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Changing Finnish drinking habits 1968-2008 Pia Mäkelä with Heli Mustonen & Christoffer Tigerstedt Reykjavík, Iceland, August 23-25, 2010 17/07/2015 1 ”Finland drinks”; Pia Mäkelä, Heli Mustonen & Christoffer Tigerstedt (eds) • Aimed at professionals, politicians, researchers, students etc. • 22 chapters (300 pages) • Research-based synthesis of Finnish drinking habits and their long-term changes • Mostly based on Drinking Habit Surveys • Here: review of some central results on long-term temporal changes 17/07/2015 2 Finnish Drinking Habit Surveys • Samples of the general population aged 15-69 • Face-to-face surveys carried out every 8 years 1968 1976 1984 1992 2000 2008 All N 1 823 2 835 3 624 3 446 1 932 2 725 16 385 Resp. rate % 97 96 94 87 78 74 Cover. Rate % 41 37 31 45 38 38 17.7.2015 3 Background: Per capita consumption increased nearly constantly in 1968-2008 • Total increase: consumption became 3-fold 12 12 10 10 8 Unrecorded 8 6 17.7.2015 4 Recorded retail sales 4 2 2 Recorded, on-premise 0 0 1965 1967 1969 1971 1973 1975 1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 Estimates based on combining survey & per capita data: • Men: 2.2-fold (+10.3 litres) • Women: 5.8-fold (+5.3 litres) 6 4 The changes have been culturally more significant among women (i.e, relative changes culturally more important – absolute changes more important for public health) The greater change apparent in all three factors of change – (a) How many participate? (% abstainers) – (b) How often people drink? (Frequency; % weekly drinkers) – (c) How much people drink? (Amounts drunk at a time) 17/07/2015 Presentation name / Author 5 Ch. 4 – Mäkelä, Mustonen, Huhtanen (a) % abstainers, 1968-2008 % % Women 60 Men 20 18 50 16 14 40 15-29 12 30-49 30 50-69 All 20 10 8 6 4 10 2 0 0 1968 17.7.2015 1976 1984 1992 2000 2008 1968 1976 1984 1992 2000 2008 6 Ch 4 – Mäkelä, Mustonen, Huhtanen (b) Frequency of drinking: % weekly drinkers,1968-2008 Women 50 % % (figure nearly identical for mean frequency of drinking) Men 80 45 70 40 60 35 15-29 30 50 30-49 25 20 50-69 40 Kaikki 30 15 20 10 5 10 0 1968 17.7.2015 1976 1984 1992 2000 2008 0 1968 1976 Naisten lisääntynyt humalajuominen ja arki / Pia Mäkelä & Heli Mustonen 1984 1992 2000 2008 7 (c) Change in amounts drunk at a time: Did light or heavier drinking occasions increase in number? 17/07/2015 Presentation name / Author 8 Ch. 4 – Mäkelä, Mustonen, Huhtanen Women’s annual frequency of light vs. heavy drinking occasions Heavy (8+ drinks) Times per year Times per year Light (1-4 drinks) 45 40 35 30 15-29 25 30-49 20 50-69 Kaikki 15 10 9 8 7 6 5 4 3 10 2 5 1 0 0 1968 17.7.2015 1976 1984 1992 2000 2008 1968 1976 Naisten lisääntynyt humalajuominen ja arki / Pia Mäkelä & Heli Mustonen 1984 1992 2000 2008 9 Ch. 4 – Mäkelä, Mustonen, Huhtanen Men’s annual frequency of light vs. heavy drinking occasions Heavy (8+ drinks) Times per year Times per year Light (1-4 drinks) 70 60 50 15-29 40 30-49 50-69 30 Kaikki 30 25 20 15 10 20 5 10 0 0 1968 17.7.2015 1976 1984 1992 2000 2008 1968 1976 Naisten lisääntynyt humalajuominen ja arki / Pia Mäkelä & Heli Mustonen 1984 1992 2000 2008 10 Some lasting features: - intoxication / binge drinking still central - Concentration of drinking in weekends and evenings Saturday 9 o’clock 1000000 900000 800000 700000 600000 500000 400000 300000 200000 100000 0 M on 17/07/2015 Tu e W ed Th u Fri Presentation name / Author Sa t Su n 11 Along with women’s increasing consumption, the world of alcohol has ceased to be a male bastion. Alcohol has been domesticated and it has become a domain shared by couples in particular 17/07/2015 Presentation name / Author 12 Estimated number of drinking occasions at homes in Finland (1000s) MEN N of occasions (1000) % of all occasions WOMEN N of occasions (1000) % of all occasions 17/07/2015 1968 1976 1984 1992 2000 2008 959 1328 1237 1783 1831 2125 75 70 72 75 78 83 358 825 629 1089 1071 1216 76 72 68 77 77 80 Presentation name / Author 13 Type of company when drinking at home, % 1968 1976 1984 1992 2000 2008 MEN With partner Same-sex Other 22 23 55 20 15 65 28 13 59 33 11 56 38 13 49 45 9 46 WOMEN With partner Same-sex Other 24 18 58 25 10 65 31 9 60 32 10 58 38 15 47 43 8 49 17/07/2015 Presentation name / Author 14 GREAT CHANGE IN WINE DRINKING • Drinking of table wine has increased 100-fold in 50 years – from one glass a year to 2 glasses a week • 10% drink wine with a meal weekly; only less than half the times when wine is drunk, it is ”meal drinking” • Huge differences by age (old+), region (urban+, south+) and education (well educated+) % 20 2 1.8 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 Table wine, litres 17/07/2015 2008 2005 2002 1999 1996 1993 1990 1987 1984 1981 1978 1975 1972 1969 1966 1963 1960 1957 1954 18 16 14 12 10 8 6 4 2 0 1951 L i t r e s Share from total, % Presentation name / Author 15 GREAT CHANGE IN WINE DRINKING • Drinking of table wine has increased 100-fold in 50 years – from one glass a year to 2 glasses a week • 10% drink wine with a meal weekly; only less than half the times when wine is drunk, it is ”meal drinking” • Huge differences by age (old+), region (urban+, south+) and education (well educated+) % of drinking occasions that were self defined as "meal drinking" Beverage: Only wine Meal Others All, % All, times 17/07/2015 Also wine No wine 43 33 8 57 67 92 100 100 100 1689 1252 5798 Presentation name / Author 16 GREAT CHANGE IN WINE DRINKING • Drinking of table wine has increased 100-fold in 50 years – from one glass a year to 2 glasses a week • 10% drink wine with a meal weekly; only less than half the times when wine is drunk, it is ”meal drinking” • Huge differences by age (old+), region (urban+, south+) and education (well educated+) 17/07/2015 Presentation name / Author 17