Drinking risk varies within and between Australian Aboriginal and Torres Strait Islander samples: a meta-analysis to identify sources of heterogeneity
Access status:
Open Access
Type
ArticleAuthor/s
Conigrave, JamesLee, Kylie
Zheng, Catherine
Wilson, Scott
Perry, Jimmy
Chikritzhs, Tanya
Slade, Tim
Morley, Kirsten
Room, Robin
Callinan, Sarah
Hayman, Noel
Conigrave, Katherine
Abstract
Background and Aims
To reduce health and social inequities, it is important to understand how drinking patterns vary within and between Indigenous peoples. We aimed to assess variability in estimates of Indigenous Australian drinking patterns and to identify demographic and ...
See moreBackground and Aims To reduce health and social inequities, it is important to understand how drinking patterns vary within and between Indigenous peoples. We aimed to assess variability in estimates of Indigenous Australian drinking patterns and to identify demographic and methodological factors associated with this. Design A three-level meta-analysis of Australian Aboriginal and Torres Strait Islander (‘Indigenous’) drinking patterns [International Prospective Register of Systematic Reviews (PROSPERO) no. CRD42018103209]. Setting Australia. Participants Indigenous Australians. Measurements The primary outcomes extracted were drinking status, single-occasion risk and life-time risk. Moderation analysis was performed to identify potential sources of heterogeneity. Moderators included gender, age, socio-economic status, local alcohol restrictions, sample population, remoteness, Australian state or territory, publication year, Indigenous involvement in survey design or delivery and cultural adaptations. Findings A systematic review of the literature revealed 41 eligible studies. For all primary outcomes, considerable heterogeneity was identified within ( urn:x-wiley:09652140:media:add15015:add15015-math-0001 = 51.39–68.80%) and between ( urn:x-wiley:09652140:media:add15015:add15015-math-0002 = 29.27–47.36%) samples. The pooled proportions (P) of current drinkers [P = 0.59, 95% confidence interval (CI) = 0.53–0.65], single-occasion (P = 0.34, 95% CI = 0.24–0.44) and life-time (P = 0.21, 95% CI = 0.15–0.29) risk were all moderated by gender, age, remoteness and measurement tool. Reference period moderated proportions of participants at single-occasion risk. Conclusions Indigenous Australian drinking patterns vary within and between communities. Initiatives to reduce high-risk drinking should take account of this variability.
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See moreBackground and Aims To reduce health and social inequities, it is important to understand how drinking patterns vary within and between Indigenous peoples. We aimed to assess variability in estimates of Indigenous Australian drinking patterns and to identify demographic and methodological factors associated with this. Design A three-level meta-analysis of Australian Aboriginal and Torres Strait Islander (‘Indigenous’) drinking patterns [International Prospective Register of Systematic Reviews (PROSPERO) no. CRD42018103209]. Setting Australia. Participants Indigenous Australians. Measurements The primary outcomes extracted were drinking status, single-occasion risk and life-time risk. Moderation analysis was performed to identify potential sources of heterogeneity. Moderators included gender, age, socio-economic status, local alcohol restrictions, sample population, remoteness, Australian state or territory, publication year, Indigenous involvement in survey design or delivery and cultural adaptations. Findings A systematic review of the literature revealed 41 eligible studies. For all primary outcomes, considerable heterogeneity was identified within ( urn:x-wiley:09652140:media:add15015:add15015-math-0001 = 51.39–68.80%) and between ( urn:x-wiley:09652140:media:add15015:add15015-math-0002 = 29.27–47.36%) samples. The pooled proportions (P) of current drinkers [P = 0.59, 95% confidence interval (CI) = 0.53–0.65], single-occasion (P = 0.34, 95% CI = 0.24–0.44) and life-time (P = 0.21, 95% CI = 0.15–0.29) risk were all moderated by gender, age, remoteness and measurement tool. Reference period moderated proportions of participants at single-occasion risk. Conclusions Indigenous Australian drinking patterns vary within and between communities. Initiatives to reduce high-risk drinking should take account of this variability.
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Date
2020Source title
AddictionVolume
115Issue
10Publisher
WileyLicence
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0Rights statement
This is the peer reviewed version of the following article: Conigrave, J. H., Lee, K. K., Zheng, C., Wilson, S., Perry, J., Chikritzhs, T., ... & Conigrave, K. M. (2020). Drinking risk varies within and between Australian Aboriginal and Torres Strait Islander samples: a meta‐analysis to identify sources of heterogeneity. Addiction, 115(10), 1817-1830., which has been published in final form at https://doi.org/10.1111/add.15015. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.Faculty/School
Faculty of Medicine and Health, Central Clinical SchoolShare