Dissertation
FROM PARADOX TO EQUITY: AN INTEGRATED ECOSOCIAL AND INTERSECTIONAL STUDY OF ALCOHOL-RELATED HARM
Washington State University
Doctor of Philosophy (PhD), Washington State University
12/2024
DOI:
https://doi.org/10.7273/000007164
Abstract
Background: Health inequities, shaped by socio-political determinants, challenge public health research. The Alcohol Harm Paradox (AHP) exemplifies such inequities, where groups with lower socioeconomic positions (SEP) exhibit higher alcohol-related harms despite similar or lower consumption compared to those with higher SEP. Research often focuses on the biomedical paradigm, sidelining broader socio-political influences.
Objective: This study uses the All of Us research program and an integrated Ecosocial and Intersectionality framework to scrutinize the AHP. It aimed to elucidate how social identities (e.g., race, ethnicity, gender, sexuality, ability) and societal structures (e.g., healthcare access, neighborhood quality, socioeconomic position) contribute to alcohol-related harm inequities.
Methods: Using the All of Us dataset, the study probed the relationship between SEP and alcohol-related harm, evaluating moderating effects of structural contributors and social identities linked with oppression.
Hypotheses: It was anticipated that (1) groups with lower SEP will report heightened alcohol-related harms, (2) protective structural factors will mitigate these disparities, (3) compounded risks will manifest for oppressed social categories within groups with lower SEP, and (4) structural factors' influences on alcohol harms will differ across social categories in both SEP groups.
Conclusion: This study offers insights into factors impacting alcohol-related harm, expanding from a biomedical view to a broader socio-political perspective. The study found that while socioeconomic position did not significantly predict alcohol-related harm, higher alcohol consumption, healthcare access, and gender were significant predictors, highlighting complex influences on alcohol-related harm within structural and social contexts.
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Details
- Title
- FROM PARADOX TO EQUITY
- Creators
- Brianna Gloria Hernandez
- Contributors
- Michael Cleveland (Chair)Michael McDonell (Committee Member)Chad Gotch (Committee Member)Tanja Burkhard (Committee Member)
- Awarding Institution
- Washington State University
- Academic Unit
- Department of Human Development
- Theses and Dissertations
- Doctor of Philosophy (PhD), Washington State University
- Publisher
- Washington State University
- Number of pages
- 118
- Identifiers
- 99901195200001842
- Language
- English
- Resource Type
- Dissertation