THE CHANGES IN THE SOCIAL-CLASS DISTRIBUTION OF MODERATE AND HIGH ALCOHOL-CONSUMPTION AND OF ALCOHOL-RELATED DISABILITIES OVER TIME IN STOCKHOLM COUNTY AND IN SWEDEN

The purpose of this paper was to analyse the role of social class conc erning changes in alcohol consumption and severe alcohol-related probl ems from the end of the 1960s to the 1990s in Stockholm County, and in the whole of Sweden for consumption. Survey data showed that the prev alence of moderate and/or high alcohol consumption in adults of both s exes was highest among non-manual employees at medium and high level, in 1967 as well as in 1980 in the whole of Sweden. After 1980, an equa lization occurred A similar change in the social class pattern of alco hol consumption was noted in young people. We analysed all 36 404 male and 10 648 female hospitalizations and all the 3175 male and 713 fema le deaths with a diagnosis of alcoholism, alcohol psychosis or alcohol intoxication in Stockholm County during 1970-86 (1970-84 for mortalit y) linked to individual census data. There was a greater increase in r ates among women than among men, especially among women outside the la bour market. We found pronounced social class differences between manu al and non-manual employees, which widened up to 1986 (1984 for mortal ity)-a period with an initial increase and a subsequent decrease in al cohol consumption. Thus, the changes in consumption and alcohol-relate d problems developed differently in principal social classes over time , suggesting that an expanded theory on alcohol consumption in the pop ulation should take socio-economic factors into account.