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AAM_1161325_Callinan,S_2022.pdf (396.67 kB)

A gender-focused multilevel analysis of how country, regional and individual level factors relate to harm from others’ drinking

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posted on 2022-02-10, 04:50 authored by Sarah CallinanSarah Callinan, KJ Karriker-Jaffe, SCM Roberts, W Cook, Sandra KuntscheSandra Kuntsche, U Grittner, K Graham, Robin RoomRobin Room, K Bloomfield, TK Greenfield, S Wilsnack
Background: The aim of this study was to examine how gender, age and education, regional prevalence of male and female risky drinking and country-level economic gender equality are associated with harms from other people’s drinking. Methods: 24,823 adults in 10 countries were surveyed about harms from drinking by people they know and strangers. Country-level economic gender equality and regional prevalence of risky drinking along with age and gender were entered as independent variables into three-level random intercept models predicting alcohol-related harm. Findings: At the individual level, younger respondents were consistently more likely to report harms from others’ drinking, while, for women, higher education was associated with lower risk of harms from known drinkers but higher risk of harms from strangers. Regional rate of men’s risky drinking was associated with known and stranger harm, while regional-level women’s risky drinking was associated with harm from strangers. Gender equality was only associated with harms in models that did not include risky drinking. Conclusions: Youth and regional levels of men’s drinking were consistently associated with harm from others attributable to alcohol. Policies that decrease the risky drinking of men would be likely to reduce harms attributable to the drinking of others.


Lao PDR's inclusion also was supported by Thai-Health, while Australia [NHMRC 1065610], New Zealand, Switzerland, and the USA separately funded and completed their own studies. Analyses of these data were supported in part by Research Grant no. R01 AA023870 from the U.S. National Institute on Alcohol Abuse and Alcoholism (NIAAA)/National Institutes of Health (NIH), and the US survey data were supported by Research Grant no. R01 AA022791 from the NIAAA/NIH. S. C. is funded by a Discovery Early Career Researcher Award from the Australian Research Council [DE180100016]. R. R. receives funding from the Centre for Alcohol Policy Research is co-funded by the Foundation for Alcohol Research and Education, an independent, charitable organization working to prevent the harmful use of alcohol in Australia ( Health and Medical Research Council; World Health Organization.


Publication Date



Drugs: Education, Prevention and Policy






8p. (p.13 - 20)


Taylor & Francis



Rights Statement

This is an Accepted Manuscript version of the following article, accepted for publication in Drugs: Education, Prevention and Policy: Sarah Callinan, Katherine J. Karriker-Jaffe, Sarah C. M. Roberts, Won Cook, Sandra Kuntsche, Ulrike Grittner, Kathryn Graham, Robin Room, Kim Bloomfield, TomK Greenfield & Sharon Wilsnack (2022) A gender-focused multilevel analysis of how country, regional and individual level factors relate to harm from others’ drinking, Drugs: Education, Prevention and Policy, 29:1, 13-20, DOI: 10.1080/09687637.2020.1776684. It is deposited under the terms of the Creative Commons Attribution-NonCommercial License (, which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

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