The Influence of Social Circumstances on Risky Patterns of Alcohol Consumption Among Mothers With Preschool-Aged Children in England

Background: Social factors have been linked to patterns of alcohol use among women. However, conflicting evidence on the ways in which socio-economic circumstances are linked to women's alcohol use impedes our understanding. Interest in women's alcohol use has moved up the policy agenda. Nevertheless, existing research fails to attend to differences among groups of women according to their social circumstances, including whether or not they are mothers. Objectives: This study aims to enhance our understanding of risky patterns of alcohol use among mothers in the UK during very early motherhood. Methods: Secondary analyses of 2000/1 data from the Millennium Cohort Study (MCS) was undertaken. Using a broad outcome measure of risky alcohol use, patterns of consumption among a sub-set of mothers recruited in England (n = 7048) were explored according to a number of social and domestic variables. Using logistic regression, mutually adjusted analyses that included adjustment for age were undertaken. Odds ratios were calculated for the likelihood of risky drinking according to mothers' social circumstances and level of disadvantage. Results: Risky alcohol use was more likely with increased levels of disadvantage: disadvantaged childhood circumstances, lower levels of educational attainment, lower household income, younger age at first birth, lone parenthood. Conclusions: Social gradients were evident for risky alcohol use among mothers with 9-month-old babies in England who took part in the MCS. These findings emphasize the importance of exploring patterns of alcohol use among sub-groups of the population that are currently under-represented in the research literature.