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Hopkins C, Kuntsche S, Dwyer R, Anderson-Luxford D, Laslett AM. Harm to children from others' drinking: A survey of caregivers in Australia. Addiction 2024. [PMID: 39189949 DOI: 10.1111/add.16637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 06/27/2024] [Indexed: 08/28/2024]
Abstract
AIMS This study aimed to identify the prevalence and types of harm to children from others' drinking in Australia, as indicated by caregivers, and examine socio-demographic characteristics of caregivers who indicated a child was affected by others' drinking. DESIGN, SETTING, PARTICIPANTS AND MEASUREMENTS A subsample of 854 adult respondents, who were caregivers of children under 18 years from the 2021 Australian Alcohol's Harm to Others study, were asked questions about whether children in their care had been negatively affected by others' drinking in the past year. Weighted prevalence estimates of overall and specific harms to children are presented. Logistic regressions were conducted to determine characteristics associated with indicating harms to children from others' drinking. FINDINGS Over 17% of caregivers (95% confidence interval [CI] = 13.0-19.0) indicated that one or more children in their care had been affected by others' drinking in the past 12 months. Verbal abuse (6.2%; 95% CI = 4.3-8.3) was the most common harm indicated, followed by financial harm (4.3%; 95% CI = 2.7-6.2). One percent of caregivers (95% CI = 0.4-2.3) indicated a child was physically hurt and less than 1% (95% CI = 0.2-1.4) indicated a child was the subject of a child protection call due to someone's drinking. Women and caregivers over 65 years were more likely to indicate a child had been affected compared with men and caregivers under 65 years. Caregivers who drank five or more drinks at least three times per week were four times more likely to indicate a child was affected compared with abstainers. Living in a household with someone who drinks heavily and who had negatively affected the child's caregiver was associated with an increased likelihood of child harm. CONCLUSIONS In 2021, a weighted survey estimate for caregivers in Australia indicated that almost one in six children had been affected by others' drinking. Heavier drinking of caregivers and other household members was the most substantial predictor for indicating a child had been negatively affected by others' drinking.
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Affiliation(s)
- Cassandra Hopkins
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Sandra Kuntsche
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Bouverie Centre, La Trobe University, Melbourne, Australia
| | - Robyn Dwyer
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Department of Public Health, La Trobe University, Melbourne, Australia
| | | | - Anne-Marie Laslett
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
- Care Economy Research Institute, La Trobe University, Melbourne, Australia
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Karriker-Jaffe KJ, Blackburn N, Graham K, Walker MJ, Room R, Wilson IM, Waleewong O, Gilchrist G, Ramsoomar L, Laslett AM. Can alcohol policy prevent harms to women and children from men's alcohol consumption? An overview of existing literature and suggested ways forward. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2023; 119:104148. [PMID: 37540918 PMCID: PMC10734562 DOI: 10.1016/j.drugpo.2023.104148] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 07/17/2023] [Accepted: 07/23/2023] [Indexed: 08/06/2023]
Abstract
The World Health Organization's list of cost-effective alcohol control policies is a widely-used resource that highlights strategies to address alcohol-related harms. However, there is more evidence on how recommended policies impact harms to people who drink alcohol-such as physical health problems caused by heavy alcohol use-than on secondhand harms inflicted on someone other than the person drinking alcohol, i.e., alcohol's harms to others. In this essay, we describe evidence of impacts of alcohol policy on harms to women and children resulting from men's alcohol consumption, as well as options for making policies more relevant for reducing intimate partner violence and child abuse. We begin with an overview of harms to women and children resulting from men's alcohol consumption and review cost-effective alcohol policies with potential to reduce these harms based on likely mechanisms of action. Next, we present a rapid review of reviews to describe existing evidence of impacts of these policies on the outcomes of physical violence, sexual violence, and child abuse and neglect. We found little evidence of systematic evaluation of impacts of these important alcohol policies on harms to women and children. Thus, we advocate for increased attention in evaluation research to the impacts of alcohol policies on harms experienced by women and children who are exposed to men who drink alcohol. We also argue for more consideration of a broader range of policies and interventions to reduce these specific types of harm. Finally, we present a conceptual model illustrating how alcohol policies may be supplemented with other interventions specifically tailored to reduce alcohol-related harms commonly experienced by women and children as a result of men's alcohol use.
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Affiliation(s)
| | - Natalie Blackburn
- Center for Health Behavior & Implementation Science, RTI International, Berkeley, CA, USA
| | - Kathryn Graham
- Institute for Mental Health Policy Research, Campbell Family Mental Health Research Institute, Centre for Addiction & Mental Health, London/Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Mary Jean Walker
- Department of Politics, Media, & Philosophy, La Trobe University, Melbourne, Australia
| | - Robin Room
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia; Centre for Social Research on Alcohol & Drugs, Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
| | - Ingrid M Wilson
- Health & Social Sciences, Singapore Institute of Technology, Singapore; Judith Lumley Centre, La Trobe University, Australia
| | - Orratai Waleewong
- International Health Policy Program, Ministry of Public Health, Thailand
| | - Gail Gilchrist
- National Addiction Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Leane Ramsoomar
- Gender & Health Research Unit, South African Medical Research Council, Pretoria, South Africa; School of Public Health, University of the Witwatersrand, Johannesburg, South Africa; School of Public Health & Health Systems, University of the Pretoria, Gauteng, South Africa
| | - Anne-Marie Laslett
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia; Melbourne School of Population & Global Health, University of Melbourne, Melbourne, Australia
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Laslett AM, Kuntsche S, Wilson IM, Taft A, Fulu E, Jewkes R, Graham K. The relationship between fathers' heavy episodic drinking and fathering involvement in five Asia-Pacific countries: An individual participant data meta-analysis. Alcohol Clin Exp Res 2022; 46:2137-2148. [PMID: 36524922 PMCID: PMC10108151 DOI: 10.1111/acer.14955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 09/29/2022] [Accepted: 10/05/2022] [Indexed: 12/23/2022]
Abstract
BACKGROUND This study aims to increase understanding of the relationship between heavy episodic drinking (HED) and fathers' involvement in parenting in five countries. The potential moderating effect of fathers' experiences of childhood trauma is also studied, controlling for the possible confounding of the effect of HED by father's attitudes toward gender equality, father's age and father's education. METHOD United Nations Multi-Country Study on Men and Violence (UNMCS) survey data from 4562 fathers aged 18-49 years from Cambodia, China, Indonesia and Papua New Guinea (PNG) and Sri Lanka were used to assess the relationship between fathering involvement (e.g., helping children with their homework) and self-reported HED of 6+ drinks in one occasion vs. non-HED and abstaining. Moderating effects of a 13-item fathers' childhood trauma (FCT) scale were tested and analyses were adjusted for gender-inequitable attitudes using the Gender-Equitable Men scale score. Bivariate and adjusted individual participant meta-analyses were used to determine effect estimates for each site and across all sites. RESULTS Fathers' HED was associated with less positive parental involvement after adjusting for gender-equitable attitudes, FCT, age and education. No overall interaction between HED and FCT was identified. Gender equitable attitudes were associated with fathering involvement in some countries but not overall (p = 0.07). CONCLUSIONS Heavy episodic drinking was associated with reduced positive fathering involvement. These findings suggest that interventions to increase fathers' involvement in parenting should include targeting reductions in fathers' HED. Structural barriers to fathers' involvement should be considered alongside HED in future studies of fathers' engagement with their children.
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Affiliation(s)
- Anne-Marie Laslett
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia.,National Drug Research Institute, Curtin University, Perth, Western Australia, Australia.,Melbourne School of Global and Population Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Sandra Kuntsche
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia
| | - Ingrid M Wilson
- Singapore Institute of Technology, Singapore, Singapore.,Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia.,Department of Sociology, Social Policy and Criminology, University of Liverpool in Singapore, Singapore, Singapore
| | - Angela Taft
- Judith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia
| | - Emma Fulu
- The Equality Institute, Melbourne, Victoria, Australia
| | - Rachel Jewkes
- Office of the Executive Scientist, South African Medical Research Council (SAMRC), Pretoria, South Africa
| | - Kathryn Graham
- Centre for Addiction and Mental Health, Toronto/London, Ontario, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
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Preampruchcha P, Suwanno N, Petchana B, Kuemee T, Tanaree A, Nontarak J, Balthip K, Ratworawong K, Hayiyani N, Oumudee N, Maneemai O, Waleewong O, Chotipanvithayakul R, Nasueb S, Rungruang S, Chaiyasong S, Saokaew S, Intanont T, Donraman T, Saengow U, Duangpaen W, Bunyanukul W, Vichitkunakorn P. The effects of others' drinking on the harms to children in Thailand: Lessons from the WHO-ThaiHealth project. PLoS One 2022; 17:e0265641. [PMID: 35320311 PMCID: PMC8942252 DOI: 10.1371/journal.pone.0265641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Accepted: 03/05/2022] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Many knowledge gaps exist in the area of alcohol-related harms in children research such as the potential impact of other's drinking and their social demography. Thus, this study aims to evaluate the effects of characteristics of household members and others' alcohol drinking on harms to children in Thailand. DATA AND METHODS This study examined 952 parents caring for children and adolescents under 18 years of age, using the questionnaire (i.e., The Harm to Others from Drinking under the WHO/ThaiHealth International Collaboration Research Project). They were interviewed between September 2012 and March 2013. RESULTS The study found that 15.89% of children and young people were affected by someone's drinking in at least one category of harms. People over 60 years of age were less likely to cause alcohol-related harm to children than those aged 18 to 29 (adjusted odds ratio [AOR] 0.19, 95% confidence interval [Cl]: 0.06-0.58). Households with a binge drinker or regular drinker (≥1 time/week) were more likely to have children at higher risk of suffering alcohol-related harm in comparison to households without alcohol drinker (AOR 4.75 and 1.92, respectively). CONCLUSION This study found that children whose family members are young adult or consume alcohol (i.e., weekly drinker or binge drinker) were significantly adversely affected. The most common problems were domestic violence and verbal abuse. Most of the problems, affecting children, were caused mostly by their parents.
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Affiliation(s)
| | - Nattapong Suwanno
- Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Butpetch Petchana
- Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Tirada Kuemee
- Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Athip Tanaree
- Department of Mental Health, Ministry of Public Health, Nonthaburi, Thailand
| | - Jiraluck Nontarak
- Faculty of Public Health, Department of Epidemiology, Mahidol University, Rajthevee, Bangkok, Thailand
| | | | | | - Narisa Hayiyani
- Faculty of Medicine, Department of Epidemiology, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Nurtasneam Oumudee
- Faculty of Medicine, Department of Epidemiology, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Ongart Maneemai
- School of Pharmaceutical Sciences, University of Phayao, Muang Phayao, Thailand
| | - Orratai Waleewong
- International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand
| | | | - Sopit Nasueb
- International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand
| | - Supeecha Rungruang
- Faculty of Medicine, Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Surasak Chaiyasong
- Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University, Maha Sarakham, Thailand
| | - Surasak Saokaew
- School of Pharmaceutical Sciences, University of Phayao, Muang Phayao, Thailand
| | - Tanomsri Intanont
- Faculty of Nursing, Prince of Songkla University, Hat Yai, Songkhla, Thailand
| | - Teerohah Donraman
- Faculty of Medicine, Division of Digital Innovation and Data Analytics, Prince of Songkhla University, Hat Yai, Songkhla, Thailand
| | - Udomsak Saengow
- Center of Excellence in Data Science for Health Study, Walailak University, Tha Sala, Nakhon Si Thammarat, Thailand
- School of Medicine, Walailak University, Tha Sala, Nakhon Si Thammarat, Thailand
| | | | | | - Polathep Vichitkunakorn
- Faculty of Medicine, Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
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