Evidence map›Paper›PMID 26212155›Full record

ArticleAddiction (Abingdon, England)2015

Lay epidemiology and the interpretation of low-risk drinking guidelines by adults in the United Kingdom.

Melanie Lovatt, Douglas Eadie, Petra S Meier, Jessica Li, Linda Bauld, Gerard Hastings, John Holmes

Abstract readMulticenter Study
In one paragraph

Article in Addiction (Abingdon, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  8. Risky drinking or risky governance?Nordisk alkohol- & narkotikatidskrift : NAT · 2024
    Article
  9. Article
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  15. Revisiting Candidacy: What Might It Offer Cancer Prevention?International journal of environmental research and public health · 2021
    Article
  16. Understanding Motivation to Adhere to Guidelines for Alcohol Intake, Physical Activity, and Fruit and Vegetable Intake Among U.K. University Students.Health education & behavior : the official publication of the Society for Public Health Education · 2021
    Article
  17. Article
  18. Drinking patterns, alcohol-related harm and views on policies: results from a pilot of the International Alcohol Control Study in Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Melanie LovattSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Douglas EadieInstitute for Social Marketing, University of Stirling, Stirling, UK.
Petra S MeierSchool of Health and Related Research, University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0001-5354-1933
Jessica LiSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Linda BauldInstitute for Social Marketing, University of Stirling, Stirling, UK.
Gerard HastingsInstitute for Social Marketing, University of Stirling, Stirling, UK.
John HolmesSchool of Health and Related Research, University of Sheffield, Sheffield, UK.

Funding

British Heart FoundationCancer Research UKChief Scientist OfficeDepartment of HealthMedical Research Council G0501282Medical Research Council MR/J000523/1Medical Research Council MR/K023195/1
6 · The paper itself

Abstract

aimsTo explore how the concept of lay epidemiology can enhance understandings of how drinkers make sense of current UK drinking guidelines.

methodsQualitative study using 12 focus groups in four sites in northern England and four sites in central Scotland. Participants were 66 male and female drinkers, aged between 19 and 65 years, of different socio-economic backgrounds. Data were analysed thematically using a conceptual framework of lay epidemiology.

resultsCurrent drinking guidelines were perceived as having little relevance to participants' drinking behaviours and were generally disregarded. Daily guidelines were seen as irrelevant by drinkers whose drinking patterns comprised heavy weekend drinking. The amounts given in the guidelines were seen as unrealistic for those motivated to drink for intoxication, and participants measured alcohol intake in numbers of drinks or containers rather than units. Participants reported moderating their drinking, but this was out of a desire to fulfil work and family responsibilities, rather than concerns for their own health. The current Australian and Canadian guidelines were preferred to UK guidelines, as they were seen to address many of the above problems.

conclusionsDrinking guidelines derived from, and framed within, solely epidemiological paradigms lack relevance for adult drinkers who monitor and moderate their alcohol intake according to their own knowledge and risk perceptions derived primarily from experience. Insights from lay epidemiology into how drinkers regulate and monitor their drinking should be used in the construction of drinking guidelines to enhance their credibility and efficacy.

Indexed as

Attitude to HealthAdultAgedAlcohol DrinkingEnglandFemaleFocus GroupsHumansMaleMiddle AgedPractice Guidelines as TopicRisk AssessmentScotlandYoung AdultAlcoholdrinking guidelinesdrinking practiceslay epidemiologyqualitativeunits

Identifiers

PMID26212155
PMCPMC4862022

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.