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. 2013 Mar;108(3):516-25.
doi: 10.1111/add.12018. Epub 2012 Dec 5.

Early life socio-economic position and later alcohol use: birth cohort study

Roberto Melotti  1 , Glyn Lewis, Matthew Hickman, Jon Heron, Ricardo Araya, John Macleod
Affiliations
Free PMC article

Early life socio-economic position and later alcohol use: birth cohort study

Roberto Melotti et al. Addiction. 2013 Mar.
Free PMC article

Abstract

Aims: To investigate associations between socio-economic position in early life and later alcohol use and problem use among male and female adolescents.

Design: Birth cohort study.

Setting: South West England.

Participants: A total of 2711 girls and 2379 boys with one or more measures of alcohol use or problem use at age 15 years.

Measurements: Exposure measures were highest parental social class, maternal education and household disposable income (all maternal self-report before school-age); outcome measures were heavy typical drinking, frequent drinking, regular binge drinking, alcohol-related psychosocial problems and alcohol-related behavioural problems.

Findings: Alcohol use and related problems were relatively common amongst adolescent girls and boys. Boys were slightly more likely to report frequent drinking and girls were slightly more likely to drink heavily and to experience alcohol-related psychosocial problems. Higher maternal education appeared protective in relation to alcohol-related problems, particularly among boys. Higher household income was associated with greater risk of alcohol use and problem use, most apparently among girls.

Conclusions: Children from higher-income households in England appear to be at greater risk of some types of adolescent alcohol problems, and these risks appear different in girls compared to boys. Childhood social advantage may not generally be associated with healthier behaviour in adolescence.

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Figure 1
Figure 1
Visual representation of the interaction of gender with indicators of socio-economic position for alcohol-related problems at age 15 years.(a) y-Axis: odds of alcohol psychosocial problems; x-axis: level of disposable income from lowest (left-hand side) to highest (right-hand side). (b) y-Axis: odds of alcohol behavioural problems; x-axis: maternal educational qualifications. Plain line: girls; dashed-dotted line: boys
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