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1.
MMWR Morb Mortal Wkly Rep ; 69(2): 30-34, 2020 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-31945030

RESUMO

Each year, excessive drinking accounts for one in 10 deaths among U.S. adults aged 20-64 years (1), and approximately 90% of adults who report excessive drinking* binge drink (i.e., consume five or more drinks for men or four or more drinks for women on a single occasion) (2). In 2015, 17.1% of U.S. adults aged ≥18 years reported binge drinking approximately once a week and consumed an average of seven drinks per binge drinking episode, resulting in 17.5 billion total binge drinks, or 467 total binge drinks per adult who reported binge drinking (3). CDC analyzed 2011-2017 Behavioral Risk Factor Surveillance System (BRFSS) data to assess trends in total annual binge drinks per adult who reported binge drinking in the United States overall and in the individual states. The age-adjusted† total annual number of binge drinks per adult who reported binge drinking increased significantly from 472 in 2011 to 529 in 2017. Total annual binge drinks per adult who reported binge drinking also increased significantly from 2011 to 2017 among those aged 35-44 years (26.7%, from 468 to 593) and 45-64 years (23.1%, from 428 to 527). The largest percentage increases in total binge drinks per adult who reported binge drinking during this period were observed among those without a high school diploma (45.8%) and those with household incomes <$25,000 (23.9%). Strategies recommended by the Community Preventive Services Task Force§ for reducing excessive drinking (e.g., regulating alcohol outlet density) might reduce binge drinking and related health risks.


Assuntos
Bebedeira/tendências , Adolescente , Adulto , Idoso , Sistema de Vigilância de Fator de Risco Comportamental , Bebedeira/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Estados Unidos/epidemiologia , Adulto Jovem
2.
Nonlinear Dynamics Psychol Life Sci ; 23(4): 465-490, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31586498

RESUMO

Findings from cusp catastrophe modeling of binge drinking among college students in the United States (U.S.) and high school students in other countries (i.e., Japan) have advanced our understanding of alcohol abuse. No reported study has used the same method to investigate binge drinking among U.S. high school students, a high-risk population for alcohol abuse. In this study, we analyzed data for 12th graders (n = 1122) from the 2015 Monitoring the Future (MFT) Study with cusp catastrophe models. Guided by Kahneman's dual-system theory that integrates the theories of reasoned action and planned behavior, perceived alcohol harm (0-3, larger indicating less harm) was modeled as asymmetry variable (knowledge and beliefs), and drinking in social settings (contextual factors, 0 = no and 4 = always) as bifurcation variable to predict binge drinking in the past two weeks (0, 1, 2, 3 or more times). Analytical results indicated that a cusp model, depending on the method for parameter estimation could explain 36-88% of the variance in binge drinking while a linear model only explained up to 14%. Results from the indirect cusp modeling methods indicated that perceived alcohol harm and drinking in social settings both significantly predicted binge drinking. However, the estimated cusp point varied depending on the method for parameter estimation. In conclusion, the dynamics of binge drinking among U.S. high school students are nonlinear and discrete. Knowledge-based interventions to prevent binge drinking need to emphasize social and contextual factors that may trigger sudden behavior change to achieve greater intervention effect. To advance cusp catastrophe modeling, further research is needed to improve the method for parameter estimation.


Assuntos
Bebedeira/epidemiologia , Dinâmica não Linear , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Consumo de Álcool por Menores/estatística & dados numéricos , Humanos , Estados Unidos/epidemiologia
3.
Artigo em Inglês | MEDLINE | ID: mdl-31426271

RESUMO

Purpose: Investigations suggest non-medical use of prescription drugs (NMUPD) is associated with heavy drinking and polydrug use among university students. Our aim is to determine the prevalence of NMUPD among university students and to analyze its association with alcohol, tobacco, and cannabis use, and to study the role of the age of drinking onset. Methods: Cohort study among university Spanish students (n = 1382). Heavy drinking (HED) and risky consumption (RC) were measured with the Alcohol Use Disorders Identification Test. Questions related to tobacco and cannabis consumption were also formulated. NMUPD refers to sedative, anxiety, or pain medication intake within the last 15 days without medical prescription. All variables were measured at 18, 20, and 27 years. Multilevel logistic regression for repeated measures was used to obtain adjusted OR (odds ratios). We analyzed the results from a gender perspective. Results: Prevalence of NMUPD were higher in students who already partook in NMUPD at the beginning of the study. NMUPD in women at 27 is 3 times higher than at 18, while in men it is twice. Among females, RC (OR = 1.43) and cannabis consumption (OR = 1.33) are risk factors for NMUPD, while later onset of alcohol use (OR = 0.66) constitutes a protective factor. No significant differences were found for males. Conclusions: NMUPD is prevalent among university students. RC and early onset of alcohol use were associated with higher prevalence of NMUPD in females. The prevalence of NMUPD increased with age in both sexes. Strategies for reducing risky drinking and delaying onset of drinking should be provided for university students. Pharmacists and parents should be alerted to the risk of NMUPD.


Assuntos
Consumo de Álcool na Faculdade , Bebedeira/epidemiologia , Cannabis , Uso Indevido de Medicamentos sob Prescrição/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Consumo de Bebidas Alcoólicas/epidemiologia , Transtornos de Ansiedade , Estudos de Coortes , Etanol , Feminino , Seguimentos , Humanos , Modelos Logísticos , Masculino , Razão de Chances , Medicamentos sob Prescrição , Prevalência , Fatores de Risco , Espanha/epidemiologia , Estudantes , Transtornos Relacionados ao Uso de Substâncias , Universidades , Adulto Jovem
5.
Alcohol Alcohol ; 54(4): 446-454, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-31044220

RESUMO

AIMS: Alcohol consumption is a modifiable and plausible risk factor for age-related cognitive decline but more longitudinal studies investigating the association are needed. Our aims were to estimate associations of adult-life alcohol consumption and consumption patterns with age-related cognitive decline. METHODS: We investigated the associations of self-reported adult-life weekly alcohol consumption and weekly extreme binge drinking (≥10 units on the same occasion) with changes in test scores on an identical validated test of intelligence completed in early adulthood and late midlife in 2498 Danish men from the Lifestyle and Cognition Follow-up study 2015. Analyses were adjusted for year of birth, retest interval, baseline IQ, education and smoking. RESULTS: Men with adult-life alcohol consumption of more than 28 units/week had a larger decline in IQ scores from early adulthood to late midlife than men consuming 1-14 units/week (B29-35units/week = -3.6; P < 0.001). Likewise, a 1-year increase in weekly extreme binge drinking was associated with a 0.12-point decline in IQ scores (P < 0.001). Weekly extreme binge drinking explained more variance in IQ changes than average weekly consumption. In analyses including mutual adjustment of weekly extreme binge drinking and average weekly alcohol consumption, the estimated IQ decline associated with extreme binge drinking was largely unaffected, whereas the association with weekly alcohol consumption became non-significant. CONCLUSIONS: Adult-life heavy alcohol consumption and extreme binge drinking appear to be associated with larger cognitive decline in men. Moreover, extreme binge drinking may be more important than weekly alcohol consumption in relation to cognitive decline.


Assuntos
Envelhecimento/psicologia , Consumo de Bebidas Alcoólicas/psicologia , Consumo de Bebidas Alcoólicas/tendências , Bebedeira/psicologia , Bebedeira/tendências , Disfunção Cognitiva/psicologia , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Bebedeira/epidemiologia , Disfunção Cognitiva/epidemiologia , Dinamarca/epidemiologia , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos
6.
BMC Public Health ; 19(1): 444, 2019 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-31035989

RESUMO

BACKGROUND: The degree to which the relationship between alcohol use and sleeplessness is unidirectional or reciprocal is unclear due to great variation among the results of previous studies. The aim of the present study was to investigate if the relationship between alcohol use and sleeplessness is bidirectional by exploring how the change in and stability of alcohol use were related to sleeplessness, and vice versa, how the change in and stability of sleeplessness were related to alcohol use, in a longitudinal study spanning 13 years. METHOD: Data were collected from 9941 adults who participated in two waves (T1: 1994-1995, and T2: 2007-2008) of the Tromsø Study, a Norwegian general population health study. Alcohol use was measured by questions asking about the frequency of drinking, amounts of alcohol normally consumed and the frequency of binge drinking, whereas sleeplessness was measured by one item asking about the frequency of experiencing sleeplessness. Variables representing change in and stability of consumption of alcohol and sleeplessness from T1 to T2 were created. Logistic regression analyses, stratified by gender, were used to analyze the data. RESULTS: Men reporting stable high (OR = 2.11, p. < .001) or increasing (OR = 1.94, p. < .01) consumption of alcohol from T1 to T2 had a significantly higher risk of reporting sleeplessness at T2. Likewise, men experiencing stable (OR = 1.84, p. < .01) or increasing (OR = 1.78, p. < .001) sleeplessness from T1 to T2 had a significantly higher risk of reporting high consumption of alcohol at T2. No significant effects were detected among women. CONCLUSION: The findings indicate a bidirectional relationship between high consumption of alcohol and sleeplessness only among men. Thus, healthcare professionals ought to be informed about the health risks associated with excessive drinking and struggling with sleeplessness, especially in men.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adulto , Bebedeira/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Noruega/epidemiologia , Fatores Sexuais
7.
J Youth Adolesc ; 48(7): 1342-1352, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31079263

RESUMO

Binge drinking may be associated with adolescents' experience of multiple types of interpersonal violence perpetration and victimization, and if so, could be a malleable intervention target to prevent interpersonal violence. The current article explores the between- and within-person associations of binge drinking (i.e., 4/5 or more drinks in a row for girls/boys) with interpersonal violence among adolescents (N = 1322, 50.3% girls/women, 88.9% White/non-Hispanic, 85.9% heterosexual, 18.6% free/reduced lunch, aged 13-19) using a longitudinal design (three waves of data collection across more than a year). Overall, adolescents who engaged in binge drinking at more time points were more likely to perpetrate sexual harassment and stalking, and more likely to be victims of stalking and dating violence. At time points when adolescents had engaged in binge drinking in the past month, they were more likely to perpetrate dating violence, less likely to perpetrate stalking, and more likely to be sexual harassment victims. Addressing binge drinking in prevention programs may reduce some forms of interpersonal violence.


Assuntos
Bebedeira/epidemiologia , Vítimas de Crime/estatística & dados numéricos , Violência por Parceiro Íntimo/estatística & dados numéricos , Assédio Sexual/estatística & dados numéricos , Adolescente , Comportamento do Adolescente/psicologia , Bebedeira/psicologia , Bullying/estatística & dados numéricos , Vítimas de Crime/psicologia , Coleta de Dados , Grupos Étnicos/estatística & dados numéricos , Feminino , Humanos , Relações Interpessoais , Violência por Parceiro Íntimo/psicologia , Masculino , Assédio Sexual/psicologia
8.
Drug Alcohol Depend ; 200: 115-123, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-31121494

RESUMO

BACKGROUND: Binge drinking accounts for several adverse health, social, legal, and academic outcomes among adolescents. Understanding trends and correlates of binge drinking and alcohol abstention has important implications for policy and programs and was the aim of this study. The current study examined trends in adolescent binge drinking and alcohol abstention by age, gender, and race/ethnicity over a 15-year period. METHODS: Respondents between the ages of 12 and 17 years who participated in the National Survey on Drug Use and Health (NSDUH) between 2002 and 2016 were included in the sample of 258,309. Measures included binge drinking, alcohol abstention, and co-morbid factors (e.g., marijuana, other illicit drugs), and demographic factors. RESULTS: Logistic regression analyses were conducted to examine the significance of trend changes by sub-groups while controlling for co-morbid and demographic factors. Findings indicated that binge drinking decreased substantially among adolescents in the US over the last 15 years. This decrease was shown among all age, gender, and racial/ethnic groups. In 2002, Year 1 of the study, 26% of 17-year-olds reported past-month binge drinking; in 2016, past-month binge drinking dropped to 12%. Findings also indicated comparable increases in the proportion of youth reporting abstention from alcohol consumption across all subgroups. Black youth reported substantially lower levels of binge alcohol use and higher levels of abstention, although the gap between Black, Hispanic and White youth narrowed substantially between 2002 and 2016. CONCLUSION: Study findings are consistent with those of other research showing declines in problem alcohol- use behavior among youth.


Assuntos
Abstinência de Álcool/tendências , Bebedeira/epidemiologia , Inquéritos Epidemiológicos/tendências , Consumo de Álcool por Menores/tendências , Adolescente , Abstinência de Álcool/psicologia , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , Consumo de Bebidas Alcoólicas/tendências , Bebedeira/diagnóstico , Bebedeira/psicologia , Criança , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/métodos , Humanos , Masculino , Consumo de Álcool por Menores/psicologia , Estados Unidos/epidemiologia
9.
Subst Abuse Treat Prev Policy ; 14(1): 15, 2019 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-30987643

RESUMO

BACKGROUND: Alcohol intoxication is associated with problems such as violence, injuries, drunk driving and sexual risk-taking, and music festivals are considered a high-risk setting for high levels of alcohol consumption. This study investigates intoxication levels, drinking habits, and opinions on alcohol use and alcohol policies among visitors at one of the largest music festivals in Sweden in 2017. METHODS: A cross-sectional study assessing alcohol intoxication levels was conducted at a music festival (~ 50,000 attendees). Two research teams collected data at the two festival entrances during two nights, from approximately 6:00 pm to 01:30 am. Blood alcohol concentration (BAC) levels were measured using breath analyzers. A face-to-face questionnaire was used to interview attendees about their alcohol use in the past 12 months using the Alcohol Use Disorder Identification Test-Consumption (AUDIT-C), as well as about their personal opinions on alcohol use and alcohol policies (statement). BAC levels were compared between categories of various factors using Mann-Whitney U test and Kruskal-Wallis test. The distributions of BAC, AUDIT-C and statement category across gender was analyzed using Pearson's Chi-square tests. Associations of BAC levels with different factors were analyzed using Spearman rank correlation and multinomial logistic regression. RESULTS: A total of 1663 attendees were randomly selected and invited to participate, and 1410 consented (63.7% men, 34.9% women, age 16-64 years). The proportion of drinkers was 81%. Among the drinkers, the median BAC level was 0.082%. Thirty-one percent of the participants had a BAC level above 0.10%. Forty-two percent of the participants reported binge drinking monthly, and 20% said that they binge drank weekly. Sixty-three percent of participants reported risky drinking habits. A self-reported risky alcohol habit increased the risk of a high alcohol intoxication level at the festival. Respondents were supportive of restrictive alcohol policies. Men had significantly higher BAC levels, reported more often risky alcohol habits and were less supportive of restrictive alcohol policies than women. CONCLUSIONS: The results indicate that participants at music festivals in Sweden have high levels of alcohol intoxication and largely support restrictive alcohol policies. Thus, there is both a need and support for the implementation of alcohol prevention strategies at festivals.


Assuntos
Intoxicação Alcoólica/epidemiologia , Intoxicação Alcoólica/psicologia , Atividades de Lazer/psicologia , Opinião Pública , Política Pública , Adolescente , Adulto , Consumo de Bebidas Alcoólicas , Bebedeira/epidemiologia , Concentração Alcoólica no Sangue , Estudos Transversais , Feminino , Comportamentos de Risco à Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Suécia/epidemiologia , Adulto Jovem
10.
MMWR Morb Mortal Wkly Rep ; 68(16): 365-368, 2019 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-31022164

RESUMO

Drinking alcohol during pregnancy can cause fetal alcohol spectrum disorders (FASDs), including birth defects that involve central nervous system impairment, behavioral disorders, and impaired intellectual development, which can lead to difficulties with school and employment. A recent study in four U.S. communities found a 1.1%-5.0% prevalence of FASDs among first-grade students (1). Drinking during pregnancy might also be a risk factor for other adverse pregnancy and birth outcomes, including miscarriage and stillbirth (2). CDC estimated the prevalence of self-reported current drinking (at least one alcohol drink in the past 30 days) and binge drinking (consuming four or more drinks on at least one occasion in the past 30 days) among pregnant women aged 18-44 years, using 2015-2017 data from the Behavioral Risk Factor Surveillance System (BRFSS). Current drinking and binge drinking in the past 30 days were reported by 11.5% and 3.9% of pregnant women, respectively. Among pregnant women who binge drink, the average frequency of binge drinking in the past 30 days was 4.5 episodes, and the average intensity of binge drinking (the average largest number of drinks reported consumed on any occasion among binge drinkers) was 6.0 drinks. Increased implementation of evidence-based community-level and clinic-level interventions, such as universal alcohol screening and brief counseling in primary and prenatal care, could decrease the prevalence of drinking during pregnancy, which might ultimately reduce the prevalence of FASDs and other adverse pregnancy and birth outcomes.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Bebedeira/epidemiologia , Gestantes/psicologia , Adolescente , Adulto , Sistema de Vigilância de Fator de Risco Comportamental , Feminino , Humanos , Estado Civil/estatística & dados numéricos , Gravidez , Fatores de Risco , Estados Unidos/epidemiologia , Adulto Jovem
12.
Braz J Psychiatry ; 41(6): 511-517, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30994851

RESUMO

OBJECTIVE: To estimate the association of parental drunkenness and parenting style with alcohol consumption among adolescents and the contributions of parental drunkenness and parenting style to the prevalence of binge drinking among adolescents. METHOD: Cross-sectional survey of a representative sample of secondary students aged 13 to 18 from 27 Brazilian state capitals (n=17,028). Private and public schools were included. A self-report questionnaire collected data on adolescents' alcohol drinking behavior, parenting styles, and parenting and peer models of drunkenness. RESULTS: Non-authoritative parenting style and parental drunkenness are associated with binge drinking among adolescents. Authoritarian, indulgent, and negligent parenting styles were associated with 1.50-, 2.51-, and 2.82-fold increases in prevalence of adolescent binge drinking, and parental drunkenness, with a 1.99-fold increase. The non-authoritative parenting style made a larger contribution than parental drunkenness to adolescent binge drinking. CONCLUSIONS: Non-authoritative parenting style and parental drunkenness seem to play an important role in adolescents' binge drinking behavior. At the population level, parenting style appears associated with a greater contribution to this behavior among adolescents. Prevention strategies targeting parental drunkenness may be bolstered if a broader approach including parenting styles is in place.


Assuntos
Intoxicação Alcoólica/epidemiologia , Bebedeira/epidemiologia , Relações Pais-Filho , Poder Familiar , Consumo de Álcool por Menores/estatística & dados numéricos , Adolescente , Comportamento do Adolescente , Autoritarismo , Brasil/epidemiologia , Estudos Transversais , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Assunção de Riscos , Distribuição por Sexo , Inquéritos e Questionários
13.
J Addict Nurs ; 30(1): 14-23, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30829996

RESUMO

Binge drinking, an extreme drinking pattern and the most common form of hazardous alcohol consumption among university students, has remained a public health concern with physical, psychological, academic, and social problems. Tracking multiple factors is needed to find ways to deal with such hazardous drinking patterns and their adverse consequences. In Thailand, the particular factors leading to binge drinking patterns among university students are still not recognized. Four hundred thirteen university students in Northern Thailand self-administered a Web-based survey about the causal factors. The survey was based on a hypothesized model from the Social Ecological Model and from empirical studies. There were four factors that were hypothesized to directly increase binge drinking behavior: attitudes toward drinking, peer influence, physical environments of drinking, and alcohol advertisements. However, there were another four factors that were hypothesized to directly decrease binge drinking behavior: drinking refusal self-efficacy, university alcohol regulations, alcohol public policies, and knowledge. Through testing of the hypothesized model by Structural Equation Modeling, the causal model of binge drinking among Thai university students revealed "binge drinking refusal self-efficacy" (ß = -.22, p < .001) and "peer influence" (ß = -.14, p < .05) as significant negative factors and "physical environments" (ß = .18, p < .001) as a positive predictor regarding binge drinking. The study shows how healthcare providers may be able to lessen binge drinking by designing effective prevention programs centering on an intrapersonal factor (binge drinking refusal self-efficacy), an interpersonal factor (peer influence), and a community factor (physical environments).


Assuntos
Consumo de Álcool na Faculdade/psicologia , Bebedeira/epidemiologia , Bebedeira/prevenção & controle , Adolescente , Adulto , Atitude , Bebedeira/enfermagem , Estudos Transversais , Feminino , Humanos , Masculino , Infuência dos Pares , Fatores de Risco , Inquéritos e Questionários , Tailândia/epidemiologia , Universidades , Adulto Jovem
14.
Obstet Gynecol ; 133(3): 552-557, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30741806

RESUMO

OBJECTIVE: To examine U.S. obstetrics and gynecology residents' perceptions of wellness, burnout, and perceived effectiveness of wellness programming. METHODS: In January 2017, a six-item survey was administered at the time of the Council on Resident Education in Obstetrics and Gynecology in-training examination. Respondents voluntarily completed the survey electronically before starting the examination, and responses were anonymous and only linked to postgraduate year. RESULTS: Of the 5,376 eligible U.S. examinees, 4,999 (93%) completed the survey, provided residency year status, and were included in the analysis. There was a high prevalence of self-identified wellness problems (burnout 51.2%, depression 32.0%, binge drinking 12.6%, eating disorder 4.7%, drug use 1.1%, and suicide attempt 0.4%). First-year residents were most likely to state that wellness was a priority in their program. The number of residents reporting any problem with wellness increases significantly between the first year (49.8%) and second year (63.7%, P<.001), after which it remains elevated throughout training. Residents who responded that wellness was not a priority in their program were more likely to report wellness issues and burnout (P<.001). When asked what single intervention all residency programs should provide, 41.2% (2,059) felt that dedicated time for wellness maintenance was the most important intervention. CONCLUSION: These findings highlight the high prevalence of wellness problems in obstetrics and gynecology residents, and how essential it will be to engage learners in the development of effective, evidence-based interventions.


Assuntos
Atitude do Pessoal de Saúde , Ginecologia/educação , Internato e Residência , Transtornos Mentais/epidemiologia , Obstetrícia/educação , Bebedeira/epidemiologia , Esgotamento Profissional/epidemiologia , Depressão/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Nível de Saúde , Humanos , Incidência , Internato e Residência/organização & administração , Transtornos Mentais/prevenção & controle , Autorrelato , Tentativa de Suicídio/estatística & dados numéricos
15.
Cien Saude Colet ; 24(2): 497-507, 2019 Feb.
Artigo em Português | MEDLINE | ID: mdl-30726382

RESUMO

The scope of this article is to describe and estimate the odds of problems among adolescents who reported binge drinking compared to those who reported alcohol consumption without binge drinking. The sample included 10,666 fourteen to eighteen-year-old public and private high school students in the 27 Brazilian state capitals who reported alcohol consumption at least once in the 12 months prior to the survey The odds of problems arising were estimated by ordinal logistic regression. Half of the students reported binge drinking and 33.1% admitted to at least one problem as a result. Binge drinking in the year (aOR = 4.7; CI: 3.9-5.7) and month (aOR = 4.4; CI:3.6-5.4) was associated with greater odds of reported problems. The most likely problems were: going to school or work drunk (aOR:6.5; CI:3.6-11.9); having sex without a condom (aOR:5.0; CI:3.7-6.8); and getting into a fight (aOR:4.5; CI:3.2-6.3). Adolescents who go binge drinking are more exposed to alcohol-related problems than those who report lower alcohol consumption. It is suggested that alcohol education/prevention programs should consider the most prevalent problems and risk behaviors, thereby broadening the discussion on consumption of alcohol versus non-consumption of alcohol.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Bebedeira/epidemiologia , Assunção de Riscos , Estudantes/estatística & dados numéricos , Adolescente , Brasil/epidemiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Prevalência , Instituições Acadêmicas/estatística & dados numéricos , Inquéritos e Questionários
16.
Drug Alcohol Depend ; 196: 57-61, 2019 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-30685737

RESUMO

BACKGROUND: Binge drinking is prevalent among male populations. Few studies have investigated masculine role discrepancy (i.e., the perception of being less masculine than the typical 'man')/discrepancy stress (i.e., the strain caused by perceived masculine role discrepancy) and binge drinking among men. This study aims to investigate the prevalence of binge drinking among Chinese men and the associations between masculine role discrepancy and binge drinking via discrepancy stress. METHODS: A random and population-based telephone survey was conducted among Chinese male adults (n = 2000) in Hong Kong. Their levels of masculine role discrepancy and discrepancy stress and presence of binge drinking were tested. RESULTS: We found that 12.3% of the participants had binge drinking behaviors during the last three months prior to the survey. Age and marital status were significantly associated with binge drinking behaviors. Discrepancy stress was positively associated with binge drinking, and it positively mediated the relationship between masculine role discrepancy and binge drinking. However, we found a negative direct association between masculine role discrepancy and binge drinking in the mediation model. CONCLUSION: The study may shed light on a relatively new and important research direction that links up gender roles and substance use problems. It contributes to an understanding of the potential health impact of gender-role related issues as well as determinants of drinking problems.


Assuntos
Grupo com Ancestrais do Continente Asiático/psicologia , Bebedeira/epidemiologia , Bebedeira/psicologia , Masculinidade , Inquéritos e Questionários , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , Estudos Transversais , Identidade de Gênero , Hong Kong/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Distribuição Aleatória , Adulto Jovem
17.
Alcohol Alcohol ; 54(4): 370-377, 2019 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-30608570

RESUMO

AIMS: Alcohol-related blackouts can result in acute injuries and other negative outcomes. Among underage risky drinkers, we examined longitudinal trajectories of blackout frequency following an emergency department (ED) visit, and identified baseline characteristics associated with blackout trajectory membership. METHODS: Participants (ages 14-20; N = 836) attending an ED who screened positive for risky drinking and enrolled in a randomized-controlled trial of brief alcohol interventions were assessed at baseline, 3-, 6-, and 12-months. We used group-based trajectory modeling to determine characteristic trajectories of blackout frequency over 12-months in relation to baseline characteristics: demographics, substance use, delinquency, depression/anxiety symptoms, sexual assault, dating violence, and peer and sibling influences. RESULTS: We identified four groups: No/Low blackouts (n = 248; 29.7%), Declining blackouts (n = 92; 11.0%), Moderate blackouts (n = 337; 40.3%) and High blackouts (n = 159; 19.0%); group membership did not differ based on intervention receipt. In adjusted analyses, compared to the No/Low group all other groups had higher odds of having an alcohol-related baseline ED visit. Female sex, alcohol consumption, prescription drug misuse, sexual assault while incapacitated due to substances, and negative peer influences were positively associated with membership in the High group; College/Greek life involvement was also highest. Negative peer influences and being in high school (vs. College/Greek life) also distinguished the Moderate group. CONCLUSION: Blackout frequency was largely stable over time and riskier trajectories were marked by risk factors such as negative peer influences and college/Greek life involvement. Findings may inform targeted interventions, particularly for women who were in higher risk trajectories.


Assuntos
Bebedeira/psicologia , Serviço Hospitalar de Emergência , Assunção de Riscos , Comportamento Social , Estudantes/psicologia , Consumo de Álcool por Menores/psicologia , Adolescente , Bebedeira/epidemiologia , Bebedeira/terapia , Serviço Hospitalar de Emergência/tendências , Feminino , Humanos , Masculino , Consumo de Álcool por Menores/tendências , Universidades/tendências , Adulto Jovem
18.
Psychol Trauma ; 11(1): 43-50, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29745689

RESUMO

OBJECTIVE: Victims of childhood violence often experience new victimization in adult life. However, risk factors for such revictimization are poorly understood. In this longitudinal study, we investigated whether violence-related shame and guilt were associated with revictimization. METHOD: Young adults (age = 17-35) exposed to childhood violence (n = 505) were selected from a (Country) population study of 6,589 persons (Wave 1), and reinterviewed by telephone 12-18 months later (Wave 2). Wave 1 measures included shame, guilt, social support, posttraumatic stress, and binge drinking frequency, as well as childhood violence. Logistic regression was used to estimate associations between Wave 1 risk factors and Wave 2 revictimization (physical or sexual violence, or controlling partner behavior). RESULTS: In total, 31.5% (n = 159) had been revictimized during the period between Wave 1 and 2. Of these, 12.9% (n = 65) had experienced sexual assault, 22% (n = 111) had experienced physical assault and 7.1% (n = 36) had experienced controlling behavior from partner. Both shame and guilt were associated with revictimization, and withstood adjustment for other potentially important risk factors. In mutually adjusted models, guilt was no longer significant, leaving shame and binge drinking frequency as the only factors uniquely associated with revictimization. CONCLUSIONS: Violence-prevention aimed at victims of childhood violence should be a goal for practitioners and policymakers. This could be achieved by targeting shame, both on both on the individual level (clinical settings) and the societal level (changing the stigma of violence). (PsycINFO Database Record (c) 2018 APA, all rights reserved).


Assuntos
Sobreviventes Adultos de Maus-Tratos Infantis/psicologia , Vítimas de Crime/psicologia , Vergonha , Adolescente , Adulto , Bebedeira/epidemiologia , Bebedeira/psicologia , Feminino , Seguimentos , Humanos , Estudos Longitudinais , Masculino , Noruega/epidemiologia , Estudos Prospectivos , Fatores de Risco , Delitos Sexuais/psicologia , Violência/psicologia , Adulto Jovem
19.
Drug Alcohol Depend ; 194: 128-135, 2019 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-30439609

RESUMO

INTRODUCTION: Concerns about the adverse effects of smoking cessation on alcohol use and mental health are a barrier to cessation for smokers with serious mental illness (SMI). The purpose of this study is to examine how incident smoking cessation affects binge drinking and symptoms of depression and anxiety among smokers with SMI. METHODS: The present study is a secondary analysis of the OPTIN trial, which demonstrated the effectiveness of proactive outreach for smoking cessation among Minnesota Health Care Programs enrollees. Participants with ICD-9 codes indicating schizophrenia spectrum disorders, psychotic disorders, bipolar disorders, or severe/recurrent major depressive disorder were categorized as having SMI (n = 939); remaining smokers were categorized as non-SMI (n = 1382). Multivariable regressions modeled the association between incident smoking cessation and binge drinking, PHQ-2 depression scores, and PROMIS anxiety scores in the two groups. RESULTS: Quitting smoking was not associated with binge drinking among those with SMI, but was associated with less binge drinking among those without SMI (p = 0.033). Quitting smoking was not associated with PHQ-2 depression scores among those with or without SMI. However, quitting smoking was associated with lower mean PROMIS anxiety scores for those with SMI (p = 0.031), but not those without SMI. CONCLUSION: Quitting smoking was not associated with heightened binge drinking or symptoms of depression and anxiety among smokers with SMI. These findings suggest that quitting smoking is not detrimental for these patients, and provide evidential support for facilitating access to cessation resources for patients with serious mental illness who smoke.


Assuntos
Ansiedade/psicologia , Bebedeira/psicologia , Depressão/psicologia , Fumantes/psicologia , Abandono do Hábito de Fumar/psicologia , Fumar/psicologia , Adolescente , Adulto , Ansiedade/epidemiologia , Bebedeira/epidemiologia , Depressão/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Minnesota/epidemiologia , Transtornos Psicóticos/epidemiologia , Transtornos Psicóticos/psicologia , Índice de Gravidade de Doença , Fumar/epidemiologia , Fumar/terapia , Adulto Jovem
20.
Subst Use Misuse ; 54(2): 191-202, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30541369

RESUMO

BACKGROUND: While previous research has documented the impact of violence on substance use, none has looked longitudinally across the lifespan to measure independent effects of direct and indirect violence exposure. OBJECTIVE: To examine independent associations between adolescent experiences of violence and subsequent substance use in adolescence and adulthood in the United States. METHOD: Using the National Longitudinal Study of Adolescent to Adult Health (N = 12,288), we examined being shot or stabbed ("experienced"), being threatened with a knife or gun ("threatened"), and seeing someone either shot or stabbed ("witnessed") during adolescence (Wave I) as correlates of substance use in adolescence and adulthood (Wave IV) via logistic regression. RESULTS: Violence exposure was a significant correlate of drug use in adolescence and several associations remained significant in adulthood. Witnessing violence had the highest point estimates in the adjusted models in adolescence for each substance use outcome (e.g., Cocaine-Adjusted Odds Ratios [AOR] = 2.59, 95% confidence interval [CI] = 1.21, 5.54). However, the point estimates for threatened with violence or experienced violence were highest in three out of the four drug outcomes in adulthood (e.g., Threatened with violence: Binge drinking-AOR = 1.41, 95% CI = 1.08, 1.83). Conclusion/Importance: Adolescent exposure to witnessing violence had stronger effects on substance use in adolescence, while experiencing and being threatened with violence in adolescence had stronger effects on substance use in adulthood. Violence prevention efforts targeted toward adolescents may lead to a reduction in substance use throughout the life-course, and clinicians and policy makers should be aware of the downstream effects of violence experienced in adolescence.


Assuntos
Exposição à Violência/estatística & dados numéricos , Uso da Maconha/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Violência/estatística & dados numéricos , Adolescente , Adulto , Bebedeira/epidemiologia , Criança , Vítimas de Crime , Feminino , Humanos , Modelos Logísticos , Estudos Longitudinais , Masculino , Razão de Chances , Estados Unidos/epidemiologia , Adulto Jovem
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