Citation

Conigrave JH, Lee KSK, Zheng C, Wilson S, Perry J, Chikritzhs T, Slade T, Morley K, Room RGW, Callinan S, Hayman N, Conigrave KM. Addiction 2020; ePub(ePub): ePub.

Affiliation

Sydney Local Health District, Royal Prince Alfred Hospital, Drug Health Services, New South Wales, Australia.

Copyright

(Copyright © 2020, John Wiley and Sons)

DOI

10.1111/add.15015

PMID

32057135

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 (PROSPERO #CRD42018103209). SETTING: Australia PARTICIPANTS: Indigenous Australians MEASUREMENTS: The primary outcomes extracted were drinking status, single-occasion risk and lifetime risk. Moderation analysis was performed to identify potential sources of heterogeneity. Moderators included gender, age, socioeconomic 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 ( I²₍₂₎= 51.4-68.8%) and between ( I²₍₃₎ = 29.3-47.4%) samples. The pooled proportions (p) of current drinkers (p = 0.59, 95% CI 0.53-0.65), single-occasion (p = 0.34, 95% CI 0.24-0.44) and lifetime (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.

This article is protected by copyright. All rights reserved.

Language: en

Keywords

Indigenous; alcohol; drinking patterns; drinking risk; meta-analysis; systematic review