Next Article in Journal
Being at the Bottom Rung of the Ladder in an Unequal Society: A Qualitative Analysis of Stories of People without a Home
Next Article in Special Issue
Using a Developmental-Relational Approach to Understand the Impact of Interpersonal Violence in Women Who Struggle with Substance Use
Previous Article in Journal
Making a Difference in PE Lessons: Using a Low Organized Games Approach to Teach Fundamental Motor Skills in China
Previous Article in Special Issue
Multi-Dimensional Factors Associated with Illegal Substance Use Among Gay and Bisexual Men in Taiwan
Open AccessArticle

Gender Equality, Drinking Cultures and Second-Hand Harms from Alcohol in the 50 US States

Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA
Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, Oakland, CA 94612, USA
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(23), 4619;
Received: 13 September 2019 / Revised: 15 November 2019 / Accepted: 19 November 2019 / Published: 21 November 2019
(This article belongs to the Special Issue Sex, Gender and Substance Use)
Background: Gender inequality and cultures of binge drinking may increase the risk of second-hand harms from alcohol. Methods: Using the 2014–2015 National Alcohol Survey and 2015 National Alcohol’s Harm to Others Survey (N = 7792), we examine associations of state-level gender equality measures (contraceptive access, abortion rights, women’s economic equality) and binge drinking cultures (rates of men’s and women’s binge drinking) with individual-level indicators of second-hand harms by drinking strangers and partners/spouses. Results: In main effects models, only male binge drinking was associated with greater odds of harms from drinking strangers. There were significant interactions of gender equality with male binge drinking: High male binge drinking rates were more strongly associated with stranger-perpetrated harms in states low on contraceptive access or abortion rights compared to states high on these measures. Conversely, male binge drinking was more strongly associated with spouse/partner-perpetrated second-hand harms in states with more economic equality, compared to states lower on this measure. Conclusions: Detrimental effects of high male binge drinking rates may be modified by gender equality. Targeted interventions may reduce alcohol-related harms experienced by women in states with high rates of male binge drinking. Restrictions in access to contraception and abortion may exacerbate harms due to men’s drinking. View Full-Text
Keywords: alcohol’s harms to others; gender equality; drinking cultures alcohol’s harms to others; gender equality; drinking cultures
Show Figures

Figure 1

MDPI and ACS Style

Karriker-Jaffe, K.J.; Tam, C.C.; Cook, W.K.; Greenfield, T.K.; Roberts, S.C. Gender Equality, Drinking Cultures and Second-Hand Harms from Alcohol in the 50 US States. Int. J. Environ. Res. Public Health 2019, 16, 4619.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

Back to TopTop