Elisa Ansoleaga MSc, PhD Candidate in Public Health, Professor and Researcher, Department of Psychology, Diego Portales University, Santiago de Chile. Alvaro Castillo-Carniglia MSc, PhD Candidate in Public Health, Head of Research Unit, National Service for Prevention and Rehabilitation on Alcohol and Drugs of Chile.
Associations between social vulnerability, employment conditions and hazardous alcohol consumption in Chile
Article first published online: 17 OCT 2012
© 2012 Australasian Professional Society on Alcohol and other Drugs
Drug and Alcohol Review
Volume 32, Issue 3, pages 254–261, May 2013
How to Cite
[Associations between social vulnerability, employment conditions and hazardous alcohol consumption in Chile. Drug Alcohol Rev 2013;32:254–261], .
- Issue published online: 16 APR 2013
- Article first published online: 17 OCT 2012
- Manuscript Accepted: 9 SEP 2012
- Manuscript Received: 13 DEC 2011
- hazardous alcohol consumption;
- employment condition;
- social vulnerability;
- neighbourhood security
Introduction and Aims
Studies from many different countries have found associations between alcohol use, employment and social context. The aim of this study was to investigate associations between hazardous alcohol consumption (HAC), social vulnerability and employment conditions among Chilean adults.
Design and Methods
A cross-sectional study, involving analysis of the 2008 National Survey on Drugs in Chile, was conducted on 8316 economically active men and women aged between 18 and 65 years, who completed the alcohol section of the survey. The participants were selected randomly and data collected through face-to-face interviews. Multilevel analysis was used to achieve the study's objectives. The Alcohol Use Disorders Identification Test was used to define HAC.
There were no significant associations between HAC and employment status or occupational category when controlling for potential confounders. Using the social services sector as a reference, the adjusted odds ratio (95% confidence interval) of HAC was 2.60 (1.96–3.46) for those who worked in construction, 2.03 (1.43–2.89) in mining, 1.74 in agriculture (1.16–2.63) and in industry (1.26–2.39), 1.73 (1.31–2.28) in trade, 1.67 (1.29–2.16) in other services and 1.42 (1.01–2.00) in transport. There was no association between the socioeconomic status of the participant's neighbourhood and HAC in the fully adjusted model. The perception of neighbourhood security (third quartile of insecurity) was associated with HAC (odds ratio 1.22; 95% confidence interval 1.02–1.46).
Discussion and Conclusions
HAC was independently associated with the participant's economic sector and perception of neighbourhood security in Chilean adults. It is important to perform in-depth analyses of contextual effects on individual alcohol consumption.