Alcohol and tobacco consumption: What is the role of economic security?
Aims: To better understand the longstanding inequalities concerning alcohol and tobacco use, we aimed to quantify the effect of household economic security on alcohol and tobacco consumption and expenditure. Design Longitudinal analysis using data from the Household, Income and Labour Dynamics in Au...
| Publicado en: | Addiction Vol. 116; no. 7; pp. 1882 - 1892 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jul2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150671491&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150671491 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Jul2021 vid: 116 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 150671491 148396120 150671491 150671491 10.1111/add.15400 150671491 ppf: 1882 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Alcohol and tobacco consumption: What is the role of economic security? aug: au: Bentley, Rebecca Baker, Emma Martino, Erika Li, Yuxi Mason, Kate affil: Melbourne School of Population and Global Health, The University of Melbourne, Carlton VIC,, Australia sug: subj: Alcohol Abuse Economics Smoking Economics Economic Factors Australia Human Prospective Studies Surveys Australia Adult Middle Age Income Odds Ratio Confidence Intervals Employment Status Housing Adult: 19-44 years Middle Aged: 45-64 years ab: Aims: To better understand the longstanding inequalities concerning alcohol and tobacco use, we aimed to quantify the effect of household economic security on alcohol and tobacco consumption and expenditure. Design Longitudinal analysis using data from the Household, Income and Labour Dynamics in Australia survey (2001–2018). Setting: Australia Participants: A nationally representative cohort of 24 134 adults aged 25–64 years (187 378 observations). Measurements Tobacco and alcohol use (Yes/No), frequency of use of each per week, household expenditure on each per week, household weekly income (Consumer Price Index [CPI]‐adjusted), employment security (based on conditions of employment) and housing affordability (housing costs relative to household income). Findings At baseline, one‐quarter of the sample used tobacco and 87% used alcohol. Annual increases in household income were associated with the increased use of both tobacco and alcohol for people in households in the lowest 40% of the national income distribution (OR = 1.13, 95% CI = 1.03–1.23 and OR = 1.12, 95% CI = 1.04–1.20, respectively) with no similar income effect observed for higher‐income households. In relation to smoking, the odds of a resident's tobacco use increased when their household was unemployed (OR = 1.32, 95% CI = 1.07–1.62). In relation to alcohol, the odds of use decreased when households were insecurely employed or unemployed, or housing costs were unaffordable (OR = 0.87, 95% CI = 0.77–0.98, OR = 0.66, 95% CI = 0.55–0.80 and OR = 0.84, 95% CI = 0.75–0.93, respectively). This was also reflected in the reduced odds of risky drinking (defined in accordance with Australian guidelines) when housing became unaffordable or households became unemployed (OR = 0.90, 95% CI = 0.81–0.99; OR = 0.82, 95% CI = 0.69–0.98, respectively). Conclusions: In Australia, smoking and drinking appear to exhibit different socio‐behavioural characteristics and household unemployment appears to be a strong determinant of smoking. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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