Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study
Abstract Background For alcohol, the association with socioeconomic status (SES) is different than for other public health challenges – the associations are complex, and heterogeneous between socioeconomic groups. Specifically, the relationship between alcohol consumption per se and adverse health c...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-019-7648-6 |
| _version_ | 1818305375633408000 |
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| author | Jens Christoffer Skogen Tormod Bøe Mikkel Magnus Thørrisen Heleen Riper Randi Wågø Aas |
| author_facet | Jens Christoffer Skogen Tormod Bøe Mikkel Magnus Thørrisen Heleen Riper Randi Wågø Aas |
| author_sort | Jens Christoffer Skogen |
| collection | DOAJ |
| description | Abstract Background For alcohol, the association with socioeconomic status (SES) is different than for other public health challenges – the associations are complex, and heterogeneous between socioeconomic groups. Specifically, the relationship between alcohol consumption per se and adverse health consequences seems to vary across SES. This observation is called the ‘alcohol harm paradox’. This study aims to describe different patterns of alcohol use and potential problems. Next, the associations between sub-groups characterized by different patterns of alcohol use and potential problems, and age, gender, educational level, full-time employment, occupational level and income is analysed. Methods Employing data from the ongoing cross-sectional WIRUS-study, N = 4311 participants were included in the present study. Individual response patterns of the ten-item Alcohol Use Disorders Identification Test (AUDIT) were analysed and latent class analysis (LCA) was used to identify latent groups. Next, the associations between the classes identified in the best fitting LCA-model and sociodemographic factors were analysed and presented. Results We identified three classes based on the response patterns on AUDIT. Class 1 was characterised by low-level alcohol consumption and very low probability of negative alcohol-related consequences related to their alcohol consumption. Class 2 was characterised by a higher level of consumption, but despite this, class 2 also had a relatively low probability of reporting negative alcohol-related consequences. Class 3, however, was characterised by high levels of alcohol consumption, and a high probability of reporting negative consequences of their consumption. The classes identified were systematically differentially associated with the included measures of SES, with class 3 characterised by younger age, more males and lower educational attainment. Conclusions Our findings highlight the interconnectedness of alcohol consumption and alcohol-related consequences. Furthermore, the identified classes and SES yields further insights into to intricate relationship between various socioeconomic factors, alcohol use patterns and related negative consequences. |
| first_indexed | 2024-12-13T06:25:36Z |
| format | Article |
| id | doaj.art-392c26044f444240bff46b92622a065f |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T06:25:36Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-392c26044f444240bff46b92622a065f2022-12-21T23:56:44ZengBMCBMC Public Health1471-24582019-10-0119111210.1186/s12889-019-7648-6Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening studyJens Christoffer Skogen0Tormod Bøe1Mikkel Magnus Thørrisen2Heleen Riper3Randi Wågø Aas4Department of Health Promotion, Norwegian Institute of Public HealthDepartment of Psychosocial Science, Faculty of Psychology, University of BergenDepartment of Public Health, Faculty of Health Sciences, University of StavangerDepartment of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit AmsterdamDepartment of Public Health, Faculty of Health Sciences, University of StavangerAbstract Background For alcohol, the association with socioeconomic status (SES) is different than for other public health challenges – the associations are complex, and heterogeneous between socioeconomic groups. Specifically, the relationship between alcohol consumption per se and adverse health consequences seems to vary across SES. This observation is called the ‘alcohol harm paradox’. This study aims to describe different patterns of alcohol use and potential problems. Next, the associations between sub-groups characterized by different patterns of alcohol use and potential problems, and age, gender, educational level, full-time employment, occupational level and income is analysed. Methods Employing data from the ongoing cross-sectional WIRUS-study, N = 4311 participants were included in the present study. Individual response patterns of the ten-item Alcohol Use Disorders Identification Test (AUDIT) were analysed and latent class analysis (LCA) was used to identify latent groups. Next, the associations between the classes identified in the best fitting LCA-model and sociodemographic factors were analysed and presented. Results We identified three classes based on the response patterns on AUDIT. Class 1 was characterised by low-level alcohol consumption and very low probability of negative alcohol-related consequences related to their alcohol consumption. Class 2 was characterised by a higher level of consumption, but despite this, class 2 also had a relatively low probability of reporting negative alcohol-related consequences. Class 3, however, was characterised by high levels of alcohol consumption, and a high probability of reporting negative consequences of their consumption. The classes identified were systematically differentially associated with the included measures of SES, with class 3 characterised by younger age, more males and lower educational attainment. Conclusions Our findings highlight the interconnectedness of alcohol consumption and alcohol-related consequences. Furthermore, the identified classes and SES yields further insights into to intricate relationship between various socioeconomic factors, alcohol use patterns and related negative consequences.http://link.springer.com/article/10.1186/s12889-019-7648-6Alcohol useAlcohol-related consequencesSocioeconomic statusAlcohol-harm paradoxLatent class analysis |
| spellingShingle | Jens Christoffer Skogen Tormod Bøe Mikkel Magnus Thørrisen Heleen Riper Randi Wågø Aas Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study BMC Public Health Alcohol use Alcohol-related consequences Socioeconomic status Alcohol-harm paradox Latent class analysis |
| title | Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study |
| title_full | Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study |
| title_fullStr | Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study |
| title_full_unstemmed | Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study |
| title_short | Sociodemographic characteristics associated with alcohol consumption and alcohol-related consequences, a latent class analysis of The Norwegian WIRUS screening study |
| title_sort | sociodemographic characteristics associated with alcohol consumption and alcohol related consequences a latent class analysis of the norwegian wirus screening study |
| topic | Alcohol use Alcohol-related consequences Socioeconomic status Alcohol-harm paradox Latent class analysis |
| url | http://link.springer.com/article/10.1186/s12889-019-7648-6 |
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