Is There a Recent Epidemic of Women's Drinking? A Critical Review of National Studies

Katherine M. Keyes, Justin Jager, Tatini Mal-Sarkar, Megan E. Patrick, Caroline Rutherford, Deborah Hasin

Research output: Contribution to journalReview article

Abstract

Alcohol consumption is increasing in the United States, as is alcohol-attributable mortality. Historically, men have had higher rates of alcohol consumption than women, though evidence for birth cohort effects on gender differences in alcohol consumption and alcohol-related harm suggests that gender differences may be diminishing. We review studies using U.S. national data that examined time trends in alcohol consumption and alcohol-related harm since 2008. Utilizing a historical–developmental perspective, here we synthesize and integrate the literature on birth cohort effects from varying developmental periods (i.e., adolescence, young adulthood, middle adulthood, and late adulthood), with a focus on gender differences in alcohol consumption. Findings suggest that recent trends in gender differences in alcohol outcomes are heterogeneous by developmental stage. Among adolescents and young adults, both males and females are rapidly decreasing alcohol consumption, binge and high-intensity drinking, and alcohol-related outcomes, with gender rates converging because males are decreasing consumption faster than females. This pattern does not hold among adults, however. In middle adulthood, consumption, binge drinking, and alcohol-related harms are increasing, driven largely by increases among women in their 30s and 40s. The trend of increases in consumption that are faster for women than for men appears to continue into older adult years (60 and older) across several studies. We conclude by addressing remaining gaps in the literature and offering directions for future research.

Original languageEnglish (US)
Pages (from-to)1344-1359
Number of pages16
JournalAlcoholism: Clinical and Experimental Research
Volume43
Issue number7
DOIs
StatePublished - Jul 1 2019

Fingerprint

Alcohol Drinking
Drinking
Alcohols
Cohort Effect
Parturition
Binge Drinking
Young Adult
Mortality

Keywords

  • Alcohol
  • Alcohol Use Disorders
  • Gender
  • Women

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Toxicology
  • Psychiatry and Mental health

Cite this

Is There a Recent Epidemic of Women's Drinking? A Critical Review of National Studies. / Keyes, Katherine M.; Jager, Justin; Mal-Sarkar, Tatini; Patrick, Megan E.; Rutherford, Caroline; Hasin, Deborah.

In: Alcoholism: Clinical and Experimental Research, Vol. 43, No. 7, 01.07.2019, p. 1344-1359.

Research output: Contribution to journalReview article

Keyes, Katherine M. ; Jager, Justin ; Mal-Sarkar, Tatini ; Patrick, Megan E. ; Rutherford, Caroline ; Hasin, Deborah. / Is There a Recent Epidemic of Women's Drinking? A Critical Review of National Studies. In: Alcoholism: Clinical and Experimental Research. 2019 ; Vol. 43, No. 7. pp. 1344-1359.
@article{c1f14e9dd9154a90babf0222dee25b94,
title = "Is There a Recent Epidemic of Women's Drinking? A Critical Review of National Studies",
abstract = "Alcohol consumption is increasing in the United States, as is alcohol-attributable mortality. Historically, men have had higher rates of alcohol consumption than women, though evidence for birth cohort effects on gender differences in alcohol consumption and alcohol-related harm suggests that gender differences may be diminishing. We review studies using U.S. national data that examined time trends in alcohol consumption and alcohol-related harm since 2008. Utilizing a historical–developmental perspective, here we synthesize and integrate the literature on birth cohort effects from varying developmental periods (i.e., adolescence, young adulthood, middle adulthood, and late adulthood), with a focus on gender differences in alcohol consumption. Findings suggest that recent trends in gender differences in alcohol outcomes are heterogeneous by developmental stage. Among adolescents and young adults, both males and females are rapidly decreasing alcohol consumption, binge and high-intensity drinking, and alcohol-related outcomes, with gender rates converging because males are decreasing consumption faster than females. This pattern does not hold among adults, however. In middle adulthood, consumption, binge drinking, and alcohol-related harms are increasing, driven largely by increases among women in their 30s and 40s. The trend of increases in consumption that are faster for women than for men appears to continue into older adult years (60 and older) across several studies. We conclude by addressing remaining gaps in the literature and offering directions for future research.",
keywords = "Alcohol, Alcohol Use Disorders, Gender, Women",
author = "Keyes, {Katherine M.} and Justin Jager and Tatini Mal-Sarkar and Patrick, {Megan E.} and Caroline Rutherford and Deborah Hasin",
year = "2019",
month = "7",
day = "1",
doi = "10.1111/acer.14082",
language = "English (US)",
volume = "43",
pages = "1344--1359",
journal = "Alcoholism: Clinical and Experimental Research",
issn = "0145-6008",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Is There a Recent Epidemic of Women's Drinking? A Critical Review of National Studies

AU - Keyes, Katherine M.

AU - Jager, Justin

AU - Mal-Sarkar, Tatini

AU - Patrick, Megan E.

AU - Rutherford, Caroline

AU - Hasin, Deborah

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Alcohol consumption is increasing in the United States, as is alcohol-attributable mortality. Historically, men have had higher rates of alcohol consumption than women, though evidence for birth cohort effects on gender differences in alcohol consumption and alcohol-related harm suggests that gender differences may be diminishing. We review studies using U.S. national data that examined time trends in alcohol consumption and alcohol-related harm since 2008. Utilizing a historical–developmental perspective, here we synthesize and integrate the literature on birth cohort effects from varying developmental periods (i.e., adolescence, young adulthood, middle adulthood, and late adulthood), with a focus on gender differences in alcohol consumption. Findings suggest that recent trends in gender differences in alcohol outcomes are heterogeneous by developmental stage. Among adolescents and young adults, both males and females are rapidly decreasing alcohol consumption, binge and high-intensity drinking, and alcohol-related outcomes, with gender rates converging because males are decreasing consumption faster than females. This pattern does not hold among adults, however. In middle adulthood, consumption, binge drinking, and alcohol-related harms are increasing, driven largely by increases among women in their 30s and 40s. The trend of increases in consumption that are faster for women than for men appears to continue into older adult years (60 and older) across several studies. We conclude by addressing remaining gaps in the literature and offering directions for future research.

AB - Alcohol consumption is increasing in the United States, as is alcohol-attributable mortality. Historically, men have had higher rates of alcohol consumption than women, though evidence for birth cohort effects on gender differences in alcohol consumption and alcohol-related harm suggests that gender differences may be diminishing. We review studies using U.S. national data that examined time trends in alcohol consumption and alcohol-related harm since 2008. Utilizing a historical–developmental perspective, here we synthesize and integrate the literature on birth cohort effects from varying developmental periods (i.e., adolescence, young adulthood, middle adulthood, and late adulthood), with a focus on gender differences in alcohol consumption. Findings suggest that recent trends in gender differences in alcohol outcomes are heterogeneous by developmental stage. Among adolescents and young adults, both males and females are rapidly decreasing alcohol consumption, binge and high-intensity drinking, and alcohol-related outcomes, with gender rates converging because males are decreasing consumption faster than females. This pattern does not hold among adults, however. In middle adulthood, consumption, binge drinking, and alcohol-related harms are increasing, driven largely by increases among women in their 30s and 40s. The trend of increases in consumption that are faster for women than for men appears to continue into older adult years (60 and older) across several studies. We conclude by addressing remaining gaps in the literature and offering directions for future research.

KW - Alcohol

KW - Alcohol Use Disorders

KW - Gender

KW - Women

UR - http://www.scopus.com/inward/record.url?scp=85067402208&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067402208&partnerID=8YFLogxK

U2 - 10.1111/acer.14082

DO - 10.1111/acer.14082

M3 - Review article

VL - 43

SP - 1344

EP - 1359

JO - Alcoholism: Clinical and Experimental Research

JF - Alcoholism: Clinical and Experimental Research

SN - 0145-6008

IS - 7

ER -