Monday, June 30, 2008

Sobering facts about teen drinking

Knowledge dispels ignorance. And when it comes to underage drinking and other drug use, we as a society are astonishingly and shamefully ignorant. Efforts by the media and public officials to enlighten residents are critical to breaking this woeful lack of awareness. The sky is falling on our teens and young adults, and there is plenty of responsibility to go around: from permissive parents who think it's better to have their teens drink at home than risk drunk driving to colleges and universities turning a blind eye to ever-increasing binge drinking on campuses and at local bars.

If Americans knew that 13,000 tweens and teens take their first drink of alcohol every day, could we any longer be blind to the epidemic in our midst? If more teens were aware that regular marijuana use at age 15 or younger makes one susceptible to a range of mental-health issues, from major depression to schizophrenia, would pot be the substance of choice for many teens? If parents and grandparents, whose medicine cabinets are chockful of narcotic pain medicine and other addictive prescription medications (such as sleep aids), understood how teens steal these meds to get high and sell them to peers, would the felony thefts continue?

Don't be fooled. There is no silver bullet for the addiction issues we face. It will take education and nationwide zero-tolerance laws with automatic license revocation for teens who drive after drinking or using drugs. Let's advocate a police presence, armed with Breathalyzers, outside bars at closing time, and a government crackdown on beer and liquor advertising that targets children and minimizes the deleterious effects of these legal anesthetics.

Let's see through the smokescreen of the alcohol-industry lobby. Advertising that purports support for "responsible drinking" and designated drivers is a farce. The pandering of the industry reached new heights more than 20 years ago, when research provided a sudden boon of increased consumption. After the numbers showed that teens traveling with a designated driver drank up to five times more alcohol, beer companies suddenly became outspoken proponents of designated drivers.

There is more to consider: According to the National Center on Addiction and Substance Abuse, alcohol misuse cost America $220 billion in 2005, more than the cost of cancer ($196 billion) and the tab for obesity ($133 billion).

The center's research also indicates that teens who drank regularly at 15 and younger were four times more likely to become alcohol-dependent than those who waited until 21 to drink. Most worrisome is that 26 percent of underage drinkers are abusing or dependent on alcohol, a figure three times that of the adult population.

The alcohol industry also does not want us to know that 13,000 to 17,000 persons are killed on our highways and back roads each year at the hands of drunken and drugged drivers just out to "have a good time."

With the summer season upon us, let's all redouble our efforts to address the scourge that alcohol and other substance abuse represents. School may be out, but we have much more to learn.

Thomas M. Greaney is a drug and alcohol counselor. He wrote this for The Providence Journal.

Free Lance-Star

First defense on teen drinking: parents

Making the rounds of several high school graduation parties a few weeks ago, I was struck by something that perplexed me, but did not surprise me.

Toddlers, tweens, teenagers, parents and grandparents milled about at the various parties, congratulating the recent graduate and his friends. Cards and gifts were stacked on multiple tables and food was plentiful. On a humid North Texas evening, drinks of all flavors were iced and readily available.

At a couple of those festivities, I noticed a stream of recent graduates heading confidently to a frozen margarita machine, plastic cups in their hands; most had gotten the permission of their parents, who were at the party, to pull the lever after promising the adults they would not drive.

Was this the first time they had had a margarita, or a beer, or sang, "José Cuervo, you are a friend of mine" while doing shots? Who knows?

But the scenario did point to the findings in a national study released last week that quantifies, sadly, what many of us already know: many of the underage drinkers in this country have readily gotten alcohol from their parents, relatives and other adults.

For many parents, the excuse many times is that they know their children will be drinking when they are out with friends, so they would rather monitor it from their home and ensure that the youths don’t drink and drive.

There are a few problems with that: First, it’s against the law and, second, the ramifications and consequences of introducing alcohol to young adults could lead to dependence or abuse, binge drinking, driving while intoxicated and traffic-related deaths, among others.

Last week, the Substance Abuse and Mental Health Services Administration released a study — based on data of 158,000 youth between 2002 and 2006 compiled by the Surveys on Drug Use and Health — that gave us details about teenagers and alcohol.

Among its findings:

40 percent of the underage drinkers said they got alcohol from an adult in the last 30 days.

50 percent of the underage drinkers got their last alcoholic drink at someone else’s home.

30 percent got their last drink at home.

3.5 million young people each year meet the qualifications of having an alcohol disorder.

5,000 teens die in alcohol-related incidents each year.

"In far too many instances parents directly enable their children’s underage drinking — in essence encouraging them to risk their health and wellbeing," Acting Surgeon General Dr. Steven K. Galson said in a statement. "Proper parental guidance alone may not be the complete solution to this devastating public health problem—– but it is a critical part."

The study also said that rates of underage drinking were higher in the Midwest and Northeast. In one recent case, a parent and her twin children in Nassau County, N.Y., were charged under that state’s social host law by making alcohol available to minors.

Police responding to 911 calls had found more than 200 young people at their home and with beer and other alcohol being served, according to a report in Newsday. One of the scenes police described was that of a girl – "vomiting and struggling to stand" – who said she had taken six vodka shots within an hour.

Just imagine if this girl had gotten behind the wheel of a car if police had not arrived.

Last week, I became concerned when my 15-year-old namesake missed one of his driver’s ed classes because of scheduling conflicts during a hectic summer day.

Telling me he would get it rescheduled on a Saturday morning, his friend, Alexander, who had taken the same course a year earlier, quickly piped in.

"Uh, don’t worry, sir, all they really do after the first class is to tell you not to drink and drive," he said, hinting that the driver’s ed curriculum had most likely changed in the decades since I first learned to drive.

At the time, I was concerned that maybe we were paying too much to an outfit for not actually teaching "driver’s ed," but, at the same time, I also was content that others were drilling into our son, as we had done with his older sister, the dangers of drinking and of drinking and driving.

So as we head into the three-day July 4 weekend, let’s raise a toast to our Founding Fathers, but let’s be sure to remind our country’s youth that they can find Samuel Adams’ greatest contribution to our country on the bookshelf, not the refrigerator.

Star-Telegram

Sunday, June 29, 2008

Police shift focus to alcohol abuse

The Cumbria Drug and Alcohol Action Team (DAAT) is placing a higher priority on problems with booze after previously concentrating on drugs.

County police chiefs revealed the switch as a new report said the number of Cumbrians who ended up in hospital due to drink-related illnesses was 25 per cent higher than the national average.

Health profiles released by the Government pinpointed Carlisle and west Cumbria as particular hotspots for boozers taking up hospital beds.

Assistant Chief Constable Neil Rhodes spoke about the DAAT plan at a meeting of Cumbria Police Authority, the body overseeing the county’s police force.

He said: “Generally, it is becoming far more focussed on the perils of alcohol.

“In the past it has been focussed almost exclusively on drugs. There is a new direction.

“We recognise that alcohol underpins a lot of the problems we have in relation to violent crime.

“Domestic abuse and violence always has strong themes of alcohol running through it.

“If we are going to address offenders by any other means than enforcement, we need partner agencies (to be involved). Treatment is something DAAT is very good at.”

Police Authority chairman Reg Watson said extra duty on super-strength brands could help tackle the problem. They should start taxing by alcohol strength,” he told the meeting.

“If they did that they would solve an awful lot of problems. Simply add the amount the higher they go with the alcohol content.”

The health report said binge drinking was higher than average in Carlisle, Copeland, Allerdale and Eden.

It also said the prospects for a long and healthy life in parts of the county were not as good as in the rest of the UK.

DAAT is a partnership that plans how to tackle substance abuse.

It involves organisations including police, Cumbria County Council, the probation service and health workers.

News & Star

Young drinkers 'copy their pals'

Binge drinking is on the increase due to young people copying their friends, new research has shown. According to experts at Durham University, the "fashion phenomenon" that sees large amounts of alcohol drunk at one time can lead to antisocial behaviour and criminal damage.

It is estimated that 1.5million people binge each week. The researchers interviewed 504 people, aged 18 to 24, to draw their conclusions.

The latest research has been carried out by Durham University's Institute of Advanced Study and Volterra Consulting UK.

Binge drinkers are defined as women who get drunk on three or more drinks in one go, or men who have four or more drinks in one go, at least once a week.

Using those standards, they found almost one-fifth, or 16.2per cent, of young people surveyed were classed as binge drinkers.

New statistics revealed this week by the Department of Health and Association of Public Health Observatories show that between 2003 and 2005, the percentage of people over 16 and living in Sunderland who binge-drink stood at 26.8 per cent, while in Easington, that stood at 25.8 per cent.

That makes them among the highest in the country, with the national average 18 per cent.

Everyone in the university's survey was asked about the drinking behaviour of their friends, family and colleagues.

Binge drinkers were more likely to describe their associates, particularly their friends, as fellow binge drinkers.

Their answers showed 85 per cent of the bingers thought that all, or most, of their friends were binge drinkers.

The second part of the research tested whether "imitation behaviour" – or copying – could account for the binge drinking, with interaction between overlapping friendship groups the reason for part of the findings.

Researchers say this suggests complex social networking and the behaviour shown through this is the root cause of binge drinking.

They believe the findings pose challenges in identifying how the policies should be targeted, as they would need to tap into that aspect of lifestyles to have any effect.

Lead author Paul Ormerod said: "Binge drinking has become widespread among young people in Britain.

"Vomiting, collapsing in the street, shouting and chanting loudly, intimidating passers-by and fighting are now regular night-time features of many British towns and cities.

"A particularly disturbing aspect is the huge rise in drunken and antisocial behaviour among young females.

"We show that the rise in binge drinking is a fashion-related phenomenon, with imitative behaviour spreading across social networks, and is sufficient to account for observed patterns of binge-drinking behaviour."

Sunderland Echo

Underage Drinking Made Easier by Parents

A recent study on teen alcohol drinking has uncovered information that you may find surprising. While some kids try to hide their underage drinking habits from their parents, others simply obtain the alcohol from their parents and other adults.

A government survey from 2002 to 2006 found that more than half of American teenagers have engaged in underage drinking. Forty percent of those surveyed said they got the alcohol from an adult for free over the past month. Of those, six percent said they obtained the alcohol from a family member, such as a parent. Four percent said they took the alcohol directly from their own homes.

"In far too many instances parents directly enable their children's underage drinking - in essence encouraging them to risk their health and well-being," said acting Surgeon General Steven K. Galson. "Proper parental guidance alone may not be the complete solution to this devastating public health problem - but it is a critical part."

Of those ages 12 to 20, about one out of five said they engaged in binge drinking in the past month, which means they consumed five or more drinks on at least one occasion. These rates were much higher if the teen lived with a parent who took part in binge drinking.

The study on teen alcohol drinking also found the following.

More than 50 percent of current underage drinkers were at another person's home when they had their last drink, while 30.3 percent were in their own home. Approximately 9.4 percent were at a restaurant, bar or club.

Each year, approximately 3.5 million teens ages 12 to 20 meet the diagnostic criteria for having an alcohol-use disorder.

Among younger teens, slightly more girls reported drinking than boys. Boys and girls drank at roughly the same rate among middle teens. Among 18- to 20-year-olds, boys drank more than the girls.

Among 12- to 20-year-olds, rates of current and binge alcohol use were higher in the Northeast and Midwest than in the South or West.

Alcohol use disorder rates among those ages 12 to 20 was higher for American Indians or Alaska Natives (14.9 percent) than for whites (10.9 percent), Hispanics (8.7 percent), Asians (4.9 percent), and blacks (4.6 percent).

Emaxhealth

Saturday, June 28, 2008

Binge drinking warning for teens

Boozy youngsters in Hook are being warned of the dangers of binge drinking after a teenager was cautioned by police for going on a drunken rampage.

At about 1am on Friday, May 30, a 17-year-old youth who had been drinking, smashed a shop window and a sign on the Grand Parade in Station Road, Hook, causing more than £1,000 worth of damage.

The teenager received a final warning for causing criminal damage following the incident.

Pc Stacey Beale, of Yateley Police station, said: "Alcohol plays a huge part in these types of offences and we will be targeting the outlets which allow youths to buy alcohol.

"Retailers should be aware that operations will be carried out to ensure all sales of alcohol are legal.

"Criminal damage and anti-social behaviour will not be tolerated in our communities and we are committed to tackling these issues."

Police are also urging parents to talk to their teenagers about the risks binge drinking can have to their health as well as other consequences.

Basingstoke Gazette

Teens Get Free Drinks From Family And Relatives

According to a national report by the Substance Abuse and Mental Health Services Administration released on Thursday nearly 40% of underage drinkers get free booze from an adult.

Drinking is becoming a major problem in many nations and when on one hand we should be thinking about ways to keep our younger generation out of clutches of alcoholism it’s we only who are offering them free drinks and making them addicted.

Like older days when teenagers used to lie about their age and would show fake ID’s to get the booze, now-a-days they don’t have to do so as the findings shows that more than 600,000 teens received alcohol by their parents in the last month alone.

Approximately half of the adolescents in the United States have revealed that they have consumed alcohol. With 10.8 million underage drinkers in the country, more than 40 percent said they got alcohol free from an adult during the past month and one in 16 gets it from their parents.

The report found more than fifty percent of the underage current alcohol users said they were at someone else's place when they had their last drink and 30 percent report drinking at their own home.

Read Admiral Steven Galson, acting surgeon general said, “Parents and other adults can play an important role in helping influence -- for better or for worse -- young peoples’ behavior with regards to underage drinking.”

The survey polled 158,000 youths in the ages of 12 to 20 years between 2002 and 2006. It was a nationwide review based on data from the National Surveys on Drug Use and Health.

Acting Surgeon General Dr. Steven K. Galson said, "In far too many instances, parents directly enable their children's underage drinking -- in essence encouraging them to risk their health and well-being."

He added, "Proper parental guidance alone may not be the complete solution to this devastating public health problem -- but it is a critical part."

The study revealed that nearly 5,000 deaths of people under 21 each year in the United States was due to the underage drinking. And in many cases, booze was provided by either parents or guardians -- what are they trying to teach teens by such behavior.

Vehicle crash is not the only major factor of drinking but such teenagers becomes victim of date rape and sexual assault. According to the same study, each year, an average of 3.5 million people ages between 12 to 20 years meet the diagnostic criteria for abusing alcohol or getting addicted.

Females start drinking alcohol much sooner than boys do but boys end surpassing girls as they get closer to the legal drinking age, report said.

When next time your teenager asks you to buy alcohol, think twice what you want to do -- kill them or save them -- the choice is yours.

The U.K. government is considering the proposals to check underage drinking under which the Brit parents who allow their children to have even a sip of wine or beer at home could face prosecution.

Med Guru

Friday, June 27, 2008

Programme proves drug and booze addiction is beat-able

Recovery from addiction is at the heart of the Government's new drug policy just published in Scotland. It's also central to what we do at LEAP (Lothians and Edinburgh Abstinence Programme). Our clients come to us because they are fed up with a life that revolves around drugs and alcohol. You might think that if drugs and alcohol were causing bother they should just stop. Well, in most cases they've tried that and found that they can't.

This is the most perplexing thing about addiction for those not affected. Tragic things happen to addicts and alcoholics, yet despite these horrors, they find they cannot stop using. We have had clients who have lost their jobs, their savings, their health, their partners; even their children and yet they continue to use.

There is however some good news about addiction. Recovery is possible. Many of those suffering from addiction want to become drug free. They want freedom and to live life fully. Since we established LEAP at the end of last year, we've had 250 people wanting to come onto our programme. Twenty-seven have now completed the programme.

When people come to LEAP for their first assessment there is a common theme: hopelessness. Addicts have trouble believing that things could ever get better. That's why we introduce them to clients currently in treatment at the programme. We have a thriving therapeutic community and a bustling, lively aftercare programme. When addicts and alcoholics see communities of recovering people, it becomes a possibility in their minds that it can happen for them too. This is the first stage in recovery: hope.

The community at LEAP is not the only evidence of recovery at work. In Scotland we have around 1200 self-help or mutual-aid groups meeting every week. In church halls, community centres and rented spaces the 12-step groups: Narcotics Anonymous, Cocaine Anonymous and Alcoholics Anonymous meet regularly. They are growing in number.

LEAP offers supported accommodation through our partners City of Edinburgh Council. Our colleagues there work with clients to find housing solutions for those who complete the three month programme. We also open up pathways to employment in partnership with 'Transition', a vocational training organisation which helps recovering clients back to work, education or training.

Our programme is not an easy option. It is a community based service requiring motivation and stamina. Our experienced team provides a great deal of support but ultimately it is the individual in treatment who has to put the work in. Our programme has community at its heart; a recovering community which helps give people (and their families) a life back.

Scotsman

Help to develop responsible drinking attitudes in children

The theme for Drug Action Week 2008 is Alcohol is a drug too.

This national week of activities runs from June 22 to 28 and aims to raise awareness about the harm caused by the misuse of alcohol and other drugs.

Recent studies into the binge drinking habits of West Australian teenagers have revealed 27 per cent of 12 to 17-year-olds drink at risky levels.

The new Alcohol and Your Family resource kit provides a suite of information booklets covering the legal and social issues surrounding alcohol and young people.

Drug and Alcohol Office community programs manager Grant Akesson said the kit was developed in response to a need by parents to have up-to-date, accurate information on talking to their teens about alcohol.

“Parents play a key role in the development of young people’s attitudes towards drinking,” he said.

“They are in an excellent position to provide education on safer alcohol use and to support the development of positive and responsible attitudes and expectations about drinking.”

Wheatbelt Public Health unit health promotion officer Fiona Hughes said the key message behind the kit is that the culture of drinking and the level of acceptance, promotion and distribution of alcohol needs to change.

“It’s not that we drink, but how we drink, that is the issue,” she said.

“Providing a positive example, explaining expectations and ensuring adequate supervision where alcohol is supplied are all recommendations made in this resource.”

The kit contains four booklets and is part of the Rethink Drink alcohol education program, a long term initiative that aims to change the drinking culture in Western Australia and encourage safer drinking settings.

Binge drinking has been a focus in the media recently, and the new Federal Government report highlights that alcohol misuse costs the community over $15 billion a year and is second only to tobacco in its contribution to chronic disease burden.

Alcohol consumption has been found to be associated with a variety of adverse health effects including liver cirrhosis, mental illness, foetal alcohol spectrum disorder and several types of cancer.

However, it is the increasing social and community consequences relating to alcohol including violence and road crashes that is causing the most harm.

More than 30 per cent of alcohol-related hospitalisations in WA are due to injury; this includes falls, assaults, road crashes and self-inflicted harm.

The Wheatbelt region has been identified as having significantly higher rates of alcohol-related hospitalisations compared to the state.

In 2006, the cost of these hospitalisations was close to $2.5 million. This does not include the costs of emergency department presentations.

The Australian binge drinking culture has become firmly entrenched in everyday life, it is not a new problem, but it is something that affects everyone.

To decrease the negative impact alcohol is having in the region, communities need to work together to change the characteristics of drinking environments that support binge drinking including community attitudes to drunkenness, the availability of alcohol, how alcohol is supplied, role-modelling, and alcohol advertising.

The new State-wide Rethink Drink campaign is a population-based education initiative aimed at reducing hazardous and harmful alcohol use by changing the drinking culture.

The four main messages of the new campaign are: Rethink the way alcohol is served in licensed venues; Rethink how widely alcohol is made available in the community; Rethink the supply of alcohol to young people; Rethink the widespread promotion and advertising of alcohol.

Over the past 12 months a total of 1,516 volunteer bar staff from Wheatbelt clubs and organisations were trained in responsible service of alcohol by Wheatbelt Police and Wheatbelt Public Health unit.

There are a range of other different strategies and resources available to assist communities, licensees and local governments in reducing the impact of alcohol in the Wheatbelt.

These include presentations for school students and parents, local government toolkits, alcohol accord and alcohol management plans, local drug action groups and community education resources.

Wagin Argus

Figures show hospital drink cases

Ministers are consulting on plans to tackle the country's alcohol culture

Glasgow has Scotland's highest rate of alcohol-related hospital admissions, new figures have shown.

The NHS statistics said an average of 860 people per 100,000 were admitted between 2004 and 2006 in Scotland.

But in the east end of Glasgow that rose to 1,505, compared to a regional low of 501 in East Renfrewshire.

Alcohol misuse is estimated to cost Scotland £2.25bn every year, with related deaths more than doubling in the past decade.

The statistics showed wide variation across Scotland in the number of people admitted to hospital as a result of alcohol-related illness.

East and south east Glasgow and south east Highland were among the worst areas nationally, parts of which had 3% of the population admitted to hospital at least once because of alcohol.

But in areas such as Dumfries and Galloway, East Dunbartonshire and Edinburgh, the admission rate was just 0.2%.

Heart disease

The information and statistics division of the NHS said admissions were falling in these areas but rising in the problem areas.

The figures also showed that levels of heart disease mirrored those of alcohol abuse in many parts of the country.

The Western Isles had high levels of hospital admissions, along with most of the central belt and south east Highland.

The lowest rates of heart disease were in parts of Dumfries and Galloway and Edinburgh.

Levels of heart disease continued to fall dramatically, largely as a result of new drugs and better hospital treatments.

Life expectancy also continues to improve - the average Scottish man could expect to live to 74 and the average Scottish woman to 79, the figures said.

Dunbartonshire has the highest male life expectancy at 77, with Orkney best for women at 81.

BBC News

Binge battle: youth seek help over rising alcohol abuse

The number of young people seeking help for alcohol abuse in Melbourne's eastern suburbs has more than quadrupled in the past five years.

The Youth Substance Abuse Service, which helps young people aged 12-21 in Knox and other eastern municipalities, reported 135 young people sought help from the service last year - up from 28 in 2003.

Manager Kate Catchlove said the rise in presentations showed society was starting to be aware of the impact of alcohol.

"More people are recognising this as more of an issue compared with five years ago and are seeking assistance.

"It's a really good opportunity to put it out there that there's an issue with alcohol and our culture that we have to attack.''

She said almost 900 people used the service in 2003-07. Many clients were using a combination of alcohol, cannabis and amphetamines.

Ms Catchlove said the underlying reasons for substance abuse were the same as in previous years.

"Unfortunately, this kind of drug use is often symptomatic of a young person having experienced extreme childhood trauma.''

Eastern Access Community Health drug and alcohol services manager Darrell Hinga said he'd seen a rise in the number of youth in need of alcohol counselling.

"It is not as significant as YSAS. Ours has remained quite steady in terms of people needing alcohol-related services.'' Mr Hinga said more funding would enable bigger and better services to meet the demand.

"If we were given the tools to get out there and target people, we would experience the rise in people in the need of alcohol services.''

He said it was unfortunate money was not being directed to treating people for early intervention.

A spokesman for the State Government said it was concerned about evidence showing an increase in harmful binge-drinking among young people. It had released a Victorian Alcohol Action Plan, which includes funding for family therapeutic intervention for youth abusing alcohol.

The Opposition's drug abuse spokeswoman, Mary Wooldridge, said there was growing concern from service providers and families about young people and alcohol abuse.

Camden Haven Courier

Thursday, June 26, 2008

Reduce alcohol content and nip binge drinking

Reduce the alcohol content and increase the cost further on pre-mixed alcoholic drinks to help combat the problem of binge drinking among Australia’s youth.

That was the message Professor Sandra Jones put forward yesterday in her lecture ‘Alcohol, Media and Your Family’ as part of Orange’s Drug Action Week.

Professor Jones, director of the Centre for Health Initiatives at the University of Wollongong, says the price of “alcopops” needs to rise further, despite a recent tax increase of up to 70 per cent on some drinks.

“It hasn’t made them that expensive,” Professor Jones said about the recent tax increase.

“It doesn’t increase it enough to stop young people buying them. It didn’t go far enough.”

Professor Jones also says the alcohol content of pre-mixed drinks needs to be reduced.

For example a 375ml can of Smirnoff Ice Black is 7 per cent alcohol - which is 2.1 standard drinks.

There needs to be more regulations on alcoholic energy drinks, because the extra caffeine can lead to young people taking more risks, Professor Jones says.

“If you drink four rum and Cokes you start feeling pretty tired,” she said. “But after four energy drinks you’re still very alert.

“You think ‘I can still drive’ and take other risks, when you are still under the influence of alcohol.”

Drink promotions, such as buying four drinks to get a free hat, need to be regulated more as well, because it gives young people an incentive to drink more, Professor Jones added.

A ban on advertising alcoholic drinks on television during sporting events should also be introduced, because it provides young people with the wrong message.

But Professor Jones says a recent senate inquiry into ready-to-drink beverages shows the Federal Government is unwilling to take action.

“The community is the only thing that can make a difference,” she said. “Out of the senate review the government’s response is ‘the community’s not complaining so there’s no need to do anything’.

“So the community needs to make its voice heard to the government.”

The lecture was part of the Drug Action Week, which was organised by the Orange Community Drug Action Team, the MERIT/RAD teams and Central West Libraries.

The theme was ‘Prevention’ with information on the awareness of alcohol and drug misuse available yesterday at the library fore court.

Central Western Daily

Binge drinking? Blame it on pals' drunken antics

Binge drinking culture might have nothing to do with moral decline or the availability of cheap drink, but just copying pals’ drunken antics, according to a new research.

According to two leading researchers, fashion is sufficient to explain the spread of binge drinking. In the study, researchers have shown that computer models can simulate a sudden upswing in binge drinking by using the effects of social networks alone.

“Fashion is sufficient to explain the spread of binge drinking,” Nature quoted economist Paul Ormerod of Volterra Consulting in London as saying. “If you don’t take account of this while trying to reverse this trend, there’ll be a high chance of failure,” he added.

To measure the prevalence of binge drinking and its social structure, Ormerod and his colleague Greg Wiltshire commissioned an online survey of 504 people aged between 18 and 24, split almost equally between men and women. The authors defined binge drinkers as those who went out specifically to get drunk, or those who reported having 10 or more drinks in a session, at least once a week.

That turned out to cover 16.2 per cent of the people surveyed, which comes down to 950,000 binge drinkers aged 18–24 in Britain. Most of the bingers also reported drunken mishaps such as vomiting or fighting in the street.

Most also said that their friends were like them. More than half of binge drinkers reported that all or nearly all of their friends behaved likewise, whereas only 15 per cent of non-bingers thought that bingers made up the large majority of their friends.

To see what type of social network best explained this pattern of drinking, Ormerod and Wiltshire built a computer model. The two researchers simulated a population with an initial random 2 percent of binge drinkers. A person was converted to binging if the proportion of their social contacts that binged passed a randomly assigned threshold — so some people would be easily swayed, others much more resistant.

Times of India

Binge drinking best tackled through personal networks

Addressing personal friendship networks is the best way to tackle the spread of binge drinking in the UK, the Advertising Association has found.

It come in the wake of a new ad campaign wave from the Home Office which aims to deal with what is perceived as a growing national menace.

The ads contain shocking imagery, including a girl with vomit in her hair, which has grabbed the attention of the media around the world.

Results of the AA’s research establish that social influence operating through personal friendship networks alone explains the large rise in binge drinking among young people seen recently in the UK.

The pilot study examined whether the rise in binge drinking is a “fashion” phenomenon, which has spread by observing and copying what other people do.

Many previous studies have related movements in alcohol consumption to factors such as disposable income, price and advertising.

None of these, the report claims, have taken into account the possible effect of copying the behaviour of others ie. of fashion, as an important causal factor.

In this new research a standard market research survey was carried out in order to discover both the number of binge drinkers in the 18-24 year old population, where the problem is most acute, and their friendship patterns in terms of drinking behaviour.

The research shows that there are decisive differences in the drinking behaviour of friends of binge drinkers compared to the drinking behaviour of friends of non-binge drinkers.

By far the most dramatic difference is seen in the behaviour of friends. Some 85 per cent of binge drinkers think that most or all of their friends binge drink, compared to just 41 per cent for non-binge drinkers.

Conversely, only 3 per cent of binge drinkers have no or hardly any friends that binge drink, compared to 22 per cent of non-binge drinkers.

The importance of the personal networks also extends to work colleagues. 65 per cent of binge drinkers think that most or all of their work colleagues binge drink, compared to just 34 per cent for non-binge drinkers. Whilst not as big a difference as with networks of friends this is still statistically a highly significant difference.

Advertising Association Chief Executive, Baroness Buscombe said, “This research shows conclusively that the people around us are the key influences in terms of our relationship with alcohol, not alcohol advertising.

“Not only do the findings of this study confirm this to be the case but they also demonstrate that a new approach to tackle binge drinking is required.”

She added, “Alcohol misuse is clearly a hugely important social issue that must be taken seriously. This new and compelling research highlighting the importance of personal friendship networks shows that tackling alcohol misuse is about encouraging behavioral change so people develop a healthy relationship with alcohol.

“Using the advertising industry as a positive and powerful tool to tackle serious societal problems would be a constructive way forward.”

U Talk Marketing

Wednesday, June 25, 2008

Binge Drinking Due To 'Copying' Behavior

The rise in binge drinking in the young is a "fashion phenomenon" where drinkers are copying their associates' behaviour, new research has shown.

A study conducted at Durham University's Institute of Advanced Study and Volterra Consulting UK shows that social networking is a key factor in the spread of the rapid consumption of large amounts of alcohol -- binge drinking - which is blamed for serious anti-social and criminal behaviour.

Researchers say the findings have major implications for Government policy makers charged with tackling the problem, which has longer-term and costly health implications for the nation.

The research team, which estimates there are least one million binge drinkers in the 18-24 year old population participating in 1.5 million binge drinking events each week, used complex modelling techniques and interviews with 504 18-24 year olds to draw their conclusions.

Binge drinkers were defined as participants who got drunk on three or more drinks (women) or on four or more drinks (men) at least once a week, or having ten or more drinks but not necessarily getting drunk at least once a week (both men and women). Using this criteria, nearly one-fifth (16.2 per cent) of the young people surveyed were classed as binge drinkers.

Everyone in the survey was asked whether about the drinking behaviour of their friends, family and colleagues. Binge drinkers were more likely to describe their associates, particularly their friends, as fellow binge drinkers.

For example, 85 per cent of the binge drinkers thought that all, almost all or most of their friends are binge drinkers, compared to 41 per cent of non-binge drinkers who described all, almost all or most of their friends as binge drinkers.

Conversely, only three per cent of binge drinkers had no or hardly any friends that binge drank, compared to 22 per cent of non binge drinkers

The second part of the research set out to test whether 'imitation behaviour' or copying was sufficient to account for the binge drinking through applying a series of models.

It found that the 'small world' model, showing the interaction between overlapping friendship groups, best explained the statistics for the first part of the research. This suggests complex social networking and the behaviour exhibited through this is the root cause of binge drinking.

Researchers say these findings pose challenges for policy makers in terms of identifying where and at whom to target their policies - they would need to tap into a series of complex friendship networks for their efforts to have any effect. However, if they could achieve this, triggering a reverse in binge drinking behaviour, the effect would be quite dramatic.

Lead author, Paul Ormerod, of Durham University's Institute of Advanced Study and Volterra Consulting UK, said: "Binge drinking has become widespread among young people in Britain. Vomiting, collapsing in the street, shouting and chanting loudly, intimidating passers-by and fighting are now regular night-time features of many British towns and cities.

"A particularly disturbing aspect is the huge rise in drunken and anti-social behaviour amongst young females.

"We show that the rise in binge drinking is a fashion-related phenomenon, with imitative behaviour spreading across social networks, is sufficient to account for observed patterns of binge drinking behaviour.

"This discovery is helpful to policy makers as it suggests, for example, that strategies based on the concept that there is a small number of 'influentials' who are important in the spread of anti-social behaviour are not likely to be very successful."

Science Daily

Police crackdown on alcohol abuse

A major campaign to target alcohol-related disorder and domestic abuse has been launched. Operation Relentless is being re-introduced by Derbyshire police and its partners and will run until July 27.

Funded by police and local community safety partners, a range of initiatives and operations have been planned across Derbyshire to tackle alcohol-fuelled violence, illegal supply of alcohol and problems with under-age drinking.

Police and trading standards will carry out test purchase operations in bars and off-licences, there will be increased patrols in towns and the city centre with an emphasis on early intervention, and targeted patrols in known under age drinking hot spots.

Assistant Chief Constable Peter Goodman said: "As part of this year's Operation Relentless we are really focusing down onto those areas of crime that cause us, our partners and local communities cause for concern and have big impacts on feelings of confidence and safety.

"Alcohol related disorder has a great knock on impact on the lives of many people whether it is through experiences of drunken and rowdy behaviour around pubs and clubs or at a more local level around local parks and groups of young people.

"During the period of Relentless we will be looking at ways of stopping those people who cause problems for us and the community."

The force will also be focusing on the service provided to domestic abuse victims as part of the countywide operation.

ACC Goodman said: "It is one of the force's biggest priorities to ensure the service we deliver to victims of domestic abuse is the best we can offer."

Belper News

Teen alcohol use draws concern of county human services

Clarion County may have a problem with drinking, or so the statistics would say. County Drug and Alcohol and other human services departments met June 19 to discuss the findings of the 2007 Pennsylvania Youth Survey.

The meeting began with a short DVD called This Place by faceproject.org. According to their website, FACE is a “national non-profit organization that supports sensible alcohol policies and practices through the development of messages, strategies, and training designed to create public awareness and action on alcohol issues. FACE envisions a nation where public policy, community organizations, and individuals come together to reduce the negative effects of underage drinking and the misuse and abuse of alcohol by adults.”

This Place included some frightening statistics, including 1,700 college students die from alcohol related causes each year, and that alcohol kills more people than all illegal drugs combined. And of course, the number one place kids get alcohol is the home.

Through scientific research, the project hopes to explore how kids are drinking, and why the frequency and quantity of drinking is increasing.

The DVD noted that today, on average, kids in the United States take their first drink at 12 years of age.

Penny Norton, director of FACE appeared at the beginning of This Place and presented a historical perspective of how other public health issues had been brought to light and dealt with.

Norton said it all began in 1964 when there was a study done to draw relationships between smoking and health.

The study helped to change the way people thought about smoking and brought about changes including the places people are allowed to smoke, pricing for cigarettes, and advertising restrictions meant to protect public health.

Norton said a study of car crash deaths in 1988 conducted by then Surgeon General C. Everett Koop had similar results, drawing a relationship between health and driving under the influence.

The next decades, Norton said, brought about large shifts in public policy including raising the legal drinking age, lowering blood alcohol limits for drivers, and implementing roadside sobriety checkpoints.

The DVD pointed out that the new alcohol-user-friendly environment may have crept up on adults, but for kids it is simply just here.

At the conclusion of This Place county drug and alcohol workers Erica Wanninger and Chrissy Rankin took the floor to review and discuss the findings of Clarion County ’s recent youth survey, which polled approximately 1,000 students in five area school districts.

When asked if they had ever drank alcohol, 55 percent of Clarion County eighth grade students reported drinking, compared to a national average of 39 percent.

Tenth-graders are no different, with 80 percent reporting drinking compared to the national average of 62 percent.

The trend continues with county seniors as 81 percent report drinking compared to the national average of 72 percent.

When asked if they had drank alcohol in the last 30 days, county students were closer to national averages with 16.6 percent of eighth graders, 37.5 percent of tenth graders, and 49.2 percent of twelfth graders reporting drinking compared to 15.9, 34.4, and 44.4 percent nationwide, respectively.

The survey defines binge drinking as drinking more than five drinks in a row in the past two weeks.

County students reported binge drinking at close to national average rates with 8.2 percent of eighth graders, 22.9 percent of tenth graders, and 33.6 percent of twelfth graders reporting binge drinking compared to 10.3, 21.9, and 25.9 national averages, respectively.

Rankin and Wanninger went over the results of a county-wide survey to see if alcohol-serving establishments would sell alcohol to someone between 21 and 23 without checking for positive identification.

Forty-one percent of the establishments completed a sale on at least one occasion.

Wanninger said that in Blair County a similar survey had showed that 37.5 percent of its establishments sold, but a year and a half later the same survey ended with only five percent of establishments completing a sale.

Establishments that did not complete sales were given a “We card” window cling.

Wanninger and Rankin expressed interest in conducting the survey again soon and hope that the number of establishments completing sales will drastically decrease.

Clarion News

New police powers to curb teen drinking

Police will be given new powers under changes unveiled by the Government to crack down on teen drunkenness and adults who supply minors with alcohol.

Christchurch MP and Associate Justice Minister Lianne Dalziel said yesterday she was drafting a bill that would make the supply of liquor to minors illegal.

Currently, it is only illegal to sell alcohol to those under the age of 18. Under Dalziel's proposed legislation, only parents, guardians, or those authorised by them, will be able to offer alcohol to minors.

The legislation being drafted, tentatively entitled the Sale and Supply of Liquor and Liquor Enforcement Bill, will also:

Give police new powers to caution young people for drunkenness. Cut the alcohol limit to zero for drivers under the age of 20 who do not hold a full licence.Ban from holding a manager's certificate for five years anyone prosecuted more than three times for selling alcohol to minors.Allow councils to set tougher standards for licensed premises, including opening hours and proximity to schools.

Dalziel told The Press she was planning to include within the new legislation Manurewa MP George Hawkins' private member's bill on liquor licensing and strengthen it to allow local licensing authorities to set conditions such as "one-way door" policies, opening hours, and the types of establishment that could operate in certain areas.

The changes would allow communities to object to licensing applications on the grounds of density and social impact, as provided for in Hawkins' bill, Dalziel said.

The moves follow another horror weekend on Christchurch city streets involving young people and alcohol, and a recent spate of violent crime in South Auckland.

Dalziel said while the Government could not single-handedly change young people's attitude to alcohol, she believed the legislation would make a difference.

"It sends a strong message that it is up to parents to decide whether (minors) are going to drink or not before the age of purchase."

Dalziel said she was also interested in providing police with powers to formally caution young people who were drunk in public.

It is not illegal to be drunk in a public place, and currently police must wait until someone becomes disorderly to arrest them.

Prime Minister Helen Clark said yesterday that she would be asking the Law Commission to review the Sale of Liquor Act 1989 and its amendments including the 1998 change that allowed supermarkets and dairies to sell alcohol.

While she thought it unlikely Parliament would vote to remove wine and beer from supermarkets, Clark hinted the corner dairy's days of selling liquor could be numbered.

"It's that corner store, where you have a density of outlets, that our attention is really focused now. And that's where the police tell us the issue is. They're giving us figures which are quite alarming with respect to the proportion of crime which is associated with alcohol and heavy drinking," Clark said.

Both Dalziel's bill and whatever the Law Commission reported back on the Sale of Liquor Act would be conscience votes, Clark said, but she expected almost universal support from Parliament.

The proposals build on a paper taken to Cabinet by former justice minister Mark Burton last October, which included making it an offence to supply minors with alcohol but only for consumption in a public place. That was derided at the time by the Drug Foundation as a "soft, feeble" response to the problem.

Dalziel said she had asked officials to draft the bill by the end of next month for introduction to Parliament in August.

National leader John Key said National had not yet seen the details of what the Government was proposing but would look at it.

"As I made clear last week, we're quite prepared to look at the proliferation of liquor outlets and the concern that communities have."

Stuff NZ

Tuesday, June 24, 2008

Underage drinking not a rite of passage

Alcohol is by far the most misused substance in our country. It is abused by adults and misued by youth. Many people think that the legal drinking age of 21 is just an arbitrary age assigned by the government so that there is no harm in consuming alcohol under that age. They could not be more mistaken.

Like all drugs, alcohol enters the body's bloodstream and is carried to all parts of the body. In a teen's body, which is not fully developed, the alcohol has altering effects on the body chemistry.

Ethanol, the intoxicating ingredient in alcohol is s chemical depressant. It is water soluble and is quickly carried through every organ of the body. Ethanol sedates the inhibiting and suppressing mechanisms of the brain and central nervous system making the adolescent more vulnerable to the toxic effects of ethanol.

What does all this mean?

Teens are already subject to mood swings due to the complex chemical changes associated with puberty. When alcohol is added on top of those chemicals, the teen is at serious risk for:

• a surge in "sex" hormones making them more likely to engage in risky sexual activity;

• an increase in anxiety and confusion which can be overwhelming for teens already feeling depressed and may lead to suicidal behavior;

• more impulsive and irrational behaviors are promoted which may result in driving under the influence or taking dangerous changes with safety; and

• an increase in aggressive "acting out" tendencies which could lead to fights or other violent confrontations.

Parents who support their child drinking because they are in the home are not doing their child any favors. They are still at risk for the above problems and youth that start drinking under the age of 16 are four times more likely to be adult alcoholics.

Teens are more at risk for binge drinking - consuming large amounts in short times frames (usually on the weekends). The result of the heavy influx of alcohol can speed of the level of toxicity in the body and lead to alcohol poisoning, coma, and death. Binge drinkers are also like to become chronic drinkers - consuming large amounts regularly which will lead to alcohol addiction.

During the summer, youth are typically less supervised because they are out of school. This can result in increased access to alcoholic beverages in the home. Some parents even go so far as to make the products available to their children.

Parents as well as any adult who is contact with youth need to ensure careful storage of alcohol. Keeping it under lock and key is the safest choice. When that is not feasible, adults need to pay attention to how much they have so they can determine if any amount has been used.

Make sure you know where your children are and with whom they are spending time. In addition, get to know the parents of the your child's friends so you can have some reasonable information about what they may be doing when visiting.

Parents should not be afraid to ask questions about what their child does. The child's safety and well-being should be the parent's most important goals. Even though school is out of session, parents should not take a break from this.

The Paper of Montgomery County

Drinking costs hospital £750k

Patients admitted to Royal Berkshire Hospital with booze-related illnesses cost the service more than £750,000 last year, figures exclusively obtained by the Evening Post show.

Hospital admissions cost the NHS an average of £1,000 per person and there were more than 750 people from Reading and the surrounding areas admitted to the RBH with alcohol-related problems.

More than 100 booze-addled youngsters under 18 were admitted to the RBH in 2007, showing a shocking rate of young people drinking alcohol to excess.

If the trend continues with youth binge drinking, the amount of people who die from chronic liver disease in their old age could hit an all-time high.

Dr James Mapstone, consultant in public health for NHS South Central, said: “There is definitely a worrying increase in the number of people taken to hospital with alcohol-related illnesses or injuries, especially the number of young people.

“Not only is this worrying for the health of the population, but the cost to the Berkshire West PCT is astronomical, and with no way of predicting how much a drunk person’s treatment will cost, it is something the NHS just cannot accurately account for.

“It costs around £186,000 to treat one person who has been out drunk and been glassed in the face. That kind of figure has a serious impact on annual budgets.

“At least 40 per cent of people who turn up at hospital are there with an alcohol-related concern, and if we can even start to reduce that figure, then the money can be spent on other areas of the NHS.”

There were 42 children from Reading admitted to hospital with an alcohol-related illness, 33 from Wokingham, 31 from West Berkshire and 35 from Bracknell Forest, all of whom were most likely to have been taken to the RBH.

On average, a man from Reading will lose 11 months of his life due to alcohol and a woman from Reading would lose four months, and there were 34 men and 21 women from Reading alone who died in 2007 from an alcohol-related illness.

Dr Mapstone said: “The majority of deaths from alcohol are due to life-long chronic drinking problems, but there are an increasing number of road traffic accidents caused by alcohol where death can be a result.

“But the future picture for people who are still not learning that binge drinking can have serious effects on your health is likely to mean that when the current young generation grow older, the amount of cases of liver disease will soar.

“We have just been negotiating the local area agreement with the three unitary authorities in Berkshire West PCT, Reading, Wokingham and Newbury, and all of them want to make it a priority to work to reduce the number of alcohol-related admissions to hospital and we are still working on what reduction targets we will be setting.

“I do believe the trend on binge drinking can be changed. I do not think it is inherent. It will be a slow process, but I believe we can switch to mimic a more southern European drinking culture where people will learn to enjoy drinking rather than be harmed by drinking.”

Reading Evening Post

This age-old affair with the bottle must end

Nearly Everyone knows the song made famous by Will Fyffe in the 1920s about a common working man having a drink on Saturday and Glasgow then belonging to him. It's a song and an attitude we still laugh at; a joke that we can't, and don't want to, shake off.

The rest of Fyffe's lyrics say there's nothing wrong in taking a drink because it ends all your troubles and gives you the good feeling that when you get home "you don't care a hang for the wife". Music hall Scotland in the 1920s laughed, and the rest of world joined in. They still do.

With a culture of excessive drinking still prevalent in Glasgow, and indeed throughout the rest of Scotland, you would expect the joke to be wearing thin. It isn't. Glasgow or any city centre in Scotland on a Friday or a Saturday night is no place to feel you want to belong to. Fuelled by cheap alcohol in pubs, off licences and supermarkets, our city centres are threatening places, unsafe for families and strangers not familiar with the rules of the road that say don't look up and walk fast.

Alcohol-related crime is consistently high in Scotland. Violence and drink are old pals. Our hospitals are packed with illness and disease directly related to alcohol abuse. It's as though we laughed at Fyffe's joke, and have spent the last 80 years worshipping its message that getting pissed and behaving badly and violently is a cultural signature we are happy to live with.

Politicians have regularly called for an end to Scotland's unshakeable relationship with alcohol. But the messages, delivered over decades, have been inconsistent, poorly funded and barely audible. Most have been noise rather than action. Now the SNP-led Scottish government is turning its attention to this major problem.

So far its recommendations have included an end to cheaply-available alcohol, with a minimum price that would be available across all retail outlets. It has also proposed that the age for buying alcohol in off-licences and supermarkets be raised to 21, though the current 18 level would still apply in pubs, clubs and restaurants. A consistent message? We don't think so.

Increasing the age requirement around a busy city centre supermarket or off-licence will have little effect. If an 18, 19 or 20-year-old wants to buy drink they'll do so in much the same way that 16 and 17-year-olds do at the moment. On price, Sweden among Europe's major countries knows well that changing behaviour is not easy. Cheap liquor in 19th century industrialised Sweden nearly destroyed its male workforce. Ration cards, a government monopoly on production with prices kept excessively high, off-licences that looked like featureless pharmacies, closed at the weekends. Swedes, like the Scots, may still regard alcohol as just the route to getting drunk, but their harsh regime was born out of political desperation over a problem it could not find a cure for. Their cure has brought its own problems: the black market is huge, with around a third of all alcohol sales classified as criminal. So what message from this does the government in Scotland take?

It should first accept - before we try to impose behaviour-altering taxes - that we have a dependency on alcohol, and it's a cultural dependency that needs to change. Before any policy can be effective, we must first change our view that getting smashed is acceptable. Glasgow, or anywhere else in Scotland, shouldn't belong to the drunks, it should belong to everyone.

Sunday Herald

Shock report reveals children boozing at 11

Northern Ireland’s top doctor has issued a grim warning about boozed-up youngsters.

Chief Medical Officer Dr Michael McBride said the average age at which children in Northern Ireland begin drinking has fallen as low as 11 and warned of the health risks of drinking too much, too young.

The shock report revealed that four out of five 16-year-olds have had a drink and that the greatest increase in drinking occurs between the ages of 11 and 13. It also revealed that 2% of young people admit they drink every single day.

Dr McBride also said binge drinking was becoming “a way of life” for many people of all ages. “For many years we have had concerns about young people’s drinking — an increasing number of young people are turning up at A &E the worse for wear for alcohol, and young people actually needing treatment for their ‘alcohol problem’,” he said.

Dr McBride also looked at the issue of teenage pregnancy and sexual health for all ages, including young people.

He highlighted that the number of births to teenage mums has fallen in recent years. There were 1,427 such births in 2006, a fall of 20% on 1999 figures.

Dr McBride tackles a wide range of health issues facing all ages in Northern Ireland in the report — but his gravest worries are targeted at under-age drinkers and the impact this lifestyle will have on their bodies.

He also said binge drinking was becoming “a way of life” for many people of all ages. “For many years we have had concerns about young people’s drinking — an increasing number of young people are turning up at A&E the worse for wear for alcohol, and young people actually needing treatment for their ‘alcohol problem’,” he said.

“We all have views and concerns about this and we are all quick to point the finger at others, at places where young people can buy alcohol even though they are under-age, at people who buy alcohol for young people, at the police who ‘don’t do anything about it’, at parents who don’t seem to care — at, well, at almost anyone except ourselves. And that perhaps is the real issue — when it comes to under-age drinking we all have a part to play in the problem.”

His views come weeks after Department of Health figures revealed that 1,178 under 17s were admitted to hospital with an alcohol-related illness between 2002 and 2007.

Health Minister Michael McGimpsey recently said the New Strategic Direction for Alcohol and Drugs (NSD), which was launched in 2006, identified addressing underage and binge drinking as key priorities — and addressing underage drinking was also identified as a key priority in the allocation of the additional funding received for public health through the comprehensive spending review (CSR) process.

Among the stark drinking facts highlighted by the CMO are:

* The average age for a first alcoholic drink is 11;

* The greatest increase in drinking occurs between 11 and 13 years;

* 2% of young people admit drinking every day; and

* Northern Ireland has some of Europe’s highest levels of drunkenness.

Belfast Telegraph

Monday, June 23, 2008

Calling time on cheap alcohol deals

Any way you look at it, the scale of alcohol abuse in Scotland is staggering. Last year enough alcohol was sold in Scotland to allow every person over the age of 16 to drink more than the recommended upper limit for men every week of the year. Half of men and almost one-third of women regularly drink more than is safe. Alcohol-related deaths have more than doubled in the past 15 years. Scotland has one of the fastest-growing rates of liver disease in the world.

Scots may have always liked a drink but behind these headlines is a wider cultural change. Put simply, drink has become stronger, cheaper and easier to buy. Fifty years ago, people not only drank less, but they drank differently. Now, instead of beer and spirits, drinkers turn to stronger wines, cider and alcopops.

Drink is far more available - in supermarkets aisles and off-sales - and subject to far-smarter marketing and promotions.

The government puts the cost of Scotland's addiction to alcohol at £2.25bn. Little wonder that it says now is the time for "bold" measures to change the culture.

"The facts are stark," said Health Secretary Nicola Sturgeon as she unveiled the Scottish Government's consultation on tackling alcohol misuse yesterday. "The government is not by any stretch of the imagination anti-alcohol.

"Alcohol is a normal and acceptable part of life and Scottish culture. But as a government we are, and as a society we should be, concerned about alcohol misuse in Scotland."

The consultation document published yesterday is controversial. It strikes at alcohol on three fronts: price, availability and the ingrained culture of drinking.

They include ending "three for the price of two" promotions which the government says encourages impulse buying of alcohol, restricting promotional material in licensed premises and introducing a minimum price for a unit of alcohol, a move which has been widely criticised by retailers and drink industry chiefs.

The level of the minimum price has yet to be determined but Ms Sturgeon, who was joined by Kenny MacAskill, the Justice Secretary, at the launch in Armadale, West Lothian, said 35p a unit was an "illustrative example".

It would mean that the price of Tesco's own brand of strong dry cider would increase 97%, White Lightning 71% and Orchard Mill Cider 108%. Other popular drinks would rise in price, including a Stowells wine box which would increase 110% and McEwans Export Premium which would increase 35%.

Retailers claim minimum pricing, which the government say could be done through licensing legislation, is ill-thought out and will "penalise" the majority of people who are drink responsibly. "The Scottish Government is wrong to believe there is a simple link between price and alcohol misuse," said Fiona Moriarty, director of the Scottish Retail Consortium.

"Prices and promotions are broadly the same across the UK but alcohol-related deaths are far higher in Scotland than England which clearly shows Scotland's relationship with alcohol is deep rooted and complex.

"At a time when customers' finances are under severe pressure it's incredible that the Scottish Government believes voters will thank them for using the force of law to push up prices."

A spokesman for Tesco, which has called on the UK Government to initiate discussions on responsible pricing on alcohol, said: "It's simplistic to put the blame wholly on price. You look at the Continent, where alcohol is cheap, and they have no culture of binge drinking. Then there's Scandinavia, which has expensive drink but also problems with bingeing. The vast majority of our alcohol is sold as part of people's weekly shops and families are tightening the strings, looking for deals. If you say that 95% of people drink responsibly, would it be fair to penalise the majority? You can enjoy a deal without putting on a hood and attacking somebody."

The consultation paper, Changing Scotland's Relationship With Alcohol, claims that the introduction of a minimum price would have "no impact" on premium-priced beer, wines and spirits.

But its critics are concerned that it will also impact on "responsible" consumers and the drinks industry.

Gavin Hewitt, chief executive of the Scotch Whisky Association, said: "Minimum prices for alcoholic drinks set by politicians intrude in the commercial market.

"Advertising and promotion restrictions will also need to be carefully scrutinised as they could negatively impact on the sale of Scotch whisky in licensed premises and rural distillery visitor centres."

Mr MacAskill said it was "wrong" to have a bottle of water on sale for more than a bottle of cider and Ms Sturgeon insisted that there was a "strong case" for linking the price of alcohol to its strength.

She added: "It is pocket money alcohol. It is the brands and products that are very cheap that we would be seeking to target."

Under the proposals, Buckfast would not increase in price as it already costs more than 35p per unit. A spokesman for J Chandler & Co, which makes the tonic wine, said: "We don't understand how minimum pricing would solve these problems (of underage drinking); there are many other issues."

Another measure outlined by the government is the plan to raise the age at which people can buy alcohol in off-sales from 18 to 21.

The Scottish Grocers' Federation, which represents retailers, said it was "unfair and would result in a farcical situation where an 18-year-old could go into a pub or club to consume alcohol but that same individual would be unable to buy alcohol from an off-licence".

John Drummond, chief executive, added: "At 18 you can vote, drive, marry and fight for your country but don't expect to buy a six-pack to drink in front of the TV when you get back from Iraq."

Benet Slay, managing director of Diageo Great Britain, said: "The fact that an 18-year-old could drink alcohol in a pub, club or restaurant, yet would not be old enough to purchase a bottle of beer and drink it at home is clearly illogical."

Ms Sturgeon said: "The evidence from other countries is compelling. It suggests that deferring the age at which people begin to consume alcohol regularly has a positive impact on crime and antisocial behaviour."

Other proposals include a "social responsibility fee" charged to some retailers to offset some of the £2.25bn cost of alcohol misuse in Scotland and establishing separate checkouts for alcohol sales.

But Ms Moriarty said the plans would affect retailers and consumers. She said: "Those determined to drink excessively will not be put off by separate checkouts but they would inconvenience responsible customers, pile on thousands of pounds of refit and staffing costs and further demonise alcohol."

Spending on alcohol prevention, treatment and support services will increase by £85m to £120m over the next three years and the consultation paper examines ways to provide support to parents.

Ms Sturgeon said the plans were "not just about binge drinking or people who have a dependency on alcohol". She added: "All of us should look at how much we drink and make responsible decisions about that.

"We believe we have a duty to respond with proposals that reflect the scale of the problem."

The Herald

Alcohol policies must target majority to reduce the toll of death and disease

With alcohol-related deaths in Scotland almost doubling in the past decade and one of the fastest growing alcoholic liver disease rates in the world, it's hard to believe that some people still argue that harmful alcohol use in Scotland is a minority problem (Platform, 20 June).
The truth is that many of us, young and old alike, are drinking at levels that put our health and wellbeing at risk. More harm is associated with the much bigger group of risky drinkers than the smaller group of dependent drinkers. Policies need to target the whole population rather than just the heaviest drinkers.

Effective action to reduce alcohol consumption in the population means controls on price and availability. A minimum pricing policy can achieve health goals by eliminating cheap alcohol and by preventing below-cost selling and deep discounting of alcohol. With the price of alcohol as low as 16p per unit, women can drink twice the recommended daily limits for as little as 96p and men for £1.28. A binge can cost less than the price of a sandwich.

Alcohol misuse in Scotland costs us more than £2 billion a year, costs borne by the whole population, regardless of how much we drink as individuals. No single solution will solve the problems caused by alcohol, so it is heartening to see the Scottish Government proposing such a comprehensive package of measures. Little we have done to date has worked, including education. The medical and public health community urges our parliament and the Scottish people to give their full support to the Scottish Government's courageous proposals. The people of Scotland are already paying too high a price for our current pattern of drinking.

Scotsman

Sunday, June 22, 2008

Medication improves alcoholics' quality of life

The medication topiramate may not only improve drinking problems in people with alcohol dependence, but boost their quality of life as well, according to a new study.

Topiramate (Topamax) is an anti-seizure drug that has also been shown to reduce drinking in alcoholics -- possibly due to it effects on certain brain chemicals thought to be involved in alcohol dependence.

Whether treatment with the drug can also improve alcoholics' physical and mental well-being, however, has been unclear.

In the present study, Dr. Bankole A. Johnson, from the University of Virginia in Charlottesville, and colleagues addressed this question by assessing 371 patients who were randomly assigned to receive topiramate or placebo tablets daily for 14 weeks.

All of the patients participated in a weekly program designed to enhance treatment adherence.

Johnson's team found that, compared with placebo patients, those on topiramate saw a greater improvement in their weight, liver function, cholesterol levels and blood pressure -- effects, the researchers note, that could potentially cut the patients' long-term risks of cirrhosis and heart disease.

Topiramate therapy was also associated with a drop in alcohol-related obsessions and compulsions, and with improvements in psychological well-being and quality of life, the researchers report in the Archives of Internal Medicine.

Such improvements in overall well-being, they point out, could potentially reduce the risk of alcoholic relapse.

The drug did have side effects in some patients -- most commonly tingling and numbness, taste alteration, appetite loss and difficulty concentrating.

Still, the overall improvements in physical and mental well-being are promising, Johnson's team concludes.

"Our findings," they write, "demonstrate that topiramate appears to be a generally effective treatment for alcohol dependence because it improves not only the 'symptom' of drinking but also its physical and psychosocial (consequences).

Reuters

Irish spend three times EU average on alcohol

Irish people spend almost three and a half times more of their income on alcohol than the European average, an EU-wide survey reveals.

A study on household expenditure across the 27 EU member states highlights how Irish consumers are the biggest spenders in Europe on alcohol by a long distance.

It estimates that more than €4 out of every €100 spent in Ireland is on alcohol compared with the EU average of just €1.20.

The survey, by the EU statistical office, Eurostat, shows that the average Irish household spends 4.1% of its budget on alcohol — well ahead of the nation with the next highest expenditure on booze — Romania at just 2.3%.

The figures are based on 2005 spending patterns, the latest year for which comparative statistics are available.

Health Services Executive public health specialist, Dr Joe Barry, expressed surprise that Irish spending on alcoholic drinks as a percentage of total expenditure was not even higher. The figures look at expenditure by household rather than by adults.

“However, the figures are consistent with other findings that alcohol consumption levels in the Republic are about 30% higher than the EU average,” said Dr Barry.

He pointed out that a survey of Irish third-level students a few years ago showed they spent more on alcohol than food. Dr Barry expressed concern that a strategy to reduce Ireland’s drink culture and associated problems was still not being implemented.

However, the findings indicate that overall spending on alcohol in Ireland is falling as expenditure on alcohol represented 5.5% of total household spend in 2001.

They also show that Irish people spend almost 18% of their budget on food, drink and tobacco and 30.6% on housing. Irish consumers also spend less on groceries, clothing and footwear, housing, health and transport than their European counterparts.

The survey provides evidence that Ireland is one of the EU’s richest economies as we spend more of our income on recreation, leisure, and education than most Europeans. We spend 6% of our income on restaurants and 4.4% on health and education.

Irish Examiner

Our booze blues

We know it brings chaos to our city streets, we know it destroys families, we know it's responsible for violence and domestic abuse, we know it's killing us, so why do we still love to drink?

There are certain cherished sayings we could probably live without. And by "live" I mean exactly that. Here's one redolent, supposedly, of the Scottish national character: Freedom and whisky gang thegither. What's wrong with that sentiment? Perhaps the fact that it is only slightly less egregious, muddled and downright dangerous than asserting that alcopops and human dignity combine nicely.

We shouldn't pick on the water of life, of course. In fact, amid all the sincere concern over Scotland's alcohol addiction you will not find a politician prepared to associate our best-known hooch with the problem. Where whisky is concerned, a special exemption applies. The stuff is imbibed, apparently, solely by connoisseurs who merely savour its infinite nuances. And I'll have what they're drinking.

This oddity arises, no doubt, from the notion, odder still, of a national drink. How could you possess such a trophy if no-one touched a drop? If you seek explanations for the Scots and sottishness, that's a place to start. Whisky may not be fashionable, particularly among the young, but its status has helped to make suicidal drinking almost compulsory. Having a national poet best known for his "carousing" probably doesn't help either. The fact that whisky is also one of our chief exports is the clincher, politically speaking.
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Hence the line from the SNP government: excessive consumption rather than drink itself is the issue. Cheap drink is deplored but pride is taken in the matchless liquid gold distilled by the whisky industry. So we have another oddity: Scotland is enjoined to moderate its consumption while continuing to flourish as a major booze producer. Hard liquor is, like it or not, part of our national identity.

Anecdotally at least, it remains a minor part of a major public health crisis. That isn't really the point. Deprecate Buckfast if you like - the deprecating goes more easily if you taste the stuff - and deplore lager cheaper than water. But there is no essential difference between a fine malt and a can of super-strength fizz. Their function, despite all the learned talk of peat in the water or the infinite depths of rare old claret, is everywhere apparent. It explains why alcohol is problematic: people drink to get drunk.

True, there are social drinkers. There are, always, people of moderate habits who can enjoy a single glass just for the taste, people who will take the odd drink and never allow themselves to get drunk. They have a hard time of it, as often as not. Sobriety makes boozers uncomfortable. But the boozers have a point: what is the point, exactly, of consuming an intoxicant and avoiding intoxication?

It's fun. It strips away the miserable inhibitions life has bequeathed. It instils confidence. It makes the world seem a brighter place. It's that song from Cheers: "Wouldn't you like to get away?" Who wouldn't? But then, if sufficiently dedicated, you discover that the politicians are mistaken: there is no such thing as cheap booze. It shares a characteristic with tobacco. As addicts sometimes observe, there is absolutely nothing wrong with smoking - aside from the fact that it kills you. One way or another, drink costs.

According to the government, it is costing Scotland close to £2.5 billion a year. The number of alcohol deaths has doubled in a decade. According to one calculation, we - this is not being written by an abstainer - put away enough annually to render every adult in Scotland permanently over the safe limit. And not every Scot is a drinker. It just seems that way.

The problem is not new, but it is manifesting itself in new ways. Older readers can probably remember the liberalisation, so called, of licensing hours. The argument ran that if only we were freed from the pressure of last orders we wouldn't drink so frantically. In fact, we would discover the delights of café society. Civilised drinking, they called it. That went well, don't you think?

The politicians, as is the fashion, are putting their faith in the price mechanism. They have a point, up to a point. Alcohol is as cheap as it has been since the Scots Parliament first slapped a tax on whisky in 1644. In relative terms, the price of an unremarkable bottle of spirits has been falling for a decade and more. Quantities once only seen in a pub gantry, a litre and more, are on every supermarket shelf. And lest you fail to get the message, that modest half bottle will cost you much more, measure for measure, than its bigger brothers. Might as well just get the litre, eh?

So responsible politicians propose responsible measures. Last week's "pre-legislative consultation document" from the government found merit, for example, in minimum pricing. Forcing retailers to charge at least 35p per unit of alcohol would drive up the cost of most, though not all, brands. Medical opinion is enthused. Doctors are convinced by evidence suggesting that if drink is dearer people will drink less. I remain to be convinced.

I am not much impressed, either, by the idea of "alcohol-only" checkouts in supermarkets and the so-called "walk of shame". Apparently, drinkers will be deterred by the mere thought of being observed by the neighbours as they lug their gallons to the till. My guess is that such a till would be precisely the place where most people would meet those neighbours.

Drinking is ingrained. If the price goes up - Buckfast would be unaffected, amazingly enough - alternatives would be found. Smuggling, booze cruises, and illicit production would become national pastimes. Russia's example is relevant. They, too, have a national drink and a national problem. But at the heart of that problem, slaughtering a generation, is bootleg vodka produced by criminal gangs. When it comes to keeping the customer satisfied, I suspect our supermarket chains are at least as ingenious as the Russian mafia.

Then we have the notion that the age for buying drink from off-licences should be raised from 18 to 21. Some Scandinavian countries and certain American states have adopted this approach. No-one outside the alcohol industry seems to think, first, that such an approach would involve a real injustice. Do we really propose to allow 18-year-olds the chance to die in Helmand province while criminalising them if they step into Oddbins?

Besides, we already have enough of a problem, I would have thought, with underage drinking. A study by the World Health Organisation (WHO), released last week, found that teenagers in Britain (not just in Scotland) are more likely to be drinking regularly at 15 than their contemporaries in other western countries. Would raising the age limit make any difference? I don't see how.

Give the Edinburgh government this much credit: we are in new territory. Scotland's relationship with alcohol has always been unhealthy. It now seems to verge on the psychotic. Glasgow's Renfield Street on Saturday night is no place for those of a nervous disposition, but every town in Scotland, and many villages, has its vomit-spattered battlezones. Everyone knows it.

Everyone knows, too, that booze is no longer just a blight on the less-well-off, the socially maladjusted, and the addictive personality. Students always drank, but these days, it seems, the weekend binge (for starters) is part and parcel of the university experience. Teenagers, many of them, always "experimented" with the contents of the family drink cupboard. Today, as WHO attests, the experimental phase is brief indeed. If the drink trade knows nothing else, it knows where its next customers are coming from.

Then there are respectable folk, the middle-class types, the ones whose knowledge and appreciation of wine has altered the booze landscape. The grape, you will remember, was another of those European novelties that was supposed to civilise us. Judging by sales, the home-drinking classes who never vandalise, never brawl, and never throw up in the street are civilising themselves into unconsciousness. They can rationalise the habit, too: many pubs are grim affairs. Pub prices, meanwhile, cannot compete with supermarket offers.

One feature of all this is tricky. Women drinkers are one notable new fact in the wonderful world of addiction. You could say that's as it should be. The days when women entering pubs without men were frowned upon - assumptions as to their profession were made - are best consigned to the past. Women expect equal treatment. But equality of distress, desperation and physical decay? Apparently so. Drunken girls and women are now commonplace - as, increasingly, are women with wrecked livers.

None of this is news. But it leaves us with the obvious question: why the Scots? The Welsh and the Irish have a certain reputation; parts of England have established booze cultures. But only of Scotland can it be said confidently that a serious problem is growing steadily, inexorably worse. It is as though self-destruction is being sought almost as a matter of honour. Why?

If I had a quick answer I would be writing to Alex Salmond, not writing for this newspaper. Decades of abuse and centuries of black humour celebrating stupidity have led us to this. A national compulsion wedded to a national bravado has guaranteed the catastrophe. The falling real cost of alcohol has merely completed the cocktail.

Many people drink, they say, for the illusion of confidence. This suggests that, as a community, our confidence is in poor shape. Others will tell you that they drink to keep boredom and worries at bay. We must, I think, be afflicted with a lot of both. Doctors will add the fact that alcohol is a depressant, and that those so depressed self-medicate in the mistaken belief that a bit of cheer will cure them. This suggests that we are a depressed bunch busy making ourselves still more depressed.

The simple truth, I think, is that many Scots recognise only one alcohol problem: that's when there's no alcohol available. They are raised in a booze-soaked culture that celebrates its own folly and regards abstinence as the habit of the sad and strange. It memorialises its national poet annually with p*ss-ups to celebrate a writer's fondness for getting p*ssed. It treats the arrival of each New Year as an injunction to get extra-drunk. It regards births, marriages and deaths as moments for which alcohol is obligatory.

And it likes being drunk. There is a difference between the problem drinker and the alcoholic. The former still has a choice, of sorts. Most Scots, and the young in particular, occupy that category. They choose booze, it seems, because booze is what makes life in Scotland bearable. Ponder that, for a moment.

Tell them, as the government has, that they are to be deterred from risky behaviour and a question will hang in the air. This: what are we supposed to do instead? Large numbers of Scots are incapable, so to speak, of arriving at an answer. A cliché holds true, nevertheless: hard drinking is a symptom. It becomes a cause, in time, of all sorts of misery, but the fact remains that when many Scots contemplate their world they reach for the bottle.

The stoicism once taught by our religions no longer applies. Notions of self-respect no longer inhibit. Instant gratification is available on every supermarket shelf. And booze, at least for a while, at least until family breakdown, psychosis and organ failure make their claims, answers every question. At bargain prices, too.

Saturday, June 21, 2008

Teenagers speak about binge drinking

Alcohol is considered by many experts to be the principal drug in teenagers.

Binge drinking is a dangerous trend that is considered an epidemic in Australia, yet, according to many teenagers, it is “the only way to have fun”.

Binge drinking is the act of drinking heavily over a period of time or drinking continuously over a number of days.

The controversial new definition by the Australian Medical Association defines “binging” as four standard drinks a night.

The majority of young adults often do not consider alcohol as a drug or particularly harmful.

“Most drink because they feel that they need to, to fit in and for social lubricant,” an 18-year-old female from Bega told the Bega District News this week.

“Many teenagers believe that they have to be drunk to have fun, we need more alcohol-free events to show them that you can have more fun sober.”

Short term binge drinking can result in indulgence in risky and dangerous behaviour, acute intoxication and memory loss, which occurs when the brain is too affected to form memories.

Long term binge drinking can cause severe damage in vital organs and has been linked with emotional disorders such as depression and loss of friends due to bad behaviour.

“A good percentage of criminal activities that occur in the Bega Valley occur under the influence of alcohol,” Bega Police Inspector Jason Edmunds said.

“Irresponsible drinking often leads to criminal offences.”

Although Australian alcohol laws are some of the strictest in western civilisation, Australia’s teenage drinking rates are one of the world’s highest.

The Federal Government has set aside $53 million towards an anti binge-drinking campaign and a new tax on alcopops (designer drinks) is designed to decrease the amount of alcohol consumed by teenagers.

However, according to a a 15-year-old female in Bega, “The tax is not going to stop binging because now teenagers will just buy a bottle of vodka and mix their own drinks and get even more smashed because they don’t know what level of alcohol they are drinking”.

Studies from the University of Melbourne have found that children who have childhood behavioural problems, different temperament and poor social skills are more prone to binge drinking as a teenager.

“Parents have the responsibility to educate their children about the responsible use of alcohol,” the 18-year-old female said.

“Keeping them in the dark will only socially stunt them.

“Forbidding a 16-year-old from drinking will not work, it is an unrealistic expectation, but forbidding a child under 16 is responsible parenting.”

As a teenager’s tolerance level to alcohol rises, the more alcohol they require to become intoxicated and the greater the inclination they have to binge.

“Using alcohol to relax is fine but when the level gets too high, people just get hurt,” a 15-year-old female said.

Peer pressure is the factor that causes teenagers to drink, in the majority of cases.

Curiosity and releasing of stress also impact on how much young adults are willing to drink.

“Some of the main reasons that teenagers binge drink are peer pressure, living in a isolated community, boredom and limited recreation; when the chance comes to drink they do so excessively,” local Juvenile Justice counsellor Henry Dodd said.

Insp Edmunds said that police have been targeting the responsible service of alcohol and the responsible consumption of alcohol.

“We are checking with owners of alcohol suppliers that they have the proper licence and that staffs comply with the government legislation,” he said.

Bega District News

Alcohol linked to brain damage

You might not just realize this while downing a mug of chilled beer on a summer afternoon, but a new study has revealed that too much alcohol can cause permanent damage to brain.

The study has shown that too much alcohol can also cause brain injury and degeneration by inhibiting insulin and insulin-like growth factor (IGF)

With the help of postmortem human brain tissue, researchers showed that chronic alcohol abuse can decrease levels of genes needed for brain cells to respond to insulin/IGF, leading to neurodegeneration similar to that caused by Type 2 diabetes mellitus.

"Insulin is one of the most important hormones in the body," said Suzanne de la Monte, professor of pathology/ neuropathology and clinical neuroscience at Rhode Island Hospital and the Warren Alpert School of Medicine at Brown University.

"It has many functions, including regulation of metabolism. Cells throughout the body depend upon insulin just to stay alive and carry out 'ordinary daily functions. The best known diseases associated with abnormalities in insulin's availability or actions are Type 1 and Type 2 diabetes," she added.

The study showed that in chronic alcoholics' brains, there was significant insulin and IGF resistance in those regions known to be highly sensitive to alcohol's toxic effects.

"Alcohol is a toxin that clearly can injure or kill brain cells," de la Monte said.

"Fortunately, alcohol has to pass through the gastrointestinal tract and liver where enzymes detoxify alcohol, and consequently reduce the levels that reach the brain.

“However, in either high concentrations, or at lower levels over a longer period of time, alcohol will dissolve some of the lipid in the cell's membrane," she added.

During the study, researchers examined brain tissue from six male chronic alcoholics with a mean age of 57.7 years, and six male "controls" without alcoholism with a mean age of 57.5 years.

Two brain regions were selected for study – the cerebellar cortex, which sends information to the muscles causing them to move and cingulate gyrus in the frontal lobe, involved with emotion formation and processing, learning, and memory. These were major targets of alcohol's neurotoxicity.

The results showed that in chronic alcoholics' brains, there was significant insulin and IGF resistance in those regions known to be highly sensitive to alcohol's toxic effects.

De la Monte added that the insulin resistance their study found was quite similar to what happens in Type 2 diabetes, which means that alcoholic brain disease may be treatable in part by use of drugs that make brain cells more responsive to insulin and IGF.

Times of India

'Hazardous Drinking' More Common Than Thought

Hazardous drinking -- drinking more than guidelines recommend -- is common and needs to be recognized as a genuine public health problem, Finnish researchers say.

Currently, alcohol-use disorders are divided into two categories: alcohol abuse/harmful use and alcohol dependence. Some experts believe these two categories aren't sufficient and that hazardous drinking should be added as a diagnosis that precedes the other two.

"This is an issue that needs to be debated. Current tools... do not allow for a phenomenon like hazardous drinking, when a person drinks too much and is at risk but is not alcohol dependent," Dr. Mauri Aalto, chief physician at Finland's National Public Health Institute, said in a prepared statement.

Aalto and his colleagues analyzed data on 4,477 Finns, ages 30 to 64, who took part in a national health survey in 2000 and found the prevalence of hazardous drinking was 5.8 percent.

Men were defined as hazardous drinkers if they had 24 or more standard drinks a week during the preceding year, while women were hazardous drinkers if they had 16 or more standard drinks a week.

The study also found that hazardous drinking was more common among men, people older than 40, unemployed people versus the employed, and those wh