Robin Room

Robin Room
La Trobe University · Centre for Alcohol Policy Research

PhD

About

757
Publications
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62,727
Citations

Publications

Publications (757)
Article
Full-text available
While there is evidence for self-exclusion (SE) as an individual-level harm reduction intervention, its effects on reducing harm from gambling at the population level remain unclear. Based on a review of national legal frameworks and SE programs, including their utilization and enforcement in selected high-income societies, the present analysis aim...
Article
Full-text available
As with other Muslim-majority countries (MMCs), there is little data on alcohol use in Iraq. This study examines attitudes toward alcohol and its use among Iraqi university students. It considers the likely impact of the context of conflict and globalization. An online quantitative questionnaire was distributed to students at several universities i...
Preprint
This paper considers challenges in applying the approaches used for regulating alcohol marketing in traditional media to the digital marketing of alcohol. Drawing on research, case studies and reports, the paper considers experience with strategies for regulating alcohol marketing and its applicability to digital media, including: (1) comprehensive...
Article
Objective: Drawing on a study of the range and magnitude of harms that alcohol caused to specific others in Australia, and on social and health agency statistics for collective costs, this article produces an analysis of the economic cost of alcohol's harm to others (AHTO) in Australia. Method: This study used a general population survey and rou...
Article
Full-text available
An emerging literature has identified optimal low-risk gambling limits in an effort to reduce gambling-related harm. Concerns have, however, been raised about the construction of aggregate low-risk limits that are applied to all gambling activities and there is support from gambling experts and the general public in Australia for the identification...
Article
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Background and aims: Survey questions on usual quantity and frequency of alcohol consumption are regularly used in screening tools to identify drinkers requiring intervention. The aim of this study was to measure age-based differences in quantity and frequency of alcohol consumption on the Alcohol Use Disorders Identification Test (AUDIT) and how...
Article
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Introduction The Banned Drinker Register (BDR) was reintroduced in the Northern Territory (NT) in September 2017. The BDR is a supply reduction measure and involves placing people who consume alcohol at harmful levels on a register prohibiting the purchase, possession and consumption of alcohol. The current study aims to evaluate the impacts of the...
Preprint
Full-text available
Aims Survey questions on usual quantity and frequency of alcohol consumption are regularly used in screening tools to identify drinkers requiring intervention. The aim of this study is to examine age-based differences in quantity and frequency of alcohol consumption on the Alcohol Use Disorders Identification Test (AUDIT) and how this relates to th...
Article
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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 an...
Article
Aims: To examine how standard analytical approaches to model mortality outcomes of alcohol use compare to the true results using the impact of the March 2017 alcohol taxation increase in Lithuania on all-cause mortality as an example. Methods: Four methodologies were used: two direct methodologies: (a) interrupted time-series on mortality and (b...
Technical Report
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In November and December 2020, the World Health Organization (WHO) conducted an online consultation seeking comment and suggestions on a Working Document for the ‘development of an action plan to strengthen implementation of the Global [Alcohol] Strategy’. In this Report, we critically examine the views expressed, and arguments made, by alcohol in...
Article
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Home drinking contributes substantially to health harms associated with alcohol consumption. Drawing on practice theory and new materialism, we argue that drinking is a social practice that allows particular sets of effects, or affordances, when it takes place in a person's home. Qualitative interviews were conducted by telephone with 40 Australian...
Article
Background and Aims The relationship between alcohol consumption and liver cirrhosis is well established. Policies that can influence population-level use of alcohol should, in turn, impact liver cirrhosis. We examined the effect of population-level alcohol control policies on liver cirrhosis mortality rates in Lithuania – a high-income European Un...
Article
Full-text available
In most countries, the alcohol industry enjoys considerable freedom to market its products. Where government regulation is proposed or enacted, the alcohol industry has often deployed legal arguments and used legal forums to challenge regulation. Governments considering marketing regulation must be cognizant of relevant legal constraints and be pre...
Article
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Background Few studies have examined links between current alcohol dependence and specific harms among Indigenous Australians. We investigated these associations as well as help seeking for drinking, awareness of local treatments and recommendations to help family or friends cut down or stop drinking in two Indigenous communities. Methods A repres...
Article
Aims: To determine the effect of an alcohol policy change, which increased the minimum legal drinking age (MLDA) from 18 years of age to 20 years of age on all-cause mortality rates in young adults (18-19 years old) in Lithuania. Methods: An interrupted time series analysis was conducted on a dataset from 2001 to 2019 (n = 228 months). The model...
Article
Full-text available
Aims This study aimed to examine perceived social norms, the effect of parental drinking on these norms, alcohol use in front of children, and how norms and consumption vary based on child age and gender of the parent. Methods A cross-sectional online panel survey was undertaken with n = 1000 Australian adults (including 670 parents) aged 18–59 ye...
Article
Background In the 1920s, eight of nine Canadian provinces legalized alcohol sales, ending prohibition in favor of government control. Much has been written about the rise and fall of Prohibition in North America, but there is little work examining these events in the light of current drug policy debates. This paper attempts to fill some of these ga...
Article
Introduction 800,000 people die by suicide every year according to World Health Organisation data. Studies have shown associations between alcohol consumption and suicide, with most demonstrating that alcohol consumption increases suicide risk. However, some studies from high consumption countries show results in the opposite direction. This presen...
Article
Introduction ‘Drinking occasions’ are commonly used to capture quantities of alcohol consumed. Yet this standardised terminology brings with it numerous assumptions and epistemological limitations. We suggest that social changes brought on by COVID-19 restrictions have influenced routines, patterns of time use and drinking practices, highlighting t...
Article
Objective This study aimed to investigate the association between alcohol consumption and the prevalence of stroke in Chinese adults aged 40 years and over. Method We conducted a cross-sectional analysis among 113,573 Chinese adults aged ≥ 40 years in the China National Stroke Prevention Project (2014–2015) to examine correlations of alcohol consu...
Article
The burden of caring for drinkers is seldom articulated as a social concern, or integrated in service planning or alcohol policy. This study aims to examine prevalence and predictors of informal caregiving due to others’ drinking cross-nationally by surveying 20,728 respondents (18–64 years) in 11 countries. The outcome variable was respondent-repo...
Article
Background Alcohol consumption is causally linked to several cancer sites but the evidence for stomach cancer is still inconclusive. We aimed to quantify the association between alcohol intake and risk of stomach cancer, including subtypes. Methods We pooled data from two cohort studies including 452,958 individuals enrolled in the European Prospe...
Article
Background: The diverse forms of unrecorded alcohol, defined as beverage alcohol not registered in official statistics in the country where it is consumed, comprise about one fourth of all alcohol consumed worldwide. Since unrecorded alcohol is usually cheaper than registered commercial alcohol, a standard argument against raising alcohol excise t...
Article
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Background Cannabis use is common, especially among young people, and is associated with risks for various health harms. Some jurisdictions have recently moved to legalization/regulation pursuing public health goals. Evidence-based ‘Lower Risk Cannabis Use Guidelines’ (LRCUG) and recommendations were previously developed to reduce modifiable risk f...
Article
This closing commentary to the special section presents an overview of the Queensland Alcohol-related violence and Night-Time Economy Monitoring evaluation findings in comparison to those from other jurisdictions where similar interventions have been implemented (such as Sydney and Newcastle), and especially with previous studies that have used sim...
Article
The ‘social worlds’ concept has been underutilized in alcohol research. This is surprising given that drinking is primarily a social activity, often a secondary part of a sociable occasion in a social world whose members come together around something they have in common, such as an occupation, a hobby, or an identity. Social worlds which include d...
Article
This commentary introduces the special section on the outcomes of the Queensland Alcohol-related violence and Night-time Economy Monitoring project and outlines the political and policy context of the interventions put in place under the Queensland government's Tackling Alcohol-Fuelled Violence strategy. The development of the strategy was informed...
Article
Alcohol consumption is a known cause of cancer, but its role in the etiology of second primary (metachronous) cancer is uncertain. Associations between alcohol intake up until study enrollment (pre‐diagnosis) and risk of metachronous cancer were examined in 9,435 participants in the Melbourne Collaborative Cohort Study who were diagnosed with their...
Preprint
Full-text available
Aims: To determine the effect of an alcohol policy change, which increased the minimum legal drinking age (MLDA) from 18 years of age to 20 years of age on all-cause mortality rates in young adults in Lithuania. Methods: An interrupted time series analysis was conducted on a dataset from 2001 to 2019 (n = 228 months). The model tested the effects o...
Article
Introduction: Little is known about the prevalence of current alcohol dependence in Indigenous Australian communities. Here we identify the frequency of reported symptoms, estimate the prevalence and describe the correlates of current alcohol dependence. Methods: A representative sample of Indigenous Australians (16+ years) was recruited from an...
Preprint
Full-text available
Background Interrupted time series (ITS) are an important tool for determining whether alcohol control policies, as well as other policy interventions, are successful over and above secular trends or chance. Subsequent to estimating whether a policy has had an effect, quantifying the key outcomes, such as the number of prevented deaths, is of prima...
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
Background and aims Alcohol use has been identified as a major risk factor for burden of mortality and disease, particularly for countries in Eastern Europe. Over the past 2 decades, several countries in this region have implemented effective alcohol policy measures to combat this burden. The aim of the current study was to measure the association...
Article
Full-text available
Due to the high levels of alcohol use, alcohol-attributable mortality and burden of disease, and detrimental drinking patterns, Lithuania implemented a series of alcohol control policies within a relatively short period of time, between 2008 and 2019. Based on their expected impact on alcohol consumption and alcohol-attributable harm, as well as th...
Article
Full-text available
Alcohol consumption is causally linked to several cancers but the evidence for stomach cancer is inconclusive. In our study, the association between long‐term alcohol intake and risk of stomach cancer and its subtypes was evaluated. We performed a pooled analysis of data collected at baseline from 491,714 participants in the European Prospective In...
Preprint
Full-text available
Given the high levels of overall volume of alcohol use, detrimental drinking patterns, and high levels of alcohol-attributable mortality and burden of disease, Lithuania implemented a series of alcohol control policies within a relatively short period of time (2008 to 2019). Based on their expected impact on alcohol consumption and alcohol-attribut...
Article
Full-text available
This study derived a set of Australian low-risk gambling limits and explored the relative and absolute risk associated with exceeding these limits. Secondary analysis of population-representative Tasmanian and Australian Capital Territory (ACT) cross-sectional (11,597 respondents) and longitudinal studies (2027 respondents) was conducted. Balancing...
Chapter
Use of psychoactive substances and our interpretations of the effects of the substances are affected by culture, defined broadly to include social worlds and subcultures as well as tribal, societal and linguistic groupings. Prototypical patternings of use include medicinal use, customary regular use and festival and other intermittent uses (where t...
Chapter
The three international drug treaties cover many psychoactive substances (“drugs”), although not tobacco (now under a separate treaty) or alcohol. They include a penal regime to enforce the limitation of use to medical or scientific purposes, a trade regime concerning drugs for medical use, and a planning scheme to ensure adequate supplies of medic...
Chapter
At least in Western societies, alcohol consumption is part and parcel of celebrations and social gatherings. Social norms around alcohol use - when, for whom and how much drinking is appropriate or not - assist us in navigating social interactions and help us to manage even unfamiliar situations by providing general behavioral guidance. However, wh...
Article
Introduction International drink‐driving policy research generally focuses on aggregate outcomes (e.g., rates of crashes, fatalities) without emphasizing secondhand alcohol‐related vehicular harms. In contrast, we investigate associations between drink‐driving policies and harms involving another driver’s impairment. Methods Alcohol’s harms to oth...
Article
Introduction and Aims Alcohol use is a leading risk factor for death and disability, responsible for 3 million deaths in 2016. The alcohol industry is a powerful player in shaping trade and investment rules in ways that can constrain the ability of governments to regulate alcoholic beverages to reduce harm. This paper analyses publicly available su...
Article
Background Evidence suggests adolescent alcohol consumption has declined since the turn of the millennium in almost all high-income countries. However, differences in the timing and magnitude of the decline have not been explored across countries. Methods We examined trends in adolescent past month or monthly alcohol consumption prevalence from cr...
Article
Introduction and Aims Restrictions introduced to reduce the spread of COVID‐19 have had major impacts on the living circumstances of Australians. This paper aims to provide insight into shifts in alcohol consumption and associated factors during the epidemic. Design and Methods A cross‐sectional convenience sample of 2307 Australians aged 18 and o...
Article
This article proposes and discusses the text of a Framework Convention on Alcohol Control, which would serve public health and welfare interests. The history of alcohol’s omission from current drug treaties is briefly discussed. The paper spells out what should be covered in the treaty, using text adapted primarily from the Framework Convention on...
Article
The gambling industry has grown into a global business in the 21st century. This has created the need for a new emphasis on problem prevention. This article highlights the core themes of the book Setting Limits: Gambling, Science and Public Policy, taking a broad view of the consequences of gambling for society as a burden on health, well‐being and...
Article
Background Informed by literature on venue design and ‘nudging’ in the context of choice architecture, the purpose of this article is to investigate the physical design of, and practices enacted within, sports bars to provide some indication as to whether these venues are spaces that encourage risky drinking and betting. Methods Our analysis draws...
Article
Alcohol use has been identified in major United Nations (UN) initiatives, such as the Sustainable Development Goals and the Non-Communicable Disease Action Plan, as a major contributor to the global burden of disease. As a result, levels of alcohol use serve as an official indicator of progress towards these UN-set goals. Given current trends, UN t...
Article
In light of the recent announcement from the Victorian (Australia) state government that they are moving to decriminalise public drunkenness and replace it with a 'health-based response', it is timely to reflect on a number of important considerations identified from the academic literature on this topic. We briefly review a number of models of hea...
Article
Full-text available
Intervening in heavy drinking cultures within groups below the level of the population has been under-utilized as a means of reducing alcohol-associated harms. We argue that the concept of 'social worlds' is useful for the identification and investigation of heavy drinking cultures in collectivities at this level. The concept may also support inves...
Article
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This overview reviews the establishment and evolution of the Centre for Social Research on Alcohol and Drugs (SoRAD). It outlines its current organisation and updated research direction, and discusses SoRAD’s future challenges and opportunities. SoRAD was established at Stockholm University to strengthen and support Swedish social science research...
Article
Introduction A significant minority of Australians drink within the 2009 national guidelines. Despite encouragement of low‐risk drinking as opposed to consumption patterns associated with greater harm, little is known about the drinking patterns of this group. This paper identifies subgroups of low‐risk drinkers and their distinguishable characteri...
Article
Aims: There is new interest in measuring alcohol consumption during risky drinking events, but there is little guidance on how to best ask such questions. In this study, we contrast two different types of questions on peak consumption over a single heavy drinking occasion. We used a general question that ask respondents to recall the total amount...
Article
Full-text available
Background The article examines the interplay between the practices of heavy drinking and exercise among young people. The comparison helps to clarify why young people are currently drinking less than earlier and how the health-related discourses and activities are modifying young people's heavy drinking practices. Methods The data is based on int...
Article
To understand alcohol’s harm to others, research is needed measuring and analysing harms like family violence and traffic injuries which are managed in response systems, as well as harms which occur in the general population, and economic costs for the society as a whole. Findings in these different study frames should be compared substantively to...
Article
Full-text available
Research shows that young people's online practices have become a continuous, seamless and routine part of their physical and social worlds. Studies report contradictory findings on whether social media promotes intoxication-driven drinking cultures among young people or diminishes their alcohol consumption. By applying actor-network theory, our st...
Article
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...
Article
Aim: This study aimed to assess the extent to which the association between recent alcohol consumption and risk of non-traffic injury varies according to location at the time of the injury. Design: Case-crossover design. Setting and participants 15,625 injury patients from 49 emergency departments (EDs) in 22 countries. Measurements: Recent al...
Chapter
Alcohol intoxication is unwelcome to a majority in modern societies, though tolerated in specific circumstances. Societal responses have generally sought to minimise harm and discourage recurrence. Public intoxication, seen as impairing community amenity, was traditionally criminalised, with chronic cases imprisoned or compulsorily treated. Where d...
Article
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Aims: To model the effects of a range of alcohol pricing policies on alcohol consumption in subpopulation groups (e.g. alcohol consumption pattern, and age and income groups) in Australia. Design: We used estimated price elasticities to model the effects of proposed pricing policies on consumption for 11 beverage categories among subpopulation g...
Article
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Background: Alcohol consumption, even at low-levels, can not be guaranteed as safe or risk free. Specifically, the 2009 Australian National Health and Medical Research Council drinking guidelines recommend that adults should not drink more than two standard drinks on any day on average, and no more than four drinks on a single occasion. Nearly 40%...
Article
Introduction: There is international interest in how to limit growth in alcohol availability in areas of high outlet density in order to reduce alcohol-related harms. Town planning legislation in Victoria, Australia, allows local government officers to refuse planning permits for new licensed premises on 'cumulative impact' grounds (impacts from e...
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
Full-text available
Background Alcohol consumption among Indigenous Australians can be irregular, depending on social and geographic context. The Finnish method uses the last four drinking occasions to estimate drinking quantity and pattern. The Grog Survey App is an interactive and visual tablet computer application which uses touch-screen technology to deliver quest...