Prepared by: Andreja Belščak 
Date of last change: September 2016

Purpose and justification of the indicator

High-risk drinking is the consumption of more than 60g of alcohol (6 scoops) for healthy adult men or 40g of alcohol (4 scoops) for healthy adult women on a single occasion. Risky and harmful drinking is one of the main preventable risk factors for premature death, disease, injury and violence. Health problems caused by alcohol use are related to the amount of alcohol consumed. The consequences of drinking alcohol occur both on one-off occasions of high-risk drinking (traffic accidents, violence, injuries, etc.), as well as in connection with risky and harmful drinking of alcohol (e.g. liver cirrhosis, irreversible damage to the nervous system, increased risk of cardiovascular diseases, certain types of cancer , worsening of already existing diseases, loss of employment...). The consequences of the risky and harmful consumption of alcohol affect the individual and his environment as well as the wider society, as they also represent a large financial and social burden (reduced or lost productivity, illness and premature death and consequent costs in healthcare, social welfare, the transport sector and criminal justice).

Definition of indicator

The indicator "High-risk drinking" shows the number of persons aged 15 and over who have drunk at least once in a high-risk manner in the last year. Due to the wording of the question, it was not possible to obtain results for the recommended levels of drinking for women from the survey, so the proportion of those who drank more than 6 measures of alcohol on one occasion was calculated for both sexes.
One measure (unit) of alcoholic beverage or 10g of pure alcohol is found in 1 dl of wine or 2.5 dl of beer or 0.3 dl of brandy or 3.3 dl of mixed carbonated alcoholic beverages.

Unit of measure

Calculation of the indicator

The indicator "High-risk drinking" shows the ratio of the number of people who, in the Health and Healthcare Survey, to the question "How often in the last 12 months have you consumed 6 or more measures of alcoholic beverages on one occasion?" For example, at a party, at a meal, in the evening out with friends, alone at home ..." answered that they got high-risk drunk at least once in the last 12 months, and the number of all people who answered the questionnaire, multiplied by 100.
High-risk drinking
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The indicator for the municipality is calculated on the basis of a model that takes into account the prevalence of high-risk drinking at the level of the administrative unit and demographic data of the municipality.

Data sources for Slovenia

Health and Health Care Survey, National Institute of Public Health.

Time availability

Data are collected periodically, according to the European Commission Regulation, the survey is planned for five-year periods. So far, the survey has been conducted in 2007 and 2014 and 2019.

Men in literature

<ol>
<li>ECHI indicator development and documentation, Joint Action for ECHIM Final Report Part II, National Institute for Public Health and the Environment (RIVM), 20122. Standardizing Measurement of Alcohol Related Troubles. Executive Agency for Health and Consumers (<a href="http://www.alcsmart.ipin.edu.pl/files/questionnaire_final.pdf">http://www.alcsmart.ipin.edu.pl/files/questionnaire_final.pdf</a>).</li>
<li>European health interview survey (EHIS wave 2); Methodological manual, 2013. Alcohol consumption (AL) <a href="http://ec.europa.eu/eurostat/documents/3859598/5926729/KS-RA-13-018-EN.PDF/26c7ea80-01d8-420e-bdc6-e9d5f6578e7c">http://ec.europa.eu/eurostat/documents/3859598/5926729/KS-RA-13-018-EN.PDF/26c7ea80-01d8-420e-bdc6-e9d5f6578e7c</a></li>
</ol>

Notes

A uniform criterion is used for both women and men, namely 6 scoops on a single occasion. In this way, the obtained proportion of high-risk drinking women is underestimated, as it takes into account 6 measures of alcohol on one occasion, rather than 4 measures, which is otherwise the recommended measure of high-risk drinking on one occasion for women.
The survey includes people aged 15 and over. The survey does not cover the population residing in the institution at the time of the survey. The survey covers only people aged 15 and over, not younger people who can also drink alcoholic beverages.

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