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A cognitive model of binge drinking: the influence of alcohol expectancies and drinking refusal self-efficacy.

While binge drinking-episodic or irregular consumption of excessive amounts of alcohol-is recognised as a serious problem affecting our youth, to date there has been a lack of psychological theory and thus theoretically driven research into this problem. The current paper develops a cognitive model using the key constructs of alcohol expectancies (AEs) and drinking refusal self-efficacy (DRSE) to explain the acquisition and maintenance of binge drinking. It is suggested that the four combinations of the AE and DRSE can explain the four drinking styles. These are normal/social drinkers, binge drinkers, regular heavy drinkers, and problem drinkers or alcoholics. Since AE and DRSE are cognitive constructs and therefore modifiable, the cognitive model can thus facilitate the design of intervention and prevention strategies for binge drinking.

Adolescent↗

Alcohol advertising exposure and perceptions: links with alcohol expectancies and intentions to drink or drinking in underaged youth and young adults.

This study tests whether the impact of alcohol advertising exposure on intentions to drink and actual consumption is mediated by cognitive responses to advertising messages and positive expectancies about alcohol use. The model was tested using survey data of two important age cohorts, 15 to 20 years (n=608) and 21 to 29 years (n=612). The findings show that alcohol advertising was influential in shaping young people's attitudes and perceptions about alcohol advertising messages. The attitudes and perceptions predicted both positive expectancies and intentions to drink of those under the legal drinking age, but did not affect the young adults' expectancies and consumption. Positive expectancies were powerful predictors of intentions to drink and consumption for both groups. The effects of alcohol advertising on intentions to drink of those aged 15 to 20 years were mediated by cognitive responses to advertising messages and positive expectancies. The mediation effect was not evident among those between 21 and 29 years.

Adolescent↗

College students' reasons for not drinking and not playing drinking games.

Few studies have examined college students' reasons for not drinking, and no studies have addressed their reasons for not playing drinking games. This study developed measures of both constructs using a sample of 147 college students. Principal components analysis identified six Reasons for Not Drinking factors and five Reasons for Not Playing Drinking Games factors. Internal consistency and intercorrelations of the factors were examined. The factors correlated in theoretically meaningful directions with measures of alcohol consumption, alcohol outcome expectancies, reasons for drinking, self-esteem, and personality. Research findings are discussed in regards to their relevance to prevention and treatment strategies among the college population.

Adolescent↗

Autoshaping of ethanol drinking: an animal model of binge drinking.

To examine the hypothesis that Pavlovian autoshaping provides an animal learning model of drug abuse, two studies evaluated the induction of ethanol drinking by autoshaping procedures. In Experiment 1, the sipper tube conditioned stimulus (CS) contained saccharin/ethanol solution and was repeatedly paired with food as an unconditioned stimulus (US). The CS-US paired group consumed more of the 0.1% saccharin-6% ethanol solution than did the CS-US random group, revealing that autoshaping conditioned responses (CR) induce ethanol drinking not attributable to pseudo-conditioning. Experiment 2 employed saccharin-fading procedures and showed that the paired vs random group differences in ethanol drinking were maintained, even as the saccharin was eliminated from the solution. The results show that Pavlovian autoshaping procedures induce high volumes of ethanol drinking when the presentation of a sipper tube containing an ethanol solution precedes the response-independent delivery of food. The high volume of ethanol consumed in a brief period of time suggests that Pavlovian autoshaping may be a model of binge drinking.

Alcohol Drinking↗

Does the provision of cooled filtered water in secondary school cafeterias increase water drinking and decrease the purchase of soft drinks?

BACKGROUND: Secondary school students often do not drink sufficient quantities of water during the school day to prevent dehydration, promote learning and good health. The study aimed to measure the effect of health promotion and the free provision of cooled filtered water on the consumption of water and soft drinks. It also aimed to explore students' views of drinking water provision. METHODS: A study was conducted with three secondary schools in North Tyneside. Over a 3 month period one school was given cooled filtered water and active promotion (W + P), another had water only (W). The control school (C) took part in post-intervention focus group work. RESULTS: The average volume of water drunk by students, in school 'W + P' was greater (P = 0.05) than that drunk in school 'W' and control school 'C'. The volume of soft drinks purchased by students in all three schools before and during the intervention remained static. Focus group data revealed that students viewed their existing water provision as poor and wanted sufficient supplies of cooled filtered water in school. CONCLUSIONS: This pilot study indicates that active promotion of water drinking increased consumption of water by secondary school students. Further developments of the project are suggested.

Adolescent↗

Drinking patterns and correlates of drinking among pregnant teenagers.

Many adolescents drink, and the rate of teenage pregnancy is increasing, yet the effect of drinking among pregnant teenagers has received little attention. We present a description of the drinking patterns of 124 pregnant teenagers attending a prenatal clinic in Pittsburgh. Sixty-nine percent of the women were African-American, and the average age was 16 years (range 13-18 years). Eighty-two percent drank the year before pregnancy, while 54%, 19%, and 15% drank during the first, second, and third trimesters, respectively. All substance use decreased between the first and third trimesters, with the exception of tobacco, which rose significantly. Binge drinking (5+ drinks/occasion) occurred in 31% of the sample before pregnancy, rose to 35% in the first trimester, and then fell precipitously. Binge drinkers during pregnancy were more likely to be white and heavier users of tobacco, marijuana, and cocaine. Binge drinkers experienced alcohol and tobacco use and sexual intercourse earlier than nonbinge drinkers. Binge drinking in the first trimester may be considered a risk factor for infants of adolescents.

Adolescent↗

Drinking and thinking: how does personal drinking affect judgments of prevalence and risk?

In two separate university samples, the effects of individual drinking habits on perceived riskiness and estimated prevalence of drinking practices were studied. In both populations, self-reported drinking behavior was inversely related to perceived riskiness of heavy drinking and drunk driving, but inconsistently related to prevalence estimates for these behaviors. Abstainers also overestimated the commonness of heavy drinking and drunk driving much more than did drinkers who similarly did not engage in these behaviors. These findings are interpreted as consistent with self-serving motivational biases in information processing. Relative to men, women in both populations provided higher estimates of prevalence and riskiness.

Adult↗

Heavy drinking contexts and indices of problem drinking among college students.

OBJECTIVE: Heavy drinking among college students carries with it the risk of adverse consequences. This study explored the relationship between alcohol-related problems and the social-emotional contexts of drinking in college students. METHOD: Undergraduate volunteers (N = 139; 61% female; 27% minority) completed an assessment of drinking patterns, the short form of the Inventory of Drinking Situations (IDS-42) and an alcohol problems index. RESULTS: Heavy drinkers drank more, relative to light/moderate drinkers, in five of the eight situations assessed by the IDS-42. Several IDS-42 subscales correlated highly with the number of alcohol-related problems. Subjects identified by their extreme scores on the IDS-42 reported more alcohol problems, greater maximum quantities consumed and more frequent intoxication. CONCLUSIONS: The IDS-42 can identify the contexts in which heavy drinking occurs and individuals who are likely to experience alcohol problems.

Adolescent↗

Cues to start and end drinking episodes as a function of family drinking history.

College students with positive (FH+) and negative (FH-) family history for heavy frequent alcohol use showed no differences in age of first drink, amount consumed then, amount currently consumed, current frequency, maximum consumed, or effect of current alcohol consumed. However, there were FH background differences in the reasons identified for ending, but not for starting, drinking episodes involving intoxication. The realization of already drinking too much ended these drinking episodes more often among FH- than for FH+ subjects. In contrast, nausea and lateness of the hour were related to the end of drinking more often for FH+ subjects.

Adolescent↗

Cognitive preoccupation with alcohol and binge drinking in college students: alcohol-induced priming of the motivation to drink.

This research examined alcohol-induced motivation to drink as a factor that contributes to preoccupation with drinking. Forty undergraduates rated their degree of preoccupation with drinking. The author determined the relationship between the undergraduates' preoccupation and the degree to which alcohol primed their motivation to drink by having them rate their desire for alcohol after they consumed a dose of alcohol or a placebo. Results showed that individual differences in preoccupation were predicted by the priming effects displayed after alcohol was consumed. More preoccupied individuals reported greater priming effects. Priming effects following placebo were minimal and were not related to preoccupation. The research shows that reinforcing effects of alcohol may contribute to cognitive preoccupation with drinking and promote patterns of alcohol abuse.

Adult↗

Longitudinal analysis of the relationship between changes in smoking and changes in drinking in a community sample: the Winnipeg Health and Drinking Survey.

Smoking cigarettes and drinking alcohol are positively correlated in cross-sectional studies of the general population. However, it is unclear whether changes in quantity of drinking over time are related to changes in amount of smoking over time. This investigation examined, with structural equation modeling, the relationship of changes in drinking to changes in smoking over 2 years among 344 adults who reported cigarette smoking and alcohol use at baseline in 1989-1990 or at follow-up in 1991-1992 or both. Surprisingly, no significant relationships were found between changes in smoking and changes in drinking. This lack of effect suggests that changes in the quantity or intensity of drinking and of smoking are not related in any important way in nonclinical populations.

Adolescent↗

Confirmatory analysis of the adolescent obsessive compulsive drinking scale (A-OCDS): a measure of 'craving' and problem drinking in adolescents/young adults.

The A-OCDS was modeled after the Obsessive Compulsive Drinking Scale (OCDS) to establish an instrument appropriate for use in adolescent/young adult populations. Initial exploratory analysis of the A-OCDS revealed two factors, namely "irresistibility" and "interference," which were specific and sensitive to identifying problematic drinking. The study objective was to administer the A-OCDS to obtain data for confirmatory analyses regarding the dimensionality of the scale, its reliability and its sensitivity and specificity in identifying problem drinkers. The confirmatory factor analysis supported the two previously identified factors. Using logistic regression to predict drinking classifications, the predictive value of the subscale scores for predicting problem drinking was statistically significant (irresistibility p = 0.0001, and interference p = 0.0001). We concluded that the A-OCDS was confirmed as a scale for identifying certain dimensions of "craving" and problematic drinking in adolescents/young adults. This scale may be useful as a screening tool, as well as monitoring change over time.

Adolescent↗

[A study on drinking and problem drinking in tuberculosis patients].

Drinking and problem drinking were studied in 43 tuberculosis patients with the following results. The results of the KAST (Kurihama Alcoholism Screening Test) revealed that 10% of the patients were severe problem drinkers (diagnosed as alcohol dependent syndrome), 7% of the patients had drinking problems and 17% were potential problem drinkers. These percentages are higher than those of the general adult population. In the cases having higher KAST scores, the time between the onset of subjective symptoms and the first medical examination were long, but the time between the first medical examination and diagnosed tuberculosis was short. Severe tuberculosis patients showed higher KAST scores. It was assumed that tuberculosis patients who drink too heavily or are problem drinkers, were apt to put off consulting a physician, and as a result, the condition of tuberculosis would be more severe when they finally did see a physician. In the field of tuberculosis prevention and medical treatment, professionals should pay more attention to drinking and alcoholism. The need to stay sober is important in both preventing relapses and supporting recovery from tuberculosis.

Adult↗

Drinking water mutagenicity in past exposure assessment of the studies on drinking water and cancer: application and evaluation in Finland.

The assessment of past exposure is a prerequisite to all epidemiological studies on drinking water and cancer. In this study the past exposure assessment of drinking water carcinogenicity was done in terms of the drinking water mutagenicity estimated from historical water parameters and compared with the methods used previously in past exposure assessments in studies on drinking water and cancer. The method was applied in 56 municipalities in Finland. The comparison of different methods in past exposure assessment suggests some advantages for the method presented as it allows a quantitative exposure assessment based on historical information on drinking water mutagenicity. Nevertheless the relevance of the method is with respect to the role of mutagenicity in carcinogenicity and the water type in question.

Chlorine↗

Drink driving as a social problem: comparing the attitudes and knowledge of drink driving offenders and the general community.

Using data from a community survey together with data from a survey of drink-driving offenders, this paper compares the attitudes and knowledge of two matched samples on a number of drink driving issues. The total sample (149 offenders and 149 community sample respondents) were interviewed using a survey instrument containing a number of comparable questions. The offender sample were interviewed by trained interviewers in a face-to-face format, while the general community sample were interviewed using a computer aided telephone interview system. The specific issues dealt with include: a) knowledge of safe drinking and blood alcohol consumption (BAC) levels; b) attitudes towards strategies for avoiding drink driving; and c) general attitudes regarding drink driving. The analysis uses logistic regression to investigate the differences between the responses given by the two samples. The findings illustrate a number of significant differences in knowledge and attitudes between offenders and the general community.

Accidents, Traffic↗

[From the second European drinking water guideline to the new drinking water regulations].

The new drinking water regulations, effective 1.1.2003, introduced several new and hygienically important changes. The term "drinking water" has changed to "water for human consumption". The change of the term gives a remarkable extension of the scope of the drinking water regulations. One of the consequences is that the water in buildings in which the water is delivered to the public has now to be controlled as well. The planned measures may help to promote good consequences in case of accidents. The need for treatment makes it necessary to control raw water to a higher degree than before. In case of microbial contamination the water has to be treated by filtration. Disinfection may no longer be the only treatment to ensure a safe drinking water supply. The adherence to the technical rules demanded by the new drinking water regulations may convey much additional security to water supply.

Disinfection↗

The stability of soft drinks intake from adolescence to adult age and the association between long-term consumption of soft drinks and lifestyle factors and body weight.

OBJECTIVES: To investigate the tracking of sugar-sweetened, carbonated soft drinks intake from age 15 to 33 years and the association between this intake and lifestyle factors and body weight. DESIGN: A longitudinal study with 18-20 years of follow-up. Data about diet, physical activity, smoking and dieting were collected in 1981/1979, 1991 and 1999. Body weight and height were measured in 1981/1979 and self-reported in 1999. SETTING: Oslo, Norway. SUBJECTS: Four hundred and twenty-two men and women. RESULTS: Tracking of soft drinks intake from adolescence into early adulthood (age 25 years) and from early adulthood into later adulthood (33 years) was moderate to high, while tracking from adolescence into later adulthood was low. Comparing those reporting a high intake of soft drinks in both 1991 and 1999 with those reporting a low intake at both times, male long-term high consumers were more likely to smoke (48 vs. 21%, P=0.002) and reported higher intakes of energy (12.2 vs. 10.2 MJ day(-1), P=0.005) and sugar (142 vs. 50 g day(-1), P<0.001) in 1999 than did long-term low consumers. Women high consumers were less likely to be physically active (14 vs. 42%, P=0.03) and had higher sugar intake (87 vs. 41 g day(-1), P<0.001) in 1999 than did women low consumers. There were no differences in body mass index, overweight or obesity in 1999 between long-term high and low consumers. CONCLUSION: In this study, stability of soft drinks intake from age 15 to 25 years and from age 25 to 33 years was moderate to high, while from age 15 to 33 years it was low. Soft drinks intake from age 25 to 33 years was associated with smoking and physical inactivity, but not with body weight.

Adolescent↗

Drinking patterns and problems and drinking in the injury event: an analysis of emergency room patients by ethnicity.

While a substantial literature exists on the association of alcohol consumption and injury, less is known about the context in which drinking occurs within specific ethnic groups in the United States. This paper analyzes drinking patterns, alcohol-related problems and drinking-in-the-event variables among a probability sample of 359 black, 528 Hispanic and 458 white patients who were breathalyzed and interviewed after admission to the emergency room. Injured patients among both Hispanics and whites were more likely to be positive on the breathalyzer and to report heavy drinking and more frequent drunkenness during the preceding year than their non-injured counterparts. Blacks were less likely than either Hispanics or whites to report a larger number of drinks prior to injury, feeling drunk at the time, or a causal association of alcohol and the injury event. These data suggest a differential role of alcohol in injury occurrence within ethnic groups, with alcohol possibly playing less of a role in the injury event for blacks than for Hispanics or whites.

Journal Article↗