Drinking risk varies within and between Australian Aboriginal and Torres Strait Islander samples : A meta-analysis to identify sources of heterogeneity

Journal article


Conigrave, James H., Lee, K. S. Kylie, Zheng, Catherine, Wilson, Scott, Perry, Jimmy, Chikritzhs, Tanya, Slade, Tim, Morley, Kirsten, Room, Robin, Callinan, Sarah, Hayman, Noel and Conigrave, Katherine 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), pp. 1817-1830. https://doi.org/10.1111/add.15015
AuthorsConigrave, James H., Lee, K. S. Kylie, Zheng, Catherine, Wilson, Scott, Perry, Jimmy, Chikritzhs, Tanya, Slade, Tim, Morley, Kirsten, Room, Robin, Callinan, Sarah, Hayman, Noel and Conigrave, Katherine M.
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 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.

Keywordsalcohol; drinking patterns; drinking risk; Indigenous; meta-analysis; systematic review
Year2020
JournalAddiction
Journal citation115 (10), pp. 1817-1830
PublisherWiley Blackwell Publishing
ISSN0965-2140
Digital Object Identifier (DOI)https://doi.org/10.1111/add.15015
PubMed ID32057135
Scopus EID2-s2.0-85082773238
Open accessPublished as green open access
Page range1817-1830
FunderAustralian Government
Australian Research Council (ARC)
Foundation for Alcohol Research and Education (FARE)
National Health and Medical Research Council (NHMRC)
Author's accepted manuscript
License
All rights reserved
File Access Level
Open
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online01 Apr 2020
Publication process dates
Accepted14 Feb 2020
Deposited04 Jul 2023
ARC Funded ResearchThis output has been funded, wholly or partially, under the Australian Research Council Act 2001
Grant IDDE180100016
1087192
1105339
1117198
1117582
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