Patterns of drinking in Aboriginal and Torres Strait Islander peoples as self-reported on the Grog Survey App : A stratified sample

Journal article


Lee, K. S. Kylie, Conigrave, James H., Wilson, Scott, Perry, Jimmy, Hayman, Noel, Zheng, Catherine, Al Ansari, Mustafa, Doyle, Michael, Room, Robin, Callinan, Sarah, Chikritzhs, Tanya, Slade, Tim and Conigrave, Katherine M.. (2019). Patterns of drinking in Aboriginal and Torres Strait Islander peoples as self-reported on the Grog Survey App : A stratified sample. BMC Medical Informatics & Decision Making. 19(1), p. Article 180. https://doi.org/10.1186/s12911-019-0879-8
AuthorsLee, K. S. Kylie, Conigrave, James H., Wilson, Scott, Perry, Jimmy, Hayman, Noel, Zheng, Catherine, Al Ansari, Mustafa, Doyle, Michael, Room, Robin, Callinan, Sarah, Chikritzhs, Tanya, Slade, Tim and Conigrave, Katherine M.
Abstract

Background
The Grog Survey App is a visual and interactive tablet computer-based survey application. It has been shown to be an accurate and acceptable tool to help Indigenous Australians describe what they drink.

Methods
The Grog Survey App was used to enquire into patterns of drinking in a stratified sample of Indigenous Australians in urban and remote/regional sites during testing of the App. The App asked about the last four drinking occasions in the past 12 months, including preferred alcohol types and containers; and symptoms of alcohol dependence, based on ICD-11 descriptions. Drinking patterns are presented here using medians and interquartile ranges, and the thresholds set out by the Australian National and Health and Medical Research Council guidelines. Patterns of consumption are compared by gender and remoteness, using Wilcoxon rank-sum test to compare medians. Logistic regressions tested whether alcohol types and drinking containers varied by remoteness.

Results
In this stratified sample most people either consumed nothing (21.7%), or consumed quantities which placed them at short- (95.6%) or long-term risk (47.8%) of harms. Drinkers in remote areas were more likely to drink beer, but less likely to drink pre-mixed spirits. ‘Stubbies’ and other beer glasses were popular in urban areas, compared with ‘slabs’ (cases of beer) in remote/regional areas. The use of improvised containers (i.e. empty juice bottles) did not vary by remoteness. Nearly one in six (15%) current drinkers reported experiencing at least two symptoms of alcohol dependence at least monthly. Average drinks per day was the consumption measure most highly correlated with each dependence symptom (r = 0.34–0.38).

Conclusions
The App was able to capture a wide range of preferred alcohol types and containers, and demonstrate a diversity in how alcohol is consumed. This detail was captured in a relative brief survey delivered using an interactive and appealing tablet computer-based application.

KeywordsAboriginal; Torres Strait Islander; Australia; alcohol; consumption; patterns; survey
Year2019
JournalBMC Medical Informatics & Decision Making
Journal citation19 (1), p. Article 180
PublisherBioMed Central
ISSN1472-6947
Digital Object Identifier (DOI)https://doi.org/10.1186/s12911-019-0879-8
PubMed ID31488135
Scopus EID2-s2.0-85071761388
PubMed Central IDPMC6729068
Open accessPublished as ‘gold’ (paid) open access
Page range1-11
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online05 Sep 2019
Publication process dates
Accepted29 Jul 2019
Deposited27 Jul 2023
Grant ID1087192
1117198
1117582
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