ArticleNordisk alkohol- & narkotikatidskrift : NAT2020
Improving measurement of harms from others' drinking: A key informant study on type and severity of harm.
Article in Nordisk alkohol- & narkotikatidskrift : NAT, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- A Woman's Burden: Mental Health Outcomes Among US Women with Heavy Drinkers in Their Lives.Journal of women's health (2002) · 2026Article
- Exploring Socio-Demographic Characteristics of Caregivers Who Indicated a Child Was Substantially Affected by Others' Drinking in Australia.Drug and alcohol review · 2025Article
- Improving measurement of harms from others' drinking: Using item-response theory to scale harms from others' heavy drinking in 10 countries.Drug and alcohol review · 2022Article
- Severe harm from others' drinking: A population-based study on sex differences and the role of one's own drinking habits.Drug and alcohol review · 2021Article
- Concepts and conditions for knowledge production.Nordisk alkohol- & narkotikatidskrift : NAT · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
aimsSome types of harms experienced because of others' drinking (AHTO) may produce greater negative effects than other harms. However, AHTO survey items were developed to measure type, not severity, of harm. We aimed to compare the perceived severity of a comprehensive list of AHTO items to assess consistency in subjective ratings of severity, facilitate a more nuanced analysis and identify strategies to improve measurement of AHTO in epidemiological surveys.
methodsThirty-six leaders of national alcohol surveys (conducted between 1997 and 2016) from 23 countries rated the typical severity of negative effects on the victim of each of 48 types of AHTO using a scale from zero (no negative effect) to 10 (very severe negative effect). The survey leaders were also asked to provide open-ended feedback about each harm and the severity-rating task generally.
resultsOf 48 harm items, five were classified as extreme severity (mean rating ≥8), 17 as high (≥6 <8), 25 as moderate (≥4 <6), and one as low (≤4). We used two-way random effects models to estimate absolute agreement intraclass correlation coefficients (AA-ICC) and consistency of agreement intraclass correlation coefficients (CA-ICC). Results showed that there was fair to excellent absolute agreement and consistency of agreement among "experts'' ratings of the severity of harms from others' drinking (single measures CA-ICC = 0.414, single measures AA-ICC = 0.325; average CA-ICC = 0.940, average AA-ICC = 0.914). Harms to children, and harms causing physical, financial, practical, or severe emotional impacts were rated most severe.
conclusionsWhen designing new AHTO surveys and conducting analyses of existing data, researchers should pay close attention to harms with high perceived severity to identify effective ways to prevent severe AHTO and reduce the negative health and social impacts of AHTO. In-depth analyses of specific sub-sets of harms and qualitative interviews with victims of severe AHTO may prove useful.
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