Introduction and Aims
Alcohol‐related harm reduction may target individuals, their households or communities. This study investigates the prevalence of and socioeconomic inequalities in alcohol use and alcohol‐related consequences (injury, accident, property loss and interpersonal violence) at the family‐level.
Designs and Methods
A cross‐sectional survey of 2394 households was conducted in eight provinces from six socioeconomic regions and two metropolitan cities in Vietnam. Family‐level alcohol use and injury were computed from individual data, while other measures were on a household basis. Unstandardised and indirectly standardised concentration index was used to measure degree of expenditure‐based inequality in alcohol use and its consequences.
Results
Over the previous 12 months, 88.5% and 46.2% of households had at least one current‐drinker and one heavy episodic drinking person, and in 41.7% the heavy episodic drinking person was the breadwinner. About 5.3% of households suffered alcohol‐related injury, accident or property loss; 11.4% reported alcohol‐related interpersonal violence. Poor and near‐poor households suffered the double‐burdens of both having heavy episodic drinking person and alcohol‐related harm. A modest socioeconomic gradient was observed with all types of drinker, more concentrated among higher living‐standard households, especially in urban areas. However, there was a persistent high‐level inequality disadvantaging lower living‐standard families, especially in rural areas, in suffering all measured alcohol‐related harms.
Discussion and Conclusions
Alcohol use and alcohol‐related consequences are highly prevalent in Vietnam. Lower socioeconomic households, especially in rural areas, are important target groups for alcohol‐related harm prevention and reduction interventions. The concentration index appeared to be a useful measure of inequalities in alcohol‐related harms.