Abstract
BackgroundIn Japan, studies of the relationship between drinking and educational background have not been as advanced as smoking studies, while Japan has extremely easy access to alcohol on a global level. We divided Japanese adults by drinking status, educational background, age, and gender, and analyzed the relationship, comparing to smokers’ data for reference.MethodsData were drawn from the Comprehensive Survey of Living Conditions (2013: 191,973 men, 214,815 women; 2016: 176,969 men, 196,181 women; 2019: 167,276 men, 183,963 women). We classified them as current drinkers, binge drinkers, current smokers, and heavy smokers. Drinking and smoking prevalence were analyzed by disparity indices, including rate difference, rate ratio, between-group variance, and slope index of inequality.ResultsWe found that higher positive estimates of educational disparity indices were among younger drinkers and got lower by aging. Surprisingly, among current drinkers, we also revealed women aged 45-94 had a negative estimate of an educational disparity index, while men aged 45-94 had negative one moving in a positive direction.ConclusionsEducation has a certain effect in preventing drinking, but the effect is so small among middle-aged and elderly people that other factors easily contribute to the phenomenon that those with a high education drink more than those with a low education. We estimated one of the factors is that many elderly women, who were high-educated and often forced to drink in accordance with women’s empowerment, are still alive and keep drinking. Further observation is needed to confirm it or reveal other factors.