TY - JOUR PY - 2023// TI - Alcohol's harm to others in 2021: who bears the burden? JO - Addiction A1 - Laslett, Anne-Marie A1 - Room, Robin A1 - Kuntsche, Sandra A1 - Anderson-Luxford, Dan A1 - Willoughby, Bree A1 - Doran, Christopher A1 - Jenkinson, Rebecca A1 - Smit, Koen A1 - Egerton-Warburton, Diana A1 - Jiang, Heng SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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, MEASUREMENTS: Across Australia, 2,574 adults (1,380 women; 1,172 men) were sampled via two cross-sectional survey modes: a random digit dial mobile phone sample of 1,000 people and 1,574 people from the Life in Australiaâ„¢ panel survey. Participants in 2021 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: Over one-third of Australian adults appear to have been negatively affected by others' drinking in 2021, with women, younger people and heavier drinkers at more risk. Substantial harm appears to be more likely to arise from the drinking of people Australians know than from strangers' drinking.

Language: en

LA - en SN - 0965-2140 UR - http://dx.doi.org/10.1111/add.16205 ID - ref1 ER -