Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia.
J Stud Alcohol Drugs. 2024 Sep;85(5):648-657. doi: 10.15288/jsad.23-00261. Epub 2024 Mar 6.
The magnitude of caring for others because of excessive alcohol use is unclear in Australia and internationally. This study explores the prevalence, sociodemographic predictors, and consequences of informal care for others because of alcohol use.
A survey on harm from others' drinking was conducted among 2,574 Australian adults in November 2021 from national random digit dial and "Life in Australia" panel samples to elicit representative data. Respondents who indicated that they had "heavy drinker/s" in their lives ( = 1,585) were asked about their experience of caring for these drinkers and their dependents in the last 12 months. Weighted logistic and linear regressions examined (a) sociodemographic factors associated with informal care because of others' drinking and (b) the impact of the caregiving burden on the caregiver's financial status, overall health, and quality of life.
Overall, 20% of participants reported caregiving responsibilities arising from others' drinking. Older age, unemployment, residing in capital cities, and reporting birth in a non-English-speaking background country were associated with a reduced likelihood of caregiving. In contrast, higher education and more frequent risky drinking were associated with an increased likelihood. Caregivers reported significantly higher financial disadvantage, a lower quality of life, and poorer overall health.
One in five adults reported caring for drinkers in the previous 12 months, and this was associated with negative consequences for those providing care. Service providers, health promotion practitioners, and policymakers should focus on younger age groups, those who live in regional areas, and those born in Australia who are at greater risk of being burdened by caregiving because of others' alcohol use.
在澳大利亚和国际上,因过度饮酒而照顾他人的程度尚不清楚。本研究探讨了因饮酒而照顾他人的普遍性、社会人口统计学预测因素和后果。
2021 年 11 月,通过全国随机数字拨号和“澳大利亚生活”小组样本对 2574 名澳大利亚成年人进行了一项关于他人饮酒危害的调查,以获取具有代表性的数据。在生活中有“酗酒者”的受访者(n=1585)被问及他们在过去 12 个月中照顾这些饮酒者及其家属的经历。加权逻辑回归和线性回归分析了(a)与他人饮酒导致的非正式照顾相关的社会人口学因素,以及(b)照顾负担对照顾者经济状况、整体健康和生活质量的影响。
总体而言,20%的参与者报告有照顾他人饮酒引起的责任。年龄较大、失业、居住在首府城市以及报告出生在非英语国家与照顾的可能性降低有关。相比之下,接受更高的教育和更频繁的危险饮酒与增加的可能性相关。照顾者报告了明显更高的经济劣势、较低的生活质量和较差的整体健康状况。
五分之一的成年人报告在过去 12 个月中照顾过饮酒者,这对提供照顾的人产生了负面影响。服务提供者、健康促进从业者和政策制定者应关注年龄较小的群体、居住在地区的群体以及在澳大利亚出生的群体,他们因他人饮酒而照顾他人的负担风险更大。