scholarly journals The ELAStiC (Electronic Longitudinal Alcohol Study in Communities) project

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Ashley Akbari ◽  
Ronan Lyons ◽  
Damon Berridge ◽  
John Gallacher ◽  
John MacLeod ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Alcohol Consumption ◽  
Longitudinal Data ◽  
Routine Data ◽  
Household Composition ◽  
Police Data ◽  
The Uk ◽  
Alcohol Related Harm ◽  
Related Harm

ABSTRACT ObjectivesThe ELAStiC (Electronic Longitudinal Alcohol Study in Communities) project was established to determine factors that predict pathways into alcohol misuse and the life-course effects of alcohol use and misuse on health and well-being. This is achieved through accessing existing longitudinal data that are key sources of evidence for social and health policy, developing statistical methods and modelling techniques from a diverse range of disciplines, working with stakeholders in both policy, practice and the third sector to bring relevance to the work, and to bring together a diverse team of experts to collaborate and facilitate learning across diverse fields. ApproachThe project will link data that include cohort studies such as; UK Biobank, ALSPAC (Avon Longitudinal Study of Parents and Children), Millennium Cohort Study, British Household Panel Survey, Understanding Society, E_CATALyST (Caerphilly Health and Social Needs Electronic Cohort Study) and WECC (Wales Electronic Cohort for Children). These data will be linked with routine data from primary and secondary healthcare in England, Scotland and Wales. Additional data from education and police data source will also be linked as part of the project. The main work packages for the project are: Methodological InnovationsMethodological developments in mechanisms for correcting bias in reporting alcohol consumption and for combining routine data with cohort data; the application of Markov models for examining the extent to which past behaviour influences future behaviour, and econometric hedonic pricing methods for providing insights into the costs of alcohol-related harm. Pathways into HarmDo family structure, household composition, youngsters’ previous ill-health and educational attainment predict their use of alcohol and what socio-economic factors and household transitions contribute to hazardous alcohol consumption in adults? Secondary HarmsWhat is the effect on children’s health and educational achievement of living in households in which one or more adults has experienced alcohol-related harm? Mental Health & Well-BeingWhat is the relationship between alcohol consumption, hospital admission and mental health in adults and children? ResultsThe results of the data linkage between the multiple cohorts and health, education and police data will be reported. The challenges of linking cohort and other data types from different nations will be discussed. ConclusionsOur project will aim to provide evidence that informs the UK Government’s commitment to “radically reshape the approach to alcohol and reduce the number of people drinking to excess”, by working with existing longitudinal data collected in the UK to inform policy and practice.

scholarly journals Electronic Longitudinal Alcohol Study in Communities (ELAStiC) Wales – protocol for platform development

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Laszlo Trefan ◽  
Ashley Akbari ◽  
Shantini Paranjothy ◽  
Daniel Mark Farewell ◽  
Andrea Gartner ◽  
...  
Keyword(s):  
Hospital Admissions ◽  
Routine Data ◽  
Population Data ◽  
Population Based ◽  
Mortality Data ◽  
Health Trajectories ◽  
Platform Development ◽  
The Uk ◽  
Alcohol Related Harm ◽  
Related Harm

IntroductionExcessive alcohol consumption has adverse effects on health and there is a recognised need for thelongitudinal analysis of population data to improve our understanding of the patterns of alcohol use,harms to consumers and those in their immediate environment. The UK has a number of linkable,longitudinal databases that if assembled properly could support valuable research on this topic. Aims and objectivesThis paper describes the development of a broad set of cross-linked cohorts, e-cohorts, surveys andlinked electronic healthcare records (EHRs) to construct an alcohol-specific analytical platform inthe United Kingdom using datasets on the population of Wales. The objective of this paper is to provide a description of existing key datasets integrated withexisting, routinely collected electronic health data on a secure platform, and relevant derived variablesto enable population-based research on alcohol-related harm in Wales. We illustrate our use of thesedata with some exemplar research questions that are currently under investigation. MethodsRecord-linkage of routine and observational datasets. Routine data includes hospital admissions,general practice, and cohorts specific to children. Two observational studies were included. Routinesocioeconomic descriptors and mortality data were also linked. ConclusionWe described a record-linked, population-based research protocol for alcohol related harm on a secureplatform. As the datasets used here are available in many countries, ELAStiC provides a templatefor setting up similar initiatives in other countries. We have also defined a number of alcohol specificvariables using routinely-collected available data that can be used in other epidemiological studiesinto alcohol related outcomes. With over 10 years of longitudinal data, it will help to understandalcohol-related disease and health trajectories across the lifespan.

Friends drinking together: young adults’ evolving support practices

2018 ◽  
Vol 118 (3) ◽  
pp. 212-226 ◽  
Author(s):  
Emma Dresler ◽  
Margaret Anderson
Keyword(s):  
Young Adults ◽  
Alcohol Consumption ◽  
Design Methodology ◽  
Multiple Forms ◽  
Content Type ◽  
Friendship Group ◽  
Qualitative Descriptive ◽  
Support Practices ◽  
Alcohol Related Harm ◽  
Related Harm

Purpose Young adult’s drinking is about pleasure, a communal practice of socialising together in a friendship group. The purpose of this paper is to investigate the evolving support practices of drinking groups for better targeting of health communications messages. Design/methodology/approach This qualitative descriptive study examined the narratives of 28 young people’s (age 18-24 years old) experience of a “night out” framed as the Alcohol Consumption Journey. Findings The Alcohol Consumption Journey ritual consisted of three phases: preloading, going out and recovery. The participants described multiple forms of support practices located at each phase of the Alcohol Consumption Journey for maximising pleasure, minimising risk, encouraging supportive behaviours, enhancing group cohesion and protecting the drinkers from alcohol-related harm. Hence, support practices played a critical part in constituting and consolidating the drinking group. While the support practices appeared to be structured into the Alcohol Consumption Journey, they were activated differently for young men and young women. Support practices were an important driver in perpetuating the Alcohol Consumption Journey. Originality/value The paper extends Vander Ven’s concept of “drunk support” to better understand young adults’ evolving support practices in the ritualised Alcohol Consumption Journey.

scholarly journals Maternal mental health and childhood injury: evidence from the UK Millennium Cohort Study

2018 ◽  
Vol 104 (3) ◽  
pp. 268-274 ◽  
Author(s):  
Steven Hope ◽  
Jessica Deighton ◽  
Nadia Micali ◽  
Catherine Law
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Health Problems ◽  
Millennium Cohort Study ◽  
Childhood Injury ◽  
Explanatory Factors ◽  
Uk Millennium Cohort Study ◽  
The Uk

ObjectiveWe assessed whether maternal mental health problems increased rates for child injury during the preschool years and mid-childhood, and the extent to which associations could be accounted for by a range of potential explanatory factors.DesignWe analysed the UK Millennium Cohort Study, a nationally representative sample with data collected throughout childhood. Multinomial regression was used to investigate whether two measures of maternal mental health (diagnosed depression/anxiety and psychological distress) were associated with subsequent childhood injury. Models adjusted for sociodemographics, parenting and child externalising behaviours.Main outcome measureMaternal report of unintentional injuries (none, 1, 2+) recorded at three data collection periods (3–5 years; 5–7 years; 7–11 years).ResultsThe analytic sample comprised n=9240 families who participated 3–11 years with complete data on exposures and outcomes (multiply imputing missing covariates). Exposure to maternal mental health problems was associated with increased rates of subsequent childhood injuries. Associations attenuated after adjustment for potential explanatory factors, although they remained elevated. For example, high maternal distress was associated with injuries 3–5 years (adjusted relative risk ratio (aRRR): 1 injury=1.18, 95% CI 0.86 to 1.61; 2+ injuries=2.22, 95% CI 1.22 to 4.02); injuries 5–7 years (aRRR: 1 injury=1.31, 95% CI 0.97 to 1.76; 2+ injuries=1.84, 95% CI 1.09 to 3.09); and injuries 7–11 years (aRRR: 1 injury=1.03, 95% CI 0.81 to 1.31; 2+ injuries=1.33, 95% CI 0.97 to 1.81).ConclusionsChildren exposed to mothers with mental health problems had higher rates of childhood injury than those not exposed. If further investigation of this association suggests causality then it will be important to test measures that address mothers’ mental health issues with a view to reducing injuries among their children.

scholarly journals Low-Alcohol Wine: A Narrative Review on Consumer Perception and Behaviour

Beverages ◽  
2018 ◽  
Vol 4 (4) ◽  
pp. 82 ◽  
Author(s):  
Tamara Bucher ◽  
Kristine Deroover ◽  
Creina Stockley
Keyword(s):  
Alcohol Consumption ◽  
Narrative Review ◽  
Consumer Perception ◽  
Alcohol Content ◽  
Wine Consumption ◽  
Reduce Alcohol Consumption ◽  
Alcohol Related Harm ◽  
Low Alcohol ◽  
Related Harm

Low- and reduced-alcohol beverages become increasingly popular in many countries with different factors driving a change in the beverage market. The aim of the current narrative review is (a) to provide an introduction on low-alcohol wine, and (b) to provide an overview of the literature on research that investigated perception and behaviour related to low-alcohol wine consumption. Wines with reduced alcohol content can be an interesting product for a variety of stakeholders and may offer benefits for consumers while having the potential to reduce alcohol consumption and therefore contribute to the reduction of alcohol-related harm. Additional research and marketing efforts are needed to further increase awareness of the availability and quality of these products.

scholarly journals Indicators for estimating trends in alcohol-related assault: evaluation using police data from Queensland, Australia

2019 ◽  
Vol 25 (5) ◽  
pp. 444-447 ◽  
Author(s):  
Smriti Nepal ◽  
Kypros Kypri ◽  
John Attia ◽  
Tanya Chikritzhs ◽  
Peter G Miller
Keyword(s):  
Missing Data ◽  
Sharp Increase ◽  
Downward Trend ◽  
Police Data ◽  
Increasing Trend ◽  
Alcohol Related Harm ◽  
Related Harm

Monitoring levels of alcohol-related harm in populations requires indicators that are robust to extraneous influence. We investigated the validity of an indicator for police-attributed alcohol-related assault. We summarized offence records from Queensland Police, investigated patterns of missing data, and considered the utility of a surrogate for alcohol-related assault. Of 242 107 assaults from 2004–2014, in 35% of cases the drug used by the offender was recorded as ‘unknown’. Under various assumptions about non-random missingness the proportion of assaults judged to be alcohol-related varied from 30%–65%. We found a sharp increase in missing data from 2007 suggesting the downward trend from that point is artefactual. Conversely, we found a stable and increasing trend using a time-based surrogate. The volume of missing data and other limitations preclude valid estimation of trends using the police indicator, and demonstrate how misleading results can be produced. Our analysis supports the use of an empirically-based surrogate indicator.

scholarly journals The Use of Visuals in Issue Framing: Signifying Responsible Drinking

2018 ◽  
Vol 39 (5-6) ◽  
pp. 665-689 ◽  
Author(s):  
Lærke Højgaard Christiansen
Keyword(s):  
Alcohol Consumption ◽  
Significant Role ◽  
Social Issues ◽  
Issue Framing ◽  
Organizational Framing ◽  
Visual Framing ◽  
Alcohol Related Harm ◽  
Related Harm

This article offers new insights into the organizational framing of social issues by drawing attention to the use of visual framing. These insights are based on a case study of the organization, Drinkaware, and its visual framing of the issue of alcohol-related harm in its campaign material. The study identifies three overall visual framing functions performed by Drinkaware’s campaign material: normalizing alcohol consumption, defining and delimiting the scope of the issue and the responsible parties, and establishing the organization’s identity as an expert. The article contributes to institutional theory, and to organizational theory more broadly by elaborating on the significant role of visuals in the framing of an issue, particularly by providing a systematic elaboration of the visual framing functions and components. The article also extends the literature on issues and issue fields, by showing how visuals contribute to defining and delimiting issues and establishing an expert identity in an issue field.

scholarly journals The Finnish Drinking Habits Survey: Implications for alcohol policy and prevention

2020 ◽  
Vol 37 (6) ◽  
pp. 619-631
Author(s):  
Katariina Warpenius ◽  
Pia Mäkelä
Keyword(s):  
Alcohol Consumption ◽  
Risk Perceptions ◽  
Population Level ◽  
Alcohol Policy ◽  
Alcohol Prevention ◽  
Drinking Patterns ◽  
Policy Debate ◽  
Drinking Habits ◽  
Alcohol Related Harm ◽  
Related Harm

Aims/materials: This reflection piece reviews some of the key results and conclusions from the book Näin Suomi juo ( This is how Finns drink, 2018), based on the Finnish Drinking Habits Survey. Our aim was to go through the results taking the perspective of prevention workers and policymakers: how could they benefit from the scientific findings when tackling alcohol-related harm? Results/reflections: The reflections displayed in this article provide some useful arguments and justifications for population-level alcohol policy in the controversial alcohol policy debate. Harms do not only arise among the heaviest drinkers, and efficient methods to prevent harm may be found among the prevention efforts that apply to populations rather than only to the heaviest drinkers. The article also illustrates how the results from a population survey can be used in order to identify specific challenges and solutions for alcohol prevention in a given population. The results help in identifying the population groups and situations with an elevated risk of alcohol-related harm and in characterising the drinking patterns and social situations in which drinking takes place in these vulnerable parts of the population. Conclusions: The review illustrates that a many-sided understanding of alcohol consumption and the related harm, based on survey results, is more far-reaching in terms of prevention and policy than a knowledge base built solely on register data on the development of alcohol consumption and harm. For example, the respondents’ drinking patterns are linked not only to their attitudes and risk perceptions but also to what people consider to be appropriate means to reduce alcohol use and the related harm in terms of alcohol policy, informal social control and people’s life management.

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