Format

Send to

Choose Destination
Alcohol Clin Exp Res. 2018 Sep;42(9):1693-1703. doi: 10.1111/acer.13828. Epub 2018 Jul 23.

Harm from Known Others' Drinking by Relationship Proximity to the Harmful Drinker and Gender: A Meta-Analysis Across 10 Countries.

Author information

1
Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia.
2
Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
3
Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
4
School of Psychology, Faculty of Health, Deakin University, Melbourne, Australia.
5
National Drug Research Institute, Curtin University, Melbourne, Australia.
6
Judith Lumley Centre, La Trobe University, Melbourne, Australia.
7
Alcohol Research Group, Public Health Institute, Emeryville, California.
8
University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota.
9
Department of Sociology, University of Colombo, Colombo, Sri Lanka.
10
Globalism Research Centre, School of Social Sciences, RMIT University, Melbourne, Australia.
11
Health Strategy and Policy Institute, Ministry of Health, Hanoi, Vietnam.
12
National Institute of Public Health, Ministry of Health, Vientiane Capital, Lao PDR.
13
School of Population and Global Health, University of Melbourne, Melbourne, Australia.
14
International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand.

Abstract

BACKGROUND:

Drinking is a common activity with friends or at home but is associated with harms within both close and extended relationships. This study investigates associations between having a close proximity relationship with a harmful drinker and likelihood of experiencing harms from known others' drinking for men and women in 10 countries.

METHODS:

Data about alcohol's harms to others from national/regional surveys from 10 countries were used. Gender-stratified random-effects meta-analysis compared the likelihood of experiencing each, and at least 1, of 7 types of alcohol-related harm in the last 12 months, between those who identified someone in close proximity to them (a partner, family member, or household member) and those who identified someone from an extended relationship as the most harmful drinker (MHD) in their life in the last 12 months.

RESULTS:

Women were most likely to report a close male MHD, while men were most likely to report an extended male MHD. Relatedly, women with a close MHD were more likely than women with an extended MHD to report each type of harm, and 1 or more harms, from others' drinking. For men, having a close MHD was associated with increased odds of reporting some but not all types of harm from others' drinking and was not associated with increased odds of experiencing 1 or more harms.

CONCLUSIONS:

The experience of harm attributable to the drinking of others differs by gender. For preventing harm to women, the primary focus should be on heavy or harmful drinkers in close proximity relationships; for preventing harm to men, a broader approach is needed. This and further work investigating the dynamics among gender, victim-perpetrator relationships, alcohol, and harm to others will help to develop interventions to reduce alcohol-related harm to others which are specific to the contexts within which harms occur.

KEYWORDS:

Alcohol; Family; Gender; Harm to Others; Meta-Analysis

PMID:
30035808
PMCID:
PMC6120764
[Available on 2019-09-01]
DOI:
10.1111/acer.13828

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center