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Associations between social vulnerability, employment conditions and hazardous alcohol consumption in Chile

Authors

  • Elisa Ansoleaga,

    Corresponding author
    1. Doctoral Program in Public Health, University of Chile, Santiago, Chile
    • Program on Work Psychosocial Studies, Diego Portales University, Santiago, Chile
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  • Alvaro Castillo-carniglia

    1. Doctoral Program in Public Health, University of Chile, Santiago, Chile
    2. National Service for Prevention and Rehabilitation on Alcohol and Drugs of Chile, Santiago, Chile
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  • 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.

Correspondence to Professor Elisa Ansoleaga, Program on Work Psychosocial Studies, Diego Portales University, Grajales #1898, Santiago Centro, Santiago, Chile. Tel: +56 2 6762556; Fax: +56 2 6762501; E-mail: maria.ansoleaga@udp.cl

Abstract

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.

Results

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.

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