Baker Sarah
a School of Clinical and Applied Sciences, Leeds Beckett University , Leeds , United Kingdom.
Subst Use Misuse. 2017 Apr 16;52(5):624-631. doi: 10.1080/10826084.2016.1245747. Epub 2016 Dec 27.
Social factors have been linked to patterns of alcohol use among women. However, conflicting evidence on the ways in which socio-economic circumstances are linked to women's alcohol use impedes our understanding. Interest in women's alcohol use has moved up the policy agenda. Nevertheless, existing research fails to attend to differences among groups of women according to their social circumstances, including whether or not they are mothers.
This study aims to enhance our understanding of "risky" patterns of alcohol use among mothers in the UK during very early motherhood.
Secondary analyses of 2000/1 data from the Millennium Cohort Study (MCS) was undertaken. Using a broad outcome measure of "risky" alcohol use, patterns of consumption among a sub-set of mothers recruited in England (n = 7048) were explored according to a number of social and domestic variables. Using logistic regression, mutually adjusted analyses that included adjustment for age were undertaken. Odds ratios were calculated for the likelihood of "risky" drinking according to mothers' social circumstances and level of disadvantage.
"Risky" alcohol use was more likely with increased levels of disadvantage: disadvantaged childhood circumstances, lower levels of educational attainment, lower household income, younger age at first birth, lone parenthood.
Social gradients were evident for "risky" alcohol use among mothers with 9-month-old babies in England who took part in the MCS. These findings emphasize the importance of exploring patterns of alcohol use among sub-groups of the population that are currently under-represented in the research literature.
社会因素与女性饮酒模式有关。然而,关于社会经济状况与女性饮酒之间联系的证据相互矛盾,这妨碍了我们的理解。对女性饮酒的关注已提上政策议程。尽管如此,现有研究未能关注不同社会状况女性群体之间的差异,包括她们是否为母亲。
本研究旨在加深我们对英国初为人母的女性在极早期“危险”饮酒模式的理解。
对千禧世代研究(MCS)2000/1年的数据进行二次分析。采用“危险”饮酒的宽泛结果指标,根据一些社会和家庭变量,探讨在英格兰招募的一部分母亲(n = 7048)的饮酒模式。使用逻辑回归进行相互调整分析,包括对年龄的调整。根据母亲的社会状况和不利程度计算“危险”饮酒可能性的比值比。
不利程度增加时,“危险”饮酒的可能性更大:童年处境不利、教育程度较低、家庭收入较低、初产年龄较小、单亲家庭。
在参与MCS的英格兰有9个月大婴儿的母亲中,“危险”饮酒存在明显的社会梯度。这些发现强调了探索研究文献中目前代表性不足的人群亚组饮酒模式的重要性。