Kathryn Graham

Kathryn Graham
Centre for Addiction and Mental Health

About

180
Publications
35,362
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
20,615
Citations

Publications

Publications (180)
Article
In this article, we analyse interview data on how alcohol policy stakeholders in Australia, Canada and Sweden understand the relationship between men, masculinities, alcohol and violence. Using influential feminist scholarship on public policy and liberal political theory to analyse interviews with 42 alcohol policy stakeholders, we argue that whil...
Article
Full-text available
We report on the system of care and sources of strength and resilience for mental health among First Nations People experiencing the impacts of historical and contemporary colonization. Aamjiwnaang First Nation, a vibrant community of approximately 2400 members in southwestern Ontario, Canada, partnered in research to reveal sources of strength and...
Article
This article analyzes alcohol policy documents through the framework of ontological politics developed by science and technology studies theorists John Law and Annemarie Mol. Specifically, it analyzes seven Australian and Canadian documents from 2006 to 2020, focusing on different enactments of alcohol as a harm-producing substance that requires re...
Article
Full-text available
Introduction and aims: Associations between bar trading hours, a government lever for controlling alcohol availability, nightlife-goer intoxication levels and their likelihood of alcohol use disorder (AUD) have not been explored. We investigated whether: (i) participant AUD was associated with blood alcohol concentration (BAC); and, (ii) any assoc...
Article
In this article, we analyse the treatment of gender in Canadian and Swedish quantitative research on alcohol and violence and compare it with the treatment of gender in similar Australian research. In previously published work, we argued that Australian research on ‘alcohol-related presentations’ to emergency departments, and on alcohol and violenc...
Article
Full-text available
Introduction and aims: Associations between longer-term alcohol-related conditions and licensed outlet trading hours are not well understood. We investigated the association between nightlife-goers' likelihood of an alcohol use disorder (AUD) and their preference for bars with special permits to remain open 'late' (i.e., spent more time there comp...
Article
Full-text available
Introduction and Aims: Past research indicates heavy episodic drinking (HED), trait aggression, male honour and conformity to masculine norms are risk factors for male barroom aggression (MBA) perpetration. However, little is known about the impact of these variables on experiences of MBA victimization. Further, data derived previously, particularl...
Article
Background and aims: Although men's alcohol misuse and less gender-equitable attitudes have been identified as risks for perpetration of intimate partner violence (IPV), less is known about how men's gender-equitable attitudes and drinking act together to increase risk of IPV. This study aimed to assess the independent relationships of lower gende...
Article
Background: The aim of this study was to examine how gender, age and education, regional prevalence of male and female risky drinking and country-level economic gender equality are associated with harms from other people’s drinking. Methods: 24,823 adults in 10 countries were surveyed about harms from drinking by people they know and strangers. Cou...
Article
Rationale The association between male partner alcohol use and increased risk and severity of their perpetration of intimate partner violence (IPV) is well-established in quantitative research. However, few studies have explored the nature and trajectory of relationships involving partner drinking and abuse, and how women find pathways to safety....
Article
Introduction and aims: To better understand the relationship between alcohol consumption and living with children, we assessed whether the association varied for men and women across diverse countries and whether this relationship was moderated by country-level gender inequality. Design and methods: We used Hierarchical Linear Modelling to analy...
Article
Introduction and aims That physical, emotional and social problems occur not only to drinkers, but also to others they connect with, is increasingly acknowledged. Financial harms from others’ drinking have been seldom studied at the population level, particularly in low- and middle-income countries. Whether financial harm and costs from others’ dri...
Article
Aims Survey items for measuring harms experienced from others' drinking (AHTO) have been developed primarily to measure type of harm and not severity. However, some type of harms may produce more negative effects than others. We aimed to compare the perceived severity of a comprehensive list of AHTO items to assess consistency in subjective ratings...
Article
Introduction and aims: Risk-based alcohol licensing (RBL) has been introduced in several jurisdictions in Australia, New Zealand and Canada with the intention of reducing harm in and around alcohol outlets. RBL involves tailoring licence fees or regulatory agency monitoring levels according to risk criteria such as trading hours, venue size and co...
Article
Full-text available
Background: Mental health, substance use/addiction and violence (MSV) are important issues affecting the well-being of Indigenous People in Canada. This paper outlines the protocol for a research-to-action program called the Mental Wellness Program (MWP). The MWP aims to increase community capacity, promote relationship-building among communities,...
Article
Full-text available
Aim: To study caregiver reports of children’s experience of physical harm and exposure to family violence due to others’ drinking in nine societies, assess the relationship of harm with household drinking pattern and evaluate whether gender and education of caregiver affect these relationships. Method: Using data on adult caregivers from the Gender...
Article
While mental well-being is recognized as a significant public health priority in numerous Indigenous communities, little work has focused on the mental health needs of Indigenous men. In this article, we describe results from the mixed-methods research used to inform the development of mental wellness programming for boys and men. Quantitative and...
Article
Both living with children and alcohol consumption are positively associated with intimate partner violence (IPV). We assessed their combined relationship with physical IPV (P-IPV) victimization and perpetration, and explored possible moderating roles of sex and culture. Data included 15 surveys of 13,716 men and 17,832 women in 14 countries from th...
Article
Full-text available
Colonization has negatively impacted Canada’s Aboriginal people, with one of the consequences being loss of traditional knowledge, beliefs and practices, including traditional healing practices. In a study of two Ontario First Nations, the objectives of this research were to examine: (1) the extent of use of traditional healing practices, including...
Article
Full-text available
Heavy episodic drinking (HED), trait aggression, and conformity to masculine norms increase the risk of barroom aggression (BA) perpetration in men; however, research examining these factors relative to female BA perpetration is lacking. This study assessed the associations of HED, trait aggression, and conformity to masculine and feminine norms wi...
Article
The 12-item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a brief measurement tool used cross-culturally to capture the multi-dimensional nature of disablement through six domains, including: understanding and interacting with the world; moving and getting around; self-care; getting on with people; life activities; an...
Article
Women frequently experience unwanted sexual touching and persistent advances at bars and parties. This study explored women's responses to these unwanted experiences through online surveys completed by 153 female bargoers (aged 19-29) randomly recruited from a bar district. More than 75% had experienced sexual touching or persistence (46% both). Mo...
Article
Objective: To measure service use and costs associated with health care for patients with mental health (MH) and substance use/addiction (SA) problems. Methods: A 5-year cross-sectional study (2007-2012) of administrative health care data was conducted (average annual sample size = 123,235 adults aged >18 years who had a valid Ontario health car...
Article
Full-text available
Objective: Research suggests that heavy episodic drinking (HED), perceived peer norms, and personal approval of aggression influence male barroom aggression (MBA). Qualitative research suggests that conformity to hegemonic masculine gender norms also influences MBA; however, quantitative research on the direct and indirect influence of masculinity...
Article
Full-text available
Mental health and substance use disorders (MSD) are significant public health concerns that often co-occur with violence. To improve services that address MSD and violence [MSD(V)], it is critical to understand the perspectives of those most affected, people who have sought help for MSD(V) (i.e., “service users”), especially those with co-occurring...
Article
Introduction and aims: Few studies have investigated the relationship of barroom aggression with both general and barroom-specific alcohol expectancies. The present study investigated these associations in a rarely studied and high-risk population: construction tradespeople. Design and methods: Male construction tradespeople (n = 211) aged 18-35...
Article
Predrinking (preloading, pregaming) has been found to be related to alcohol use and intoxication. However, most research relies on estimates of blood alcohol concentration and does not control for usual drinking pattern. We assessed whether predrinking was associated with subsequent alcohol consumption and breath alcohol concentration (BrAC) among...
Article
The purpose of this study was to assess (a) similarities in self-reported bar-aggression-related attitudes and behaviors among members of young male groups recruited on their way to bars and (b) group-level variables associated with individual members' self-reported likelihood of perpetrating physical bar aggression in the past year, controlling fo...
Article
Although research suggests that male peers play an important role in young men’s bar aggression, little is known about specific peer-related predictors of this behaviour. Both bar aggression and heavy alcohol consumption are associated with traditional masculinity and peer-acceptance among young men; thus, engagement in these behaviours may help yo...
Article
In this study we examined associations between young adults' drinking patterns and social status within their natural drinking groups (NDGs) and assessed gender differences in these relationships. Same-sex NDGs (n=104) on route to a bar district were recruited and completed a peer-nominated measure of within-NDG status. In a follow-up online survey...
Article
Abstract A pooled database from diverse community samples was used to examine the associations of hair cortisol concentration (HCC) with self-reported stress and stress-linked mental health measures, including depression, anxiety, alcohol and drug use, disability and experiences with aggression. As part of innovative research using a mobile laborat...
Article
Introduction and aims: Many young adults are risky drinkers who are often missed by general population surveys. The aim of the present study was to assess factors affecting participation rates in a street intercept approach to recruiting young adult bar-goers for an online survey. Design and methods: Two hundred eighty-seven young adults were ap...
Article
Introduction and aims: Previous research suggests a link between women's drinking and sexual victimisation; however, little is known about other factors that influence risk and how risks are linked to drinking-in-the-event. We examined how amount of alcohol consumed and peer group factors were associated with whether young women were targeted for...
Article
Full-text available
Objective: This study extends previous research on masculinity and negative drinking consequences among young men by considering mediating effects of heavy episodic drinking (HED) and alcohol expectancies. We hypothesized that masculinity would have a direct relationship with negative consequences from drinking as well as indirect relationships me...
Article
Full-text available
Predrinking (drinking in private settings before going to licensed premises) has been shown to be positively associated with amount of alcohol consumed. The present study assesses whether this association is explained by general drinking patterns or situational factors, including drinking duration, beverage type and drinking companions. In a sample...
Article
This letter is a reply to Barry A., Dennis M. Methodological and practical limitations to visually determining intoxication. Addiction 2013; doi: 10.1111/add.12352
Article
The link between alcohol and men's aggression is well established, although growing evidence also points to individual and learned social factors. The aim of the present study was to investigate the relationships between male alcohol-related aggression (MARA) among young Australian men and heavy episodic drinking, trait aggression, masculinity, con...
Article
The objective was: to assess gender differences in university students' likelihood of experiencing negative drinking consequences across the first academic year, controlling for amount of alcohol consumed on each occasion; also to assess whether the relation between amount consumed and experiencing the consequence is moderated by gender. On weekly...
Article
Young people's social standing among friends and peers has been linked to general levels of drinking and has been shown to influence others' drinking. We extend previous research by examining young adults' status within their natural-occurring drinking groups as a predictor of their subsequent alcohol consumption and encouragement of group members'...
Article
Full-text available
To examine the evidence of association between intimate partner physical or sexual violence (IPV) victimization and alcohol consumption in women. We conducted a systematic review and meta-analysis of cross-sectional and longitudinal studies released before 6 June 2013. Studies providing an estimate of association between violence and alcohol consum...
Article
This study examines the effect of situational variables on whether third parties intervene in conflicts in barroom settings, and whether they are aggressive or not when they intervene. Based on research on bystander intervention in emergencies, we hypothesized that third parties would be most likely to become involved in incidents with features tha...
Article
Little systematic research has focused on motivations for aggression and most of the existing research is qualitative and atheoretical. This study increases existing knowledge by using the theory of coercive actions to quantify the apparent motives of individuals involved in barroom aggression. Objectives were to examine: gender differences in the...
Article
Intoxication in and around licensed premises continues to be common, despite widespread training in the responsible service of alcohol and laws prohibiting service to intoxicated individuals. However, research suggests that training and the existence of laws are unlikely to have an impact on intoxication without enforcement, and evidence from a num...
Article
Some research suggests that the risk of physical aggression by an intimate partner is related to marital status, but this relationship may vary across cultures and by gender. In the present study, we systematically examine the relationship between marital status and physical partner aggression by gender across 19 countries. Logistic and multilevel...
Article
Full-text available
Rehm, J., Borges, G., Gmel, G., Graham, K., Grant, B., Parry, C., Poznyak, V. & Room R. (2013). The comparative risk assessment for alcohol as part of the Global Burden of Disease 2010 study: What changed from the last study? International Journal of Alcohol and Drug Research, 2(1), 1-5. doi: 10.7895/ijadr.v2i1.132 ( http://dx.doi.org/10.7895/ijadr...
Article
Rehm, J., Borges, G., Gmel, G., Graham, K., Grant, B., Parry, C., Poznyak, V. & Room R. (2013). The comparative risk assessment for alcohol as part of the Global Burden of Disease 2010 study: What changed from the last study? International Journal of Alcohol and Drug Research, 2(1), 1-5. doi: 10.7895/ijadr.v2i1.132 (http://dx.doi.org/10.7895/ijadr....
Article
Full-text available
Quantification of the disease burden caused by different risks informs prevention by providing an account of health loss different to that provided by a disease-by-disease analysis. No complete revision of global disease burden caused by risk factors has been done since a comparative risk assessment in 2000, and no previous analysis has assessed ch...
Article
Full-text available
Background: Research in the United States and the United Kingdom indicates that drinking before going out (commonly called "predrinking") is common among young people and associated with increased harm. On the basis of Swiss data, this study investigates differences in alcohol consumption and adverse or risky outcomes for evenings when persons con...
Article
Research has shown a consistent link between intimate partner violence (IPV) and depression, although this association may vary by gender, role in IPV (victim, perpetrator, or bidirectional), and aggression severity. We evaluated these factors in a telephone survey of 14,063 Canadians. All three factors were found to affect the association of depre...
Article
Background: While several qualitative studies suggest that beliefs and attitudes are important in explaining men's alcohol-related aggression, no quantitative instrument measuring men's beliefs and attitudes about male alcohol-related aggression has been developed. The purpose of this study was to develop and test a theoretically based multidimens...
Article
Full-text available
To examine the influence of country-level characteristics and individual socio-economic status (SES) on individual alcohol-related consequences. Data from 42,655 men and women collected by cross-sectional surveys in 25 countries of the Gender, Alcohol and Culture: An International Study study were used. The individual SES was measured by the highes...
Article
Full-text available
Different alcoholic beverages are seen as causing more or less trouble, with spirits historically often seen as the most troublesome. Differences in the "trouble per litre" could reflect differences in the beverages themselves (e.g., faster effect of stronger beverages, additives/contaminants in informal beverages), or could reflect characteristics...
Article
In order to better understand the social context of barroom aggression, the aim was to identify common locations ('hotspots') for aggression in bars and examine the association of hotspots with aggression severity and environmental characteristics. Aggression hotspots were identified using narrative descriptions and data recorded on premises' floor...
Article
Alcohol-related violence causes substantial death, injury and health problems. The 2004 Global Burden of Disease project estimated that alcohol-attributable violence accounted for 248,000 deaths annually worldwide [1]. As noted by Bellis and Hughes in this issue [2], the link between alcohol and violence has been recognized as far back as the 4th c...
Article
To develop new strategies for preventing violence in high-risk licensed premises, we identify behavioural indicators of apparent motives for aggression in these settings and outline the implications of different motivations for prevention. The four types of motives for aggressive or coercive acts defined by the theory of coercive actions framed the...
Article
Full-text available
This study assesses whether severity of physical partner aggression is associated with alcohol consumption at the time of the incident, and whether the relationship between drinking and aggression severity is the same for men and women and across different countries. National or large regional general population surveys were conducted in 13 countri...
Article
The Centre for Addiction and Mental Health is one of the premier centres for research related to substance use and addiction. This research began more than 50 years ago with the Addiction Research Foundation (ARF), an organization that contributed significantly to knowledge about the aetiology, treatment and prevention of substance use, addiction a...
Article
Research has demonstrated that young adults tend to overestimate their peers' approval of risky behaviors (i.e., injunctive norms) and that perceived peer approval is associated with actual behavior; however, no empirical studies have assessed injunctive norms in relation to male barroom aggression. The objectives of the present study were to compa...
Article
Full-text available
This paper examines (i) gender and country differences in negative consequences related to drinking; (ii) relative rates of different consequences; and (iii) country-level predictors of consequences. Multi-level analyses used survey data from the Gender, Alcohol, and Culture: An International Study (GENACIS) collaboration. Measures included 17 nega...
Article
To our knowledge, no research has assessed whether young male victims and perpetrators of barroom aggression differ in terms of their drinking patterns and predisposing characteristics. This study assessed the extent that frequent heavy episodic drinking (HED) and bar-going, trait aggression, and hypermasculinity were differentially associated with...
Article
Assaultive and aggressive behaviors related to sexual overtures are common in commercial drinking establishments (bars, pubs, and clubs). In this article, we examined the thematic content of 251 incidents of verbal and physical aggression related to sexual/romantic overtures documented by researcher-observers in a study of Toronto bars and clubs. A...
Article
This article summarizes the contents of Alcohol: No Ordinary Commodity (2nd edn). The first part of the book describes why alcohol is not an ordinary commodity, and reviews epidemiological data that establish alcohol as a major contributor to the global burden of disease, disability and death in high-, middle- and low-income countries. This section...
Article
Although there is an extensive research literature on individual and cultural risk factors for intimate partner violence (IPV), much less is known about the factors that victims and perpetrators of IPV perceive as playing a role in violent events. In part, lack of systematic research on perceived reasons for violence is due to the lack of a clear c...
Article
Full-text available
To determine the extent drinking patterns (at the individual and country level) are associated with alcohol-related consequences over and above the total alcohol the person consumes. Hierarchical linear models were estimated based on general population surveys conducted in 18 countries participating in the GENACIS project. In general, the positive...
Article
Full-text available
The authors investigated the alcohol consumption trajectories among first-year university students. A sample of 415 students attending a large university in Southwestern Ontario, Canada, was recruited. Students completed a baseline questionnaire and 26 weekly brief Internet surveys assessing alcohol consumption from September 2006 to April 2007. Fi...
Article
As part of a larger study to estimate the global burden of disease and injury attributable to alcohol: to evaluate the evidence for a causal impact of average volume of alcohol consumption and pattern of drinking on diseases and injuries; to quantify relationships identified as causal based on published meta-analyses; to separate the impact on mort...