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Alcohol-related negative consequences among drinkers around the world.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Graham, Kathryn Bernards, Sharon Knibbe, Ronald Kairouz, Sylvia Kuntsche, Sandra Wilsnack, Sharon C. Greenfield, Thomas K. Dietze, Paul Obot, Isidore Gmel, Gerhard
Description	Country affiliation: Canada Author Affiliation: Graham K ( Social and Epidemiological Research, Centre for Addiction and Mental Health, London, Ontario, Canada. kgraham@uwo.ca)
Abstract	AIMS: This paper examines (i) gender and country differences in negative consequences related to drinking; (ii) relative rates of different consequences; and (iii) country-level predictors of consequences. DESIGN SETTING AND PARTICIPANTS: Multi-level analyses used survey data from the Gender, Alcohol, and Culture: An International Study (GENACIS) collaboration. MEASUREMENTS: Measures included 17 negative consequences grouped into (i) high endorsement acute, (ii) personal and (iii) social. Country-level measures included average frequency and quantity of drinking, percentage who were current drinkers, gross domestic product (GDP) and Human Development Index (HDI). FINDINGS: Overall, the three groupings of consequences were reported by 44%, 12% and 7% of men and by 31%, 6% and 3% of women, respectively. More men than women endorsed all consequences, but gender differences were greatest for consequences associated with chronic drinking and social consequences related to male roles. The highest prevalence of consequences was in Uganda and lowest in Uruguay. Personal and social consequences were more likely in countries with higher usual quantity, fewer current drinkers and lower scores on GDP and HDI. However, significant interactions with individual-level quantity indicated a stronger relationship between consequences and usual quantity among drinkers in countries with lower quantity, more current drinkers and higher scores on GDP and HDI. CONCLUSIONS: Both gender and country need to be taken into consideration when assessing adverse drinking consequences. Individual measures of alcohol consumption and country-level variables are associated with experiencing such consequences. Additionally, country-level variables affect the strength of the relationship between usual quantity consumed by individuals and adverse consequences.
File Format	HTM / HTML
ISSN	09652140
e-ISSN	13600443
DOI	10.1111/j.1360-0443.2011.03425.x
Journal	Addiction
Issue Number	8
Volume Number	106
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2011-08-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Cross-cultural Comparison Research Support, Non-u.s. Gov't Gross Domestic Product Alcohol Drinking Discipline Addiction Epidemiology Socioeconomic Factors Multilevel Analysis Social Behavior Adverse Effects Global Health Research Support As Topic Alcoholic Beverages Temperance Health Surveys Internationality Adolescent Sex Factors Sex Distribution Cost Of Illness Alcohol-related Disorders Statistics & Numerical Data
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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