Structural sexism and Women's alcohol use in the United States, 1988-2016.

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  • Additional Information
    • Source:
      Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE
    • Publication Information:
      Original Publication: Oxford ; New York : Pergamon, c1982-
    • Subject Terms:
      Binge Drinking*/epidemiology ; Sexism*; Adult ; Alcohol Drinking/epidemiology ; Educational Status ; Female ; Humans ; Middle Aged ; Socioeconomic Factors ; United States/epidemiology
    • Abstract:
      Background: Women's alcohol consumption and binge drinking have increased concurrent with socio-economic gains and may be related to structural sexism.
      Methods: 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.
      Results: 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.
      Conclusion: 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.
      (Copyright © 2022 Elsevier Ltd. All rights reserved.)
    • Grant Information:
      K01 DA045955 United States DA NIDA NIH HHS; L60 MD013029 United States MD NIMHD NIH HHS; R01 AA026861 United States AA NIAAA NIH HHS
    • Contributed Indexing:
      Keywords: Alcohol; Structural sexism; Women's health
    • Publication Date:
      Date Created: 20220423 Date Completed: 20220603 Latest Revision: 20240216
    • Publication Date:
      20240216
    • Accession Number:
      10.1016/j.socscimed.2022.114976
    • Accession Number:
      35461082