Socio‐economic disadvantage is associated with heavier drinking in high but not middle‐income countries participating in the International Alcohol Control Study

Huckle, Taisia; Romeo, José S.; Wall, Martin; Callinan, Sarah; Holmes, John; Meier, Petra; Mackintosh, Anne-Maree; Piazza, Marina; Chaiyasong, Surasak; Cường, Phạm Việt; Casswell, Sally

doi:10.1111/dar.12810

Cited by 18 publications

(21 citation statements)

References 24 publications

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“…The association between alcohol use and SES is complex, vary across genders, country development level and cultures, and depends on the measures used for alcohol drinking [12, 28]. Alcohol drinking measures differ in the previous studies, which made comparisons difficult.…”

Section: Discussionmentioning

confidence: 99%

Social distribution of tobacco smoking, alcohol drinking and obesity in the French West Indies

et al. 2019

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BackgroundTobacco smoking, alcohol and obesity are important risk factors for a number of non-communicable diseases. The prevalence of these risk factors differ by socioeconomic group in most populations, but this socially stratified distribution may depend on the social and cultural context. Little information on this topic is currently available in the Caribbean. The aim of this study was to describe the distribution of tobacco smoking, alcohol drinking and obesity by several socioeconomic determinants in the French West Indies (FWI).MethodsWe used data from a cross-sectional health survey conducted in Guadeloupe and Martinique in 2014 in a representative sample of the population aged 15–75 years (n = 4054). All analyses were stratified by gender, and encompassed sample weights, calculated to account for the sampling design and correct for non-response. For each risk factor, we calculated weighted prevalence by income, educational level, occupational class and having hot water at home. Poisson regression models were used to estimate age-adjusted prevalence ratios (PR) and 95% confidence intervals (CI).ResultsCurrent smoking and harmful chronic alcohol use were more common in men than in women (PR = 1.80, 95% CI = 1.55–2.09; PR = 4.53, 95% CI = 3.38–6.09 respectively). On the other hand, the prevalence of obesity was higher in women than in men (PR = 0.67, 95% CI = 0.57–0.79). Higher education, higher occupational class and higher income were associated with lower prevalence of harmful alcohol drinking in men (PR = 0.43, 95% CI = 0.25–0.72; PR = 0.73, 95% CI = 0.53–1.01; PR = 0.72, 95% CI = 0.51–1.03 respectively), but not in women. For tobacco smoking, no variation by socioeconomic status was observed in men whereas the prevalence of current smoking was higher among women with higher occupational class (PR = 1.47, 95% CI = 1.13–1.91) and higher income (PR = 1.50, 95% CI = 1.11–2.03). In women, a lower prevalence of obesity was associated with a higher income (PR = 0.43, 95% CI = 0.33–0.56), a higher occupational class (PR = 0.63, 95% CI = 0.50–0.80), a higher educational level (PR = 0.36, 95% CI = 0.26–0.50) and having hot water at home (PR = 0.65, 95% CI = 0.54–0.80).ConclusionWomen of high socio-economic status were significantly more likely to be smokers, whereas alcohol drinking in men and obesity in women were inversely associated with socioeconomic status.

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Section: Discussionmentioning

confidence: 99%

Social distribution of tobacco smoking, alcohol drinking and obesity in the French West Indies

et al. 2019

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“…It is, therefore, of particular importance to identify subjects the most at risk of alcohol consumption. Currently, two major risk factors have been identi ed worldwide: gender with the male being more at risk [17] and the socioeconomic level where the effect is less clear as the associations between socioeconomic disadvantage and heavier drinking vary depending on country-level income [18]. A group that is particularly at risk because of the vulnerability of the fetus is the pregnant women [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Alcohol Consumption and Associated Risk Factors in Burkina Faso: Results of a Population-based Cross-sectional Survey

Bonnechère

Samadoulougou

Cissé

et al. 2020

Preprint

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Background: Lifestyle modifiable risk factors are a leading preventable cause of non-communicable diseases (NCDs). Amongst them, alcohol and tobacco consumption are the most important. Studies characterizing the prevalence of alcohol consumption in low-income countries are lacking. This study describes the prevalence of alcohol use in Burkina Faso and its associated factors separately for urban and rural residents.Methods: Data from the 2013 Burkina Faso World Health Organization (WHO) Step wise approach to Surveillance (STEPS) were analyzed. The prevalence of alcohol consumption over the last 30 days were recorded and recoded into categories according to WHO recommendations: low alcohol consumption (<40g alcohol/day for men, <20g for women), mid alcohol consumption (between 40 and 59.9g/day for men and between 20 and 39.9g for women) and a heavy consumption (>60g/day for men and 40g for women). Logistic regression analyses identified factors associated with alcohol consumption use.Results: In the whole population 3,559 (75.8% [72.5 – 78.7]) were not consuming any alcohol, 614 (12.9% [10.9 – 15.3]) had a low alcohol consumption, 399 (8.5% [7.1 – 10.1]) a mid alcohol consumption and 120 (2.7% [2.0 – 3.7]) a high consumption. Sex was significantly associated with increased risk of alcohol consumption (AOR = 1.28 [1.00 – 1.63]). Age was associated with alcohol intake with a gradient effect, older people having a higher risk (AOR = 2.40 [1.74 – 3.72] for the 55 – 64 years old compared to 25 – 34 group). Tobacco consumption was also significantly associated with alcohol intake with a gradient effect, those with higher tobacco consumption being at higher risk of abusive alcohol intake. When analyzing the risk of having abusive consumption in those consuming alcohol we found a highly significant effect of gender with male having an increased risk (AOR = 2.53 [1.38 – 4.68]).Conclusion: Our data showed an important burden of alcohol consumption in Burkina Faso with a strong relationship with age, gender and tobacco consumption and disparities across the different regions of Burkina Faso. To effectively reduce alcohol consumption in Burkina Faso, a comprehensive control program should consider these associated factors.

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“…This information is not available in our study for the general population. Given the relationship between lifestyle factors such as excessive alcohol intake [25] and smoking habits [26] with socio-economic disadvantage and lower educational attainment, we were able to extend previous findings by controlling for educational attainment as a proxy for lifestyle.…”

Section: Discussionmentioning

confidence: 77%

Porphyria cutanea tarda increases risk of hepatocellular carcinoma and premature death: a nationwide cohort study

Baravelli

Sandberg

Aarsand

et al. 2019

Orphanet J Rare Dis

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Background Porphyria cutanea tarda (PCT) is a skin disorder originating from a deficit of the liver enzyme uroporphyrinogen decarboxylase. PCT may be a risk factor for hepatocellular carcinoma (HCC) and other cancers, but the evidence is unclear. We aimed to investigate cancer and premature mortality risk in persons with PCT. Methods The cohort study consisted of all Norwegian residents from 18 years between 2000 and 2016 ( n = 5.4 million). 612 persons with PCT, and all cancer diagnoses and causes of death were identified through record linkage between national registries. Hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) were adjusted for age, sex, education and calendar years. We additionally compared persons with PCT to persons with a history of chronic alcohol abuse ( n = 30,468). Results Persons with PCT were more likely to be diagnosed with HCC [adjusted HR (aHR) = 19.7, CI = 8.8–44.0) and gallbladder and biliary tract cancer (aHR = 6.8, CI = 2.2–21.0) than the reference population. A moderate increased risk for HCC (aHR = 3.1, CI = 1.2–7.7) and gallbladder and biliary tract cancer (aHR = 4.0, CI = 1.1–14.4) remained when compared to persons with a history of chronic alcohol abuse. Additionally, compared to the reference population, persons with PCT had an increased risk of premature death (aHR = 1.5, CI = 1.2–1.7), due to the following causes of death: malignant neoplasms (aHR = 1.4, CI = 1.0–1.9), diseases of the liver (HR = 5.5, CI = 2.5–12.2), and drug and alcohol overdose (HR = 9.9, CI = 4.7–20.8). Conclusions Persons with PCT had an increased risk of HCC and cancer of the gallbladder and biliary tract, as well as premature death. Although most of our findings can likely be explained by common lifestyle risk factors, something inherent in PCT may contribute to the development of HCC. Electronic supplementary material The online version of this article (10.1186/s13023-019-1051-3) contains supplementary material, which is available to authorized users.

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Socio‐economic disadvantage is associated with heavier drinking in high but not middle‐income countries participating in the International Alcohol Control Study

Cited by 18 publications

References 24 publications

Social distribution of tobacco smoking, alcohol drinking and obesity in the French West Indies

Social distribution of tobacco smoking, alcohol drinking and obesity in the French West Indies

Alcohol Consumption and Associated Risk Factors in Burkina Faso: Results of a Population-based Cross-sectional Survey

Porphyria cutanea tarda increases risk of hepatocellular carcinoma and premature death: a nationwide cohort study

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