Background
There is some evidence that individual-level job loss can lead to greater alcohol consumption and problems. While other forms of economic loss were common during the recent recession, these are rarely investigated in studies of macroeconomic decline. The present study examined the relationship between types of economic loss in the 2008-9 recession and alcohol outcomes, and whether this varied by gender and age.
Methods
Data are from the 2009-10 U.S. National Alcohol Survey (N=5,382). We used multivariable regression to estimate associations between economic loss and alcohol volume, monthly drunkenness, negative drinking consequences and alcohol dependence in the overall sample and within gender and age groups (18–29, 30–49, 50+), controlling for demographic and alcohol history covariates.
Results
In the overall sample, severe economic loss (job or housing loss) was positively associated with negative drinking consequences, alcohol dependence and (marginally) drunkenness, while moderate loss (loss of retirement savings, reduced work hours/wages, trouble paying the rent/mortgage) was unassociated with alcohol outcomes. Important gender and age differences were observed. Women reporting retirement loss, reduced hours/wages and job loss consumed 41–70% more alcohol than women unaffected by the recession, and men who experienced job loss and housing problems had increased risk for drunkenness, drinking consequences and dependence. Middle-aged Americans affected by partial or complete job loss and housing problems also had greater risk of drunkeness and alcohol-related problems, and older adults who lost retirement savings drank 42% more alcohol than their peers unaffected by the recession. With the exception of negative drinking consequences, young adult alcohol outcomes were largely unrelated to recessionary loss.
Conclusions
This study highlights the adverse effects of recession-induced economic losses on alcohol use and problems in demographic subgroups. As men and middle-aged Americans were at risk for multiple, adverse alcohol outcomes, these groups may warrant special alcohol screening and intervention efforts in future macroeconomic crises.