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PubMed2001

Binge drinking among female Veterans Affairs patients: prevalence and associated risks.

This study evaluated the prevalence and associated risks of binge drinking, defined as having > or = 4 drinks on an occasion in the past year, in a female patient population. Of 1,259 female Veterans Affairs patients surveyed, 780 reported drinking alcohol in the past year, and 305 (24% of respondents, 39% of drinkers) reported binge drinking in the past year; 84 (11% of drinkers) had done so monthly or more often. Age-adjusted logistic regression analyses indicated that women who reported past-year binge drinking monthly or more often reported significantly increased odds of morning drinking (odds ratio [OR] = 40.3), others worrying about their drinking (OR = 38.6), arguments after drinking (OR = 13.5), hepatitis or cirrhosis (OR = 3.1), frequent injuries (OR = 2.6), smoking (OR = 3.7), drug use (OR = 22.2), and multiple sexual partners (OR = 4.6).

Adult↗
PubMed2001

Preventing binge drinking during early adolescence: one- and two-year follow-up of a school-based preventive intervention.

The authors examined the effectiveness of a school-based prevention program on reducing binge drinking in a sample of minority, inner-city, middle-school students. Rates of binge drinking were compared among youth who received the program beginning in the 7th grade (n = 1,713) and a control group (n = 1,328) that did not. The prevention program had protective effects in terms of binge drinking at the 1-year (8th grade) and 2-year (9th grade) follow-up assessments. The proportion of binge drinkers was over 50% lower in the intervention group relative to the control group at the follow-up assessments. There were also several significant program effects on proximal drinking variables, including drinking knowledge, pro-drinking attitudes, and peer drinking norms. These findings indicate that a school-based drug abuse prevention approach previously found to be effective among White youth significantly reduced binge drinking among urban minority youth.

Adolescent↗
PubMed1998

Ecological momentary assessment in a behavioral drinking moderation training program.

We assessed predictors of self-reported excessive drinking (> 5 drinks) in a sample of heavy drinkers. Participants were randomly assigned to moderation training or a waiting-list control condition. They were trained in ecological momentary assessment (EMA) involving self-monitoring of drinking and other variables on a small hand-held computer, the electronic diary (ED). During the 8-week study, participants were compliant in their use of the ED for both random prompts and the entry of data related to specific drinking episodes. Generalized estimating equations were used to fit models involving predictors related to past history of drinking, aspects of the training program, drinking restraint, and episode-specific mood. The models indicated robust predictors of decreased and increased drinking. Our results suggest that EMA is a useful methodology for assessing drinking and related behaviors.

Adult↗
PubMed2005

Predicting alcohol patterns in first-year college students through motivational systems and reasons for drinking.

In the present study, a typological approach was used to identify patterns of alcohol use in a sample of 533 college freshmen students (<21 years old; 342 women; 191 men), on the basis of quantity and frequency of consumption, and alcohol-related problems. Personality (sensitivity to reward, SR; sensitivity to punishment, SP) and reasons for drinking were examined as correlates of drinking patterns through a mediational model. Analyses were done separately by gender. Latent profile analyses suggested 5 drinking patterns for both genders, including 3 problematic groups. SR was only associated with the problematic drinking patterns, and enhancement, coping, and social reasons for drinking mediated this relationship. These findings demonstrate the utility of latent profile analysis for identifying a drinking typology and for integrating personality and drinking motives to distinguish drinking patterns.

Adolescent↗
PubMed2006

Incorporating social anxiety into a model of college problem drinking: replication and extension.

Although research has found an association between social anxiety and alcohol use in noncollege samples, results have been mixed for college samples. College students face many novel social situations in which they may drink to reduce social anxiety. In the current study, the authors tested a model of college problem drinking, incorporating social anxiety and related psychosocial variables among 228 undergraduate volunteers. According to structural equation modeling (SEM) results, social anxiety was unrelated to alcohol use and was negatively related to drinking consequences. Perceived drinking norms mediated the social anxiety-alcohol use relation and was the variable most strongly associated with problem drinking. College students appear to be unique with respect to drinking and social anxiety. Although the notion of social anxiety alone as a risk factor for problem drinking was unsupported, additional research is necessary to determine whether there is a subset of socially anxious students who have high drinking norms and are in need of intervention.

Adult↗
PubMed1981

Impaired drinking responses of rats with lesions on the subfornical organ.

electrolytic lesions of the subfornical organ (SFO) in rats are known to abolish their drinking response to intravenous infusion of angiotensin II (AII). Such lesions also attenuate drinking after 20% polyethylene glycol solution (PEG) is given subcutaneously, which suggests that AII may play an important role in mediating thirst during hypovolemia. However, the present studies show that such rats with SFO lesions may drink normal amounts when larger plasma volume deficits are caused by 30% PEG treatment. They also may drink normal amounts in response to 20% PEG when pretreated either with caffeine or hypertonic NaCl solution. Furthermore, they may not drink in response to relatively low doses of hypertonic saline but drink normal amounts when given larger doses. These and other results suggest that the SFO is involved in a control system for thirst and that after damage to it, greater stimulation than usual may be required for drinking to be initiated. From this perspective, drinking would be expected following either suprathreshold stimulation or drug-induced lowering of the activation threshold in these animals, as was observed, with the loss of putative AII receptors in the SFO also contributing to their particularly severe deficits in thirst induced by AII.

Angiotensin II↗
PubMed2006

Do women give the same information on binge drinking during pregnancy when asked repeatedly?

OBJECTIVE: To study if pregnant women give the same answers to questions on frequency and timing of binge drinking when asked more than once during and after pregnancy. DESIGN: Cohort study. SETTING: The Danish National Birth Cohort. SUBJECTS: The study is based on 76 307 pregnant women with repeated information on binge drinking during the early part of pregnancy and 8933 pregnant women with information on binge drinking during pregnancy weeks 30-36, obtained while pregnant and 6 months after delivery. RESULTS: More women reported binge drinking, if the interview took place close to the period in question. As the report of binge drinking was highest in the first of two interviews referring to the same period, as well as women who participated in the first interview in pregnancy week 12 or earlier reported more binge drinking compared to women who participated in the interview later in pregnancy. CONCLUSIONS: Self-reported information on binge drinking is more frequently under-reported when the recall period is long. To improve the validity of data on binge drinking, future birth cohorts should obtain information several times during pregnancy.

Adult↗
PubMed1995

Intoxication and hazardous use of alcohol: results from the 1992 Finnish Drinking Habits Study.

The harmful or risky use of alcohol among the Finnish population is studied on the basis of data gathered in a national survey. Harms are examined in relation to different styles of drinking, and they are measured using both the Alcohol Use Disorders Identification Test (AUDIT) and the 1992 Drinking Habits Study of the Finnish Foundation for Alcohol Studies. Using an alcohol score of 11 as the cut-off point, 22% of men and 5% of women can be classified as risky drinkers. Young age and family relations are related positively to the prevalence of risky drinking. High scores in the youngest age group (15-19 years) are related to the intoxication-seeking drinking style. Those who drink often and large amounts on individual occasions experience the most harm related to drinking. However, those who drink seldom but more than seven units on a single occasion also experience harmful consequences fairly often and, thus can have high AUDIT scores. Significant others commonly criticize or give advice to the hazardous drinkers. Doctors or employers had paid less attention to the intoxication seeking or heavy drinking than the police or the significant others.

Adolescent↗
PubMed1998

Czech men's drinking in changing political climates 1983-93: a three-wave longitudinal study.

AIMS: To analyse the relationships between political developments in the Czech Republic and the drinking behaviour of Czech men. DESIGN: A longitudinal (panel) design provided data collected on a cohort of 586 Czech men in three different political climates in 1983, 1988 and 1993. SETTING: In 1986-88 the ruling Communist party tried to reduce alcohol consumption in the country by a Gorbachev-inspired anti-alcohol campaign; after 1989 the re-establishment of democracy and a market economy abolished all political control over drinking and deregulated prices of beverage alcohol. PARTICIPANTS: A representative cohort of Prague men born 1950-61. MEASUREMENTS: Beverage-specific interview reports on drinking behaviour and questionnaire data on attitudes to drinking. FINDINGS: In those followed-up, mean alcohol consumption decreased between 1983 and 1988 by 26% and increased again by 16% between 1988 and 1993, mirroring per capita consumption in the Czech Republic. The same time trend was observed across all educational levels and also among men who were registered for alcohol abuse. Attitudes of the men to drinking changed minimally over the 10 years of follow-up. Individual attitudes to drinking interacted with the period effects: men with strong positive attitudes to drinking decreased their consumption less than others during the anti-alcohol campaign and such men increased their consumption more than the average during the liberalisation period. CONCLUSIONS: The downward and then upward in average alcohol consumption of the men during the 10 years of follow-up can be interpreted as affected partly by price changes and partly by changes in political control over drinking.

Adult↗
PubMed1998

Use of alcohol to cope with tension, and its relation to gender, years in medical school and hazardous drinking: a study of two nation-wide Norwegian samples of medical students.

AIMS: To study the association between the use of alcohol to cope with tension and hazardous drinking, and the prevalence and the predictors of such drinking behaviours. DESIGN: Cross-sectional surveys of two nation-wide samples of medical students, one at the beginning and one at the end of medical training. PARTICIPANTS: Medical students entering Norwegian medical schools in 1993 (N = 379) or graduating in 1993 and 1994 (N = 522); 55.6% of the total sample were women. MEASUREMENTS: Postal questionnaires including SCL-5, Perceived Medical School Stress. FINDINGS: Use of alcohol to cope was reported by 10.5% of the students with no significant gender difference. Hazardous drinking ('binge drinking' at least 2-3 times per month) was reported by 14% of all the students, 24% among the men and 6% among the women. There was a strong association between use of alcohol to cope with tension and hazardous drinking, OR = 5.11, 95% CI (2.88-9.07) when controlling for other possible predictors. Use of alcohol to cope was also associated with increasing age, mental distress and lack of religious activity. The senior students used alcohol as a way of coping less often, but not hazardous drinking. Male gender, religious inactivity, high self-esteem and having no children were predictors of hazardous drinking. CONCLUSION: This study suggests that the use of alcohol to cope with tension is an independent risk factor connected with hazardous drinking among medical students, with no difference in prevalence between the genders.

Adaptation, Psychological↗
PubMed2000

Chronicity of sexual harassment and generalized work-place abuse: effects on drinking outcomes.

AIMS: This study examined the impact of two forms of interpersonal conflict in the work-place, sexual harassment (SH) and generalized work-place abuse (GWA), on drinking outcomes. We hypothesized that SH and GWA would be associated more strongly with negative outcomes than task-related work stressors, especially when SH and GWA were chronic problems. DESIGN: This was a two-wave panel study. SETTING: The study was conducted at an urban university in the United States. PARTICIPANTS: Participants were 2038 university employees in four occupational groups (faculty, student, clerical and service workers) who responded to both waves of the survey. MEASUREMENTS: Data on SH, GWA, task-related stressors and drinking outcomes were gathered from self-report mail questionnaires. Data from 1880 non-abstaining respondents were included in the analyses. FINDINGS: SH and GWA experiences were widespread, typically chronic, and tended to co-occur. In regression analyses controlling for demographics, occupational group, prior drinking and task-related stress, GWA chronicity was linked to increased odds of reporting one or more indicators of problem drinking at time 2, in contrast to onset and remission. SH chronicity coupled with no GWA experiences was also significantly related to increased drinking variability. Task-related stressors generally did not explain significant variance in drinking outcomes. CONCLUSIONS: SH and GWA may be better predictors of drinking behavior compared to task-related stressors, particularly when harassment is chronic. Increased attention to conflictual relationships in the work-place, the relationship between SH and GWA and the dynamic nature of stressors in general is necessary in future research on drinking behavior.

Alcohol Drinking↗
PubMed2003

Alcohol drinking as a predictor of intensive care and hospital mortality in general surgery: a prospective study.

AIMS: To analyse whether alcohol drinking increases admission to intensive care and in-hospital mortality in general surgery. DESIGN AND PARTICIPANTS: A prospective cohort study on a consecutive series of 1505 hospitalized patients in a Service of General Surgery of a tertiary hospital. MEASUREMENTS: Drinking pattern was defined by quantity, frequency and volume of drinking. Information on relevant confounders was obtained: smoking, body mass index, nutritional status (measured by serum albumin), cholesterol and its fractions, severity of the underlying disease and all therapeutic measures. Multivariate logistic regression was applied to assess the relationship between drinking and both admission to intensive care and in-hospital death. RESULTS: Twenty-nine (1.9%) patients died and 33 (2.1%) were admitted to the intensive care unit (ICU). Drinking was heavier in men, patients without antecedents of cancer, with lower preoperative risk assessment scores, number of co-morbidities and age and higher serum albumin levels. After adjusting for age, severity of underlying disease, smoking and serum albumin, male drinkers of 72+ g/day had an increased risk of being admitted to ICU, the effect being stronger for week-day drinking (odds ratio, OR = 8.48; 95% confidence interval, CI = 1.68-42.8). A significant association was also seen between week-day drinking (72+ g/day) and death in men (OR = 7.19, 95% CI = 1.43-36.1). Numbers for women were too small to evaluate. CONCLUSION: Heavy drinking increases admission to intensive care and in-hospital mortality in hospitalized male patients undergoing general surgery procedures.

Alcohol Drinking↗
PubMed2005

Performance of broiler chickens given whey in the food and/or drinking water.

1. The effects on food intake and weight gain of offering broiler chickens (2 to 7 weeks of age) dry food, wet food, wet food containing whey, whey as drinking liquid and combinations of two of these were studied in 5 experiments. 2. Wet feed generally improved both weight gain and feed efficiencies significantly. Feeding whey also improved weight gain and feed conversion efficiency, but whey offered as a drinking fluid had an adverse effect on broiler performance. 3. When whey was offered both as drinking liquid and added to the food it had a deleterious effect. 4. When whey was offered from 4 or 6 weeks of age, it had a better effect than when offered from 2 weeks of age. 5. There was better performance when whey in the drinking water was diluted and/or offered on alternate days or half-days. 6. Broilers allowed to choose between wet and dry feed when water was freely available chose mostly dry feed; in the absence of drinking water they chose mostly wet food. Birds offered water and liquid whey avoided whey completely. 7. It is concluded that whey can be used in diets for broiler chickens by incorporating it in the food as long as drinking water is offered ad libitum. Whey may be offered as a drink if the food is mixed with 1.8 times its weight of water but it is better to dilute the whey with an equal volume of water whether it is added to food or given as drink. Good results can also be obtained when undiluted whey is offered alternately with water, either in half-day or full-day periods.

Aging↗
PubMedDate not supplied

Binge drinking: not the word of choice.

Educators and researchers strive to use terms that reflect a replicable measure of behavior. A term commonly used to describe drinking of a problematic nature is binge drinking. Binge drinking defines behavior by a number of drinks of an alcoholic beverage consumed in a space of time. The authors argue that the term does not describe drinking behavior that students believe is problematic. They claim that students define problem drinking not in terms of quantity, but rather by the outcome (and occasionally by frequency), and attribute different negative connotations to the term binge. They suggest using a term that has shared meaning with students, such as dangerous drinking, to describe the drinking behavior that results in undesirable or unintended consequences.

Alcohol Drinking↗
PubMedDate not supplied

Binge drinking during the first semester of college: continuation and desistance from high school patterns.

Students' first semester on campus may set the stage for their alcohol use/misuse throughout college. The authors surveyed 274 randomly sampled first-semester freshmen at a large southwestern university on their past 2 weeks' binge drinking, their high school binge drinking, and psychosocial factors possibly associated with drinking. They conducted separate analyses among high school nonbinge drinkers (testing for predictors of college binge onset vs continued nonbinge drinking) and high school binge drinkers (testing for predictors of continued binge drinking in college vs desistance from drinking). In both analyses, the variables that predicted college binge drinking largely revolved around gregarious socializing (e.g, partying, having a social network of individuals who drank relatively heavily). Gender was predictive only among high school nonbinge drinkers; women had a higher probability than did men of adopting binge drinking in college.

Adolescent↗
PubMed2003

Self-reported drinking-game participation of incoming college students.

Drinking games are associated with excess alcohol use and alcohol-related problems, yet it is unclear whether they are unique to the college environment or whether students come to college familiar with such games. The authors queried 1,252 students attending voluntary summer orientation programs about their experiences with drinking games. A majority (63%) indicated they had played drinking games and viewed them as a means to get drunk quickly and to socialize, control others, or get someone else drunk. Logistic regression analyses revealed that familiarity with drinking situations was associated with a greater likelihood of playing drinking games. Students who reported drinking more frequently and consuming greater quantities of alcohol than others, having lifetime marijuana use, and initiating alcohol consumption between the ages of 14 and 16 years were significantly more likely to have participated in drinking games. These findings demonstrate the importance of considering students' participation in drinking games when campus officials address alcohol use.

Adolescent↗
PubMed2006

Drinking-driving fatalities and consumption of beer, wine and spirits.

Drinking-driving is a leading cause of preventable morbidity and mortality in Canada. The purpose of this paper was to examine factors that influenced drinking driver deaths in Ontario. We examined the impact of per capita consumption of total alcohol, and of beer, wine and spirits separately, on drinking-driving deaths in Ontario from 1962 to 1996, as well as the impact of the introduction of Canada's per se law and the founding of People to Reduce Impaired Driving Everywhere - Mothers Against Drunk Driving (PRIDE - MADD) Canada. We utilised time-series analyses with autoregressive integrated moving average (ARIMA) modelling. As total alcohol consumption increased, drinking driving fatalities increased. The introduction of Canada's per se law, and of PRIDE-MADD Canada, acted to reduce drinking driving death rates. Among the specific beverage types, only consumption of beer had a significant impact on drinking driver deaths. Several factors were identified that acted to increase and decrease drinking driver death rates. Of particular interest was the observation of the impact of beer consumption on these death rates. In North America, beer is taxed at a lower rate than other alcoholic beverages. The role of taxation policies as determinants of drinking-driving deaths is discussed.

Accidents, Traffic↗
PubMed2001

IQ and personality traits assessed in childhood as predictors of drinking and smoking behaviour in middle-aged adults: a 24-year follow-up study.

AIMS: The identification of childhood personality predictors of drinking and smoking behaviour in adults. DESIGN: A 24-year follow-up study. SETTING: Prague, the Czech Republic. PARTICIPANTS: Combined cohorts of 220 males and females born of unwanted pregnancies, and 220 control subjects, examined with low attrition rates at ages 9-10, 21-23, 28-31 and 32-35. MEASUREMENTS: In childhood IQ was assessed by the Wechsler Intelligence Scale, Children (WISC), and personality characteristics were rated by teachers, mothers and classmates. In adulthood questionnaires and face-to-face interviews were used to assess drinking and smoking. FINDINGS: Unwanted pregnancy was not related to adult drinking and smoking. The ratings of childhood personality characteristics were condensed into three personality dimensions, i.e. conscientiousness, extroversion and neuroticism, interpreted as three of the Big Five personality dimensions, and found to show some stability into adulthood. Gender, IQ and the three childhood personality traits were used as predictors of adult drinking and smoking behaviour. Adult drinking behaviour was significantly predicted by the block of the three childhood personality traits, low conscientiousness predicting high drinking quantity per occasion (and heavy episodic drinking) whereas extroversion predicted subjects' average daily consumption. Smoking in adulthood was predicted by low IQ and low conscientiousness. CONCLUSIONS: IQ and personality traits in children explain to some degree the drinking and smoking behaviour of adult men and women, but the roles of the different components vary according to the form of substance use.

Adult↗