Lifecourse socioeconomic predictors of midlife drinking patterns, problems and abstention: Findings from the 1958 British Birth Cohort Study

被引：42

作者：

Caldwell, T. M. ^{[1
]}

Rodgers, B. ^{[1
]}

Clark, C. ^{[2
]}

Jefferis, B. J. M. H. ^{[3
]}

Stansfeld, S. A. ^{[2
]}

Power, C. ^{[3
]}

机构：

[1] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Canberra, ACT 0200, Australia

[2] Univ London, Ctr Psychiat, Wolf Inst Prevent Med, Barts & London,Queen Marys Sch Med & Dent, London EC1M 6BQ, England

[3] Univ Coll Med Sch, Ctr Paediat Epidemiol & Biostat, Inst Child Hlth, London WC1N 1EH, England

来源：

DRUG AND ALCOHOL DEPENDENCE | 2008年 / 95卷 / 03期

基金：

英国医学研究理事会;

关键词：

alcohol consumption; socioeconomic; longitudinal; non-drinkers; lifecourse; binge drinking;

D O I：

10.1016/j.drugalcdep.2008.01.014

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Background: Research suggests that outcomes associated with drinking may differ depending upon patterns of consumption, drinking related symptoms and social problems. This paper investigated socioeconomic predictors (measuring multiple indices, period and consistency of disadvantage) of midlife drinking patterns. Methods: Socioeconomic information from the 1958 British Birth Cohort Study (n=9146) included: manual socioeconomic position and owner/buyer residential tenure (7, 11, 16, 33 and 42 y), and educational attainment (33 y). At 45 y, the overlap between drinking patterns was explored using the Alcohol Use Disorders Identification Test. Patterns included: 'Moderate-binge' (binge drinkers with low-problem scores, consuming within UK sensible drinking weekly guidelines); Low-Problem Heavy (LPH) drinkers (regardless of binge); 'Problem' (and heavy or binge) and 'Non-/occasional' (<= monthly) drinkers. These categories were compared to 'Low-risk' drinkers. Results: Socioeconomic disadvantage was consistently associated with moderate-binge, non-/occasional and problem but not LPH drinking, The highest risk was associated with multiple and persistent disadvantage across childhood and adulthood; this risk was partially accounted for education. Non-/occasional and moderate-binge drinking was predicted by disadvantage during childhood alone. The socioeconomic disadvantage of non-/occasional drinkers was not explained by past problem or heavy drinking. Conclusions: Socioeconomic disadvantage across the lifecourse was consistently linked to specific drinking patterns. Furthermore, associations linking socioeconomic disadvantage with drinking patterns will typically be underestimated if multiple and persistent disadvantage is not investigated. The role of persistent socioeconomic disadvantage in the poor health of non-drinkers and moderate-binge drinkers needs investigation. The findings support current initiatives targeting the reduction of social and individual costs associated with specific drinking patterns. (C) 2008 Elsevier Ireland Ltd. All rights reserved.

引用

页码：269 / 278

页数：10