Historique
Article de Périodique
Decomposing social inequalities in alcohol consumption in Germany 1995-2015: an age-period-cohort analysis (2019)
Auteur(s) :
PABST, A. ;
VAN DER AUWERA, S. ;
PIONTEK, D. ;
BAUMEISTER, S. E. ;
KRAUS, L.
Année
2019
Page(s) :
1359-1368
Langue(s) :
Anglais
Refs biblio. :
49
Domaine :
Alcool / Alcohol
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ALLEMAGNE
Thésaurus mots-clés
ALCOOL
;
INEGALITE
;
EVOLUTION
;
COHORTE
;
POPULATION GENERALE
;
CATEGORIE SOCIO-PROFESSIONNELLE
;
AGE
;
ETUDE TRANSVERSALE
;
EPIDEMIOLOGIE
;
PREVALENCE
;
ABUS
;
CONSOMMATION
Résumé :
Background and aims: Previous research indicates that compared with individuals with lower socio-economic status (SES), individuals in higher SES groups are more often drinkers but those who drink report drinking smaller amounts more frequently. We aimed to decompose trends in self-reported alcohol consumption in Germany into age, period and birth cohort effects and examine whether these effects varied by SES.
Design: Age-period-cohort (APC) analysis using data from eight waves of the cross-sectional German Epidemiological Survey of Substance Abuse (ESA) collected between 1995 and 2015.
Setting: Germany.
Participants: The analytical sample included n = 65 821 individuals aged 18-64 years reporting alcohol use within the last 30 days.
Measurements: Alcohol measures included drinking prevalence, alcohol volume and prevalence of episodic heavy drinking (EHD). Educational attainment was used as an indicator of SES. A series of generalized linear and logistic regression models, including both main and interaction effects of age, period and cohort with SES, were estimated.
Findings: Regression models revealed significant interactions between APC effects and SES on two alcohol consumption measures. Higher SES was consistently associated with drinking prevalence across age (P < 0.001), period (P = 0.016) and cohort (P = 0.016), and with volume of drinking in younger cohorts (P = 0.002) and 50+-year-olds (P = 0.001). Model results were inconclusive as to whether or not APC effects on EHD prevalence differed by SES.
Conclusions: In Germany, there are positive associations between socio-economic status and alcohol consumption during the life-course, over time and among birth cohorts. Three groups appear vulnerable to risky drinking: high socio-economic status young birth cohorts who drink high average quantities, low socio-economic status young birth cohorts who show a risky drinking pattern and high socio-economic status adults in their 50s and older who increase their drinking volume beyond that age.
Design: Age-period-cohort (APC) analysis using data from eight waves of the cross-sectional German Epidemiological Survey of Substance Abuse (ESA) collected between 1995 and 2015.
Setting: Germany.
Participants: The analytical sample included n = 65 821 individuals aged 18-64 years reporting alcohol use within the last 30 days.
Measurements: Alcohol measures included drinking prevalence, alcohol volume and prevalence of episodic heavy drinking (EHD). Educational attainment was used as an indicator of SES. A series of generalized linear and logistic regression models, including both main and interaction effects of age, period and cohort with SES, were estimated.
Findings: Regression models revealed significant interactions between APC effects and SES on two alcohol consumption measures. Higher SES was consistently associated with drinking prevalence across age (P < 0.001), period (P = 0.016) and cohort (P = 0.016), and with volume of drinking in younger cohorts (P = 0.002) and 50+-year-olds (P = 0.001). Model results were inconclusive as to whether or not APC effects on EHD prevalence differed by SES.
Conclusions: In Germany, there are positive associations between socio-economic status and alcohol consumption during the life-course, over time and among birth cohorts. Three groups appear vulnerable to risky drinking: high socio-economic status young birth cohorts who drink high average quantities, low socio-economic status young birth cohorts who show a risky drinking pattern and high socio-economic status adults in their 50s and older who increase their drinking volume beyond that age.
Affiliation :
Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, Leipzig, Germany
Cote :
Abonnement