Structural sexism and Women's alcohol use in the United States, 1988–2016
Women's alcohol consumption and binge drinking have increased concurrent with socio-economic gains and may be related to structural sexism. We examined associations between structural sexism (state-level sex inequality in political/economic status), and alcohol outcomes among women in Monitorin...
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Veröffentlicht in: | Social science & medicine (1982) 2022-05, Vol.301, p.114976-114976, Article 114976 |
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creator | McKetta, Sarah Prins, Seth J. Hasin, Deborah Patrick, Megan E. Keyes, Katherine M. |
description | Women's alcohol consumption and binge drinking have increased concurrent with socio-economic gains and may be related to structural sexism.
We examined associations between structural sexism (state-level sex inequality in political/economic status), and alcohol outcomes among women in Monitoring the Future (N = 20,859) from 1988 to 2016 (ages 27–45 in 2016). We controlled for state and individual confounders and tested three mediators: depressive symptoms, restrictive alcohol norms, and college completion.
Increased structural sexism was associated with decreased alcohol consumption frequency (RR: 0.974, 95% CI: 0.971, 0.976) and binge drinking probability (OR: 0.917, 95% CI: 0.909, 0.926). Norms and education but not depressive symptoms partially mediated these relationships.
Among women in the midlife in recent years, lower levels of state structural sexism were associated with greater alcohol consumption and binge drinking. These findings suggest that as states become more gender-equal—which confer numerous benefits for women's rights and health—additional resources and messaging may be required to prevent harmful alcohol use among women.
•Alcohol use has increased for women, concurrent with changes in social status.•Structural sexism may be determinant of changes in women's alcohol use.•We show that decreases in structural sexism are related to increased alcohol use.•These associations are partially mediated through college completion and norms. |
doi_str_mv | 10.1016/j.socscimed.2022.114976 |
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We examined associations between structural sexism (state-level sex inequality in political/economic status), and alcohol outcomes among women in Monitoring the Future (N = 20,859) from 1988 to 2016 (ages 27–45 in 2016). We controlled for state and individual confounders and tested three mediators: depressive symptoms, restrictive alcohol norms, and college completion.
Increased structural sexism was associated with decreased alcohol consumption frequency (RR: 0.974, 95% CI: 0.971, 0.976) and binge drinking probability (OR: 0.917, 95% CI: 0.909, 0.926). Norms and education but not depressive symptoms partially mediated these relationships.
Among women in the midlife in recent years, lower levels of state structural sexism were associated with greater alcohol consumption and binge drinking. These findings suggest that as states become more gender-equal—which confer numerous benefits for women's rights and health—additional resources and messaging may be required to prevent harmful alcohol use among women.
•Alcohol use has increased for women, concurrent with changes in social status.•Structural sexism may be determinant of changes in women's alcohol use.•We show that decreases in structural sexism are related to increased alcohol use.•These associations are partially mediated through college completion and norms.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2022.114976</identifier><identifier>PMID: 35461082</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Alcohol ; Alcohol abuse ; Alcohol Drinking - epidemiology ; Alcohol use ; Binge Drinking - epidemiology ; Consumption ; Drinking behavior ; Economic inequality ; Economic status ; Educational Status ; Female ; Humans ; Inequality ; Mental depression ; Middle age ; Middle Aged ; Midlife ; Sexism ; Socioeconomic Factors ; Structural sexism ; Symptoms ; United States - epidemiology ; Women ; Women's health ; Womens rights</subject><ispartof>Social science & medicine (1982), 2022-05, Vol.301, p.114976-114976, Article 114976</ispartof><rights>2022 Elsevier Ltd</rights><rights>Copyright © 2022 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. May 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-a79f8ede456fe8a3844c3e947356ab5f1db06c557a84d7b6b417c29edb2579373</citedby><cites>FETCH-LOGICAL-c370t-a79f8ede456fe8a3844c3e947356ab5f1db06c557a84d7b6b417c29edb2579373</cites><orcidid>0000-0001-8953-1809 ; 0000-0003-2622-614X ; 0000-0003-3594-4944</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0277953622002829$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,33753,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35461082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McKetta, Sarah</creatorcontrib><creatorcontrib>Prins, Seth J.</creatorcontrib><creatorcontrib>Hasin, Deborah</creatorcontrib><creatorcontrib>Patrick, Megan E.</creatorcontrib><creatorcontrib>Keyes, Katherine M.</creatorcontrib><title>Structural sexism and Women's alcohol use in the United States, 1988–2016</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>Women's alcohol consumption and binge drinking have increased concurrent with socio-economic gains and may be related to structural sexism.
We examined associations between structural sexism (state-level sex inequality in political/economic status), and alcohol outcomes among women in Monitoring the Future (N = 20,859) from 1988 to 2016 (ages 27–45 in 2016). We controlled for state and individual confounders and tested three mediators: depressive symptoms, restrictive alcohol norms, and college completion.
Increased structural sexism was associated with decreased alcohol consumption frequency (RR: 0.974, 95% CI: 0.971, 0.976) and binge drinking probability (OR: 0.917, 95% CI: 0.909, 0.926). Norms and education but not depressive symptoms partially mediated these relationships.
Among women in the midlife in recent years, lower levels of state structural sexism were associated with greater alcohol consumption and binge drinking. These findings suggest that as states become more gender-equal—which confer numerous benefits for women's rights and health—additional resources and messaging may be required to prevent harmful alcohol use among women.
•Alcohol use has increased for women, concurrent with changes in social status.•Structural sexism may be determinant of changes in women's alcohol use.•We show that decreases in structural sexism are related to increased alcohol use.•These associations are partially mediated through college completion and norms.</description><subject>Adult</subject><subject>Alcohol</subject><subject>Alcohol abuse</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Alcohol use</subject><subject>Binge Drinking - epidemiology</subject><subject>Consumption</subject><subject>Drinking behavior</subject><subject>Economic inequality</subject><subject>Economic status</subject><subject>Educational Status</subject><subject>Female</subject><subject>Humans</subject><subject>Inequality</subject><subject>Mental depression</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Midlife</subject><subject>Sexism</subject><subject>Socioeconomic Factors</subject><subject>Structural sexism</subject><subject>Symptoms</subject><subject>United States - epidemiology</subject><subject>Women</subject><subject>Women's health</subject><subject>Womens rights</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFUctuFDEQtBAR2QR-ASxxyCWz-G3PCUURAUQkDiHiaHnsHtar3XGwPRHc-Af-MF8SRxtWcOLULXVVdakKoVeULCmh6s16WZIvPm4hLBlhbEmp6LV6ghbUaN5JLvRTtCBM666XXB2io1LWhBBKDH-GDrkUqq1sgT5d1Tz7Ome3wQV-xLLFbgr4a9rCdFKw2_i0Shs8F8BxwnUF-HqKFQK-qq5COcW0N-bu12_WXD1HB6PbFHjxOI_R9cW7L-cfusvP7z-en112nmtSO6f70UAAIdUIxnEjhOfQC82lcoMcaRiI8lJqZ0TQgxoE1Z71EAYmdc81P0Zvd7o389AC8DDVZt_e5Lh1-adNLtp_L1Nc2W_p1lJKFRe0bwqvHxVy-j5DqXad5jw105ZppohsIZqG0juUz6mUDOP-BSX2oQa7tvsa7EMNdldDY7782-Ge9yf3BjjbAaDldBsh26YCk4cQM_hqQ4r_fXIP83adHg</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>McKetta, Sarah</creator><creator>Prins, Seth J.</creator><creator>Hasin, Deborah</creator><creator>Patrick, Megan E.</creator><creator>Keyes, Katherine M.</creator><general>Elsevier Ltd</general><general>Pergamon Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8953-1809</orcidid><orcidid>https://orcid.org/0000-0003-2622-614X</orcidid><orcidid>https://orcid.org/0000-0003-3594-4944</orcidid></search><sort><creationdate>20220501</creationdate><title>Structural sexism and Women's alcohol use in the United States, 1988–2016</title><author>McKetta, Sarah ; Prins, Seth J. ; Hasin, Deborah ; Patrick, Megan E. ; Keyes, Katherine M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-a79f8ede456fe8a3844c3e947356ab5f1db06c557a84d7b6b417c29edb2579373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Alcohol</topic><topic>Alcohol abuse</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Alcohol use</topic><topic>Binge Drinking - epidemiology</topic><topic>Consumption</topic><topic>Drinking behavior</topic><topic>Economic inequality</topic><topic>Economic status</topic><topic>Educational Status</topic><topic>Female</topic><topic>Humans</topic><topic>Inequality</topic><topic>Mental depression</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Midlife</topic><topic>Sexism</topic><topic>Socioeconomic Factors</topic><topic>Structural sexism</topic><topic>Symptoms</topic><topic>United States - epidemiology</topic><topic>Women</topic><topic>Women's health</topic><topic>Womens rights</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McKetta, Sarah</creatorcontrib><creatorcontrib>Prins, Seth J.</creatorcontrib><creatorcontrib>Hasin, Deborah</creatorcontrib><creatorcontrib>Patrick, Megan E.</creatorcontrib><creatorcontrib>Keyes, Katherine M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McKetta, Sarah</au><au>Prins, Seth J.</au><au>Hasin, Deborah</au><au>Patrick, Megan E.</au><au>Keyes, Katherine M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Structural sexism and Women's alcohol use in the United States, 1988–2016</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2022-05-01</date><risdate>2022</risdate><volume>301</volume><spage>114976</spage><epage>114976</epage><pages>114976-114976</pages><artnum>114976</artnum><issn>0277-9536</issn><eissn>1873-5347</eissn><abstract>Women's alcohol consumption and binge drinking have increased concurrent with socio-economic gains and may be related to structural sexism.
We examined associations between structural sexism (state-level sex inequality in political/economic status), and alcohol outcomes among women in Monitoring the Future (N = 20,859) from 1988 to 2016 (ages 27–45 in 2016). We controlled for state and individual confounders and tested three mediators: depressive symptoms, restrictive alcohol norms, and college completion.
Increased structural sexism was associated with decreased alcohol consumption frequency (RR: 0.974, 95% CI: 0.971, 0.976) and binge drinking probability (OR: 0.917, 95% CI: 0.909, 0.926). Norms and education but not depressive symptoms partially mediated these relationships.
Among women in the midlife in recent years, lower levels of state structural sexism were associated with greater alcohol consumption and binge drinking. These findings suggest that as states become more gender-equal—which confer numerous benefits for women's rights and health—additional resources and messaging may be required to prevent harmful alcohol use among women.
•Alcohol use has increased for women, concurrent with changes in social status.•Structural sexism may be determinant of changes in women's alcohol use.•We show that decreases in structural sexism are related to increased alcohol use.•These associations are partially mediated through college completion and norms.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35461082</pmid><doi>10.1016/j.socscimed.2022.114976</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-8953-1809</orcidid><orcidid>https://orcid.org/0000-0003-2622-614X</orcidid><orcidid>https://orcid.org/0000-0003-3594-4944</orcidid></addata></record> |
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subjects | Adult Alcohol Alcohol abuse Alcohol Drinking - epidemiology Alcohol use Binge Drinking - epidemiology Consumption Drinking behavior Economic inequality Economic status Educational Status Female Humans Inequality Mental depression Middle age Middle Aged Midlife Sexism Socioeconomic Factors Structural sexism Symptoms United States - epidemiology Women Women's health Womens rights |
title | Structural sexism and Women's alcohol use in the United States, 1988–2016 |
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