Measuring alcohol-related consequences in school surveys: alcohol-attributable consequences or consequences with students' alcohol attribution.

Details

Serval ID
serval:BIB_B131FFA7BDDA
Type
Article: article from journal or magazin.
Collection
Publications
Title
Measuring alcohol-related consequences in school surveys: alcohol-attributable consequences or consequences with students' alcohol attribution.
Journal
American Journal of Epidemiology
Author(s)
Gmel Gerhard, Kuntsche Emmanuel, Wicki Matthias, Labhart Florian
ISSN
1476-6256[electronic]
Publication state
Published
Issued date
2010
Volume
171
Number
1
Pages
93-104
Language
english
Abstract
In alcohol epidemiology surveys, there is a tradition of measuring alcohol-related consequences using respondents' attribution of alcohol as the cause. The authors aimed to compare the prevalence and frequency of self-attributed consequences to consequences without self-attribution using alcohol-attributable fractions (AAF). In 2007, a total of 7,174 Swiss school students aged 13-16 years reported the numbers of 6 alcohol-related adverse consequences (e.g., fights, injuries) they had incurred in the past 12 months. Consequences were measured with and without attribution of alcohol as the cause. The alcohol-use measures were frequency and volume of drinking in the past 12 months and number of risky single-occasion (> or =5 drinks) drinking episodes in the past 30 days. Attributable fractions were derived from logistic (> or =1 incident) and Poisson (number of incidents) regression analyses. Although relative risk estimates were higher when alcohol-attributed consequences were compared with nonattributed consequences, the use of AAFs resulted in more alcohol-related consequences (10,422 self-attributed consequences vs. 24,520 nonattributed consequences determined by means of AAFs). The likelihood of underreporting was higher among drinkers with intermediate frequencies than among either rare drinkers or frequent drinkers. Therefore, the extent of alcohol-related adverse consequences among adolescents may be underestimated when using self-attributed consequences, because of differential attribution processes, especially among infrequent drinkers.
Keywords
Adolescent, Alcohol Drinking, Bias (Epidemiology), Data Collection, Odds Ratio, Regression Analysis, Risk, Drinking Patterns, Adverse Consequences, Health Consequences, Cage Questionnaire, Prevention Paradox, Sensation Seeking, College-Students, United-States, Use Disorders, Consumption
Pubmed
Web of science
Open Access
Yes
Create date
13/01/2010 15:24
Last modification date
20/08/2019 16:20
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