Browsing by Author "Hettige, Siri"
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Item A Multi-Country Study of Harms to Children Because of Others’ Drinking(2017) Laslett, Anne-Marie; Rankin, Georgia; Waleewong, Orratai; Callinan, Sarah; Hoangs, Hanh T. M.; Florenzano, Ramón; Hettige, Siri; Obot, Isidore; Siengsounthone, Latsamy; Ibanga, Akanidomo; Hope, Ann; Vu, Hanh T. M.; Thamarangsi, Thaksaphon; Rekve, Dag; Room, RobinObjective: This study aims to ascertain and compare the prevalence and correlates of alcohol-related harms to children cross-nationally. Method: National and regional sample surveys of randomly selected households included 7,848 carers (4,223 women) from eight countries (Australia, Chile, Ireland, Lao People’s Democratic Republic [PDR], Nigeria, Sri Lanka, Thailand, and Vietnam). Country response rates ranged from 35% to 99%. Face-to-face or telephone surveys asking about harm from others’ drinking to children ages 0–17 years were conducted, including four specific harms: that because of others’ drinking in the past year children had been (a) physically hurt, (b) verbally abused, (c) exposed to domestic violence, or (d) left unsupervised. Results: The prevalence of alcohol-related harms to children varied from a low of 4% in Lao PDR to 14% in Vietnam. Alcohol-related harms to children were reported by a substantial minority of families in most countries, with only Lao PDR and Nigeria reporting significantly lower levels of harm. Alcohol-related harms to children were dispersed sociodemographically and were concentrated in families with heavy drinkers. Conclusions: Family-level drinking patterns were consistently identified as correlates of harm to children because of others’ drinking, whereas sociodemographic factors showed few obvious correlations.Item Alcohol’s harm to others: An international collaborative project(2016) Callinan, Sarah; Laslett, Anne-Marie; Rekve, Dag; Room, Robin; Waleewong, Orratai; Benegal, Vivek; Huckle, Taisia; Florenzano, Ramón; Casswell, Sally; Hanh, Hoang Thi My; Hettige, Siri; Ibanga, Akanidomo; Obot, Isidore; Rao, Girish; Siengsounthone, Latsamy; Ranki, Georgia; Thamarangsi, ThaksaphonAbstract Aims: This paper outlines the methods of a collaborative population survey project measuring the range and magnitude of alcohol’s harm to others internationally. Setting: Seven countries participating in the World Health Organization (WHO) and ThaiHealth Promotion Foundation (ThaiHealth) research project titled “The Harm to Others from Drinking,” along with two other countries with similar studies, will form the core of a database which will incorporate data from other countries in the future. Measures: The WHO-ThaiHealth research project developed two comparable versions of a survey instrument, both measuring harm from others’ drinking to the respondent and the respondent’s children. Design: Surveys were administered via face-to-face methods in seven countries, while similar surveys were administered via computer-assisted telephone interviews in two additional countries. Responses from all surveys will be compiled in an international database for the purpose of international comparisons. Discussion: Harms from the alcohol consumption of others are intertwined with the cultural norms where consumption occurs. The development of this database will make it possible to look beyond reports and analyses at national levels, and illuminate the relationships between consumption, harms, and culture. Conclusions: This database will facilitate work describing the prevalence, patterning, and predictors of personal reports of harm from others’ drinking cross-nationally.Item Children’s experience of physical harms and exposure to family violence from others’ drinking in nine societies(2019) Laslett, Anne-Marie; Stanesby, Oliver; Graham, Kathryn; Callinan, Sarah; Karriker-Jaffe, Katherine J.; Wilsnack, Sharon; Kuntsche, Sandra; Waleewong, Orratai; Greenfield, Thomas K.; Gmel, Gerhard; Florenzano, Ramon; Hettige, Siri; Siengsounthone, Latsamy; Wilson, Ingrid M.; Taft, Angela; Room, RobinAim: To study caregiver reports of children’s experience of physical harm and exposure to family violence due to others’ drinking in nine societies, assess the relationship of harm with household drinking pattern and evaluate whether gender and education of caregiver affect these relationships. Method: Using data on adult caregivers from the Gender and Alcohol’s Harm to Others (GENAHTO) project, child alcohol-related injuries and exposure of children to alcohol-related violence (CAIV) rates are estimated by country and pooled using meta-analysis and stratified by gender of the caregiver. Households with and without heavy or harmful drinker(s) (HHDs) are compared to assess the interaction of caregiver gender on the relationship between reporting HHD and CAIV, adjusting for caregiver education and age. Additionally, the relationship between caregiver education and CAIV is analyzed with meta-regression. Results: The prevalence of CAIV varied across societies, with an overall pooled mean of 4% reported by caregivers. HHD was a consistent correlate of CAIV in all countries. Men and women in the sample reported similar levels of CAIV overall, but the relationship between HHD and CAIV was greater for women than for men, especially if the HHD was the most harmful drinker (MHD). Education was not significantly associated with CAIV. Conclusions: One in 25 caregivers with children report physical or family violence harms to children because of others’ drinking. The adjusted odds of harm are significantly greater (more than four-fold) in households with an HHD, with men most likely to be defined as this drinker in the household.Item Scoping response system management of alcohol's harm to others in lower middle income countries(2016) Laslett, Anne-Marie Louise; Waleewong, Orratai; Obot, Isidore; Benegal, Vivek; Hettige, Siri; Florenzano, Ramón; Hoang Thi My Hanh; Rao, Girish N.; Room, RobinAIMS - As part of the WHO Harm from others' drinking project, Thailand, Sri Lanka, India, Chile, Nigeria and Vietnam undertook scoping studies to examine: which service agencies in low and middle income countries responded to people affected by others' drinking; how commonly key informants from these agencies indicated alcohol was part of the problems they managed; and whether any routine reporting systems collected information on alcohol's harm to others (AHTO) and the types and examples of harms experienced across the six countries. METHODS - Researchers synthetised within country peer-review literature, reports, news and agency website information. Additionally, researchers interviewed key informants to investigate current structures, functions and practices of service agencies, and in particular their recording practices surrounding cases involving others' drinking. RESULTS - 111 key informants agreed to participate from 91 purposively selected agencies from health, social protection, justice and police, and 'other' sectors. National and provincial level data, as well as state-run and civil society agency data were collected. Diverse service response systems managed AHTO in the different countries. A large range in the percentage of all cases attributed to AHTO was identified. Case story examples from each country illustrate the different responses to, and the nature of, many severe problems experienced because of others' drinking. CONCLUSIONS - AHTO was a major issue for service systems in LMIC, and significantly contributed to their workload, yet, very few recording systems routinely collected AHTO data. Recommendations are outlined to improve AHTO data collection across multiple sectors and enable LMIC to better identify and respond to AHTO.Item The social location of harm from others’ drinking in 10 societies(2019) Room, Robin; Callinan, Sarah; Greenfield, Thomas K.; Rekve, Dag; Waleewong, Orratai; Stanesby, Oliver; Thamarangsi, Thaksaphon; Benegal, Vivek; Casswell, Sally; Florenzano, Ramon; Hanh, Hoang T.M.; Hettige, Siri; Karriker-Jaffe, Katherine J.; Obot, Isidore; Rao, Girish N.; Siengsounthone, Latsamy; Laslett, Anne-MarieAims Survey data from 10 diverse countries were used to analyse the social location of harms from others’ drinking: which segments of the population are more likely to be adversely affected by such harm, and how does this differ between societies? Methods General-population surveys in Australia, Chile, India, Laos, New Zealand, Nigeria, Sri Lanka, Thailand, United States and Vietnam, with a primary focus on the social location of the harmed person by gender, age groups, rural/urban residence and drinking status. Harms from known drinkers were analysed separately from harms from strangers. Results In all sites, risky or moderate drinkers were more likely than abstainers to report harm from the drinking of known drinkers, with risky drinkers the most likely to report harm. This was also generally true for harm from strangers’ drinking, although the patterns were more mixed in Vietnam and Thailand. Harm from strangers’ drinking was more often reported by males, while gender disparity in harm from known drinkers varied between sites. Younger adults were more likely to experience harm both from known drinkers and from strangers in some, but not all, societies. Only a few sites showed significant urban/rural differences, with disparities varying in direction. In multivariate analyses, most relationships remained, although some were no longer significant. Conclusion The social location of harms from others’ drinking, whether known or a stranger, varies considerably between societies. One near-commonality among the societies is that those who are themselves risky drinkers are more likely to suffer harm from others’drinking.