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The current study aims to: (i) explore the relationship between blood alcohol concentration (BAC) and self\u2010estimated blood alcohol concentration (EBAC); and (ii) determine whether BAC underestimation is related to an increased risk of experiencing physical aggression, verbal aggression, drink driving, ejection from a venue or refusal of service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patron street surveys were conducted in four night\u2010time entertainment precincts (NEP) across Queensland, Australia, between June 2016 and November 2018. Participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a02144) reported on their EBAC and recent negative or harmful experiences in NEPs. BAC was measured via a breathalyser. Paired samples <jats:italic>t<\/jats:italic> tests were conducted to determine if patrons' BAC and EBAC were significantly different. Logistic regressions were conducted to examine whether BAC underestimation is a significant predictor of harm and negative outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Analyses identified a small, significant difference between patron's BAC and EBAC. Patrons with a low BAC were more likely to overestimate their BAC, while patrons with higher BACs were more likely to underestimate their BAC. Moderately intoxicated patrons had the most precise BAC estimations. Patrons with a high BAC and who underestimated their intoxication level were more likely to have been recently ejected from licensed venues, compared to accurate estimators or over\u2010estimators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Overall, patrons are poor evaluators of their own intoxication level, which may have implications for their experiences in NEPs. The findings highlight the need for improved BAC education for patrons.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13569","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T18:15:31Z","timestamp":1669832131000},"page":"467-475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Investigating the relationship between inaccurate blood alcohol concentration estimates, harm and other negative consequences"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2674-5740","authenticated-orcid":false,"given":"Dominique","family":"de Andrade","sequence":"first","affiliation":[{"name":"School of Psychology Deakin University  Geelong Australia"},{"name":"School of Psychology The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kira","family":"Button","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6160-0235","authenticated-orcid":false,"given":"Kerri","family":"Coomber","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8700-5909","authenticated-orcid":false,"given":"Nicholas","family":"Taylor","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Australia"},{"name":"National Drug Research Institute Curtin University  Melbourne Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7474-0173","authenticated-orcid":false,"given":"Jason","family":"Ferris","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9182-2840","authenticated-orcid":false,"given":"Ashlee","family":"Curtis","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6896-5437","authenticated-orcid":false,"given":"Peter G.","family":"Miller","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University  Geelong Australia"},{"name":"National Drug Research Institute Curtin University  Perth Australia"},{"name":"Menzies Research Institute  Darwin Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,11,30]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"MillerP TindallJ SonderlundA GroombridgeD LecathelinaisC GillhamK et al.Dealing with alcohol\u2010related harm and the night\u2010time economy (DANTE): final Report 2012. 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