Citation

Li Q, Wilsnack R, Wilsnack S, Kristjanson A. Subst. Use Misuse 2010; 45(14): 2481-2502.

Affiliation

The University of North Dakota, School of Medicine and Health Sciences, Clinical Neuroscience, Grand Forks, North Dakota, USA.

Copyright

(Copyright © 2010, Informa - Taylor and Francis Group)

DOI

10.3109/10826081003692106

PMID

20397870

PMCID

PMC3076585

Abstract

We used an ecological paradigm and multilevel analytic techniques to analyze gender-specific relationships of cohabitation (versus marriage) to drinking in 19 countries (n = 32,922) and to"heavy episodic drinking" (HED) in 17 countries (n = 24,525) in surveys (1996-2004) from Gender, Alcohol, and Culture: An International Study. Cohabitation was associated with elevated risk of HED among drinkers of both genders, controlling for age, education, and societal characteristics. The association between cohabitation and HED tended to be stronger for female drinkers than for male drinkers. HED was more prevalent among younger drinkers, especially among younger women in countries with higher per capita gross domestic product. Cross-culturally, cohabiters deserve special attention in prevention efforts for hazardous drinking, considering both individual-level and societal factors.

Language: en