Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain



Downloads per month over past year

Donat, Marta and Barrio, Gregorio and Guerras, Juan Miguel and Herrero, Lidia and Pulido Manzanero, José and Belza, María José and Regidor Poyatos, Enrique (2022) Educational Gradients in Drinking Amount and Heavy Episodic Drinking among Working-Age Men and Women in Spain. International Journal of Environmental Research and Public Health, 19 (7). p. 4371. ISSN 1660-4601

[thumbnail of ijerph-19-04371.pdf]
Creative Commons Attribution.


Official URL:


Alcohol-related harm decreases as socioeconomic position increases, although sometimes the opposite happens with alcohol intake. The objective was to know the educational gradient in monthly measures of drinking amount and heavy episodic drinking (HED) among people aged 25–64 years in Spain from 1997–2017. Such gradient was characterized with the relative percent change (PC) in drinking measures per year of education from generalized linear regression models after adjusting for age, year, region, marital status and immigration status. Among men, the PCs were significantly positive (p < 0.05) for prevalence of <21 g alcohol/day (2.9%) and 1–3 HED days (1.4%), and they were negative for prevalences of 21–40 g/day (−1.1%), >40 g/day (−6.0%) and ≥4 HED days (−3.2%), while among women they ranged from 3.6% to 5.7%. The gradient in prevalences of >40 g/day (men) and >20 g/day (women) was greatly attenuated after additionally adjusting for HED, while that of ≥4 HED days was only slightly attenuated after additionally adjusting for drinking amount. Among women, the gradients, especially in HED measures, seem steeper in 2009–2017 than in 1997–2007. Educational inequality remained after additional adjustment for income and occupation, although it decreased among women. These results can guide preventive interventions and help explain socioeconomic inequalities in alcohol-related harm.

Item Type:Article
Uncontrolled Keywords:alcohol use; average drinking amount; heavy episodic drinking; educational gradient; sex; Spain
Subjects:Medical sciences > Medicine > Public health
Medical sciences > Psychology > Drug abuse
ID Code:72856
Deposited On:16 Jun 2022 14:57
Last Modified:17 Jun 2022 07:13

Origin of downloads

Repository Staff Only: item control page