Alcohol and educational inequalities: Hazardous drinking prevalence and all-cause mortality by hazardous drinking group in people aged 50 and older in Europe.
Alcohol and educational inequalities: Hazardous drinking prevalence and all-cause mortality by hazardous drinking group in people aged 50 and older in Europe.
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酒精和教育不平等：欧洲 50 岁及以上人群中危险饮酒人群的危险饮酒流行率和全因死亡率。
DOI：
10.1080/08897077.2020.1773597
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发表时间：
2022
期刊：
影响因子：
3.5
通讯作者：
Espelt,Albert
中科院分区：
文献类型：
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作者：
Trias-Llimós,Sergi;Bosque-Prous,Marina;Obradors-Rial,Nuria;Teixidó-Compañó,Ester;Belza,MariaJosé;Janssen,Fanny;Espelt,Albert
背景我们研究了 14 个欧洲国家 50 岁或以上人群中危险饮酒流行率的教育不平等，并探讨了欧洲地区危险饮酒者死亡率的教育不平等。方法我们分析了欧洲健康老龄化和退休调查 (SHARE) 第 4、5 和 6 波的数据。我们使用具有稳健方差的泊松回归模型估计了年龄标准化的危险饮酒流行率以及按国家和教育水平划分的危险饮酒流行率 (PR)。我们使用 Cox 比例风险回归模型估计了每个地区（北部、南部、东部和西部）危险饮酒者和非危险饮酒者全因死亡率的不平等相对指数 (RII)。结果在男性中，未观察到危险饮酒方面的教育不平等（PRmedium= 1.09 [95%CI: 0.98–1.21] 和 PRhigh= 0.99 [95%CI：0.88–1.10]，参考文献。低），而在最高教育水平的女性中观察到危险饮酒患病率最高（PRmedium= 1.28 [95%CI: 1.15–1.42] 和 PRhigh= 1.53 [95%CI: 1.36–1.72]）。总体而言，危险饮酒者全因死亡率的相对不平等指数 (RII)，男性为 1.12 [95%CI: 1.03–1.22]，女性为 1.10 [95%CI: 0.97–1.25]。在东欧，男性（RIIhazardous= 1.21 [95%CI: 1.01–1.45]）和女性（RIIhazardous= 1.46 [95%CI: 1.13–1.87]）都观察到危险饮酒者的教育不平等。在南欧、西欧和东欧的男性以及东欧的女性中，观察到非危险饮酒者死亡率的教育不平等。 结论 在大多数分析的欧洲国家中，较高的教育程度与女性的危险饮酒流行率呈正相关，但与男性的危险饮酒流行率无关。仅在东欧观察到危险饮酒者死亡率的明显教育不平等。需要进一步研究不同地区饮酒与全因死亡率不平等之间的关系。
BackgroundWe examined educational inequalities in hazardous drinking prevalence among individuals aged 50 or more in 14 European countries, and explored educational inequalities in mortality in hazardous drinkers in European regions.MethodsWe analyzed data from waves 4, 5 and 6 of the Survey of Health Ageing and Retirement in Europe (SHARE). We estimated age-standardized hazardous drinking prevalence, and prevalence ratios (PR) of hazardous drinking by country and educational level using Poisson regression models with robust variance. We estimated the relative index of inequality (RII) for all-cause mortality among hazardous drinkers and non-hazardous drinkers using Cox proportional hazards regression models and for each region (North, South, East and West).ResultsIn men, educational inequalities in hazardous drinking were not observed (PRmedium= 1.09 [95%CI: 0.98–1.21] and PRhigh= 0.99 [95%CI: 0.88–1.10], ref. low), while in they were observed in women, having the highest hazardous drinking prevalence in the highest educational levels (PRmedium= 1.28 [95%CI: 1.15–1.42] and PRhigh= 1.53 [95%CI: 1.36–1.72]). Overall, the Relative Index of Inequality (RII) in all-cause mortality among hazardous drinkers was 1.12 [95%CI: 1.03–1.22] among men and 1.10 [95%CI: 0.97–1.25] among women. Educational inequalities among hazardous drinkers were observed in Eastern Europe for both men (RIIhazardous= 1.21 [95%CI: 1.01–1.45]) and women (RIIhazardous= 1.46 [95%CI: 1.13–1.87]). Educational inequalities in mortality among non-hazardous drinkers were observed in Southern, Western and Eastern Europe among men, and in Eastern Europe among women.ConclusionsHigher educational attainment is positively associated with hazardous drinking prevalence among women, but not among men in most of the analyzed European countries. Clear educational inequalities in mortality among hazardous drinkers were only observed in Eastern Europe. Further research on the associations between alcohol use and inequalities in all-cause mortality in different regions is needed.