{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:43:28Z","timestamp":1790786608126,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,8,31]],"date-time":"2020-08-31T00:00:00Z","timestamp":1598832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2017\u201001769"],"award-info":[{"award-number":["2017\u201001769"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To test (i) whether the harmful effects of average volume of alcohol consumption (AC) and heavy episodic drinking (HED) differ by socio\u2010economic position (SEP), and (ii) if so, to what extent such differential effects can be attributed to an unequal distribution of harmful levels and patterns of drinking, health, life\u2010style and social factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A longitudinal cohort study with baseline in 2002 or 2006, with record\u2010linkage to national registers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Stockholm County, Sweden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 37\u2009484 individuals, aged 25\u201370\u00a0years, responding to the survey in 2002 or 2006.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>The outcome of alcohol\u2010related health problems was obtained from the National Patient Register and Cause of Death Register using the Swedish index diagnoses related to alcohol use. Self\u2010reported information on occupational class (measure of SEP), AC, HED as well as other health\u2010related factors were extracted from the surveys. Average follow\u2010up time was 13.3\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>During follow\u2010up, a total of 1237 first\u2010time events of alcohol\u2010related health problems occurred. After initial adjustments, heavy drinking appeared to be more harmful to individuals with low SEP compared with high SEP (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.001). Differences in HED frequency explained the largest part of the differential effect of AC. Engaging in weekly HED was more harmful to individuals with low SEP <jats:italic>(P<\/jats:italic>\u00a0=\u00a00.031) than high SEP. Differences in AC, together with other factors, explained a large part of the differential effect of HED.<\/jats:p><jats:p>Conclusions<\/jats:p><jats:p>The greater adverse impact of alcohol consumption on health in Sweden on people with lower socio\u2010economic position may be largely attributable to higher prevalence of heavy episodic drinking, as well as other behavioral and social risk factors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/add.15213","type":"journal-article","created":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T12:04:03Z","timestamp":1596283443000},"page":"799-808","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Understanding the differential effect of alcohol consumption on the relation between socio\u2010economic position and alcohol\u2010related health problems: results from the Stockholm Public Health Cohort"],"prefix":"10.1111","volume":"116","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1319-8218","authenticated-orcid":false,"given":"Emelie","family":"Thern","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Landberg","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences Stockholm University  Stockholm Sweden"},{"name":"Department of Clinical Neuroscience Karolinska Institute  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"83","article-title":"Associations between socioeconomic factors and alcohol outcomes","volume":"38","author":"Collins S. 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