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Alcohol's harm to others and subjective well-being: Cross-sectional studies in Lao People's Democratic Republic and Thailand

Jankhotkaew, J; Pikhart, H; Chaiyasong, S; Waleewong, O; Nasueb, S; Markchang, K; Siengsounthone, L; ... Thamarangsi, T; + view all (2020) Alcohol's harm to others and subjective well-being: Cross-sectional studies in Lao People's Democratic Republic and Thailand. Drug and Alcohol Review , 39 (5) pp. 546-554. 10.1111/dar.13112. Green open access

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Abstract

Introduction and Aims Previous studies have confirmed that the number of heavy drinkers in a household negatively correlates with the subjective well‐being of individuals in the household. However, limited studies have investigated the experiences of alcohol's harm to others (HTO) and subjective well‐being, particularly in low‐ and middle‐income countries. The purpose of this study was to investigate the associations between experiences of HTO and subjective well‐being in two selected low‐ and middle‐income countries. Design and Methods We analysed population survey data on 1205 and 1491 individuals aged 18–64 years from Lao People's Democratic Republic (Lao PDR) and Thailand, respectively. The respondents' experiences of HTO and their subjective well‐being were measured using face‐to‐face interviews. The association between experiencing HTO and subjective well‐being was investigated using Tobit regression models. Results A significant association between experiencing HTO and subjective well‐being was found in Thailand, but not in Lao PDR. Those who had ever experienced HTO had a 2.77‐point lower score of subjective well‐being than those who had never experienced HTO (95% confidence interval −4.67, −0.88; P ‐value <0.05) in Thailand. In Lao PDR, the physical harm dimension showed the strongest association with subjective well‐being compared to other types of harm, while in Thailand, financial harm was the dimension most strongly associated with the outcome. Discussion and Conclusions There was a significant association between HTO and subjective well‐being, particularly physical harm in Lao PDR and financial harm in Thailand. The study suggests that services to mitigate the impacts of HTO on well‐being should focus on physical harm in Lao PDR and financial harm in Thailand.

Type: Article
Title: Alcohol's harm to others and subjective well-being: Cross-sectional studies in Lao People's Democratic Republic and Thailand
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/dar.13112
Publisher version: https://doi.org/10.1111/dar.13112
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Substance Abuse, alcohol's harm to others, subjective well-being, Lao People's Democratic Republic, Thailand, HEAVY DRINKING, HEALTH, CONSUMPTION, DRINKERS
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10107533
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