Anne-Marie Laslett1, Oliver Stanesby2, Kathryn Graham3, Sarah Callinan2, Katherine J Karriker-Jaffe4, Sharon Wilsnack5, Sandra Kuntsche6, Orratai Waleewong7, Thomas K Greenfield4, Gerhard Gmel8, Ramon Florenzano9, Siri Hettige10, Latsamy Siengsounthone11, Ingrid M Wilson12, Angela Taft12, Robin Room13. 1. Centre for Alcohol Policy Research, La Trobe University, Melbourne Australia; National Drug Research Institute, Curtin University, Perth, Australia; and Melbourne School of Population and Global Health, University of Melbourne, Australia. 2. Centre for Alcohol Policy Research, La Trobe University, Melbourne Australia. 3. Centre for Addiction and Mental Health, Toronto/London, Ontario, Canada; Dalla Lana School of Public Health, Toronto, Ontario, Canada; School of Psychology, Faculty of Health, Deakin University, Victoria, Australia; National Drug Research Institute, Curtin University, Western Australia. 4. Alcohol Research Group, Public Health Institute, California. 5. Department of Psychiatry & Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota. 6. Centre for Alcohol Policy Research, La Trobe University. 7. International Health and Policy Program, Ministry of Public Health, Thailand and Melbourne; School of Population and Global Health, University of Melbourne. 8. Addiction Switzerland, Lausanne. 9. Universidad del Desarrollo, Santiago de Chile. 10. University of Colombo, Sri Lanka. 11. National Institute of Public Health, Lao People's Democratic Republic - PDR. 12. Judith Lumley Centre for Mothers' and Children's Health, La Trobe University, Melbourne Australia. 13. Centre for Alcohol Policy Research, La Trobe University; Centre for Social Research on Alcohol and Drugs, Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
Abstract
AIM: 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 GENAHTO (Gender and Alcohol's Harm to Others) 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) (HHD) are compared assessing 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 analysed 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. Education was not significantly associated with CAIV. CONCLUSION: 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 a heavy or harmful drinker, with men most likely to be defined as this drinker in the household.
AIM: 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 GENAHTO (Gender and Alcohol's Harm to Others) 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) (HHD) are compared assessing 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 analysed 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. Education was not significantly associated with CAIV. CONCLUSION: 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 a heavy or harmful drinker, with men most likely to be defined as this drinker in the household.
Entities:
Keywords:
alcohol’s harm to children; child injury; child maltreatment; family violence; meta-analysis
Authors: Shanta R Dube; Robert F Anda; Vincent J Felitti; Valerie J Edwards; Janet B Croft Journal: Addict Behav Date: 2002 Sep-Oct Impact factor: 3.913