title: The regional geography of alcohol consumption in England: Comparing drinking frequency and binge drinking.
abstract: Alcohol consumption frequency and volume are known to be related to health problems among drinkers. Most of the existing literature that analyses regional variation in drinking behaviour uses measures of consumption that relate only to volume, such as 'binge drinking'. This study compares the regional association of alcohol consumption using measures of drinking frequency (daily drinking) and volume (binge drinking) using a nationally representative sample of residents using the Health Survey for England, 2011-2013. Results suggest the presence of two differentiated drinking patterns with relevant policy implications. We find that people in northern regions are more likely to binge drink, whereas people in southern regions are more likely to drink on most days. Regression analysis shows that regional variation in binge drinking remains strong when taking into account individual and neighbourhood level controls. The findings provide support for regional targeting of interventions that aim to reduce the frequency as well as volume of drinking.
authors.affiliation: Furness College, Lancaster University, Lancaster, Lancashire, LA1 4YG, UK.
authors.forename: Javier Malda
authors.initials: JM
authors.lastname: Castillo
authors.affiliation: Research Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. Electronic address: stephen.jivraj@ucl.ac.uk.
authors.forename: Stephen
authors.initials: S
authors.lastname: Jivraj
authors.affiliation: Research Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Ng Fat
mesh_terms: D000328:Adult; D000368:Aged; D063425:Binge Drinking / Q000523:psychology* / Q000639:trends*; D004739:England; D005260:Female; D005843:Geography / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D011634:Public Health; D012307:Risk Factors; D013997:Time Factors
keywords: Alcohol; Binge drinking; Drinking frequency; Health Survey for England; Regions