Differences between men and women in substance use: the role of educational level and employment status

Objective: To determine differences between men and women in hazardous drinking, heavy cannabis use and hypnosedative use according to educational level and employment status in the economically active population in Spain. Method: Cross-sectional study with data from 2013 Spanish Household Survey on...

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Main Authors: Ester Teixidó-Compañó, Albert Espelt, Luis Sordo, María J. Bravo, Ana Sarasa-Renedo, B. Iciar Indave, Marina Bosque-Prous, M. Teresa Brugal
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Gaceta Sanitaria
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0213911117300572
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author Ester Teixidó-Compañó
Albert Espelt
Luis Sordo
María J. Bravo
Ana Sarasa-Renedo
B. Iciar Indave
Marina Bosque-Prous
M. Teresa Brugal
author_facet Ester Teixidó-Compañó
Albert Espelt
Luis Sordo
María J. Bravo
Ana Sarasa-Renedo
B. Iciar Indave
Marina Bosque-Prous
M. Teresa Brugal
author_sort Ester Teixidó-Compañó
collection DOAJ
description Objective: To determine differences between men and women in hazardous drinking, heavy cannabis use and hypnosedative use according to educational level and employment status in the economically active population in Spain. Method: Cross-sectional study with data from 2013 Spanish Household Survey on Alcohol and Drugs on individuals aged 25-64 [n = 14,113 (women = 6,171; men = 7,942)]. Dependent variables were hazardous drinking, heavy cannabis use and hypnosedative consumption; the main independent variables were educational level and employment situation. Associations between dependent and independent variables were calculated with Poisson regression models with robust variance. All analyses were stratified by sex. Results: Hazardous drinking and heavy cannabis use were higher in men, while women consumed more hypnosedatives. The lower the educational level, the greater the gender differences in the prevalence of this substances owing to different consumption patterns in men and women. While men with a lower educational level were higher hazardous drinkers [RII = 2.57 (95%CI: 1.75-3.78)] and heavy cannabis users [RII = 3.03 (95%CI: 1.88-4.89)] compared to higher educational level, in women the prevalence was the same. Women with a lower education level and men with a higher education level had higher hypnosedative consumption. Unemployment was associated with increased heavy cannabis use and hypnosedative use in both women and men and with lower hazardous drinking only in women. Conclusions: There are differences between men and women in the use of psychoactive substances that can be explained by the unequal distribution of substance use in them according to educational level. Unemployment was associated with substance use in both men and women.
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spelling doaj.art-f6c9443d6c354a93a5c9c3014a8e74a32022-12-22T02:07:48ZengElsevierGaceta Sanitaria0213-91112018-01-01321414710.1016/j.gaceta.2016.12.017Differences between men and women in substance use: the role of educational level and employment statusEster Teixidó-Compañó0Albert Espelt1Luis Sordo2María J. Bravo3Ana Sarasa-Renedo4B. Iciar Indave5Marina Bosque-Prous6M. Teresa Brugal7Agència de Salut Pública de Barcelona, Barcelona, SpainAgència de Salut Pública de Barcelona, Barcelona, SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainCentro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, SpainAgència de Salut Pública de Barcelona, Barcelona, SpainAgència de Salut Pública de Barcelona, Barcelona, SpainObjective: To determine differences between men and women in hazardous drinking, heavy cannabis use and hypnosedative use according to educational level and employment status in the economically active population in Spain. Method: Cross-sectional study with data from 2013 Spanish Household Survey on Alcohol and Drugs on individuals aged 25-64 [n = 14,113 (women = 6,171; men = 7,942)]. Dependent variables were hazardous drinking, heavy cannabis use and hypnosedative consumption; the main independent variables were educational level and employment situation. Associations between dependent and independent variables were calculated with Poisson regression models with robust variance. All analyses were stratified by sex. Results: Hazardous drinking and heavy cannabis use were higher in men, while women consumed more hypnosedatives. The lower the educational level, the greater the gender differences in the prevalence of this substances owing to different consumption patterns in men and women. While men with a lower educational level were higher hazardous drinkers [RII = 2.57 (95%CI: 1.75-3.78)] and heavy cannabis users [RII = 3.03 (95%CI: 1.88-4.89)] compared to higher educational level, in women the prevalence was the same. Women with a lower education level and men with a higher education level had higher hypnosedative consumption. Unemployment was associated with increased heavy cannabis use and hypnosedative use in both women and men and with lower hazardous drinking only in women. Conclusions: There are differences between men and women in the use of psychoactive substances that can be explained by the unequal distribution of substance use in them according to educational level. Unemployment was associated with substance use in both men and women.http://www.sciencedirect.com/science/article/pii/S0213911117300572Alcohol consumptionMarijuana smokingHypnotics and sedativesEducational statusEmploymentSex
spellingShingle Ester Teixidó-Compañó
Albert Espelt
Luis Sordo
María J. Bravo
Ana Sarasa-Renedo
B. Iciar Indave
Marina Bosque-Prous
M. Teresa Brugal
Differences between men and women in substance use: the role of educational level and employment status
Gaceta Sanitaria
Alcohol consumption
Marijuana smoking
Hypnotics and sedatives
Educational status
Employment
Sex
title Differences between men and women in substance use: the role of educational level and employment status
title_full Differences between men and women in substance use: the role of educational level and employment status
title_fullStr Differences between men and women in substance use: the role of educational level and employment status
title_full_unstemmed Differences between men and women in substance use: the role of educational level and employment status
title_short Differences between men and women in substance use: the role of educational level and employment status
title_sort differences between men and women in substance use the role of educational level and employment status
topic Alcohol consumption
Marijuana smoking
Hypnotics and sedatives
Educational status
Employment
Sex
url http://www.sciencedirect.com/science/article/pii/S0213911117300572
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