Hazardous alcohol use and alcohol-related harm in rural and remote communities: a scoping review

IntroductionAlcohol-related harm is a major public health concern and appears to be particularly problematic in rural and remote communities. Evidence from several countries has shown that the prevalence of harmful alcohol use and alcohol-attributable hospitalisations and emergency department visits are higher in rural and remote communities than in urban centres. The extents of this rural–urban disparity in alcohol-related harm as well as the factors that mediate it are poorly understood. The objective of this scoping review is to synthesise the international research on the factors that influence the prevalence or risk of alcohol-related harm in rural and remote communities. This will help to clarify the conceptual landscape of rural and remote alcohol research and identify the gaps in knowledge that need to be addressed.Methods and analysisThis scoping review will access published literature through search strategies developed for Medline, PsycINFO, Embase, CINAHL and Sociological Abstracts. There will be no date, country or language restrictions placed on the search. Title and abstract, followed by full-text screening, will be conducted by two independent reviewers to evaluate all identified articles against a set of prespecified inclusion and exclusion criteria. Data from selected articles will be extracted and compiled into a final manuscript that adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist guidelines.Ethics and disseminationThe results of this review will be helpful in guiding future research on rural and remote alcohol use and alcohol-related harm, which will inform more effective, evidence-based public health strategies to reduce alcohol-related harm in rural and remote communities. The results will be disseminated via field-specific conference presentations and peer-reviewed publication.

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A Model of Drinking Motives, Victimization, and Hazardous Alcohol Use Among Sexual Minority Women

PsycEXTRA Dataset ◽

10.1037/e510832018-001 ◽

2018 ◽

Author(s):

Alise Cogger ◽

Kristin J. Conover ◽

Tania Israel

Keyword(s):

Alcohol Use ◽

Sexual Minority ◽

Minority Women ◽

Drinking Motives ◽

Sexual Minority Women ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol

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Efficacy of Brief Intervention for harmful and hazardous alcohol use: a systematic review and meta‐analysis of studies from Low Middle‐Income countries

Addiction ◽

10.1111/add.15613 ◽

2021 ◽

Author(s):

Abhishek Ghosh ◽

Pranshu Singh ◽

Nileswar Das ◽

Pranbhat Mani Pandit ◽

Sauvik Das ◽

...

Keyword(s):

Systematic Review ◽

Alcohol Use ◽

Brief Intervention ◽

Meta Analysis ◽

Hazardous Alcohol Use ◽

Middle Income ◽

Middle Income Countries ◽

Low Middle Income Countries ◽

Hazardous Alcohol

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Cultural Adaptation of an Intervention to Reduce Hazardous Alcohol Use Among People Living with HIV in Southwestern Uganda

AIDS and Behavior ◽

10.1007/s10461-021-03186-z ◽

2021 ◽

Author(s):

Anna M. Leddy ◽

Judith A. Hahn ◽

Monica Getahun ◽

Nneka I. Emenyonu ◽

Sarah E. Woolf-King ◽

...

Keyword(s):

Alcohol Use ◽

Cultural Adaptation ◽

People Living With Hiv ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol ◽

Living With Hiv ◽

Southwestern Uganda

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Hazardous Alcohol Use in the Four Years Following Bariatric Surgery

Psychology Health & Medicine ◽

10.1080/13548506.2021.1930075 ◽

2021 ◽

pp. 1-7

Author(s):

Lisa R. Miller-Matero ◽

Julia Orlovskaia ◽

Leah M. Hecht ◽

Jordan M. Braciszeweski ◽

Kellie M. Martens ◽

...

Keyword(s):

Bariatric Surgery ◽

Alcohol Use ◽

Hazardous Alcohol Use ◽

Hazardous Alcohol

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The association between medication or alcohol use and the incidence of frailty: a retrospective cohort study

BMC Geriatrics ◽

10.1186/s12877-020-01969-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Janja Jazbar ◽

Igor Locatelli ◽

Mitja Kos

Keyword(s):

Older Adults ◽

Cohort Study ◽

Alcohol Use ◽

Retrospective Cohort Study ◽

Retrospective Cohort ◽

Medication Use ◽

Reverse Causality ◽

Hazardous Alcohol Use ◽

Modifiable Factors ◽

Hazardous Alcohol

Abstract Background Understanding potentially modifiable factors that influence the risk of frailty is a key concern for the management of this urgent contemporary public health challenge. This study evaluates the association between the use of various medications or alcohol and the incidence of frailty among older adults. Methods This study was a retrospective cohort study on older adults (≥ 65 years) using data from the longitudinal Survey of Health, Ageing and Retirement in Europe (SHARE survey, 28 countries). Medication use was measured as taking several different groups of medications. Alcohol use was assessed with SHARE questions corresponding to AUDIT-C. The outcome measure was the incidence of frailty after two years, defined by frailty index (FI) and frailty phenotype (FP). A multiple logistic regression model was used to evaluate the association with adjustment for several potential confounding factors. Results Of the 14,665 FI-population participants, 1800 (12.3%) developed frailty within two years. Of the 8133 FP-population participants, 2798 (34.4%) developed pre-frailty and 247 (3.0%) developed frailty within two years of baseline. After adjustment for potential confounding variables, non-hazardous alcohol use (adjusted OR; 95% CI for the FI-population: 0.68; 0.60–0.77) and hazardous alcohol use (0.80; 0.68–0.93) are associated with lower incidence of frailty compared to no alcohol use. The odds of frailty are increased when taking medications; the largest effect size was observed in older adults taking medication for chronic bronchitis (adjusted OR; 95% CI for the FI-population: 2.45; 1.87–3.22), joint pain and other pain medication (2.26; 2.00–2.54), medication for coronary and other heart disease (1.72; 1.52–1.96), medication for diabetes (1.69; 1.46–1.96), and medication for anxiety, depression and sleep problems (1.56; 1.33–1.84). Additionally, the risk of frailty was increased with stroke, Parkinson’s disease and dementia. Conclusions Taking certain groups of medication was associated with increased incidence of frailty and pre-frailty, which might be due to either medication use or the underlying disease. Alcohol use was associated with a lower risk of pre-frailty and frailty compared to no alcohol use, which might be due to reverse causality or residual confounding. There was no significant interaction effect between medication groups and alcohol use on frailty incidence.

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Exploring the use of workplaces to recruit “hard-to-reach” male drinkers to a survey on alcohol use and awareness of health messages

BMC Public Health ◽

10.1186/s12889-021-10697-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sarah Dance ◽

Charlotte Dack ◽

Celia Lasheras ◽

Cathy McMahon ◽

Paul Scott ◽

...

Keyword(s):

Public Health ◽

Alcohol Use ◽

Financial Incentive ◽

Health Messages ◽

Heavy Episodic Drinking ◽

Future Research ◽

Recruitment Strategies ◽

Public Health Messages ◽

Alcohol Related Harm ◽

Related Harm

Abstract Background Lower socioeconomic status (SES) groups, particularly lower SES males, are at greater risk of alcohol-related harm than higher SES groups, despite drinking at the same level or less. However, they are rarely recruited for research through typical recruitment strategies. Consequently, limited evidence exists on patterns of alcohol use and effectiveness of public health messages for these groups. Using workplaces to recruit male drinkers from lower SES backgrounds may provide a feasible and accessible approach to research participation and enable improved understanding of alcohol use, drinking motives and acceptance of alcohol-related public health messages in this underrepresented and high-risk group. We investigated workplace-based strategies to recruit male drinkers from lower SES backgrounds. We also investigated their experiences and motivations for alcohol use, and acceptance of alcohol-related public health messages. Methods A feasibility element investigated the effectiveness of workplace-based strategies to recruit male drinkers from lower SES backgrounds in the south west of England. A pilot element investigated this population’s experiences and motivations for alcohol use, and acceptance of alcohol-related public health messages, through a mixed-methods survey. Results Feasibility results indicated that workplace-based recruitment strategies, including recruiting participants in person at their workplace and providing a financial incentive, effectively led to the recruitment of 84 male drinkers (70% recruitment rate), predominately from lower SES backgrounds, to a survey. Pilot results indicated that more than half of participants were at increasing risk of alcohol-related harm, and approximately one fifth engaged in weekly heavy episodic drinking. Participation in campaigns aimed at reducing alcohol use, and knowledge of government alcohol consumption guidelines, were low. Participants reported negative beliefs about alcohol including health effects, dependency and excess use, and financial and occupational effects. Positive beliefs about alcohol included relaxation, socialising, and enjoyment. Conclusions Workplace-based recruitment, using in-person recruitment and a financial incentive, may be a feasible strategy to recruit male drinkers from lower SES backgrounds. Pilot results may direct larger scale research aiming to understand alcohol use in this population and inform targeted public health messages. Workplace-based recruitment may represent a promising avenue for future research aiming to tackle inequalities in participation in alcohol research.

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