BackgroundUnder-reporting of alcohol consumption is widespread; surveys typically capture 40-60% of alcohol sales. However the population distribution of under-reporting is not well understood.MethodsMixed-methods study to identify factors associated with under-reporting, using the nationally-representative Health Survey for England (HSE) 2011 (overall response rate 66%). Comparison of retrospective computer-assisted personal interview and seven-day drinking diary (n = 3,774 adults 18+, 50% women, diary response rate 69%) to identify factors associated with diary responses exceeding those of the interview using multivariable linear regression for three outcomes: drinking days in the week recorded, volume consumed on heaviest drinking day in the week recorded, and weekly alcohol consumption. Qualitative semi-structured interviews (n = 10) explored reasons for under-reporting in further detail.ResultsNumber of drinking days was slightly greater in the diary than the interview (P < 0.001). Reported consumption was higher in the diary than in the interview for heaviest drinking day in the week recorded (0.7 units greater among men, 1.2 units among women, P < 0.001), and weekly alcohol consumption in women only (1.1 units among women, P = 0.003). Participants who drank more frequently, more heavily, and had a more varied drinking pattern with respect to the types of drink consumed or choice of drinking venues had a larger difference between their diary week and their interview week.The qualitative interviews identified having a non-routine drinking pattern, self-perception as a non-frequent drinker, and usually tracking drinking using experiential approaches as linked to more drinking being reported in the diary than the retrospective interview.ConclusionsHeavy drinking and non-routine drinking patterns may be associated with greater under-reporting of alcohol consumption. Estimates of drinking above recommended levels are likely to be disproportionately under-estimated.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2458-14-1297) contains supplementary material, which is available to authorized users.
The last two decades have witnessed, as part of a wider financialisation of British economy and society, a creeping privatisation of social welfare provision. Political justification for the expansion of privatised social insurance markets has frequently been couched in the language of responsibility. However, as the ‘credit crunch’ spectacularly attests and as studies of the dynamics of financialisation have succeeded in showing, financialised capitalism turns on excess. In this paper we explore some of the ways in which the reworking of long-term insurance or life assurance has contributed to the financialisation of everyday life. More particularly, we trace the emergence of what we call ‘lifestyle insurance’. Our purpose here is not only to begin to map the terrain and consider the consequences of this nascent modality of insurance in the UK, but in so doing to contribute to wider debates about the processes of subjectification that underwrite financialisation. In addition to pressing for a greater attention to be given to life assurance the paper suggests, by mobilising the figure of excess, three more areas to which studies of the financialisation of the everyday might productively attend: first, the financialisation of life itself; second, the ways in which financialisation is affectively charged; third, the spatial politics of financialisation.
Abstract:In this article, we examine the imaginative geographies of the new millennium through a critical reading of cyberfiction. This fiction, we argue, through its use of estrangement and defamiliarization, and its destabilization of the foundational assumptions of modernism, provides a cognitive space in which to contemplate future spatialities given the present postmodern condition -a cognitive space which is already providing an imaginal sphere in which present-day individual and institutional thought and practice are partially shaped. Using a detailed reading of 34 novels and four collections of short stories, we illustrate the utility of this cognitive space, and its appropriation, through an exploration of fictional visions of postmodern urbanism in the early twenty-first century. We assess the viability and utility of these visions by comparing them to academic analyses of the sociospatial processes shaping present-day urban form and spatiality.
BackgroundSeveral studies have found participants pour more than 1 standard drink or unit as their usual glass. This is the first study to measure actual and perceived amounts of alcohol in a self-defined usual glass of wines and spirits in the general population.MethodsParticipants were a convenience sample of adults who drink alcohol or who pour drinks for other people (n = 283, 54% women) at 6 sites in South East England. The survey was face to face and comprised a self-completion questionnaire and pouring task. Estimation accuracy, categorised as correct (±0.5 units), underestimate (>0.5 units), or overestimate (>0.5 units) was the main outcome.ResultsThe mean number of units poured was 1.90 (SD 0.80; n = 264) for wine and 1.93 (SD 0.78; n = 201) for spirits. The amount of alcohol in a self-defined usual glass was estimated in 440 glasses (248 wine and 192 spirits). Overestimation took place in 42% glasses of spirit poured and 29% glasses of wine poured, and underestimation in 17 and 19%, respectively. Multinomial logistic regression found volume poured to be significantly associated with underestimating both wines and spirits, and additionally for wine only, belonging to a non-white ethnic group and being unemployed or retired. Not having a university degree was significantly associated with overestimating both drink types.ConclusionsThis study is the first in the general population and did not identify systematic underestimation of the amount of alcohol in a self-defined usual glass. Underestimation is significantly associated with volume poured for both drink types; therefore, advocating pouring smaller glasses could reduce underestimation of alcohol consumption.
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