Drinking patterns and harm of unrecorded alcohol in Russia: a qualitative interview study

<p><b>Background:</b> Consumption of unrecorded alcohol (alcohol, consumed as a beverage, but not reflected in official statistics) has been linked to heavy drinking and alcohol-related mortality in Russia, with different studies looking for possible toxic components or other explanations. This study explores self-reported drinking behaviors of people diagnosed with alcohol dependence to elicit the perspectives of consumers of unrecorded alcohol.</p> <p><b>Methods:</b> Semi-structured in-depth expert interviews were conducted with patients (<i>n</i> = 25) of state-run addiction treatment centers of two Russian cities. Interviews were analyzed using thematic content analysis.</p> <p><b>Results:</b> A strict hierarchy between different types of unrecorded alcohol products, their ascribed quality, and the subjective harm caused by their consumption was found, with home-made spirits for own consumption at the top and technical fluids at the bottom. The ranking order correlated with product price, social status of associated consumers, and severity of their alcohol dependence. Binge drinking was the prevailing drinking pattern and shifts from recorded to unrecorded consumption within a single binge or a zapoi (continuous drinking for at least two days) were typical. Consumption of low-quality unrecorded alcohol was associated with stronger hang-overs, zapois, alcohol psychoses and poisonings, and other indicators of alcohol attributable harm, while no such connection was found for spirits for own consumption.</p> <p><b>Conclusions:</b> In the dominant explanation patterns of the consumers, the experienced alcohol-induced harm is attributed to alcohol quality, while a thorough analysis of their reported drinking behaviors cannot exclude specific drinking patterns linked to the severity of alcohol dependence as the main determinants of the described health detriments.</p

Additional file 1: of Quantifying the global contribution of alcohol consumption to cardiomyopathy

ACM Quantification_GATHER checklist. (DOCX 17 kb

Additional file 3: of Quantifying the global contribution of alcohol consumption to cardiomyopathy

Stata file. (DTA 89 kb

Additional file 1 of How much do Europeans know about the link between alcohol use and cancer? Results from an online survey in 14 countries

Supplementary Material

sj-docx-2-nad-10.1177_14550725231183236 - Supplemental material for Translating and adapting the Alcohol Use Disorders Identification Test (AUDIT) for use in the Russian Federation: A multicentre pilot study to inform validation procedures

Supplemental material, sj-docx-2-nad-10.1177_14550725231183236 for Translating and adapting the Alcohol Use Disorders Identification Test (AUDIT) for use in the Russian Federation: A multicentre pilot study to inform validation procedures by Maria Neufeld, Anna Bunova, Eugenia Fadeeva, Alexey Nadezhdin, Elena Tetenova, Konstantin Vyshinsky, Carina Ferreira-Borges, Elena Yurasova, Andrey Allenov and Boris Gornyi in Nordic Studies on Alcohol and Drugs</p

sj-docx-1-nad-10.1177_14550725231183236 - Supplemental material for Translating and adapting the Alcohol Use Disorders Identification Test (AUDIT) for use in the Russian Federation: A multicentre pilot study to inform validation procedures

Supplemental material, sj-docx-1-nad-10.1177_14550725231183236 for Translating and adapting the Alcohol Use Disorders Identification Test (AUDIT) for use in the Russian Federation: A multicentre pilot study to inform validation procedures by Maria Neufeld, Anna Bunova, Eugenia Fadeeva, Alexey Nadezhdin, Elena Tetenova, Konstantin Vyshinsky, Carina Ferreira-Borges, Elena Yurasova, Andrey Allenov and Boris Gornyi in Nordic Studies on Alcohol and Drugs</p