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Aims Design, setting and participants Measurements Findings Conclusions To measure the association of harmful alcohol use by parents and primary caregivers with the level of child protection response.This study was a multivariable logistic regression analysis using data drawn from the Victorian child protection database (2012–21) in Victoria, Australia. Focusing upon the most recent case per child, we analysed whether harmful parental alcohol use was probably associated with children‘s progression throughout the child protection system (from investigation phase, to substantiation, through to protective intervention, protection application and protection orders), while adjusting for socio‐demographic variables. The participants comprised 352 800 children [48.5% female, 50.0% male, 1.6% other/unknown; mean age = 8.1 (0–18 years)] with one or more reports (mean = 1.4) in the child protection system.Child protection workers reported on two risk factor variables indicating parental alcohol use during an intake risk assessment: ‘alcohol abuse‘ and ‘alcohol use compromises child‘s safety‘.Of the 95 592 child cases investigated between 2012 and 2021, 50 476 were substantiated. Probable parental alcohol use was reported as a risk factor in 5.1% of children investigated and substantiated in 9.1% of children. The odds of progressing to investigation [odds ratio (OR) = 1.64, 95% confidence interval (CI) = 1.59, 1.69, P < 0.001], substantiation (OR = 2.02, 95% CI = 1.91, 2.13, P < 0.001), protective intervention (OR = 1.40, 95% CI = 1.23, 1.59, P < 0.001), protection application (OR = 1.16, 95% CI = 1.08, 1.25, P < 0.001) and protection order (OR = 1.17, 95% CI = 1.02, 1.34, P = 0.028) were statistically significantly higher for children experiencing probable parental harmful alcohol use. However, the associations for protection application and protection order were not statistically significant after accounting for variables related to family accommodation, income and composition.In Victoria, Australia, in cases where child protection workers document parental alcohol use, those children are more likely to progress through the Victorian child protection system than children whose parents have no documented alcohol use. [ABSTRACT FROM AUTHOR]

Introduction: Alcohol's harm to others (AHTO) refers to harms caused to those other than the drinker. The current paper estimates the prevalence of formal and informal supports sought due to AHTO and examines whether the type of support accessed varies by sociodemographic, economic and harm‐related characteristics. Methods: An Australian sample of 2574 people completed the 2021 AHTO survey, out of which 888 perceived they experienced harm from another's drinking. Prevalence of accessing services and supports was measured. Additionally, several sociodemographic factors, economic factors and harm‐related factors were included in multivariable logistic regression models predicting service/support use. Specifically, four models were constructed probing use of any service/support, use of police, use of counselling services and use of family/friend support. Results: Of the survey sample, 12.4% accessed any support/service. Seeking support from family and/or friends was most common, followed by police, counselling, healthcare services and being admitted to hospital. Women had higher odds of accessing counselling and family/friend support. Respondents with a higher education level and two or more financial stressors had higher odds of accessing police and counselling. Respondents harmed by a stranger had higher odds of accessing police, whereas respondents harmed by someone they know had higher odds of seeking support from family/friends. Experiencing more severe harm was associated with greater odds of accessing any support. Discussion and Conclusions: Several sociodemographic and economic factors were associated with accessing different supports. These findings may inform service development, interventions and policy changes for people affected by others' drinking. [ABSTRACT FROM AUTHOR]

Aims: To describe the range of effects experienced due to the drinking of people respondents know and analyze risk and protective factors for harm from the drinking of partners and household members, other relatives and friends and co‐workers. Design, setting and participants: Surveys of 2574 participants' experiences were obtained from two samples: 1000 people responded to random digitally dialled Australian mobile calls and 1574 participants responded from the Life in AustraliaTM panel survey. Measurements: Respondents were asked whether they had been negatively affected in the previous 12 months by the drinking of persons they knew who were 'a heavy drinker or drank a lot sometimes' and the nature of these harms. Weighted logistic regressions were used to analyze differences in rates of key negative outcomes from known others' drinking by gender, age and socio‐economic status. Findings Almost two thirds [60.2%; 95% confidence interval (CI) = 57.7%–62.7%] of participants reported having heavy drinkers in their lives and 21.8% (95% CI = 19.8%–23.9%) reported being negatively affected by the drinking of people they knew well in some way. Participants reported a gamut of effects, including, most commonly, adverse social effects: having to transport relatives and friends who had been drinking, role failure and faults, being emotionally hurt or neglected, serious arguments, family problems, having to care for drinkers and verbal abuse. Less commonly, respondents reported physical or sexual harm, property damage, financial stress and threats from others' drinking. Women (odds ratio = 1.49; 95% CI = 1.13–1.95), younger people, rural, Australian‐born (vs. respondents born overseas in non‐English speaking countries) and more frequent drinkers were more likely to report harm from a drinker they knew than their counterparts after adjusting for other variables in the model. Conclusions: Australians appear to be commonly adversely affected by the drinking of people they know. Harms from known drinkers are more likely to be experienced by women than men, particularly from the people they live with and other relatives. [ABSTRACT FROM AUTHOR]

Objective: The Drinking Motives Questionnaire-Revised (DMQ-R; Cooper, 1994) is frequently used to assess adult drinking motives despite being designed for younger drinkers. This study aimed to develop and validate a Drinking Motives Questionnaire for Adults (DMQ-A). Method: A convenience sample of 1,617 adults (25-65-year-olds; Mage = 51.4, SD = 10.8; 67% female) and 145 young-adults (18-24-year-olds; Mage = 20.8, SD = 2.0; 72% female) who reported drinking at least monthly were asked how often they consumed alcohol due to 53 drinking motives. Using item endorsement and exploratory factor analysis on half of the split sample of adults, 20 items were selected for the DMQ-A. Results: The DMQ-A was found to have social, coping, confidence, taste, and enhancement dimensions. The DMQ-R conformity dimension was replaced by one of drinking for confidence and a novel drinking for taste dimension was identified. The second half of the split sample was used to demonstrate the DMQ-A's adequate model fit (CFI = 0.93), good internal consistency (α = .81-.90) and 6-month test-retest reliability (r = .65-.74), correlation with corresponding DMQ-R dimensions (r = .90-.96), and better model fit for adults than young-adults (ΔCFI = .03). The DMQ-A also demonstrated higher endorsement for each of its dimensions and better model fit than the DMQ-R among adults (ΔCFI = .05). Like the DMQ-R, DMQ-A coping and enhancement dimensions correlated with alcohol consumption and harmful drinking (r = .19-.42). Conclusions: The DMQ-A is a promising tool for future research or clinical application involving adult alcohol use. [ABSTRACT FROM AUTHOR]

Objectives: To date, there have been no previous studies examining sex differences in the development of alcohol-related perceptions over time, a potential avenue for targeted prevention and early intervention efforts. This article examines any potential sex differences in young children's development of situational drinking norms over time. Method: Two hundred ninety-eight children (aged 4-6 years at baseline) completed the Dutch electronic Appropriate Beverage Task--which involves attributing alcoholic beverages to adults in varying situational contexts--annually over 3 years (2015, 2016, 2017). Three-level regression models were estimated examining whether perceptions of situational drinking norms varied as a function of the sex of the participant and whether there were any changes over time. Results: Over time children did not attribute more alcoholic beverages to adults in various situations, instead both boys and girls became more accurate at correctly identifying situations in which drinking is more common. Over time, both boys and girls attributed more alcoholic beverages in common situations and less in uncommon situations, with no significant sex differences in attributions of alcohol found. Conclusions: We identified no significant sex differences in the development of situational drinking norms over time, suggesting that education and prevention campaigns can be unified/nontargeted by sex. However, given our findings differ from previous studies that identify significant sex differences between children on the development of other alcohol-related cognitions beyond situational drinking norms, there is a need for more international research in this space to understand the importance and nature of the development of alcohol-related perceptions over time. [ABSTRACT FROM AUTHOR]