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Correlates of frequent alcohol consumption among middle-aged and older men and women in Russia: a multilevel analysis of the PrivMort retrospective cohort study

Gugushvili, Alexi, Azarova, Aytalina, Irdam, Darja, Crenna-Jennings, Whitney, Murphy, Michael J., McKee, Martin and King, Lawrence (2018) Correlates of frequent alcohol consumption among middle-aged and older men and women in Russia: a multilevel analysis of the PrivMort retrospective cohort study. Drug and Alcohol Dependence, 188. pp. 39-44. ISSN 0376-8716

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Identification Number: 10.1016/j.drugalcdep.2018.03.038

Abstract

Background A large proportion of premature deaths in Russia since the early 1990s, following the transition from communism, have been attributed to hazardous drinking. Little is known about the correlates of alcohol consumption. We present new data on the consumption of alcoholic beverages among middle-aged and older Russians and identify socio-demographic, socio-economic, and life-course correlates of frequent drinking. Methods Within the framework of the PrivMort project, conducted in 30 industrial towns in the European part of Russia, we acquired information on the frequency of drinking among 22,796 respondents and 57,907 of their surviving and deceased relatives. We fit three-level mixed-effects logistic regression models of frequent drinking in which respondents’ relatives, aged 40 and over, are nested in their families and towns. Results Deceased male relatives consumed alcohol significantly more often, while deceased female relatives consumed alcohol significantly less often than the respondents of corresponding gender. In a multivariable analysis, we found that individuals’ education, communication with family members, labour market status, history of unemployment, and occupational attainment are all significant correlates of frequent drinking in Russia. These associations are stronger among men rather than among women. Conclusion There are significant differences between frequency of drinking among surviving and deceased individuals and frequent drinking is associated with a wide array of individual socio-demographic, socio-economic, and life course factors that can partially explain high alcohol consumption in post-communist Russia.

Item Type: Article
Official URL: https://www.sciencedirect.com/journal/drug-and-alc...
Additional Information: © 2018 Elsevier B.V.
Divisions: Social Policy
Subjects: D History General and Old World > DK Russia. Soviet Union. Former Soviet Republics
H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 08 May 2018 15:36
Last Modified: 14 Oct 2024 23:10
Projects: 269036
Funders: European Research Council
URI: http://eprints.lse.ac.uk/id/eprint/87802

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