically approved

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Norström, ThorLandberg, Jonas

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