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Laslett AM, Anderson-Luxford D, Willoughby B, Room R, Doran C, Egerton-Warburton D, Jenkinson R, Smit K, Jiang H. Harm from the drinking of people you know: A range of effects from different relationships. Addiction 2024. [PMID: 38698662 DOI: 10.1111/add.16509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 03/25/2024] [Indexed: 05/05/2024]
Abstract
AIMS To describe the range of effects experienced due to the drinking of people respondents know and analyze risk and protective factors for harm from the drinking of partners and household members, other relatives and friends and co-workers. DESIGN, SETTING AND PARTICIPANTS Surveys of 2574 participants' experiences were obtained from two samples: 1000 people responded to random digitally dialled Australian mobile calls and 1574 participants responded from the Life in AustraliaTM panel survey. MEASUREMENTS Respondents were asked whether they had been negatively affected in the previous 12 months by the drinking of persons they knew who were 'a heavy drinker or drank a lot sometimes' and the nature of these harms. Weighted logistic regressions were used to analyze differences in rates of key negative outcomes from known others' drinking by gender, age and socio-economic status. FINDINGS Almost two thirds [60.2%; 95% confidence interval (CI) = 57.7%-62.7%] of participants reported having heavy drinkers in their lives and 21.8% (95% CI = 19.8%-23.9%) reported being negatively affected by the drinking of people they knew well in some way. Participants reported a gamut of effects, including, most commonly, adverse social effects: having to transport relatives and friends who had been drinking, role failure and faults, being emotionally hurt or neglected, serious arguments, family problems, having to care for drinkers and verbal abuse. Less commonly, respondents reported physical or sexual harm, property damage, financial stress and threats from others' drinking. Women (odds ratio = 1.49; 95% CI = 1.13-1.95), younger people, rural, Australian-born (vs. respondents born overseas in non-English speaking countries) and more frequent drinkers were more likely to report harm from a drinker they knew than their counterparts after adjusting for other variables in the model. CONCLUSIONS Australians appear to be commonly adversely affected by the drinking of people they know. Harms from known drinkers are more likely to be experienced by women than men, particularly from the people they live with and other relatives.
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Affiliation(s)
- Anne-Marie Laslett
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Care Economy Research Institute, La Trobe University, Melbourne, Australia
| | | | - Bree Willoughby
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Robin Room
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Social Research Centre on Alcohol and Drugs (SORAD), Stockholm University, Stockholm, Sweden
| | - Chris Doran
- Central Queensland University, Brisbane, Australia
| | - Diana Egerton-Warburton
- Australasian College of Emergency Medicine, Melbourne, Australia
- Monash Health, Melbourne, Australia
| | - Rebecca Jenkinson
- Australian Human Rights Commission, Melbourne, Australia
- Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Burnet Institute, Melbourne, Australia
| | - Koen Smit
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Heng Jiang
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia
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Laslett A, Room R, Kuntsche S, Anderson‐Luxford D, Willoughby B, Doran C, Jenkinson R, Smit K, Egerton‐Warburton D, Jiang H. Alcohol's harm to others in 2021: Who bears the burden? Addiction 2023; 118:1726-1738. [PMID: 37052510 PMCID: PMC10952517 DOI: 10.1111/add.16205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 03/16/2023] [Indexed: 04/14/2023]
Abstract
BACKGROUND AND AIMS Alcohol's harm to others (AHTO) has become a key driver of national and international alcohol policy. This study aimed to produce a contemporary, comprehensive estimate of the correlates and harms from others' drinking in 2021 in Australia. DESIGN, SETTING, PARTICIPANTS AND MEASUREMENTS Across Australia, 2574 adults (1380 women; 1172 men) were sampled via two cross-sectional survey modes: a random-digit dial mobile phone sample of 1000 people and 1574 people from the Life in Australia™ panel survey. In 2021 participants were asked about harms they had experienced from the drinking of family, friends, co-workers and the public in the past year. Applying combined sample weights from each mode, bivariable and adjusted multivariable logistic regressions were used to analyse differences in rates of AHTO by participant gender, age, residence in rural or metropolitan regions, country of birth, education and employment. FINDINGS In 2021, 23.6% reported being negatively affected by strangers' drinking and 21.3% by the drinking of someone they knew, with 34.3% reporting being negatively affected a lot or a little by either; 42.4% of respondents reported specific harms from strangers' drinking. Thus, 48.1% of respondents reported any harm (negative effects or specific harms) from others' drinking. Women, younger people, Australian-born and heavier episodic drinkers reported significantly higher rates of AHTO compared with other respondents. Smaller percentages (7.5%) of participants reported being harmed substantially by others' drinking, including by people they knew (5.8%) or strangers (2.3%). Stratified analyses showed that heavier drinking, furloughed, younger men who were born overseas in English-speaking countries were affected by others' drinking, whereas women were affected regardless of these factors (apart from age). CONCLUSIONS More than one-third of Australian adults appear to have been negatively affected by others' drinking in 2021, with women, younger people and heavier drinkers at greater risk. Substantial harm appears to be more likely to arise from the drinking of people Australians know than from strangers' drinking.
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Affiliation(s)
- Anne‐Marie Laslett
- Centre for Alcohol Policy ResearchLa Trobe UniversityMelbourneAustralia
- National Drug Research InstituteCurtin UniversityPerthAustralia
- Melbourne School of Global and Population HealthUniversity of MelbourneMelbourneAustralia
| | - Robin Room
- Centre for Alcohol Policy ResearchLa Trobe UniversityMelbourneAustralia
- Social Research Centre on Alcohol and Drugs, Department of Public Health SciencesStockholm UniversityStockholmSweden
| | - Sandra Kuntsche
- Centre for Alcohol Policy ResearchLa Trobe UniversityMelbourneAustralia
| | | | - Bree Willoughby
- Centre for Alcohol Policy ResearchLa Trobe UniversityMelbourneAustralia
| | - Christopher Doran
- Cluster for Resilience and Wellbeing, Manna InstituteCentral Queensland UniversityBrisbaneAustralia
| | - Rebecca Jenkinson
- Australian Institute of Family StudiesMelbourneAustralia
- Burnet InstituteMelbourneAustralia
| | - Koen Smit
- Centre for Alcohol Policy ResearchLa Trobe UniversityMelbourneAustralia
| | - Diana Egerton‐Warburton
- School of Clinical Sciences at Monash HealthMonash UniversityMelbourneAustralia
- Monash HealthMelbourneAustralia
| | - Heng Jiang
- Centre for Alcohol Policy ResearchLa Trobe UniversityMelbourneAustralia
- Melbourne School of Global and Population HealthUniversity of MelbourneMelbourneAustralia
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Ball J, Crossin R, Boden J, Crengle S, Edwards R. Long-term trends in adolescent alcohol, tobacco and cannabis use and emerging substance use issues in Aotearoa New Zealand. J R Soc N Z 2022. [DOI: 10.1080/03036758.2022.2060266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Jude Ball
- Department of Public Health, University of Otago, Wellington
| | - Rose Crossin
- Department of Population Health, University of Otago, Christchurch
| | - Joseph Boden
- Department of Psychological Medicine, University of Otago, Christchurch
| | - Sue Crengle
- Ngāi Tahu Māori Health Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin
| | - Richard Edwards
- Department of Public Health, University of Otago, Wellington
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Lam T, Laslett AM, Fischer J, Salom C, Ogeil RP, Lubman DI, Aiken A, Mattick R, Gilmore W, Allsop S. Disclosures of harming others during their most recent drinking session: Findings from a large national study of heavy-drinking adolescents. Drug Alcohol Rev 2021; 41:197-207. [PMID: 34181785 DOI: 10.1111/dar.13336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Revised: 05/07/2021] [Accepted: 05/10/2021] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The extant Alcohol's Harms to Others (AHTO) literature is largely comprised of reports from victims. We investigated AHTO from perpetrators' perspectives, including how harms were associated with individual characteristics, and alcohol quantities consumed during the perpetration incident. METHODS Participants (N = 2932) were 14-19 years old, recruited primarily through social media and screened as risky drinkers. They completed face-to-face (n = 594) or self-administered (n = 2338) surveys. They self-reported whether during their last risky drinking session (LRDS) they had perpetrated any verbal abuse, physical abuse or property damage. A multinomial logistic regression examined whether nine factors were associated with perpetrating zero, one or 2+ categories of AHTO. RESULTS Eleven percent (n = 323) reported perpetrating at least one form of AHTO (7.5% verbal, 1.9% physical and 4.6% property). Perpetration of AHTO at LRDS was uniquely associated with: younger age, male gender, experiences of childhood physical punishment, greater perpetration incident-specific drinking, concurrent illicit drug use, and less frequent use of safety strategies while drinking in the past 12 months. Controlling for the other variables, an increase of six Australian standard drinks (60 g of alcohol) increased the odds of perpetration by 15% [95% confidence interval (CI) adjusted odds ratio (AOR) 1.08, 1.23], and an increase of 15 Australian standard drinks increased the odds by 42% (95% CI AOR 1.20, 1.69). DISCUSSION AND CONCLUSIONS Individual characteristics, larger quantities of alcohol consumed, and a disinclination to practice harm reduction amplified risk of AHTO perpetration. This has implications for health promotion and risk prevention/reduction strategies.
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Affiliation(s)
- Tina Lam
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.,Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia
| | - Anne-Marie Laslett
- Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia.,Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Jane Fischer
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, Australia
| | - Caroline Salom
- Institute for Social Science Research, The University of Queensland, Brisbane, Australia
| | - Rowan P Ogeil
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.,Turning Point, Eastern Health, Melbourne, Australia
| | - Dan I Lubman
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.,Turning Point, Eastern Health, Melbourne, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - Richard Mattick
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia
| | - William Gilmore
- Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia
| | - Steve Allsop
- Faculty of Health Sciences, National Drug Research Institute, Curtin University, Perth, Australia
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Lam T, Fischer J, Salom C, Ogeil R, Wilson J, Lubman DI, Burns L, Lenton S, Gilmore W, Chikritzhs T, Aiken A, Allsop S. Safety first: Beliefs of older peers supplying alcohol to underage friends. Health Promot J Austr 2020; 32:407-415. [PMID: 32589329 DOI: 10.1002/hpja.378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 04/16/2020] [Accepted: 06/22/2020] [Indexed: 11/08/2022] Open
Abstract
ISSUE ADDRESSED Underage drinkers most commonly source alcohol from older peers. However, few studies have examined older peers' supply-related beliefs and motivations. METHODS A sample of 270 risky drinkers aged 18-19 years were interviewed in Australia where the legal purchase age is 18. They were asked about their provision to underage friends, awareness of secondary supply legislation (intended to prohibit such supply) and 24 psycho-legal beliefs around supply. RESULTS Half (49%) provided alcohol to a 16- to 17-year-old friend to drink at a party they were both attending at least twice a year. Three-quarters reported provision was okay so long as the recipient(s) were in a safe environment, and 46% reported "everyone gives alcohol to teenagers if they are in a safe environment." There was significantly higher agreement that "my friends would think I was mean if I did not give alcohol to a friend under the age of 18" (37%), compared to "my friends would think I was uncool if I did not give alcohol to a friend under the age of 18" (26%). Two thirds (69%) felt more responsible for an underage friend's safety if they provided the alcohol. A multivariate logistic regression revealed supply was more likely if the supplier: was aged 18 compared to 19 (95% CI OR: 1.57, 4.84), male (1.06, 3.27), of a higher SES quintile (1.08, 1.80) and believed alcohol supply to minors was morally acceptable (1.01, 1.33) and normal (1.04, 1.38). Knowledge of regulatory strategies (68%) designed to prevent supply to minors, and their perceived deterrent value did not significantly impact supply. CONCLUSIONS Supply of alcohol to underage peers was perceived as morally and socially acceptable in a group of 18- to 19-year-old risky drinkers. SO WHAT?: Opportunities include harm reduction initiatives that prioritise caring responsibilities towards friends, as opposed to relying on external enforcement measures alone.
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Affiliation(s)
- Tina Lam
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.,National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Jane Fischer
- National Centre for Education and Training on Addiction, Flinders University, Adelaide, SA, Australia
| | - Caroline Salom
- Institute for Social Science Research, The University of Queensland, Brisbane, QLD, Australia
| | - Rowan Ogeil
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.,Turning Point, Eastern Health Clinical School, Monash University, Richmond, VIC, Australia
| | - James Wilson
- Turning Point, Eastern Health Clinical School, Monash University, Richmond, VIC, Australia
| | - Dan I Lubman
- Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Frankston, VIC, Australia.,Turning Point, Eastern Health Clinical School, Monash University, Richmond, VIC, Australia
| | - Lucinda Burns
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Simon Lenton
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - William Gilmore
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Tanya Chikritzhs
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Steve Allsop
- National Drug Research Institute, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
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