Does a Change Over All Equal a Change in All? Testing for Polarized Alcohol Use Within and Across Socio-Economic Groups in Germany.

Aims: This study aimed at testing whether drinking volume and episodic heavy drinking (EHD) frequency in Germany are polarizing between consumption levels overtime. Polarization is defined as a reduction in alcohol use among the majority of the population, while a subpopulation with a high intake le...

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Publicado en:Alcohol & Alcoholism. Supplement Vol. 50; no. 6; pp. 700 - 708
Autores principales: Gomes de Matos, Elena, Kraus, Ludwig, Pabst, Alexander, Piontek, Daniela
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Nov2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2015
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      pub: Oxford University Press / USA
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        10.1093/alcalc/agv053
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        atl: Does a Change Over All Equal a Change in All? Testing for Polarized Alcohol Use Within and Across Socio-Economic Groups in Germany.
      aug:
        au:
          Gomes de Matos, Elena
          Kraus, Ludwig
          Pabst, Alexander
          Piontek, Daniela
        affil: IFT Institut für Therapieforschung, Munich, Germany
      sug:
        subj:
          Alcohol Drinking Trends
          Substance Abuse
          Alcohols
          Socioeconomic Factors
          Population
          Arthritis Impact Measurement Scales
          Germany
          Descriptive Statistics
          Study Design
          Prospective Studies
          Linear Regression
          Data Collection
          Self Report
          Odds Ratio
          Surveys
          Comparative Studies
          Regression
          Sampling Methods
      ab: Aims: This study aimed at testing whether drinking volume and episodic heavy drinking (EHD) frequency in Germany are polarizing between consumption levels overtime. Polarization is defined as a reduction in alcohol use among the majority of the population, while a subpopulation with a high intake level maintains or increases its drinking or its EHD frequency. The polarization hypothesis was tested across and within socio-economic subgroups. Method: Analyses were based on seven cross-sectional waves of the Epidemiological Survey of Substance Abuse (ESA) conducted between 1995 and 2012 (n = 7833-9084). Overall polarization was estimated based on regression models with time by consumption level interactions; the three-way interaction with socio-economic status (SES) was consecutively introduced to test the stability of effects over socio-economic strata. Interactions were interpreted by graphical inspection. Results: For both alcohol use indicators, declines over time were largest in the highest consumption level. This was found within all SES groups, but was most pronounced at low and least pronounced at medium SES. Conclusion: The results indicate no polarization but convergence between consumption levels. Socio-economic status groups differ in the magnitude of convergence which was lowest in medium SES. The overall decline was strongest for the highest consumption level of low SES.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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