Kaestle, CE and Droste, N and Peacock, A and Bruno, R and Miller, P, Perception of intoxication in a field study of the night-time economy: blood alcohol concentration, patron characteristics, and event-level predictors, Addictive Behaviors, 76 pp. 195-200. ISSN 0306-4603 (2018) [Refereed Article]
Copyright 2017 Elsevier Ltd.
Objective: Determine the relationship of subjective intoxication to blood alcohol concentration (BAC) and examine whether patron and event-level characteristics modify the relationship of BAC to subjective intoxication.
Methods: An in-situ systematic random sample of alcohol consumers attending night-time entertainment districts between 10 pm and 3 am on Friday and Saturday nights in five Australian cities completed a brief interview (n = 4628). Participants reported age, sex, and pre-drinking, energy drink, tobacco, illicit stimulant and other illicit drug use that night, and their subjective intoxication and BAC were assessed.
Results: Male and female drinkers displayed equally low sensitivity to the impact of alcohol consumption when self-assessing their intoxication (BAC only explained 19% of variance). The marginal effect of BAC was not constant. At low BAC, participants were somewhat sensitive to increases in alcohol consumption, but at higher BAC levels that modest sensitivity dissipated (actual BAC had less impact on self-assessed intoxication). The slope ultimately leveled out to be non-responsive to additional alcohol intake. Staying out late, pre-drinking, and being young introduced biases resulting in higher self-assessed intoxication regardless of actual BAC. Further, both energy drinks and stimulant use modified the association between BAC and perceived intoxication, resulting in more compressed changes in self-assessment as BAC varies up or down, indicating less ability to perceive differences in BAC level.
Conclusions: The ability of intoxicated patrons to detect further intoxication is impaired. Co-consumption of energy drinks and/or stimulant drugs is associated with impaired intoxication judgment, creating an additional challenge for the responsible service and consumption of alcohol.
|Item Type:||Refereed Article|
|Keywords:||intoxication, alcohol, harm reduction, illicit drugs, energy drink, stimulant, harms, Australia, nightlife, bars, BAC|
|Research Division:||Medical and Health Sciences|
|Research Group:||Public Health and Health Services|
|Research Field:||Public Health and Health Services not elsewhere classified|
|Objective Group:||Public Health (excl. Specific Population Health)|
|Objective Field:||Substance Abuse|
|UTAS Author:||Peacock, A (Miss Amy Peacock)|
|UTAS Author:||Bruno, R (Associate Professor Raimondo Bruno)|
|Web of Science® Times Cited:||5|
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