A Multi-Country Study of Harms to Children Because of Others’ Drinking

Laslett, Anne‐Marie; Rankin, Georgia; Waleewong, Orratai; Callinan, Sarah; Hoang, Hue Thi; Florenzano, R; Hettige, Siri; Obot, Isidore; Siengsounthone, Latsamy; Ibanga, Akanidomo; Hope, Ann; Landberg, Jonas; Vu, Hanh T. M.; Thamarangsi, Thaksaphon; Rekve, Dag; Room, Robin

doi:10.15288/jsad.2017.78.195

Cited by 33 publications

(29 citation statements)

References 14 publications

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“…For alcohol‐ related harms , our finding is consistent with the common trend that lower SES (living‐standard or education) is associated with highly increased consequence . The higher living‐standard status may provide the families more social buffers that could protect them from these harms .…”

Section: Discussionsupporting

confidence: 88%

“…Road traffic accidents, injuries and harm from others’ drinking especially from known drinker and family members have been highlighted as acute social consequences. Compared to some other countries, as reported by parents/carers, children in Vietnam are most vulnerable to specific harm from others’ drinking and women are most vulnerable to their partner's heavy‐drinking (Callinan et al , 2018, unpublished data).…”

Section: Introductionmentioning

confidence: 99%

“…SES difference in alcohol-related harms in high-, middle-and lowincome countries is consistently documented as a large pro-poor socioeconomic gradient [14][15][16]. In Thailand and Vietnam, lower-income families were more associated to harms to children from others' drinking [5]. Most research on inequality is limited by not incorporating the whole SES spectrum (conventionally, highest and lowest SES are compared) and therefore is able neither to compare all social categories at once nor to provide quantitative estimates of the degree of inequality.…”

Section: Introductionmentioning

confidence: 99%

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Socioeconomic inequalities in alcohol use and some related consequences from a household perspective in Vietnam

Hạnh

Assanangkornchai

Geater

et al. 2019

Drug and Alcohol Review

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Introduction and Aims Alcohol‐related harm reduction may target individuals, their households or communities. This study investigates the prevalence of and socioeconomic inequalities in alcohol use and alcohol‐related consequences (injury, accident, property loss and interpersonal violence) at the family‐level. Designs and Methods A cross‐sectional survey of 2394 households was conducted in eight provinces from six socioeconomic regions and two metropolitan cities in Vietnam. Family‐level alcohol use and injury were computed from individual data, while other measures were on a household basis. Unstandardised and indirectly standardised concentration index was used to measure degree of expenditure‐based inequality in alcohol use and its consequences. Results Over the previous 12 months, 88.5% and 46.2% of households had at least one current‐drinker and one heavy episodic drinking person, and in 41.7% the heavy episodic drinking person was the breadwinner. About 5.3% of households suffered alcohol‐related injury, accident or property loss; 11.4% reported alcohol‐related interpersonal violence. Poor and near‐poor households suffered the double‐burdens of both having heavy episodic drinking person and alcohol‐related harm. A modest socioeconomic gradient was observed with all types of drinker, more concentrated among higher living‐standard households, especially in urban areas. However, there was a persistent high‐level inequality disadvantaging lower living‐standard families, especially in rural areas, in suffering all measured alcohol‐related harms. Discussion and Conclusions Alcohol use and alcohol‐related consequences are highly prevalent in Vietnam. Lower socioeconomic households, especially in rural areas, are important target groups for alcohol‐related harm prevention and reduction interventions. The concentration index appeared to be a useful measure of inequalities in alcohol‐related harms.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Socioeconomic inequalities in alcohol use and some related consequences from a household perspective in Vietnam

Hạnh

Assanangkornchai

Geater

et al. 2019

Drug and Alcohol Review

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“…Analyses in the existing AHTO literature have been conducted separately for men and women (e.g., Graham, Bernards, Munné, & Wilsnack, 2008), for harms from strangers and known people (e.g., Room et al, 2019), for harms to children and adults (e.g., Laslett et al, 2017), and according to closeness of the victim-perpetrator relationship (e.g., Stanesby et al, 2018). The key informant severity ratings and qualitative feedback in the present study indicate that such divisions in analyses are warranted.…”

Section: Discussionmentioning

confidence: 99%

Improving measurement of harms from others’ drinking: A key informant study on type and severity of harm

Stanesby

Gmel

Graham

et al. 2020

Nordic Studies on Alcohol and Drugs

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Aims: Survey items for measuring harms experienced from others' drinking (AHTO) have been developed primarily to measure type of harm and not severity. However, some type of harms may produce more negative effects than others. 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. By inquiring into experts' views on survey items, this analysis involves a first scoping of the sort of questions that should be taken into consideration. In-depth analyses of specific sub-sets of harms and qualitative interviews with victims of severe AHTO are likely to help along this work in the future.

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“…Children are at risk of a variety of harms related to alcohol consumption [1] and alcohol abuse [2][3][4][5] by their parents and other adults with whom they live, including physical harm and exposure to family violence [6]. Thus, stopping or reducing alcohol consumption can be an important harm prevention strategy for parents and other adults who live with children.…”

Section: Introductionmentioning

confidence: 99%

Do gender differences in the relationship between living with children and alcohol consumption vary by societal gender inequality?

Graham

Bernards

Karriker‐Jaffe

et al. 2020

Drug and Alcohol Review

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Introduction and Aims To better understand the relationship between alcohol consumption and living with children, we assessed whether the association varied for men and women across diverse countries and whether this relationship was moderated by country‐level gender inequality. Design and Methods We used Hierarchical Linear Modelling to analyse data from 32 surveys conducted in 27 countries. Measures included whether the participant was a drinker versus abstainer in past 12 months, annual number of drinks consumed, whether the respondent lived with children, gender (male/female) and age of respondent, and country‐level gender inequality measured using the Gender Inequality Index. Results Annual drinks consumed was significantly lower for women living with children. Men living with children were generally more likely to be drinkers, and the relationship between annual consumption and living with children was moderated by cultural gender equality: specifically, men in countries with higher gender equality drank less if they lived with children while the association for men in lower equality countries was nonsignificant. Discussion and Conclusions Although lower alcohol consumption was found generally for women living with children, this relationship was found only for men in countries where there was more gender equality. Given the high risk of harm to children from heavy consumption by adults with whom they live, prevention efforts need to strengthen prevention of heavy consumption by parents and other who live with children, especially for men who live with children in low gender equality countries.

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A Multi-Country Study of Harms to Children Because of Others’ Drinking

Cited by 33 publications

References 14 publications

Socioeconomic inequalities in alcohol use and some related consequences from a household perspective in Vietnam

Socioeconomic inequalities in alcohol use and some related consequences from a household perspective in Vietnam

Improving measurement of harms from others’ drinking: A key informant study on type and severity of harm

Do gender differences in the relationship between living with children and alcohol consumption vary by societal gender inequality?

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