Mojica-Perez Y, Callinan S, Livingston M. Declines in alcohol consumption in Australia: some challenges to the theory of collectivity.
Addiction 2022;
117:1295-1303. [PMID:
34817101 DOI:
10.1111/add.15757]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 11/04/2021] [Indexed: 01/04/2023]
Abstract
BACKGROUND AND AIMS
There is significant debate about whether or not changes in per-capita alcohol consumption occur collectively across the entire distribution of drinking. This study used data from a decade of declining drinking in Australia to test the collectivity of drinking trends.
DESIGN
Repeated cross-sectional surveys (2010, 2013, 2016, 2019), analysed with quantile regression techniques assessing trends in drinking for 20 quantile groups.
SETTING
Australia.
PARTICIPANTS
A general population sample (total n = 85 891; males = 39 182, females = 46 709) aged 14 years and over.
MEASUREMENTS
Past-year volume of alcohol consumed was measured using standard graduated frequency survey questions. Models were stratified by sex and age group.
FINDINGS
Throughout the whole population, alcohol consumption had declined in all percentile groups, with the largest proportional declines evident for light and moderate drinkers [e.g. drinkers in the 25th percentile declined by 32.7%; 95% confidence interval (CI) = -41.6, -22.3% per wave]. Broadly collective declines were also found for younger men and women with significant declines in every percentile group, but older groups showed some evidence of polarization. For example, women aged 45-64 years significantly increased their consumption (2.9% per wave, 95% CI = 0.3-5.5%), while consumption for those in the 25th percentile fell significantly (-16.7%, 95% CI = -27.6, -4.2%).
CONCLUSIONS
The declines in Australian drinking since 2010 have included important deviations from the collectivity predicted by Skog's influential theory of collectivity of drinking, with markedly different patterns evident among different demographic groups.
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