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. 2018 Oct;113(10):1826-1839.
doi: 10.1111/add.14283. Epub 2018 Jun 25.

Estimating mental health impacts of alcohol's harms from other drinkers: using propensity scoring methods with national cross-sectional data from the United States

Katherine J Karriker-Jaffe  1 , Libo Li  1 , Thomas K Greenfield  1
Affiliations

Estimating mental health impacts of alcohol's harms from other drinkers: using propensity scoring methods with national cross-sectional data from the United States

Katherine J Karriker-Jaffe et al. Addiction. 2018 Oct.

Abstract

Background and aims: Alcohol's harms to others (AHTO) may cause substantial distress, particularly when harms are perpetrated by close others. One challenge to identifying causal impacts is that people harmed by drinkers differ in many ways from those not so harmed, so our aim was to assess mental health in relation to two serious types of AHTO, financial harm and assault by someone who had been drinking, using propensity score (PS) weighting to adjust for potentially confounding differences.

Design: Cross-sectional, nationally representative, random sample of adults.

Setting: United States.

Participants: Seventy-six respondents reporting financial harm compared with 4625 with no past-year AHTO; 192 respondents reporting assault compared with 4623 with no past-year AHTO.

Measurements: Predictors were reported exposure to financial problems due to someone's drinking and assault by someone who had been drinking. Mental health outcomes were quality of life, distress and positive affect. Confounders included family history of alcohol problems, child physical/sexual abuse, substance use/dependence, impacts of recent economic recession, racial/ethnic discrimination, poverty and other demographics.

Results: In double-robust PS weighted models for financial harm, there were associations with reduced quality of life (B = -0.28, P = 0.02) and increased distress [adjusted odds ratio (aOR) = 4.69, P < 0.001], and for assault by a partner or family member, there were associations with increased distress (aOR = 2.23, P = 0.09). For assault by a friend or stranger, none of the associations are statistically significant after PS weighting (all P > 0.10).

Conclusions: Financial troubles due to someone else's drinking and assaults perpetrated by drinking intimates (spouses, other partners or family members) are associated with reduced mental health.

Keywords: Alcohol's harms to others; United States; cross-sectional; intimate partner violence; mental health; propensity scoring; surveys.

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Conflict of interest statement

Statement of Interest: Funding was provided by the U.S. National Institutes of Health’s National Institute on Alcohol Abuse and Alcoholism (NIAAA; grants P50AA005595, W. Kerr, PI and R01AA022791, T. Greenfield and K. Karriker-Jaffe, Multiple PIs). Opinions expressed are those of the authors and do not necessarily reflect those of NIAAA, the National Institutes of Health, or the sponsoring institutions. The funders had no role in the study design, collection, analysis or interpretation of the data, writing of the manuscript, or the decision to submit the article for publication to disseminate the findings. Authors declare no conflicts of interest.

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