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Perception of intoxication in a field study of the night-time economy: Blood alcohol concentration,patron characteristics,and event-level predictors
Institution:1. Department of Human Development, Virginia Tech, Blacksburg, VA, USA;2. School of Psychology, Deakin University, Geelong, Australia;3. National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia;4. School of Medicine, University of Tasmania, Hobart, Australia;1. Vermont Center for Behavior and Health, Department of Psychiatry, and Department of Psychological Sciences, University of Vermont, United States;2. Office of Health Promotion Research, University of Vermont, United States;3. Department of Medical Biostatistics, University of Vermont, United States;1. Leibniz-Institut für Wissensmedien Tübingen, Germany;2. University of Amsterdam, The Netherlands;3. University of Amsterdam, Radboud University Nijmegen, The Netherlands;1. Instituto Ave Pulmo, Fundación Enfisema, Mar del Plata, Argentina;2. Cancer Research UK Health Behaviour Research Centre, University College London, London WC1E 6BT, UK;3. National Health Service Centre for Smoking Cessation and Training, London, UK;1. Brown University School of Public Health, Providence, RI, United States;2. Brown University Center for Alcohol and Addiction Studies, Providence, RI, United States
Abstract:ObjectiveDetermine 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.MethodsAn 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.ResultsMale 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.ConclusionsThe 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.
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