Introduction: There is limited knowledge about how individual experiences of harm from others’ drinking are influenced by heavy episodic drinking (HED) at the country level. The present study aimed to assess (1) the association between the country-level prevalence of HED and the risk of experiencing harm from others’ drinking-related aggression and (2) if HED at the country level modifies the association between consumption of alcohol per capita (APC) and such harm. Methods: Outcome data from 32,576 participants from 19 European countries stem from the RARHA SEAS study. Self-reported harm from others’ drinking included having been verbally abused, harmed physically, or having serious arguments. Data on country-level drinking patterns were derived from the World Health Organization. Associations between country-level prevalence of monthly HED and experiences of aggression (at least 1 of 3 studied harms) were derived through multilevel models – adjusted for country-level age structure and by including the respondent’s own HED patterns as a mediator. Results: A 1% increase in the prevalence of monthly HED was associated with 5% higher odds (odds ratio [OR] 1.05) of experiencing others’ alcohol-related aggression among men, and 6% (OR 1.06) among women. The results suggest that the association between APC and harm was stronger in countries with high prevalences of HED, but the modifying effect could not be confirmed. Discussion/Conclusion: Harm from others’ drinking-related aggression depends not only on individual factors but is also influenced by the drinking patterns of the population. However, the country-level prevalence of HED only explains a small part of the variance of this type of harm.
Eur Addict Res

中文翻译：

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19 个欧洲国家的国家级重度发作性饮酒和其他人与饮酒相关的侵略伤害的个人层面的经历

简介：在国家层面，关于个人因他人饮酒而受到伤害的经历如何受到重度间歇性饮酒 (HED) 影响的知识有限。本研究旨在评估 (1) 国家层面的 HED 患病率与遭受他人饮酒相关攻击伤害的风险之间的关联，以及 (2) 国家层面的 HED 是否改变了每次饮酒量之间的关联。人均（APC）等危害。方法：来自 19 个欧洲国家的 32,576 名参与者的结果数据来自 RARHA SEAS 研究。自我报告的他人饮酒造成的伤害包括受到口头虐待、身体伤害或发生严重争吵。国家级饮酒模式的数据来自世界卫生组织。国家层面的每月 HED 患病率与攻击经历（至少 3 个研究危害中的 1 个）之间的关联是通过多层次模型得出的——针对国家层面的年龄结构进行了调整，并将受访者自己的 HED 模式作为中介。结果：每月 HED 的患病率增加 1% 与男性中经历他人酒精相关攻击的几率增加 5%（几率比 [OR] 1.05）和女性中的 6%（OR 1.06）相关。结果表明，在 HED 患病率高的国家，APC 与危害之间的关联更强，但无法证实其调节作用。讨论/结论：他人与饮酒相关的攻击行为的危害不仅取决于个人因素，还受人群饮酒模式的影响。然而，国家层面的 HED 患病率仅解释了此类伤害差异的一小部分。
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