scholarly journals Problem Drinking Predicts Functional Health and Mortality Risk 10 Years Later in the MIDUS Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 404-404
Author(s):  
Sara Miller ◽  
David Almeida ◽  
Jennifer Maggs
Keyword(s):  
Alcohol Use ◽  
Mortality Risk ◽  
Problem Drinking ◽  
Drinking Behavior ◽  
The United States ◽  
Functional Health ◽  
Longitudinal Change ◽  
Mortality Data ◽  
Older Adulthood ◽  
Drinking Behaviors

Abstract The current study examined whether problem drinking in older adulthood is associated with greater longitudinal risk of functional impairment and mortality through 2016. Problem drinking consists of patterns of alcohol use resulting in symptoms of alcohol dependence or health and social consequences. Participants were adults (n=2654, 56.1% female) from Wave 2 (mean age=55, range=30-84) and Wave 3 (mean age=64, range=39-93) of the Survey of Midlife Development in the United States (MIDUS) Study. Participants reported problem drinking behaviors (e.g., alcohol related role interference) and any disability in basic and instrumental activities of daily living (ADL, iADL). Mortality data was acquired from the 2016 MIDUS Mortality dataset. Results indicated that 20.7% of the sample reported at least one problem drinking behavior in the past year. Multiple linear regression analyses revealed that the sum of problematic drinking behaviors at Wave 2 predicted 10-year longitudinal change in impairments in ADL’s (b=0.05, p<0.01) and iADL’s (b=0.05, p<0.01) after controlling for age, education, gender, and previous ADL/iADL. Logistic regression results revealed that for every additional alcohol use problem reported at MIDUS 2, the odds of mortality increased by 1.74 (b=0.55, p<0.01), beyond controls for age and number of chronic conditions. The findings that problem drinking has a unique positive association with impaired functioning and mortality risk during older adulthood supports public health efforts to encourage reduced consumption, increased medical screening, and expanded treatment options.

Alcohol use in daily life: Examining the role of trait and state impulsivity facets

2020 ◽  
Author(s):  
Sarah A Griffin ◽  
Timothy J Trull
Keyword(s):  
Alcohol Use ◽  
Sensation Seeking ◽  
Daily Life ◽  
Drinking Behavior ◽  
Cross Sectional ◽  
Trait Level ◽  
Trait Impulsivity ◽  
Drinking Behaviors ◽  
Ecological Momentary

Objectives: Using Ecological Momentary Assessment methods (EMA) we aimed to investigate the influence of trait and state (momentary) impulsivity on alcohol use behaviors in daily life. Facets of the UPPS trait model of impulsivity (Whiteside and Lynam, 2001) have been found to differentially relate to alcohol-related outcomes and behaviors in cross-sectional and longitudinal studies. The present work expands on this by assessing UPPS facets in daily life and examining the contributions of trait and state impulsivity facets to daily life drinking behavior. Methods: 49 participants were prompted at least six times per day for 21 days. A total of 4,548 collected EMA reports were included in analyses. Multi-level models were computed predicting daily life alcohol use behaviors from state and trait impulsivity facets and relevant covariates. Results: Individual facets of momentary impulsivity differentially related to alcohol outcomes, such that (lack of) premeditation and, to a lesser extent, sensation seeking showed unique patterns of association with drinking and drinking quantity. Only trait levels of (lack of) premeditation were related to drinking behavior in daily life; no other trait UPPS scale significantly related to alcohol use. Conclusions: These results highlight state difficulties with premeditation as particularly relevant to drinking behavior in daily life. Our results also support the incremental validity of state impulsivity facets over trait level measures in relation to drinking behavior in daily life. These findings offer important insight into the phenomenology of daily-life alcohol use and highlight possible avenues for intervention and prevention efforts. Public Health Statement: Momentary fluctuations in premeditation predict alcohol use in daily life. Treatments targeting planning or forethought in relation to alcohol use may interrupt this process contributing to daily life drinking behaviors.

scholarly journals Toward the prevention of alcohol use disorders: Overdrinking (unintentional binge drinking) in a community sample

2018 ◽  
Vol 5 (2) ◽  
pp. 205510291879270 ◽  
Author(s):  
F Michler Bishop ◽  
Jose Luis Rodriquez Orjuela
Keyword(s):  
United States ◽  
Pilot Study ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Alcohol Use Disorder ◽  
Problem Drinking ◽  
Community Sample ◽  
Alcohol Use Disorders ◽  
The United States ◽  
The Past

Approximately 64,000,000 people in the United States report binge drinking at least once in the past month. Unlike overeating and oversleeping, “overdrinking”—defined as drinking more than a person intends to drink—does not exist in the literature. Terms such as binge and problem drinking do not consider the intent of the drinker. The results of this pilot study suggest that most people drink more than they intend to drink. Moreover, they also report often being surprised that they overdrank. Smartphones may help overdrinkers be less often surprised by overdrinking and may prevent drinkers from developing an alcohol use disorder.

scholarly journals An Evaluation of Potential Unintended Consequences of a Nicotine Product Standard: A Focus on Drinking History and Outcomes

2020 ◽  
Author(s):  
Sarah S Dermody ◽  
Katelyn M Tessier ◽  
Ellen Meier ◽  
Mustafa al’Absi ◽  
Rachel L Denlinger-Apte ◽  
...  
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Drinking Behavior ◽  
The United States ◽  
Unintended Consequences ◽  
Nicotine Content ◽  
Drinking History ◽  
Product Standard ◽  
Smoking Outcomes

Abstract Background A nicotine product standard reducing the nicotine content in cigarettes could improve public health by reducing smoking. This study evaluated the potential unintended consequences of a reduced-nicotine product standard by examining its effects on (1) smoking behaviors based on drinking history; (2) drinking behavior; and (3) daily associations between smoking and drinking. Methods Adults who smoke daily (n=752) in the United States were randomly assigned to smoke very low nicotine content (VLNC) versus normal nicotine content (NNC; control) cigarettes for 20 weeks. Linear mixed models determined if baseline drinking moderated the effects of VLNC versus NNC cigarettes on Week 20 smoking outcomes. Time-varying effect models estimated the daily association between smoking VLNC cigarettes and drinking outcomes. Results Higher baseline alcohol use (versus no-use or lower use) was associated with a smaller effect of VLNC on Week 20 urinary total nicotine equivalents (ps<.05). No additional moderation was supported (ps>.05). In the subsample who drank (n=415), in the VLNC versus NNC condition, daily alcohol use was significantly reduced from Week 17-20 and odds of binge drinking were significantly reduced from Week 9-17. By Week 7 in the VLNC cigarette condition (n=272), smoking no longer predicted alcohol use but remained associated with binge drinking. Conclusions We did not support negative unintended consequences of a nicotine product standard. Nicotine reduction in cigarettes generally impacted smoking behavior for individuals who do not drink or drink light-to-moderate amounts in similar ways. Extended VLNC cigarette use may improve public health by reducing drinking behavior. Implications There was no evidence that a very low nicotine content product standard would result in unintended consequences based on drinking history or when considering alcohol outcomes. Specifically, we found that a very low nicotine standard in cigarettes generally reduces smoking outcomes for those who do not drink and those who drink light-to-moderate amounts. Furthermore, an added public health benefit of a very low nicotine standard for cigarettes could be a reduction in alcohol use and binge drinking over time. Finally, smoking very low nicotine content cigarettes may result in a decoupling of the daily associations between smoking and drinking.

Alcohol Expectancies in Relation to Personality and Aggression among Juvenile Delinquents in Northern Russia

2005 ◽  
Vol 35 (2) ◽  
pp. 111-130
Author(s):  
Roman A. Koposov ◽  
Vladislav V. Ruchkin ◽  
Martin Eisemann ◽  
Pavel I. Sidorov
Keyword(s):  
Alcohol Use ◽  
Juvenile Delinquents ◽  
Problem Drinking ◽  
Drinking Behavior ◽  
Alcohol Expectancies ◽  
Personality Factors ◽  
Alcohol Prevention ◽  
Northern Russia ◽  
High Level ◽  
Alcohol Related Problems

The relationships between alcohol expectancies, level of alcohol use, alcohol-related problems, aggression, and personality factors in 198 Russian male juvenile delinquents were assessed. A clustering procedure was used in order to establish main patterns of alcohol expectancies, yielding three major clusters. Level of alcohol use, alcohol-related problems, aggression, and personality factors were compared across the identified clusters. It was established that juvenile delinquents with a high level of positive alcohol expectancies and aggression represented a risk-group for higher involvement in drinking behavior as well as problem drinking, which in turn are related to specific personality traits. Implications of these findings for alcohol prevention among the youth are discussed.

scholarly journals Association of 152 Biomarker Reference Intervals with All-Cause Mortality in Participants of a General United States Survey from 1999 to 2010

2020 ◽  
Author(s):  
Nam Pho ◽  
Arjun K Manrai ◽  
John T Leppert ◽  
Glenn M Chertow ◽  
John P A Ioannidis ◽  
...  
Keyword(s):  
United States ◽  
Mortality Risk ◽  
Diagnostic Tests ◽  
Serum Alkaline Phosphatase ◽  
The United States ◽  
Reference Intervals ◽  
Mortality Data ◽  
Distribution Width ◽  
Risk Of Death ◽  
All Cause Mortality

Abstract Background Physicians sometimes consider whether or not to perform diagnostic testing in healthy people, but it is unknown whether nonextreme values of diagnostic tests typically encountered in such populations have any predictive ability, in particular for risk of death. The goal of this study was to quantify the associations among population reference intervals of 152 common biomarkers with all-cause mortality in a representative, nondiseased sample of adults in the United States. Methods The study used an observational cohort derived from the National Health and Nutrition Examination Survey (NHANES), a representative sample of the United States population consisting of 6 survey waves from 1999 to 2010 with linked mortality data (unweighted N = 30 651) and a median followup of 6.1 years. We deployed an X-wide association study (XWAS) approach to systematically perform association testing of 152 diagnostic tests with all-cause mortality. Results After controlling for multiple hypotheses, we found that the values within reference intervals (10–90th percentiles) of 20 common biomarkers used as diagnostic tests or clinical measures were associated with all-cause mortality, including serum albumin, red cell distribution width, serum alkaline phosphatase, and others after adjusting for age (linear and quadratic terms), sex, race, income, chronic illness, and prior-year healthcare utilization. All biomarkers combined, however, explained only an additional 0.8% of the variance of mortality risk. We found modest year-to-year changes, or changes in association from survey wave to survey wave from 1999 to 2010 in the association sizes of biomarkers. Conclusions Reference and nonoutlying variation in common biomarkers are consistently associated with mortality risk in the US population, but their additive contribution in explaining mortality risk is minor.

Abstract 13745: Hazardous Alcohol Use is a Common but Infrequently Addressed Problem Among Hospitalized Cardiovascular Patients

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Kyle Gobeil ◽  
Theodore Medling ◽  
Paolo Tarvaez ◽  
khalid sawalha ◽  
Mohammed Abozenah ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Binge Drinking ◽  
Problem Drinking ◽  
Drinking Behavior ◽  
Hazardous Drinking ◽  
Hazardous Alcohol Use ◽  
Hazardous Alcohol ◽  
Audit Score ◽  
National Estimates ◽  
Excessive Alcohol

Introduction: Excessive alcohol intake and binge drinking behavior has known detrimental cardiovascular impacts. National estimates suggest that about 7% of U.S. adults has hazardous drinking behavior, but it is unclear if this is different among the inpatient cardiac population and, furthermore, how often this issue is addressed during hospitalization. Hypothesis: Prevalence of alcohol use is underappreciated in the cardiac population due to purported health benefits, and therefore, likely to be overlooked. Methods: Disorders Identification Test (AUDIT), among patients hospitalized for cardiac surgery, heart failure (HF) or myocardial infarction (MI) between June and September 2019. Problem drinking was defined as an AUDIT score of ≥8 with binge drinking defined as 5+ drinks for men or 4+ for women on a single occasion within the past 30 days. Hazardous drinking was defined as a combination of either problem or binge drinking behavior. Results: Of 300 patients approached, a total of 290 (96.7%) completed the survey (33% non-drinkers, age 69 ± 11 years, 70% male, 4% Spanish-speaking, 31% surgical). The rate (95% CI) of problem, binge, and hazardous drinking was 12% (9-16), 16% (12-20), and 18% (14-23), respectively. Irrespective of alcohol use, 58% of patients reported being asked about alcohol use during their admission, mostly by nurses (56%). Patients with hazardous drinking were counseled more frequently about their alcohol use compared to non-hazardous drinkers, (11% vs 3%, p = 0.03), but the large majority (89%) of hazardous drinkers received no advice about their alcohol use while hospitalized and only 34 (12%) patients reported having ever been given a recommendation about alcohol consumption by a cardiologist or cardiac surgeon. Conclusions: In patients hospitalized for acute cardiac illnesses, the prevalence of problem drinking was more than double national estimates. About half of patients with problem drinking behavior were asked about their alcohol, and only a minority of patients received counseling. Our findings suggest that hazardous alcohol use is more common that previously appreciated, and that there are substantial health-system gaps in screening and counseling for this important cardiovascular risk factor.

scholarly journals Examining factors associated with heavy episodic drinking among college undergraduates

2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Kristen Scholly ◽  
Alan R. Katz ◽  
Lisa Kehl
Keyword(s):  
Alcohol Use ◽  
Social Life ◽  
Drinking Behavior ◽  
Multivariate Logistic Regression Analysis ◽  
The United States ◽  
Heavy Episodic Drinking ◽  
Health Concern ◽  
Accurate Information ◽  
Undergraduate College Student ◽  
Factors Associated

Heavy episodic drinking among college students is a serious health concern. The purpose of this study was to identify factors associated with heavy episodic drinking behaviors amongst a predominately Asian undergraduate college student population in the United States. A survey measuring alcohol use behaviors was completed by a random sample of 18-24 year old undergraduates during April, 2011. A multivariate logistic regression analysis was conducted to determine factors associated with students’ heavy episodic drinking behavior. Independent factors associated with heavy episodic drinking included living on campus, ethnicity, perceived drinking behavior among peers, and a belief that alcohol is a central part of one’s social life. Heavy episodic drinking was also associated with poor academic performance. Campus-wide educational strategies to reduce heavy episodic drinking among college undergraduates should incorporate accurate information regarding alcohol use norms to correct students’ perceived over estimation of their peers alcohol consumption rates and the under estimation of students protective alcohol use behaviors. These efforts should focus in on-campus residence halls where a higher occurrence of heavy episodic drinking is often found.

scholarly journals Approximate Mortality Risks between Hyperuricemia and Diabetes in the United States

2019 ◽  
Vol 8 (12) ◽  
pp. 2127 ◽  
Author(s):  
Po-Hsun Chen ◽  
Yu-Wei Chen ◽  
Wei-Ju Liu ◽  
Ssu-Wei Hsu ◽  
Ching-Hsien Chen ◽  
...  
Keyword(s):  
Mortality Risk ◽  
Reference Group ◽  
The United States ◽  
Cox Proportional Hazards ◽  
Hazard Ratio ◽  
Low Risk ◽  
Mortality Data ◽  
Mortality Risks ◽  
All Cause Mortality ◽  
Cvd Mortality

Aim: This study aimed to compare mortality risks across uric acid (UA) levels between non-diabetes adults and participants with diabetes and to investigate the association between hyperuricemia and mortality risks in low-risk adults. Methods: We analyzed data from adults aged >18 years without coronary heart disease and chronic kidney disease (n = 29,226) from the National Health and Nutrition Examination Survey (1999–2010) and the associated mortality data (up to December 2011). We used the Cox proportional hazards models to examine the risk of all-cause and cause-specific (cardiovascular disease (CVD) and cancer) mortality at different UA levels between adults with and without diabetes. Results: Over a median follow-up of 6.6 years, 2069 participants died (495 from CVD and 520 from cancers). In non-diabetes adults at UA ≥ 5 mg/dL, all-cause and CVD mortality risks increased across higher UA levels (p-for-trend = 0.037 and 0.058, respectively). The lowest all-cause mortality risk in participants with diabetes was at the UA level of 5–7 mg/dL. We set the non-diabetes participants with UA levels of <7 mg/dL as a reference group. Without considering the effect of glycemic control, the all-cause mortality risk in non-diabetes participants with UA levels of ≥7 mg/dL was equivalent to risk among diabetes adults with UA levels of <7 mg/dL (hazard ratio = 1.44 vs. 1.57, p = 0.49). A similar result was shown in CVD mortality risk (hazard ratio = 1.80 vs. 2.06, p = 0.56). Conclusion: Hyperuricemia may be an indicator to manage multifaceted cardiovascular risk factors in low-risk adults without diabetes, but further studies and replication are warranted.

Alcohol Use and Self-Esteem of Adolescents

1980 ◽  
Vol 10 (3) ◽  
pp. 197-208 ◽  
Author(s):  
Wayne R. Mitic
Keyword(s):  
Alcohol Use ◽  
Potential Problem ◽  
Problem Drinking ◽  
Drinking Behavior ◽  
Self Esteem ◽  
Problem Drinkers ◽  
Education Programs ◽  
Alcohol Education ◽  
Building Activities

The purpose of this study was to examine the levels of self-esteem among a group of adolescents and its relationship to their drinking behavior. A total of 411 students, ranging from age twelve to eighteen completed questionnaires on drinking behavior, a problem drinking scale and the Coopersmith Self-Esteem Inventory. The results revealed that regular users possessed significantly higher mean scores in overall self-esteem as compared to all other drinking categories. Potential problem drinkers obtained significantly lower scores in academic self-esteem when compared to all other drinking categories. Mean scores in peer self-esteem were significantly higher in regular and potential problem drinkers as compared to abstainers and occasional drinkers. These observations suggested that educators should consider self-esteem building activities when devising and incorporating alcohol education programs directed at the teenage population.

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