The Alcohol Harm Paradox

15 May

I had not heard of this relationship before and thought my readers might be interested. The alcohol harm paradox refers to the fact that “that people with low individual or neighbourhood socioeconomic status (SES) show a greater susceptibility to the harmful effects of alcohol”

For example, in England:

Lower SES is associated with an almost two fold greater risk of alcohol related death compared with individuals in higher SES classifications.
Relative to high SES, low SES is associated with an increased risk of head and neck cancers, strokes, hypertension, liver disease and pre-term birth. These findings are independent of a number of other known risk factors for these conditions such as diet and smoking.

Here is a large study of the effect. It concludes:

Different SES measures appear to influence whether the Alcohol Harm Paradox is observed as a linear trend across SES groups or a phenomenon associated particularly with the most disadvantaged. The paradox also appears more concentrated in men and younger age groups

It would not surprise anyone that greater wealth affords greater protection from the vicissitudes of life, but other variables may play a role, such as class differences in the patterns of drinking behavior and the beverages consumed.

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