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Soc Psychiatry Psychiatr Epidemiol. 2017 May;52(5):515-524. doi: 10.1007/s00127-017-1362-4. Epub 2017 Mar 27.

Intersections of poverty, race/ethnicity, and sex: alcohol consumption and adverse outcomes in the United States.

Author information

1
Group Health Research Institute, Group Health Cooperative, 1730 Minor Avenue Ste. 1500, Seattle, WA, 98101, USA. glass.j@ghc.org.
2
Institute for Research on Poverty, University of Wisconsin-Madison, Madison, WI, USA. glass.j@ghc.org.
3
Department of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
4
Kent School of Social Work, University of Louisville, Louisville, KY, USA.
5
School of Social Work, University of Wisconsin-Madison, Madison, WI, USA.
6
Group Health Research Institute, Group Health Cooperative, 1730 Minor Avenue Ste. 1500, Seattle, WA, 98101, USA.
7
Health Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, USA.
8
Department of Health Services, University of Washington, Seattle, WA, USA.

Abstract

We examine whether intersectionality theory-which formalizes the notion that adverse health outcomes owing to having a marginalized social status, identity, or characteristic, may be magnified for individuals with an additional marginalized social status, identity, or characteristic-can be applied using quantitative methods to describe the differential effects of poverty on alcohol consumption across sex and race/ethnicity. Using the National Epidemiologic Survey on Alcohol and Related Conditions, we analyze longitudinal data from Black, Hispanic, and White drinkers (nā€‰=ā€‰21,140) to assess multiplicative interactions between poverty, as defined by the US Census Bureau, sex, and race/ethnicity, on adverse alcohol outcomes. Findings indicated that the effect of poverty on the past-year incidence of heavy episodic drinking was stronger among Black men and Black women in comparison to men and women of other racial/ethnic groups. Poverty reduction programs that are culturally informed may help reduce racial/ethnic disparities in the adverse outcomes of alcohol consumption.

KEYWORDS:

Alcohol; Health disparities; Intersectionality theory; Race/ethnicity; Social determinants of health

PMID:
28349171
PMCID:
PMC5862428
DOI:
10.1007/s00127-017-1362-4
[Indexed for MEDLINE]
Free PMC Article

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