Gender differences in hazardous drinking among middle-aged in Europe : the role of social context and women's empowerment
Bosque Prous, Marina (Agència de Salut Pública de Barcelona)
Espelt, Albert (Institut d'Investigació Biomèdica Sant Pau)
Borrell i Thió, Carme (Agència de Salut Pública de Catalunya)
Bartroli, Montserrat (Agència de Salut Pública de Catalunya)
Guitart, Anna M. (Agència de Salut Pública de Catalunya)
Villalbí, Joan Ramón (Agència de Salut Pública de Catalunya)
Brugal, María Teresa (Agència de Salut Pública de Catalunya)
Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut

Data:	2015
Descripció:	8 pàg.
Resum:	Background: The aim of this study was to estimate the magnitude of gender differences in hazardous drinking among middle-aged people and to analyse whether these differences are associated with contextual factors, such as public policies or socioeconomic factors. Methods: Cross-sectional design. The study population included 50- to 64-year-old residents of 16 European countries who participated in the Survey of Health, Ageing and Retirement in Europe project conducted in 2010-12 (n = 26 017). We estimated gender differences in hazardous drinking in each country. To determine whether different social context or women's empowerment variables were associated with gender differences in hazardous drinking, we fitted multilevel Poisson regression models adjusted for various individual and country-level variables, which yielded prevalence ratios and their 95% confidence intervals (95% CI). Results: Prevalence of hazardous drinking was significantly higher in men than women [30. 2% (95% CI: 29. 1-31. 4%) and 18. 6% (95% CI: 17. 7-19. 4%), respectively] in most countries, although the extent of these differences varied between countries. Among individuals aged 50-64 years in Europe, risk of becoming a hazardous drinker was 1. 69 times higher (95% CI: 1. 45-1. 97) in men, after controlling for individual and country-level variables. We also found that lower values of the gender empowerment measure and higher unemployment rates were associated with higher gender differences in hazardous drinking. Conclusion: Countries with the greatest gender differences in hazardous drinking were those with the most restrictions on women's behaviour, and the greatest gender inequalities in daily life. Lower gender differences in hazardous drinking seem to be related to higher consumption among women.
Ajuts:	European Commission 278173 Ministerio de Economía y Competitividad RD12/0028/0018
Nota:	This article forms part of the doctoral dissertation of Marina Bosque-Prous, at the Universitat Pompeu Fabra.
Nota:	Altres ajuts: This work was supported by the Spanish Network on Addictive Disorders [grant numbers RD06/0001/1018]; a Health Strategic Action grant [grant number PI13/00183].
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Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Gender inequality ; Hazardous drinking ; Alcohol consumption ; Europe ; Contextual factors ; Socioeconomic factors ; Public policies
Publicat a:	European journal of public health, Vol. 25 Núm. 4 (2015) , p. 698-705, ISSN 1464-360X

DOI: 10.1093/eurpub/cku234
PMID: 25616593

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