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Gender Equality, Drinking Cultures and Second-Hand Harms from Alcohol in the 50 US States.


ABSTRACT: BACKGROUND:Gender inequality and cultures of binge drinking may increase the risk of second-hand harms from alcohol. METHODS:Using the 2014-2015 National Alcohol Survey and 2015 National Alcohol's Harm to Others Survey (N = 7792), we examine associations of state-level gender equality measures (contraceptive access, abortion rights, women's economic equality) and binge drinking cultures (rates of men's and women's binge drinking) with individual-level indicators of second-hand harms by drinking strangers and partners/spouses. RESULTS:In main effects models, only male binge drinking was associated with greater odds of harms from drinking strangers. There were significant interactions of gender equality with male binge drinking: High male binge drinking rates were more strongly associated with stranger-perpetrated harms in states low on contraceptive access or abortion rights compared to states high on these measures. Conversely, male binge drinking was more strongly associated with spouse/partner-perpetrated second-hand harms in states with more economic equality, compared to states lower on this measure. CONCLUSIONS:Detrimental effects of high male binge drinking rates may be modified by gender equality. Targeted interventions may reduce alcohol-related harms experienced by women in states with high rates of male binge drinking. Restrictions in access to contraception and abortion may exacerbate harms due to men's drinking.

SUBMITTER: Karriker-Jaffe KJ 

PROVIDER: S-EPMC6926546 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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Gender Equality, Drinking Cultures and Second-Hand Harms from Alcohol in the 50 US States.

Karriker-Jaffe Katherine J KJ   Tam Christina C CC   Cook Won Kim WK   Greenfield Thomas K TK   Roberts Sarah C M SCM  

International journal of environmental research and public health 20191121 23


<h4>Background</h4>Gender inequality and cultures of binge drinking may increase the risk of second-hand harms from alcohol.<h4>Methods</h4>Using the 2014-2015 National Alcohol Survey and 2015 National Alcohol's Harm to Others Survey (N = 7792), we examine associations of state-level gender equality measures (contraceptive access, abortion rights, women's economic equality) and binge drinking cultures (rates of men's and women's binge drinking) with individual-level indicators of second-hand har  ...[more]

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