Alcohol and Alcoholism, Vol 34, 78-88, Copyright © 1999 by Medical Council on Alcoholism
J Van Oers, I Bongers, L Van de Goor and H Garretsen
In general, a lower socioeconomic status (SES) is related to a lower health
status, more health problems, and a shorter life expectancy. Although
causal relations between SES and health are unclear, lifestyle factors play
an intermediate role. The purpose of the present study was to obtain more
insight into the relation between SES, alcohol consumption, alcohol-related
problems, and problem drinking, through a general population survey among
8000 people in Rotterdam. Odds ratios were calculated using educational
level as independent, and alcohol consumption, alcohol-related problems,
and problem drinking as dependent variables. Abstinence decreased
significantly by increasing educational level for both sexes. For men,
excessive drinking, and notably very excessive drinking, was more prevalent
in the lowest educational group. For women, no significant relation between
educational level and prevalence of excessive drinking was found. After
controlling for differences in drinking behaviour, among men the prevalence
of 'psychological dependence' and 'social problems' was higher in
intermediate educational groups, whereas prevalence of 'drunkenness' was
lower in intermediate educational groups. For women, a negative relation
was found between educational level and 'psychological dependence';
prevalence of 'symptomatic drinking' was higher in the lowest educational
group. Prevalence of problem drinking was not related to educational level
in either sex. It is concluded that differences exist between educational
levels with respect to abstinence, but only limited differences were found
with respect to excessive drinking. Furthermore, there is evidence for
higher prevalences of alcohol-related problems in lower educational levels,
after controlling for differences in drinking behaviour, in both sexes.
ARTICLES
Alcohol consumption, alcohol-related problems, problem drinking, and socioeconomic status
Addiction Research Institute (IVO), Erasmus University Rotterdam, Heemraadssingel 194, 3021 DM Rotterdam, The Netherlands; Municipal Health Service Area, Rotterdam, The Netherlands; Health Research and Development Council, The Netherlands; Corresponding author
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