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Comparative Monitoring of Alcohol Epidemiology Across the EU

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Comparative Monitoring of Alcohol Epidemiology Across the EU Comparative monitoring of alcohol epidemiology across the EU Baseline assessment and suggestions for future action. Synthesis report. Title: COMPARATIVE MONITORING OF ALCOHOL EPIDEMIOLOGY ACROSS THE EU. BASELINE ASSESSMENT AND SUGGESTIONS FOR FUTURE ACTION. SYNTHESIS REPORT. Date: December 2016 Editors: Jacek Moskalewicz, Robin Room and Betsy Thom Authors: Poland – The State Agency for the Prevention of Mariliis Tael-Öeren – Principal Investigator Alcohol-Related Problems (PARPA) – WP4 leader Anneken Metsoja Sylwia Bedyńska Kärt Pärtel Krzysztof Brzózka Jacek Moskalewicz – Principal Investigator Finland – National Institute for Health and Welfare Katarzyna Okulicz-Kozaryn Esa Österberg Janusz Sierosławski Pia Mäkelä – Principal Investigator Marta Zin-Sędek France – Observatoire français des drogues et des Austria – Gesundheit Österreich GmbH – Austrian toxicomanies Public Health Institute Christophe Palle – Principal Investigator Julian Strizek – Principal Investigator Marie-Line Tovar Alfred Uhl Santé Publique France Jean-Baptiste Richard Belgium – Scientific Institute of Public Health Lydia Gisle Germany – IFT Institut für Therapieforschung München (IFT) – WP4 co-leader Bulgaria – National Centre of Public Health and Ludwig Kraus Analyses Julian Maron Anina Chileva Daniela Piontek – Principal Investigator Mirela Strandzheva Plamen Dimitrov – Principal Investigator Greece – University Mental Health Research Sophia Kandilarova-Georgieva Institute (UMHRI) Anastasios Fotiou Croatia – Croatian National Institute of Public Eleftheria Kanavou Health Anna Kokkevi – Principal Investigator Iva Pejnović Franelić – Principal Investigator Clive Richardson (statistical consultant to UMHRI) Ljiljana Muslić Martina Markelić Hungary Dijana Jerkovic National Institute for Health Development, National Centre of Addiction Denmark – National Institute of Public Health, Dorottya Vass- Nagy University of Southern Denmark National Institute for Health Development, Health Ola Ekholm – Principal Investigator Monitoring Centre Heidi Amalie Rosendahl Jensen Gergely Tóth Corvinus University, Institute of Sociology and Estonia – National Institute for Health Social Policy Development Zsuzsanna Elekes National Institute for Family, Youth and Population Slovenia – NIJZ (National Institute of Public Health Policy Darja Lavtar – Principal Investigator Krisztina Szitnyai Nataša Delfar National Institute for Health Development, National Maša Serec Centre of Addiction Maja Roškar Tamás Koós Katalin Koppány Spain Erika Vandlik – Principal Investigator Government Delegation for the National Plan on Drugs. Iceland – Directorate of Health Ministry of Health, Social Services and Equality. Rafn Magnús Jónsson – Principal Investigator Rosario Sendino – Principal Investigator Noelia Llorens Italy – Instituto Superiore di Sanità (ISS) Begoña Brime Lucia Galluzzo, Elena Alvarez Claudia Gandin Program on Substance Abuse. Public Health Agency of Silvia Ghirini Catalonia. Sonia Martire Department of Health. Government of Catalonia. Emanuele Scafato – Principal Investigator Joan Colom – Principal Investigator Carla Bruguera Lithuania – Drug, tobacco and alcohol control Lidia Segura department Gražina Belian – Principal Investigator Sweden The Swedish Council for Information on Alcohol and Norway – Norwegian Institute of Public Health Other Drugs (CAN) Geir Scott Brunborg – Principal Investigator Mats Ramstedt – Principal Investigator Elin K. Bye Erica Sundin The Centre for Social Research on Alcohol and Drugs Portugal – Faculdade de Ciencias Sociais e Humanas (SoRAD) da Universidade Nova de Lisboa Robin Room Casimiro Balsa – Principal Investigator Cláudia Urbano UK – Middlesex University, London Clara Vital Carmel Clancy Gary Hearne Romania – National Institute of Public Health Betsy Thom – Principal Investigator Alexandra Maria Cucu Florentina Ligia Furtunescu – Principal Investigator Adriana Galan Address: PARPA – The State Agency for Prevention of Alcohol Related Problems Al. Jerozolimskie 155, 02-326 Warsaw This report arises from the Joint Action on Reducing Alcohol Related Harm (RARHA) which has received funding from the European Union, in the framework of Health Programme (2008–2013). The content of this report represents the views of the authors and it is their sole responsibility; it can in no way be taken to reflect the views of the European Commission and/or the Consumers, Health, Agriculture and Food Executive Agency or any other body of the European Union. The European Commission and/or the Executive Agency do(es) not accept responsibility of any use that may be made of the information it contains. Table of contents Introduction Background .............................................................................................................................................6 Aims ............................................................................................................................................................8 Part A Standardised European Alcohol Survey (RARHA SEAS) 1. Participating countries ......................................................................................................................10 2. Methods 2.1. Survey instrument ...............................................................................................................................12 2.2. Sampling and mode of administration .......................................................................................13 2.3. Data processing ...................................................................................................................................18 Annex 1. RARHA main study questionnaire male ....................................................................20 3. Results 3.1. Abstainers ..............................................................................................................................................48 3.2. Motives for drinking and non-drinking .......................................................................................54 3.3. Alcohol consumption ........................................................................................................................73 Beverage Specific Quantity Frequency (BSQF) .........................................................................73 Risky Single Occasion Drinking (RSOD) .......................................................................................94 Subjective drunkenness .................................................................................................................102 Annex 2. Methods of data analysis ............................................................................................111 3.4. Context of usual drinking vs RSOD ............................................................................................113 3.5. Unrecorded alcohol .........................................................................................................................145 3.6. Individual harm .................................................................................................................................155 RAPS ......................................................................................................................................................156 CIDI ........................................................................................................................................................168 3.7. Harm from others’ drinking ..........................................................................................................180 3.8. Opinions on and attitudes towards alcohol ...........................................................................209 3.9. Socio-demographic characteristics ...........................................................................................231 3.10. Wellbeing ............................................................................................................................................246 4. Summary .............................................................................................................. 251 Part B Harmonising alcohol-related measures in European surveys (RARHA-HARMES) 1 Methods 1.1. Description of included surveys .................................................................................................258 1.2. Survey measurements ....................................................................................................................267 1.3. Data editing ........................................................................................................................................274 1.4. Analyses ...............................................................................................................................................279 2 Results 2.1. Sociodemographics .........................................................................................................................284 2.2. Alcohol consumption .....................................................................................................................287 2.3. Alcohol-related harm ......................................................................................................................340 2.4. Clusters of countries based on consumption measures ....................................................352 3 Discussion 3.1. Comparability of the surveys .......................................................................................................358 3.2.
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