Normative misperceptions about alcohol use in the general population of drinkers: A cross-sectional survey

Normative misperceptions about alcohol use in the general population of drinkers: A cross-sectional survey
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DOI:
10.1016/j.addbeh.2014.11.010
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发表时间:
2015-03-01
影响因子:
4.4
通讯作者:
Winstock, Adam
Winstock, Adam
中科院分区:
医学2区
文献类型:
--
作者:
Garnett, Claire;Crane, David;Winstock, Adam

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导语:相对于他人而言,低估自己的饮酒量(“标准错误认知”)在一些大学生和大量饮酒的样本中得到了证明,这可能会导致过度饮酒。这项研究旨在评估这一现象在多大程度上延伸到四个英语国家的更普遍的饮酒者中,以及是否存在与社会人口和饮酒变量的关联。方法:对来自澳大利亚、加拿大、英国和美国的9820名18岁以上的去年饮酒的人进行了一项横断面在线全球调查(全球毒品调查-2012)。这项调查包括审计问卷(评估饮酒、有害饮酒和酒精依赖),社会人口评估,以及评估一个人的饮酒情况与其他人相比的问题。结果:46.9%(95%可信区间:45.9%,47.9%)的被调查者低估了自己的饮酒量。25.4%的有酒依赖风险的参与者和36.6%的有害饮酒者认为他们的饮酒量一般或更少。年轻人(16-24岁;p<0.003)、男性(p<0.001)、英国人(p<0.001)、受教育程度较低(p=0.003)、白人(p=0.035)和失业人员(p<0.001)更有可能被低估。结论:相对于其他饮酒者,澳大利亚、加拿大、英国和美国普遍低估自己的饮酒量,相当一部分有害饮酒者认为自己的饮酒量处于或低于平均水平。这种规范性的误解在年轻、男性、受教育程度较低、失业、来自英国的白人和高风险饮酒者中更为严重。(C)2014年提交人。爱思唯尔有限公司出版。
Introduction: Underestimating one's own alcohol consumption relative to others ('normative misperception') has been documented in some college student and heavy-alcohol using samples, and may contribute to excessive drinking. This study aimed to assess how far this phenomenon extends to alcohol users more generally in four English-speaking countries and if associations with socio-demographic and drinking variables exist.Methods: A cross-sectional online global survey (Global Drugs Survey-2012) was completed by 9820 people aged 18 + from Australia, Canada, the UK and US who had consumed alcohol in the last year. The survey included the AUDIT questionnaire (which assessed alcohol consumption, harmful drinking and alcohol dependence), socio-demographic assessment and a question assessing beliefs about how one's drinking compares with others. Associations were analysed by linear regression models.Results: Underestimation of own alcohol use relative to others occurred in 46.9% (95% CI: 45.9%, 47.9%) of respondents. 25.4% of participants at risk of alcohol dependence and 36.6% of harmful alcohol users believed their drinking to be average or less. Underestimation was more likely among those who were: younger (16-24; p < 0.003), male (p < 0.001), from the UK (versus US; p < 0.001), less well educated (p = 0.003), white (p = 0.035), and unemployed (versus employed; p < 0.001).Conclusions: Underestimating one's own alcohol consumption relative to other drinkers is common in Australia, Canada, the UK and US, with a substantial minority of harmful drinkers believing their consumption to be at or below average. This normative misperception is greater in those who are younger, male, less well educated, unemployed, white, from the UK and high-risk drinkers. (C) 2014 The Authors. Published by Elsevier Ltd.