Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Drug Alcohol Rev. 2021 Mar;40(3):472-480. doi: 10.1111/dar.13232. Epub 2020 Dec 22.
To explore whether Skog's theory of collectivity of drinking cultures is valid across groups with different socioeconomic position (SEP).
Individual-level information on alcohol consumption and SEP for the years 2004-2014 were retrieved from the Monitoring Project; a nationally representative monthly alcohol use survey. The analytical sample consisted of 162 369 respondents aged 25-79 years. SEP was measured by education level. Alcohol use was measured by yearly volume of consumption and frequency of heavy episodic drinking (HED). Respondents were divided into six SEP-groups based on their education level and sex. Mean yearly volume consumption and prevalence of monthly HED was calculated for each group and graphically plotted against the overall mean volume of consumption.
The yearly changes in overall mean consumption during the study period reflected a collective shift in drinking across groups with basic, intermediate and high education. There were also indications that changes in overall mean consumption reflected collective shifts in the prevalence of HED across the SEP-groups. Moreover, while the magnitude of the associations for both average volume and HED differed somewhat in strength across the SEP-groups, they were clearly in the same, positive, direction.
Our findings add support for including a socioeconomic dimension to Skog's theory of collectivity of drinking cultures. Future studies should replicate our analyses on cases and periods with more tangible changes in the price and availability of alcohol.
本研究旨在探索 Skog 的饮酒文化群体集合理论是否适用于具有不同社会经济地位(SEP)的群体。
从监测项目中检索了 2004-2014 年期间个人饮酒量和 SEP 的信息;这是一项全国代表性的月度酒精使用调查。分析样本包括 162369 名年龄在 25-79 岁的受访者。SEP 由教育水平衡量。酒精使用量通过每年的饮酒量和重度饮酒发作(HED)的频率来衡量。根据其教育程度和性别,受访者被分为六个 SEP 组。计算了每个组的平均年饮酒量和每月 HED 的流行率,并将其与总体平均饮酒量进行图形绘制。
在研究期间,整体平均消费的年度变化反映了具有基本、中级和高等教育水平的群体的饮酒方式的集体转变。还有迹象表明,整体平均消费水平的变化反映了 HED 在 SEP 组之间的流行率的集体变化。此外,尽管平均体积和 HED 的关联强度在 SEP 组之间有所不同,但它们的方向显然是相同的,是积极的。
我们的研究结果为 Skog 的饮酒文化群体集合理论增加了社会经济维度的支持。未来的研究应该在酒精价格和供应更明显变化的情况下复制我们的分析。