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

Katherine J. Karriker-Jaffe, Christina C. Tam, Won Kim Cook, Thomas K. Greenfield and Sarah C.M. Roberts
Additional contact information
Katherine J. Karriker-Jaffe: Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA
Christina C. Tam: Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA
Won Kim Cook: Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA
Thomas K. Greenfield: Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA
Sarah C.M. Roberts: Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, Oakland, CA 94612, USA

IJERPH, 2019, vol. 16, issue 23, 1-16

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.

Keywords: alcohol’s harms to others; gender equality; drinking cultures (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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