Browsing by Author "Rao, Girish N."
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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.