Aims

To support the free and open dissemination of research findings and information on alcoholism and alcohol-related problems. To encourage open access to peer-reviewed articles free for all to view.

For full versions of posted research articles readers are encouraged to email requests for "electronic reprints" (text file, PDF files, FAX copies) to the corresponding or lead author, who is highlighted in the posting.

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Thursday, August 23, 2012

A Role of Genomic Copy Number Variation in the Complex Behavioral Phenotype of Alcohol Dependence: A Commentary



In their paper “Copy number variations in 6q14.1 and 5q13.2 are associated with alcohol dependence” Lin and colleagues report on the association between alcohol dependence and 2 duplication CNVs in the genome sequence, one containing 8 genes within its boundaries and another that contains no genes. In this commentary, I point out some of the opportunities and challenges that arise from such a finding.



Request Reprint E-Mail:: aeurban@stanford.edu

Moderate drinking? Alcoholconsumption significantly decreasesneurogenesis in the adulthippocampus



Drinking alcohol in moderation is often considered a health-conscious behavior;associated with improved cardiovascular and brain health. However;“moderate” amounts of alcohol include drinking 3-4 alcohol beverages in a day;which is closer to binge drinking and may do more harm than good.

Here we examined how daily drinking of moderate-high alcohol alters the production of new neurons in the adulthippocampus.

Male and female adult Sprague-Dawley rats were provided free access to a liquid replacement diet that was supplemented with either 4% ethanol or Maltodextrin for a period of two weeks. Proliferating cells were labeled with 5-bromo-2-deoxyuridine (BrdU) and the number of BrdU-positive cells in the hippocampus was assessed after the final day of drinking. A subset of rats was also exposed to a motor skill or associative learning task to examine the functional effects of alcoholconsumption.

The drinking regime resulted in an average blood alcohol concentration of approximately 0.08%;which is comparable to the human legal driving limit in many countries. This level of intoxication did not impair motor skill learning or function in either sex;nor did the alcoholconsumption disrupt associative learning two days after drinking.

Therefore; moderate alcohol consumption did not disrupt basic sensory;motor or learning processes. However;the number of cells produced in the dentate gyrus of the hippocampus was reduced by nearly 40%.

Thus; even moderate consumption of alcohol for a relatively short period of time can have profound effects on structural plasticity in the adult brain.



Request Reprint E-Mail: shors@rutgers.edu

Wednesday, August 22, 2012

Alcohol Consumption as a Barrier to Prior HIV Testing in a Population-Based Study in Rural Uganda



Early receipt of HIV care and ART is essential for improving treatment outcomes, but is dependent first upon HIV testing. Heavy alcohol consumption is common in sub-Saharan Africa, a barrier to ART adherence, and a potential barrier to HIV care.

We conducted a population-based study of 2,516 adults in southwestern Uganda from November–December 2007, and estimated the relative risk of having never been tested for HIV using sex-stratified Poisson models.

More men (63.9 %) than women (56.9 %) had never been tested. In multivariable analysis, compared to women who had not consumed alcohol for at least 5 years, women who were current heavy drinkers and women who last drank alcohol 1–5 years prior, were more likely to have never been tested.

Alcohol use was not associated with prior HIV testing among men. HIV testing strategies may thus need to specifically target women who drink alcohol.



Request Repjrint E-Mail: judy.hahn@ucsf.edu

FASD News - 33/2012


NEWS AND ARTICLES
Daily Mail (UK) - Pregnancy test dispenser installed inside BAR in effort to stop women drinking while expecting
The owner of a bar decided to install a pregnancy test dispenser inside of the women's restroom in an effort to prevent fetal alcohol syndrome.
Sun News Network - Fetal alcohol syndrome can have no outward signs: Study
Fetal alcohol syndrome can be hard to diagnose because not all babies develop the distinct facial features normally associated with the disease, a new study has found.
News-Medical.net - Prenatal alcohol exposure effects last well into childhood
Women who heavily expose their unborn child to alcohol risk restricting their child's growth until the age of 9 years, researchers say.
CBS News (USA) - 1 in 13 pregnant women drink alcohol, CDC says
Drinking alcohol during pregnancy is the leading preventable cause of birth defects and developmental disabilities in children, says the Centers for Disease Control and Prevention.
Daily Commercial News (Canada) - Governments of Canada and Yukon Invest in Affordable Housing in Whitehorse
The Governments of Canada and Yukon, along with community partners, gathered today to announce funding for Options for Independence, for a new building providing 14 new housing units for clients living with Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders (FASD) in Whitehorse.
DigitalJournal.com (South Africa) - Sanford Research President Advances International Research on Fetal Alcohol Spectrum Disorders (FASD)
Data from a recent trip to South Africa for Sanford Health’s Gene Hoyme, MD, will be used to develop criteria for more accurate recognition of fetal alcohol spectrum disorders (FASD) in infancy and early childhood. Early recognition of this continuum of disorders is critical as it provides children with access to intervention services sooner and improves their health outcomes.
Medical News Today - Mothers Who Smoke While Pregnant Increase Their Baby's Risk Of Asthma
New research has discovered that mothers who smoke during pregnancy may cause wheeze and asthma in their children when they reach preschool, even among kids whose moms did not smoke until late pregnancy or after birth.
Voxy (New Zealand) - Prison more likely for those prenatally exposed to alcohol
The Health Select Committee should take seriously Children's Commissioner Dr Russell Wills concerns about the increase of children with Foetal Alcohol Spectrum Disorders(FADS), says Kim Workman, Director of Rethinking Crime and Punishment. FASD is an umbrella term describing the range of effects that can occur in an individual prenatally exposed to alcohol.
AllAfrica.com (South Africa) - South Africa: Headway in the Fight Against FAS
A far-flung Northern Cape town has been making world headlines over the last few years. Unfortunately for the wrong reasons - a 2002-study revealed that more than one in 10 (12.2%) children in the De Aar community had foetal alcohol syndrome (FAS), giving the town the highest reported rate in the world.
Cambridge News - Toolkit tackles birth defects in developing world
A pioneering resource to help tackle birth defects, particularly in low and middle income countries (LMICs) has been made available free and online to health and policy professionals and patient groups worldwide.
Thats Life (Australia) - I paid the ultimate price for my binge drinking
Looking at my daughter Krystal, you would never know she was different to other girls her age. But the truth is, her life is plagued with health problems. Learning difficulties, vision and hearing impairments...
ABANow (USA) - Urges Training to Recognize FASD in Juvenile Justice System
RESOLVED, That the American Bar Association urges attorneys and judges, state, local, and specialty bar associations, and law school clinical programs to help identify and respond effectively to Fetal Alcohol Spectrum Disorders (FASD) in children and adults, through training to enhance awareness of FASD and its impact on individuals in the child welfare, juvenile justice, and adult criminal justice systems and the value of collaboration with medical, mental health, and disability experts.
Risk Sense - Why We Need to Ban the Word “Safe” from Reports of Risk Research: The Example of Alcohol Use in Pregnancy
Yesterday, BJOG: An International Journal of Obstetrics & Gynaecology electronically published in “Early View” 5 articles from a Danish research group, all of which use longitudinal data from 2003-2008 to consider the relationship (or lack thereof) between maternal alcohol consumption during pregnancy and various outcomes (executive function, intelligence, attention) in these mothers’ children at 5 years of age.
National Times (Australia) - Everyone gets a say in the alcohol debate - except the foetus
In the debate over serving alcohol to pregnant women - following an incident in which a waitress refused to serve a pregnant woman alcohol in California - doctors, legal experts, women’s rights activists and hospitality workers have all weighed in. Sadly the foetus doesn’t get a say.
Science Nordic (Norway) - For Norwegian drug addicts, pregnancy might lead to incarceration
A unique law gives social workers in Norway the right to lock up pregnant drug addicts to protect the health of unborn children. A new study looks at how the pregnant users react to being incarcerated.

COMING UP
Second European Conference on FASD
Due to the summer vacation period, Early Bird registration has been extended to August 20. Make sure your registration and payment are received by this date to qualify for the reduced fee!
FASDlive 2012 Conference: Expanding our Vision
The FASD Support Network of Saskatchewan, Saskatchewan Ministry of Health, Saskatchewan Prevention Institute, and Canada Northwest FASD Partnership are pleased to invite you to our conference FASDlive 2012: Expanding our Vision.
Vorankündigung der 14. FASD Fachtagung 2012
Jedes Jahr werden in Deutschland immer noch 4000 bis 10 000 Menschen mit fetalen Alkoholspektrumsstörungen (FASD) geboren. Die vermeidbare Ursache für diese geistigen und körperlichen Fehlentwicklungen ist Akloholkonsum während der Schwangerschaft. Im Verlauf dieser Fachtagung werden wir Rückschau halten auf 40 Jahre Forschung und Prävention und auf die neuesten Entwicklungen in Forschung und Therapie …

RESEARCH
Alcohol and Alcoholism - Advanced Gestational Age Increases Serum Carbohydrate-Deficient Transferrin Levels in Abstinent Pregnant Women
Carbohydrate-deficient transferrin (%CDT) is a well-established and highly specific biomarker for sustained heavy consumption of alcohol. However, in pregnant women, the specificity of this biomarker might be affected by advanced gestational age, even after accounting for increased transferrin concentrations in pregnancy.
Behavioural Brain Research - Prenatal ethanol exposure impairs passive avoidance acquisition and enhances unconditioned freezing in rat offspring
To clarify in detail the impaired behavior related to fear and anxiety seen in rat offspring prenatally exposed to ethanol, their behaviors were observed using an elevated T-maze (ETM) test, which allows assessment of passive avoidance acquisition and one-way escape separately, and an elevated open platform (EOP) test for the assessment of unconditioned freezing against innate fear.
Alcoholism - Children with Heavy Prenatal Alcohol Exposure Experience Reduced Control of Isotonic Force
Heavy prenatal alcohol exposure can result in diverse and extensive damage to the central nervous system, including the cerebellum, basal ganglia, and cerebral cortex. Given that these brain regions are involved in the generation and maintenance of motor force, we predicted that prenatal alcohol exposure would adversely affect this parameter of motor control.
Alcoholism - A Prospective Cohort Study of the Prevalence of Growth, Facial, and Central Nervous System Abnormalities in Children with Heavy Prenatal Alcohol Exposure
Most children who are exposed to large quantities of alcohol in utero do not develop fetal alcohol syndrome (FAS). Population-based prospective data on the risk of developing components of fetal alcohol spectrum disorders (FASD), however, are limited.
Alcoholism - Prenatal Alcohol Exposure, Attention-Deficit/Hyperactivity Disorder, and Sluggish Cognitive Tempo
Alcohol-exposed children exhibited elevated SCT scores. Elevations were related to increased parent ratings of internalizing and externalizing behaviors and attention. These findings are observed in alcohol-exposed children regardless of ADHD symptoms and specific SCT items proved useful in distinguishing exposed children, suggesting clinical utility for this measure in further defining the neurobehavioral profile related to prenatal alcohol exposure.

IN OTHER LANGUAGES
Helsingborgs Dagblad (Sweden) - Skapa kunskapscentrum
Glöm inte bort grupper när neuropsykiatrin ska förbättras. Krav från Katarina Wittgard och Annelie Björkhagen Turesson.


Living in proximity of a bar and risky alcohol behaviours: A longitudinal study


Add ImageWe examined whether distance from home to the nearest bar, i.e. alcohol outlet permitting consumption on the premises, is associated with risky alcohol behaviours.

Cross-sectional and longitudinal study.

The cross-sectional data consisted of 78 858 and the longitudinal data of 54 778 Finnish Public Sector Study participants in between 2000 and 2009 [mean follow-up 6.8 years (SD=2.0)].

Distances from home to the nearest bar were calculated using Global Positioning System-coordinates. The outcome variables were heavy alcohol use (drinking above the weekly guidelines) and extreme drinking occasions (passing out due to alcohol use). We used binomial logistic regression in cross-sectional analyses and in longitudinal mixed effects (between-individual) analyses. Conditional logistic regression was used in longitudinal fixed effects (within-individual) analyses.

Cross-sectionally, the likelihood of an extreme drinking occasion and heavy use was higher among those who resided <1 vs. ≥1 km from a bar. Longitudinally, between individuals, a decrease from >1 km to ≤1 km in distance was weakly associated with an extreme drin

king occasion (1.18, 95% CI 0.98–1.41), and heavy use (1.12, 95% CI 0.97–1.29). Within-individual, the odds ratio for becoming a heavy user was 1.17 (95% CI, 1.02–1.34), per 1 km decrease in log-transformed continuous distance, the corresponding odds ratio for an extreme drinking occasion was 1.03 (95% CI, 0.89–1.18).

Moving place of residence close to or far from a bar appears to be associated with a small corresponding increase or decrease in risky alcohol behaviour.




Request Reprint E-Mail: jaana.halonen@ttl.fi

News Release - First evidence from humans on how alcohol may boost risk of cancer



Almost 30 years after discovery of a link between alcohol consumption and certain forms of cancer, scientists are reporting the first evidence from research on people explaining how the popular beverage may be carcinogenic. The results, which have special implications for hundreds of millions of people of Asian descent, were reported here today at the 244th National Meeting & Exposition of the American Chemical Society.

Silvia Balbo, Ph.D., who led the study, explained that the human body breaks down, or metabolizes, the alcohol in beer, wine and hard liquor. One of the substances formed in that breakdown is acetaldehyde, a substance with a chemical backbone that resembles formaldehyde. Formaldehyde is a known human carcinogen. Scientists also have known from laboratory experiments that acetaldehyde can cause DNA damage, trigger chromosomal abnormalities in cell cultures and act as an animal carcinogen. > > > > Read More

The 5-item Alcohol Use Disorders Identification Test (AUDIT-5): An Effective Brief Screening Test for Problem Drinking, Alcohol Use Disorders and Alco


To identify an optimal brief version of the Alcohol Use Disorders Identification Test (AUDIT) and to evaluate its effectiveness as a screening test for problem drinking (PD), alcohol use disorders (AUD) and alcohol dependence (AD).

A multicenter trial was conducted from March, 2010, to January, 2012, in 101 normal comparison, 203 risky drinking, 92 alcohol abuse and 101 AD men aged below 65 years of age in a Korean population. For the purposes of screening, risky drinking, alcohol abuse and AD were grouped: all the three grouped as PD and the latter two grouped as AUD. Logistic regression analysis was used to determine the items among the 10-item AUDIT that provided information predictive of PD, AUD and AD. Receiver operating characteristic (ROC) curve analysis was performed to investigate the discrimination ability of the brief versions of AUDIT, 10-item AUDIT and Cut-down, Annoyed, Guilt, Eye-opener as a screen for PD, AUD and AD. Areas under the ROC curve were compare

The 5-item AUDIT (AUDIT-5: AUDIT items 2, 4, 5, 9 and 10) was obtained by stepwise multiple regression analyses for each screening. AUDIT-5 exhibited ad between tests according to the method suggested by Hanley and McNeil.n AUD screening accuracy significantly superior to that of the 10-item AUDIT, but other brief versions of AUDIT and CAGE did not. Furthermore, AUDIT-5 had a high PD and AD screening accuracy equivalent to that of the 10-item AUDIT.

These results strongly support the usefulness of AUDIT-5 for screening of PD, AUD and AD in clinical settings in Korean male populations.


Request Reprint E-Mail: ihngeun@naver.com

Widening Access to Treatment for Alcohol Misuse: Description and Formative Evaluation of an Innovative Web-Based Service in One Primary Care Trust


To describe the development and evaluation of an innovative web-based service for hazardous or harmful drinkers.

Patients were identified in General Practice and referred to the new service. Mixed methods were used for evaluation.

The service was feasible and acceptable to patients, primary care professionals and commissioners. Users appeared to reduce their alcohol consumption.

This model may be of interest to other primary care commissioners looking to increase access to alcohol treatments at low cost.



Request Reprint E-Mail: elizabeth.murray@ucl.ac.uk

Alcohol, tobacco and drug use as reasons for abortion


Concern about the effects of alcohol and drug use during pregnancy is intertwined with debates about abortion. There is concern that alcohol abstinence recommendations lead women using low levels of alcohol to terminate otherwise wanted pregnancies. This study examines how women describe alcohol, tobacco and/or drug use (ATOD) as reasons for deciding to have abortions and assesses the differences between women reporting and not reporting ATOD as reasons for deciding to have an abortion.

Data come from the UCSF Turnaway Study which recruited 956 women seeking an abortion at one of 30 US clinics between 2008 and 2010. Mixed methods were used and data were analyzed through thematic coding and logistic regression. Results: Nearly 5% reported ATOD as a reason for abortion. Women worried that their ATOD had affected their baby's health and that their or their partner's ATOD would influence parenting. Most women (84%) who reported alcohol as a reason binge drank or had an alcohol-problem symptom in the month before discovering their pregnancy. Sixty-one percent who reported drugs as a reason used drugs, with 88% using more than once/week. Although two-thirds smoked tobacco, no woman reported tobacco alone as a reason. Ninety-eight percent of women reporting ATOD as a reason had unintended pregnancies.

Women reporting ATOD as a reason drink at levels exceeding a low threshold and do not appear to be terminating otherwise wanted pregnancies. Thus, findings are inconsistent with hypotheses that abstinence recommendations and punitive policies lead women using low levels of alcohol or using drugs to terminate otherwise wanted pregnancies.



Request Reprint E-Mail: robertss@obgyn.ucsf.edu

Relationship Between Price Paid for Off-Trade Alcohol, Alcohol Consumption and Income in England: A Cross-Sectional Survey


In order to examine the potential impact of an increase in the minimum price per unit of alcohol to 50 pence ($0.78), we examined drinking patterns and household incomes of people who purchase alcohol in England at above and below this price.

Cross-sectional survey of 515 members of the public in seven towns and cities in the south of England. The primary outcome was whether the participant had purchased alcohol at <50 p/unit. The main exposures were annual household income and alcohol consumption, measured using the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C).

The median price paid per unit of alcohol was 53.1 pence (range 16.4–297.0 pence). Those buying alcohol at <50 p/unit had a mean AUDIT-C score of 6.2 compared with 5.5 among those buying alcohol at above this price. The odds ratio (OR) of a person on low income with high-risk drinking purchasing alcohol at <50 p/unit was 1.29 [95% confidence interval (CI) = 0.82–1.79] compared with all other study participants. The OR of a person on low income with low-risk drinking purchasing alcohol below this price was 0.51 (95% CI = 0.30–0.87) compared with all other participants.

These data suggest that an increase in the minimum price of alcohol to 50 pence price per unit is only likely to disproportionately affect people on low incomes if their alcohol consumption is excessive.



Request Reprint E-Mail: m.crawford@imperial.ac.uk

Maternal Alcohol Use during Pregnancy, Birth Weight and Early Behavioral Outcomes


To examine the effect of maternal alcohol use during pregnancy on infant behavioral outcomes and birth weight, and to investigate the differential susceptibility of infant behavioral outcomes and birth weight to prenatal alcohol exposure.

Data on children born to women taking part in the United States National Longitudinal Survey of Youth (NLSY) (n = 1618) were analyzed using the sibling fixed-effects model, which helps adjust for maternal, genetic and social confounders when examining effects of pre-natal exposure to possible toxins such as alcohol. Mothers were classified as non-drinkers, light-to-moderate drinkers and heavy drinkers according to their frequency of alcohol use during pregnancy. Infants' behavioral outcomes were assessed using the modified Rothbart Infant Behavior Questionnaire in the NLSY, which measures three dimensions of behavioral outcomes: positive mood, fearfulness and difficultness.

Estimates from the model indicated that drinking during pregnancy was positively associated with infant difficultness, but not with positive mood or fearfulness. Further analysis by frequency of alcohol use suggested that both light-to-moderate and heavy drinking were associated with an increase in infant difficultness. Additionally, while low-to-moderate drinking during pregnancy was associated with infant difficultness, drinking at this level was not associated with low birth weight.

The findings suggest that maternal alcohol use during pregnancy is a risk factor for infant behavioral outcomes, after taking into account many confounding factors. Infant behavioral outcomes appear to be more vulnerable to light-to-moderate levels of alcohol use during pregnancy than birth weight is.



Request Reprint E-Mail: jenhao@uchicago.edu

Inequalities in the Distribution of the Costs of Alcohol Misuse in Scotland: A Cost of Illness Study



To examine the distribution of the costs of alcohol misuse across Scotland in 2009/2010, in relation to deprivation.

A cost of illness approach was used. Alcohol-related harmful effects were assessed for inclusion using a literature review. This was based upon the following categories: direct healthcare costs, intangible health costs, social care costs, crime costs and labour and productivity costs. An analysis of secondary data supplemented by a literature review was carried out to quantify each harmful effect, determine its value and provide an estimate of the distribution by deprivation. The deprivation distributions used were area measures (primarily the Scottish Index of Multiple Deprivation).

The overall cost was £7457 million. Two alcohol harmful effects were not included in the overall cost by deprivation due to a lack of data. These were ‘children's social work and hearing system’ and the criminal justice system costs from ‘alcohol-specific offences’. The included alcohol harmful effects demonstrated that 40.41% of the total cost arose from the 20% most deprived areas. The intangible cost category was the largest category (78.65%).

The study found that the burden of alcohol harmful effects is greater in deprived groups and these burdens do not simply arise from deprived groups but are also experienced more by these groups. The study was limited by a lack of data availability in certain areas, leading to less-precise cost estimates.


Read Full Abstract

Request Reprint E-Mail:
marjorie.johnston@nhs.net

Sleep Problems in Children with Fetal Alcohol Spectrum Disorders



Sleep problems in children with fetal alcohol spectrum disorders (FASD) are reportedly common but not well characterized. Objectives were to: (1) assess sleep concerns in children with FASD using a caregiver-report survey, the Children's Sleep Habits Questionnaire (CSHQ); (2) compare CSHQ results with those of previously reported community sample; and (3) describe pilot polysomnography findings in children with FASD.

Children with FASD were recruited from a behavioral intervention study, and participating caregivers completed the CSHQ. CSHQ results were compared with the original data from a previously published community sample of similar age. Participants with FASD and elevated CSHQ scores were offered overnight polysomnography.

Thirty-three children with FASD (4.1-12.1 years) were enrolled; 85% of children with FASD scored above the clinical cutoff Total Score of 41, reflecting marked sleep disturbance. Elevated subdomain scores occurred primarily in areas concerning for pediatric insomnia. Those with comorbid ADHD had elevated CSHQ on additional subdomains with no difference in Total Scores. Compared with the community sample, children with FASD had higher Total Scores on the CSHQ (52 vs. 39, p < 0.001). Polysomnography, completed in 5 subjects, revealed mild sleep disordered breathing and fragmented sleep with elevated non-respiratory arousal indices.

Clinically significant sleep problems are present in children with FASD on both subjective and objective measures. Further investigation is needed to better describe these sleep disturbances and their impact on overall health and daytime neurobehavioral problems in this clinical population.



Request Reprint E-Mail: maida.chen@seattlechildrens.org

Tuesday, August 21, 2012

JRF report: 'A positive choice: Young people who drink little or no alcohol'



A new report into the influences on non or light drinking young people in the UK has been released by the Joseph Rowntree Foundation.

Download the full report 'A positive choice: Young people who drink little or no alcohol' or summary here.

The study examined the lives and choices of young people (aged 16-25) who drink little or no alcohol. It explores the influences that shape their decisions and how their choices and patterns of consumption affect their lives. > > > > Read More

Predicting persistent alcohol problems: a prospective analysis from the Great Smoky Mountain Study



Rates of alcohol disorders peak in late adolescence and decrease substantially into the mid-20s. Our aim was to identify risk factors that predict alcohol problems that persist into the mid-20s.

Data are from the prospective, population-based Great Smoky Mountains Study (GSMS; n=1420), which followed children through late adolescence and into young adulthood. Alcohol persisters were defined as subjects with an alcohol disorder (abuse or dependence) in late adolescence (ages 19 and 21 years) that continued to meet criteria for an alcohol disorder at the mid-20s assessment.

The 3-month prevalence of having an alcohol disorder (abuse or dependence) decreased markedly from late adolescence into the mid-20s. A third of late adolescents with an alcohol disorder continued to meet criteria for an alcohol disorder in young adulthood (37 of 144 who met criteria in late adolescence). Risk factors for persister status included multiple alcohol abuse criteria during late adolescence but no alcohol dependence criteria. Risk factors for persister status also included associated features of alcohol dependence such as craving alcohol and drinking to unconsciousness. Persister status was also associated with depression, cannabis dependence and illicit substance use, but not with other psychiatric disorders. More than 90% of late adolescents with three or more of the risk factors identified met criteria for a young adult alcohol disorder.

Symptoms of alcohol abuse, not dependence, best predict long-term persistence of alcohol problems. The set of risk factors identified may be a useful screen for selective and indicated prevention efforts.


Read Full Abstract

Request Reprint E-Mail: William.Copeland@duke.edu

International Recovery Coaching Conference - London



Recovery Coaching is set to transform recovery and recovery communities. If you work, contribute or volunteer to assist people to develop their lives, health and recovery this conference is relevant to you.

Who should attend? Those working in the field including Organisations Providing Services, Commissioners DAAT, Treatment Providers, Recovery Community Organisers/Leaders, Peer recovery volunteers and supporters, Recovery advocates, Counsellors, Therapists, Coaches, Policy makers (MP’s, Civil Servants), Education Professionals, Correctional Services, Probation Professionals; will all find a session(s) important to their work.

Conference speakers and contributors represent the leading pioneers in Recovery Coaching from the US, UK and Europe

Conference sessions will provide compelling insight into why Recovery Coaching is growing so fast, how it works and is structured and what it has to offer our societies.

Conference sessions & workshops include -

Volunteer recovery coaches building recovery communities

Developing Recovery Coach Supervision

Recovery coaching, relationship technology in recovery communities

Research and Outcomes session

Recovery coaching, counselling and therapy

Core competencies, professionalism & ethics

Professional Recovery coaching best practice

Coaching technology in treatment environments

Coaching a recovering system – families and communities

Executive Recovery


Home Page

What Is Recovery?



We hear the term recovery often, yet it is difficult to define. Many former problem drinkers and other substance users who are now trying to pursue an improved way of living, say that they are “in recovery.” Yet with its frequent use, there is no agreed-upon definition of the term recovery. For instance:

•Does recovery require abstinence?
•Can someone be “in recovery” if they are still drinking or using?
•Is recovery more than just being clean and sober? If so, how is that defined?

Scientists at the Alcohol Research Group want to answer these questions, and we need help from people who used to have a problem with alcohol or drugs--an experience some call being in recovery.

The goal is to develop a way of measuring recovery that will illustrate the constructive personal and social ways of being that are associated with recovery. Unlike those in recovery from other chronic disorders, such as cancer, many people in recovery from alcohol or drug problems are cautious about announcing their recovery status. So are their family members. This study should help to dispel the stigma that those in recovery still face.

Please click here to access the survey.


Monday, August 20, 2012

Alcohol News - 34/2012

Addiction (Finland) - Living in proximity of a bar and risky alcohol behaviours: A longitudinal study
Moving place of residence close to or far from a bar appears to be associated with a small corresponding increase or decrease in risky alcohol behaviour.
Sverige Radio (Sweden) - Government split over home alcohol delivery
Three out of the four parties in the Swedish center-right government coalition would like to allow the state liquor monopoly to take online orders and make home deliveries. But one party says no.
Scandinavian Journal of Public Health (Norway) - Alcohol-related hospital admissions: Missed opportunities for follow up? A focus group study about general practitioners’ experiences
Hospital admittances provide important opportunities for change, but hospital care is seen as fragmented and poorly communicated to the GPs. For shared responsibility and follow up, all participating agents, including the patient, must be sufficiently informed about what has happened and what will follow.
Baku Today (Latvia) - Residents of Latvia to pass the “points” on trade in alcohol
Within two months of inhabitants of Latvia have taken an active part in the creation of an interactive map “dots”, which is the illegal trade in alcohol, cigarettes, or drugs. This result was obtained after each was able to announce on Latvian site of State police www.vp.gov.lv on places where illegally selling alcohol, cigarettes or drugs. Such anonymous messages automatically sent to those residents police stations on the territory of these addresses. During this time, the map was 1007 sites with “points”.
Unity (Latvia) - Saeima to discuss alcohol consumption restriction among young people
Deputies of the Saeima Social and Labour Issues Commission and Defenсe, Internal Affairs and Corruption Prevention Committee will gather on a joint meeting on Wednesday, August 22, to discuss the work group’s proposals on alcohol consumption restrictions among young people.
Gallup.com (USA) - Majority in U.S. Drink Alcohol, Averaging Four Drinks a Week
Americans' drinking habits held steady in the past year, with 66% saying they consume alcohol and drinkers consuming just over four alcoholic drinks per week, on average. Beer continues to be Americans' preferred drink, although wine remains a close second, with liquor favored by 22%.
Telegraph.co.uk - Study shows marriage stops men drinking – as their wives hit the bottle instead
Far from encouraging men to patronise a local pub to escape from domestic duties, marriage actively reduces their alcohol intake, according to research being presented at the American Sociological Association today.
Daily Mail - Alcohol mixed with energy drinks can raise risk of heart problems and other conditions
Youngsters who mix alcohol with energy drinks risk heart palpitations and disturbed sleep, researchers warn. A study found that the highly-caffeinated drinks used by millions to make them extra-alert on a night out raised the odds of a range of health problems.
Retford Today (UK) - Poor areas 'hit harder by alcohol'
Poorer communities have substantially higher levels of alcohol-related ill health, anti-social behaviour and premature deaths than their wealthier neighbours, research has suggested.
Medical Xpress - Both early alcohol use and early intoxication can herald trouble for college students
An early age at first drink (AFD) has been linked to later alcohol-related problems, which is one of the reasons behind the legal drinking age of 21 in the U.S. It is unclear, however, if increased risk is primarily due to initiation of any drinking, or initiation of heavier drinking.
MedPage Today - When Mom Boozes, Baby Has Effects for Years
The effects on growth and body composition of heavy prenatal exposure to alcohol are largely determined at birth and persist at least until age 9, researchers reported.
Stuff.co.nz (New Zealand) - MPs want to keep alcohol age at 18
Parliament is expected to vote on parts of the Alcohol Reform Bill next week, and MPs will have a conscience vote on whether to keep the purchase age at 18, move it back up to 20, or split the age to 18 for on-license venues such as bars and restaurants and 20 for off-licenses such as supermarkets and bottle stores.
Decoded Science - Age at First Drink: A Measure of Impending Problems
Teens may see experimenting with alcohol as a rite of passage to adulthood, but research by Dr. Meghan Rabbitt Morean of Yale University demonstrates that the age at which the experimentation occurs may make a big difference in the life of a young person.
Voxy (New Zealand) - Alcohol interlocks a step forward in drink driving battle
Associate Minister of Transport Simon Bridges launched the devices at Parliament today and, from September, judges will have the option to sentence a repeat drink driver or anyone caught at double the legal blood alcohol limit to have an alcohol interlock installed in their car.
ABC Online (Australia) - Alcohol plain labels needed, but lobby too powerful: campaigner
The Federal Government has finally won its battle for plain packaging on cigarettes. So host Jon Faine wants to know, why not alcohol? Rob Moodie is the Professor of Public Health at the Melbourne School of Population Health. He says the public needs to be pushed towards safer products, and wants tighter regulation of alcholic content as well as alcohol labelling and marketing.
GoodTherapy.org - New Study Explores Ways to Motivate the Unmotivated Problem Drinker
Alcohol dependency is increasing across the globe. The physical consequences of problem drinking are well known. And the relational and psychological damage that alcohol addiction causes are those that affect entire families.
AsiaOne (South Korea) - Korea counts the cost of cheap alcohol
Binge-drinking in Korea was once viewed as a relatively harmless deviation among the nation's workaholics, but its burden on public money and social capital is starting to prompt action.
TheChronicleHerald.ca - Alcohol consumption may be election issue
Nova Scotia’s chief public health officer has been quite outspoken about the province’s problems with binge drinking, its common pairing with violence in Halifax’s downtown and its link to cases coming into the emergency room on weekend nights.
Bloomberg (US) - Drivers Twice Limit Involved In Most Drunk-Driving Deaths
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Otago Daily Times - Booze worse than legal highs - health experts
Health professionals have told the Government that allowing the sale of alcohol while ruling out potentially less-damaging "legal highs" is farcical.



Study examines the relationship between marriage and alcohol


New research examining relationships and the use of alcohol finds that while a long-term marriage appears to curb men's drinking, it's associated with a slightly higher level of alcohol use among women. The study, led by the University of Cincinnati (UC), will be presented at the 107th Annual Meeting of the American Sociological Association.

Based on survey data and interviews, the authors revealed that married men reported consuming the lowest number of drinks, compared with single, divorced, and widowed men. That's in part because of their wives' lower levels of drinking, write the authors. Men also were more likely than women to turn to drinking after a divorce.

On the other hand, the researchers found that married women consumed more drinks than long-term divorced or recently widowed women, in part because they lived with men who had higher levels of alcohol use.

The authors of the study are Corinne Reczek, an assistant professor of sociology at the University of Cincinnati; Tetyana Pudrovska, an assistant professor of sociology and demography at The Pennsylvania State University; Deborah Carr, a professor of sociology at Rutgers University; and Debra Umberson, a professor of sociology at University of Texas at Austin.

The researchers analyzed survey data from the Wisconsin Longitudinal Study to explore population trends in the relationship between marriage and alcohol. They also analyzed data from two in-depth interview studies, the Marital Quality Over the Life Course Project, conducted between 2003-2006, and the Relationships and Health Habits Over the Life Course Study, conducted between 2007-2010.

The researchers also found that:

  • In each marital status category, men consumed a greater average number of drinks than women.

  • Across every marital status category, a higher proportion of men than women also reported having at least one drinking-related problem.

  • Recently divorced men reported consuming a significantly greater average number of drinks than men in long-term marriages.

  • Reporting at least one drinking-related problem was significantly higher among long-term divorced and recently divorced women than long-term married women.

The researchers gauged alcohol consumption by total number of drinks consumed in a month.

The researchers suggest that future research should examine more closely how widowhood shapes alcohol use over time, as well as explore alcohol differences across race-ethnicity. > > > > Read More