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

    Author(s)
    Conigrave, James H
    Lee, KS Kylie
    Zheng, Catherine
    Wilson, Scott
    Perry, Jimmy
    Chikritzhs, Tanya
    Slade, Tim
    Morley, Kirsten
    Room, Robin
    Callinan, Sarah
    Hayman, Noel
    Conigrave, Katherine M
    Griffith University Author(s)
    Hayman, Noel E.
    Year published
    2020
    Metadata
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    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 ...
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    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 ((Formula presented.) = 51.39–68.80%) and between ((Formula presented.) = 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.
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    Journal Title
    Addiction
    DOI
    https://doi.org/10.1111/add.15015
    Note
    This publication was entered as an advanced online version.
    Subject
    Biomedical and clinical sciences
    Sociology
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Substance Abuse
    Psychiatry
    Alcohol
    Publication URI
    http://hdl.handle.net/10072/393739
    Collection
    • Journal articles

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    Tagline

    • Gold Coast
    • Logan
    • Brisbane - Queensland, Australia
    First Peoples of Australia
    • Aboriginal
    • Torres Strait Islander