Department of Epidemiology and Public Health, UCL, London, UK.
Int J Public Health. 2012 Feb;57(1):119-26. doi: 10.1007/s00038-011-0270-8. Epub 2011 Jul 3.
To examine gender differentials in the association between life course socioeconomic disadvantage and the risk of exceeding internationally recognised weekly and daily guidelines for 'sensible' alcohol consumption and problem drinking.
A population-representative cohort study of 1,218 men and women from the west of Scotland, UK was conducted. Data on life course socioeconomic position were collected in 1987/1988 (at around 35 years of age). Alcohol consumption patterns (detailed 7-day recall) and problem drinking (CAGE questionnaire) were ascertained in 1990/1992.
There was evidence of marked gender divergence in the socioeconomic position-alcohol intake/problem gradients. Typically, disadvantage in men conferred an increased risk of exceeding 'sensible' guidelines for weekly consumption (for own education and adult social class) and having alcohol problems (for employment status, income, adult social class and car ownership). In contrast, a reverse gradient was evident in women where adverse social status was generally associated with a reduced prevalence of these outcomes.
Investigators should consider more carefully socioeconomic patterning of alcohol intake, and possibly other health-related behaviours, separately in men and women.
探讨生活历程中社会经济劣势与超过国际公认的“合理”饮酒量每周和每日指南以及饮酒问题之间的风险的关联在性别上的差异。
在英国苏格兰西部进行了一项具有代表性的人群队列研究，共纳入 1218 名男性和女性。1987/1988 年（约 35 岁时）收集了生活历程中社会经济地位的数据。1990/1992 年确定了饮酒模式（详细的 7 天回顾）和饮酒问题（CAGE 问卷）。
在社会经济地位-饮酒量/饮酒问题梯度方面，存在明显的性别差异。通常，男性的劣势会增加超过每周“合理”饮酒量指南（受教育程度和成年社会阶层）和出现饮酒问题的风险（受就业状况、收入、成年社会阶层和汽车拥有情况）。相比之下，在女性中则出现了相反的梯度，不利的社会地位通常与这些结果的发生率降低有关。
研究人员应更仔细地考虑男性和女性饮酒量以及其他健康相关行为的社会经济模式。
