Improving measurement of harms from others' drinking: A key informant study on type and severity of harm.

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Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_4113B214F03D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Improving measurement of harms from others' drinking: A key informant study on type and severity of harm.
Journal
Nordisk alkohol- & narkotikatidskrift
Author(s)
Stanesby O., Gmel G., Graham K., Greenfield T.K., Waleewong O., Wilsnack S.C.
ISSN
1455-0725 (Print)
ISSN-L
1455-0725
Publication state
Published
Issued date
04/2020
Peer-reviewed
Oui
Volume
37
Number
2
Pages
122-140
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Some types of harms experienced because of others' drinking (AHTO) may produce greater negative effects than other harms. However, AHTO survey items were developed to measure type, not severity, of harm. We aimed to compare the perceived severity of a comprehensive list of AHTO items to assess consistency in subjective ratings of severity, facilitate a more nuanced analysis and identify strategies to improve measurement of AHTO in epidemiological surveys.
Thirty-six leaders of national alcohol surveys (conducted between 1997 and 2016) from 23 countries rated the typical severity of negative effects on the victim of each of 48 types of AHTO using a scale from zero (no negative effect) to 10 (very severe negative effect). The survey leaders were also asked to provide open-ended feedback about each harm and the severity-rating task generally.
Of 48 harm items, five were classified as extreme severity (mean rating ≥8), 17 as high (≥6 <8), 25 as moderate (≥4 <6), and one as low (≤4). We used two-way random effects models to estimate absolute agreement intraclass correlation coefficients (AA-ICC) and consistency of agreement intraclass correlation coefficients (CA-ICC). Results showed that there was fair to excellent absolute agreement and consistency of agreement among "experts'' ratings of the severity of harms from others' drinking (single measures CA-ICC = 0.414, single measures AA-ICC = 0.325; average CA-ICC = 0.940, average AA-ICC = 0.914). Harms to children, and harms causing physical, financial, practical, or severe emotional impacts were rated most severe.
When designing new AHTO surveys and conducting analyses of existing data, researchers should pay close attention to harms with high perceived severity to identify effective ways to prevent severe AHTO and reduce the negative health and social impacts of AHTO. In-depth analyses of specific sub-sets of harms and qualitative interviews with victims of severe AHTO may prove useful.
Keywords
alcohol, epidemiology, harm to others, measurement, severity, surveys
Pubmed
Web of science
Open Access
Yes
Create date
03/07/2020 18:50
Last modification date
12/01/2022 7:09
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