Alcohol and Alcoholism Advance Access originally published online on August 8, 2005
Alcohol and Alcoholism 2005 40(6):556-562; doi:10.1093/alcalc/agh190
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SOCIAL CAPITAL, THE MINIATURIZATION OF COMMUNITY AND HIGH ALCOHOL CONSUMPTION: A POPULATION-BASED STUDY
Department of Community Medicine, Malmö University Hospital, Lund University, 205 02 Malmö, Sweden
* Author to whom correspondence should be addressed at: Tel.: +46 040 333003; Fax: +46 040 336215; E-mail: martin.lindstrom{at}smi.mas.lu.se
(Received 21 March 2005; first review notified 14 May 2005; accepted in final revised form 12 July 2005)
Aims: To study the impact of social participation, trust, and the miniaturization of community, i.e. high social participation/low trust, on the risk of high alcohol consumption. Methods: The Scania 2000 public health survey is a cross-sectional, postal questionnaire study. A total of 13 604 persons aged 18–80 years were included. A logistic regression model was used to investigate the association between the social capital variables and high alcohol consumption (168.0 g/week or more for men and 108.0 g/week or more for women). The multivariate analyses analysed the importance of confounders (age, country of origin, education, and economic stress) on the risk of high alcohol consumption according to the social capital variables. Results: A 14.0% proportion of all men and 7.8% of all women had an alcohol consumption above recommended levels. High alcohol consumption above recommended levels was not associated with social participation but negatively associated with trust among men. The miniaturization of community category, i.e. high social participation/low trust, had significantly higher risks of high alcohol consumption compared to the high social capital (high social participation/high trust) category among men. Conclusion: High social participation combined with low trust, i.e. the miniaturization of community, is positively associated high alcohol consumption among men. A structural/social factor which may affect the amount of alcohol consumed has thus been identified in this study.
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