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. 2019 Mar;38(3):274-283.
doi: 10.1111/dar.12909. Epub 2019 Feb 20.

Socioeconomic inequalities in alcohol use and some related consequences from a household perspective in Vietnam

Hoang Thi My Hanh  1   2 , Sawitri Assanangkornchai  2 , Alan Frederick Geater  2 , Vu Thi Minh Hanh  1
Affiliations

Socioeconomic inequalities in alcohol use and some related consequences from a household perspective in Vietnam

Hoang Thi My Hanh et al. Drug Alcohol Rev. 2019 Mar.

Abstract

Introduction and aims: Alcohol-related harm reduction may target individuals, their households or communities. This study investigates the prevalence of and socioeconomic inequalities in alcohol use and alcohol-related consequences (injury, accident, property loss and interpersonal violence) at the family-level.

Designs and methods: A cross-sectional survey of 2394 households was conducted in eight provinces from six socioeconomic regions and two metropolitan cities in Vietnam. Family-level alcohol use and injury were computed from individual data, while other measures were on a household basis. Unstandardised and indirectly standardised concentration index was used to measure degree of expenditure-based inequality in alcohol use and its consequences.

Results: Over the previous 12 months, 88.5% and 46.2% of households had at least one current-drinker and one heavy episodic drinking person, and in 41.7% the heavy episodic drinking person was the breadwinner. About 5.3% of households suffered alcohol-related injury, accident or property loss; 11.4% reported alcohol-related interpersonal violence. Poor and near-poor households suffered the double-burdens of both having heavy episodic drinking person and alcohol-related harm. A modest socioeconomic gradient was observed with all types of drinker, more concentrated among higher living-standard households, especially in urban areas. However, there was a persistent high-level inequality disadvantaging lower living-standard families, especially in rural areas, in suffering all measured alcohol-related harms.

Discussion and conclusions: Alcohol use and alcohol-related consequences are highly prevalent in Vietnam. Lower socioeconomic households, especially in rural areas, are important target groups for alcohol-related harm prevention and reduction interventions. The concentration index appeared to be a useful measure of inequalities in alcohol-related harms.

Keywords: acute alcohol-related harm; alcohol consumption; concentration index; household burden; socioeconomic inequality.

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References

    1. Karriker-Jaffe KJ, Room R, Giesbrecht N, Greenfield TK. Alcohol's harm to others: opportunities and challenges in a public health framework. J Stud Alcohol Drugs 2018;79:239-43.
    1. Room R. Alcohol, gender and drinking problems: perspectives from low and middle income countries. In: OBot IRoom R, eds. Alcohol, gender and drinking problems: perspectives from low and middle income countries. Geneva: WHO Press, 2005.
    1. Klinhemann H, Gmel G. Mapping social consequences of alcohol consumption. Dordrecht: Kluwer Academic, 2001.
    1. Laslett A, Mugavin J, Jiang H et al. The hidden harm: alcohol's impact on children and families. Canberra: Foundation for Alcohol Research and Education, 2015.
    1. Laslett AM, Rankin G, Waleewong O et al. A multi-country study of harms to children because of Others' drinking. J Stud Alcohol Drugs 2017;78:195-202.

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