dc.contributor.author |
O'Dwyer, Claire |
|
dc.contributor.author |
Mongan, Deirdre |
|
dc.contributor.author |
Millar, Seán R. |
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dc.contributor.author |
Rackard, Marion |
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dc.contributor.author |
Galvin, Brian |
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dc.contributor.author |
Long, Jean |
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dc.contributor.author |
Barry, Joe |
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dc.date.accessioned |
2019-12-04T09:26:30Z |
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dc.date.available |
2019-12-04T09:26:30Z |
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dc.date.issued |
2019-10-22 |
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dc.identifier.citation |
O’Dwyer, C., Mongan, D., Millar, S. R., Rackard, M., Galvin, B., Long, J. and Barry, J. (2019) 'Drinking patterns and the distribution of alcohol-related harms in Ireland: evidence for the prevention paradox', BMC Public Health, 19(1), 1323. (9pp.) doi: 10.1186/s12889-019-7666-4 |
en |
dc.identifier.volume |
19 |
en |
dc.identifier.issued |
1 |
en |
dc.identifier.startpage |
1 |
en |
dc.identifier.endpage |
9 |
en |
dc.identifier.uri |
http://hdl.handle.net/10468/9308 |
|
dc.identifier.doi |
10.1186/s12889-019-7666-4 |
en |
dc.description.abstract |
Background: According to the prevention paradox, the majority of alcohol-related harms in the population occur among low-to-moderate risk drinkers, simply because they are more numerous in the population, although high-risk drinkers have a higher individual risk of experiencing alcohol-related harms. In this study we explored the prevention paradox in the Irish population by comparing alcohol-dependent drinkers (high-risk) to low-risk drinkers and non-dependent drinkers who engage in heavy episodic drinking (HED). Methods: Data were generated from the 2013 National Alcohol Diary Survey (NADS), a nationally representative cross-sectional survey of Irish adults aged 18–75. Data were available for 4338 drinkers. Respondents dependent on alcohol (as measured by DSM-IV criteria), respondents who engaged in monthly HED or occasional HED (1–11 times a year) and low-risk drinkers were compared for distribution of eight alcohol-related harms. Results: Respondents who were dependent on alcohol had a greater individual risk of experiencing each harm (p < .0001). The majority of the harms in the population were accounted for by drinkers who were not dependent on alcohol. Together, monthly and occasional HED drinkers accounted for 62% of all drinkers, consumed 70% of alcohol and accounted for 59% of alcohol-related harms. Conclusions: Our results indicate that the majority of alcohol consumption and related harms in the Irish population are accounted for by low- and moderate-risk drinkers, and specifically by those who engage in heavy episodic drinking. A population-based approach to reducing alcohol-related harm is most appropriate in the Irish context. Immediate implementation of the measures in the Public Health (Alcohol) Act (2018) is necessary to reduce alcohol-related harm in Ireland. |
en |
dc.format.mimetype |
application/pdf |
en |
dc.language.iso |
en |
en |
dc.publisher |
BMC |
en |
dc.rights |
©The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated |
en |
dc.rights.uri |
http://creativecommons.org/licenses/by/4.0/ |
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dc.subject |
Alcohol |
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dc.subject |
Drinking patterns |
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dc.subject |
Harm |
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dc.subject |
Population studies |
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dc.subject |
Prevention paradox |
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dc.subject |
Ireland |
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dc.title |
Drinking patterns and the distribution of alcohol-related harms in Ireland: evidence for the prevention paradox |
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dc.type |
Article (peer-reviewed) |
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dc.internal.authorcontactother |
Seán Millar, School of Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email:s.millar@ucc.ie |
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dc.internal.availability |
Full text available |
en |
dc.description.version |
Published Version |
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dc.contributor.funder |
Department of Health, Ireland
|
en |
dc.description.status |
Peer reviewed |
en |
dc.identifier.journaltitle |
BMC Public Health |
en |
dc.internal.IRISemailaddress |
s.millar@ucc.ie |
en |
dc.identifier.articleid |
1323 |
en |
dc.identifier.eissn |
1471-2458 |
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