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To Cause Harm and to be Harmed by Others: New Perspectives on Alcohol's Harms to Others.

ABSTRACT: OBJECTIVE:To examine how sociodemographic factors and alcohol consumption are related to a four-way typology of causing harm to others and/or being harmed by others' and one's own drinking. DATA AND METHODS:Data from the 2011 Danish national survey (n = 2,569) were analyzed with multi nomial logistic regression. RESULTS:Younger age and heavy drinking were significant correlates of both causing harm and being harmed. Women and better educated respondents were more likely to report negative effects on relationship and family from another's drinking. Better educated respondents had higher risks for work, financial, or injury harms from another's drinking. Mean alcohol consumption and risky single occasion drinking were related to both causing harm and being harmed from one's own drinking. CONCLUSIONS:Drinking variables were the strongest correlates of causing harm and being harmed. Efforts to reduce risky drinking may also help reduce exposures to collateral harm.

SUBMITTER: Seid AK

PROVIDER: S-EPMC4603526 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

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To Cause Harm and to be Harmed by Others: New Perspectives on Alcohol's Harms to Others.

Seid Abdu K AK Grittner Ulrike U Greenfield Thomas K TK Bloomfield Kim K

Substance abuse : research and treatment 20151012 Suppl 2

<h4>Objective</h4>To examine how sociodemographic factors and alcohol consumption are related to a four-way typology of causing harm to others and/or being harmed by others' and one's own drinking.<h4>Data and methods</h4>Data from the 2011 Danish national survey (n = 2,569) were analyzed with multi nomial logistic regression.<h4>Results</h4>Younger age and heavy drinking were significant correlates of both causing harm and being harmed. Women and better educated respondents were more likely to ...[more]

PMID: 26512203

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Project description:Aims:Some types of harms experienced because of others' drinking (AHTO) may produce greater negative effects than other harms. However, AHTO survey items were developed to measure type, not severity, of harm. We aimed to compare the perceived severity of a comprehensive list of AHTO items to assess consistency in subjective ratings of severity, facilitate a more nuanced analysis and identify strategies to improve measurement of AHTO in epidemiological surveys. Methods:Thirty-six leaders of national alcohol surveys (conducted between 1997 and 2016) from 23 countries rated the typical severity of negative effects on the victim of each of 48 types of AHTO using a scale from zero (no negative effect) to 10 (very severe negative effect). The survey leaders were also asked to provide open-ended feedback about each harm and the severity-rating task generally. Results:Of 48 harm items, five were classified as extreme severity (mean rating ?8), 17 as high (?6 <8), 25 as moderate (?4 <6), and one as low (?4). We used two-way random effects models to estimate absolute agreement intraclass correlation coefficients (AA-ICC) and consistency of agreement intraclass correlation coefficients (CA-ICC). Results showed that there was fair to excellent absolute agreement and consistency of agreement among "experts'' ratings of the severity of harms from others' drinking (single measures CA-ICC = 0.414, single measures AA-ICC = 0.325; average CA-ICC = 0.940, average AA-ICC = 0.914). Harms to children, and harms causing physical, financial, practical, or severe emotional impacts were rated most severe. Conclusions:When designing new AHTO surveys and conducting analyses of existing data, researchers should pay close attention to harms with high perceived severity to identify effective ways to prevent severe AHTO and reduce the negative health and social impacts of AHTO. In-depth analyses of specific sub-sets of harms and qualitative interviews with victims of severe AHTO may prove useful.

Dataset Information

To Cause Harm and to be Harmed by Others: New Perspectives on Alcohol's Harms to Others.

Publications

To Cause Harm and to be Harmed by Others: New Perspectives on Alcohol's Harms to Others.

Similar Datasets

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