Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
The Swedish Council for Information on Alcohol and Other Drugs, Stockholm, Sweden.
Eur Addict Res. 2022;28(2):134-142. doi: 10.1159/000520079. Epub 2021 Nov 29.
There is limited knowledge about how individual experiences of harm from others' drinking are influenced by heavy episodic drinking (HED) at the country level. The present study aimed to assess (1) the association between the country-level prevalence of HED and the risk of experiencing harm from others' drinking-related aggression and (2) if HED at the country level modifies the association between consumption of alcohol per capita (APC) and such harm.
Outcome data from 32,576 participants from 19 European countries stem from the RARHA SEAS study. Self-reported harm from others' drinking included having been verbally abused, harmed physically, or having serious arguments. Data on country-level drinking patterns were derived from the World Health Organization. Associations between country-level prevalence of monthly HED and experiences of aggression (at least 1 of 3 studied harms) were derived through multilevel models - adjusted for country-level age structure and by including the respondent's own HED patterns as a mediator.
A 1% increase in the prevalence of monthly HED was associated with 5% higher odds (odds ratio [OR] 1.05) of experiencing others' alcohol-related aggression among men, and 6% (OR 1.06) among women. The results suggest that the association between APC and harm was stronger in countries with high prevalences of HED, but the modifying effect could not be confirmed.
DISCUSSION/CONCLUSION: Harm from others' drinking-related aggression depends not only on individual factors but is also influenced by the drinking patterns of the population. However, the country-level prevalence of HED only explains a small part of the variance of this type of harm.
关于个体经历他人饮酒伤害的情况是如何受到国家层面的重度周期性饮酒（HED）影响的，目前我们知之甚少。本研究旨在评估：（1）国家层面 HED 流行率与因他人饮酒相关的攻击而遭受伤害的风险之间的关联；（2）国家层面 HED 是否会改变人均酒精消费量（APC）与这种伤害之间的关联。
来自 19 个欧洲国家的 32576 名参与者的结果数据来自 RARHA SEAS 研究。因他人饮酒而遭受的自我报告伤害包括言语虐待、身体伤害或严重争吵。关于国家层面饮酒模式的数据来自世界卫生组织。通过多水平模型得出国家层面 HED 流行率与攻击经历（至少有 3 种研究危害中的 1 种）之间的关联，该模型调整了国家层面的年龄结构，并将受访者自身的 HED 模式作为中介纳入其中。
每月 HED 流行率增加 1%，男性经历他人与酒精相关的攻击的几率增加 5%（优势比[OR]为 1.05），女性增加 6%（OR 为 1.06）。结果表明，APC 与伤害之间的关联在 HED 流行率较高的国家更强，但这种调节作用无法得到证实。
讨论/结论：他人饮酒相关攻击造成的伤害不仅取决于个人因素，还受到人群饮酒模式的影响。然而，HED 的国家流行率只能解释这种伤害类型的一小部分差异。
