scholarly journals Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

2020 ◽  
Vol 17 (10) ◽  
pp. 3631 ◽  
Author(s):  
Lorraine R. Reitzel ◽  
Surya Chinamuthevi ◽  
Sajeevika S. Daundasekara ◽  
Daphne C. Hernandez ◽  
Tzu-An Chen ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Food Insecurity ◽  
Short Form ◽  
Heavy Drinking ◽  
Alcohol Problems ◽  
Future Research ◽  
Homeless Adults ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.

scholarly journals Problematic alcohol use and reduced hippocampal volume: a meta-analytic review

2017 ◽  
Vol 47 (13) ◽  
pp. 2288-2301 ◽  
Author(s):  
S. Wilson ◽  
J. L. Bair ◽  
K. M. Thomas ◽  
W. G. Iacono
Keyword(s):  
Alcohol Use ◽  
Meta Analysis ◽  
Hippocampal Volume ◽  
Future Research ◽  
Cross Sectional ◽  
Problematic Alcohol ◽  
Analytic Review ◽  
Males And Females ◽  
Clinically Significant ◽  
Problematic Alcohol Use

BackgroundA number of studies reports reduced hippocampal volume in individuals who engage in problematic alcohol use. However, the magnitude of the difference in hippocampal volume between individuals with v. without problematic alcohol use has varied widely, and there have been null findings. Moreover, the studies comprise diverse alcohol use constructs and samples, including clinically significant alcohol use disorders and subclinical but problematic alcohol use (e.g. binge drinking), adults and adolescents, and males and females.MethodsWe conducted the first quantitative synthesis of the published empirical research on associations between problematic alcohol use and hippocampal volume. In total, 23 studies were identified and selected for inclusion in the meta-analysis; effects sizes were aggregated using a random-effects model.ResultsProblematic alcohol use was associated with significantly smaller hippocampal volume (d = −0.53). Moderator analyses indicated that effects were stronger for clinically significant v. subclinical alcohol use and among adults relative to adolescents; effects did not differ among males and females.ConclusionsProblematic alcohol use is associated with reduced hippocampal volume. The moderate overall effect size suggests the need for larger samples than are typically included in studies of alcohol use and hippocampal volume. Because the existing literature is almost entirely cross-sectional, future research using causally informative study designs is needed to determine whether this association reflects premorbid risk for the development of problematic alcohol use and/or whether alcohol has a neurotoxic effect on the hippocampus.

scholarly journals Examining the Attitudes of Non-Psychiatric Practicing Healthcare Workers Towards Patients With Alcohol Problems in General Hospital Setting

2022 ◽  
Vol 16 ◽  
pp. 117822182110657
Author(s):  
Ho Teck Tan ◽  
Yit Shiang Lui ◽  
Lai Huat Peh ◽  
Rasaiah Munidasa Winslow ◽  
Song Guo
Keyword(s):  
Alcohol Use ◽  
Hospital Setting ◽  
Well Being ◽  
Alcohol Problems ◽  
Alcohol Intervention ◽  
Screening And Brief Intervention ◽  
Daily Work ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
Doctors And Nurses

Background and objectives: Problematic alcohol-use affect the physical and mental well-being of hospitalised individuals and may receive screening and brief-intervention during treatment. Non-psychiatric doctors and nurses might respond inadequately due to negative attitudes and beliefs. This study aimed to examine these attitudes of non-psychiatric workers in the medical and surgical wards. Methods: A total of 457 doctors and 1643 nurses were recruited from the medical, surgical and orthopaedic disciplines over a period of 4 months. Three questionnaires were administered: demographics, Alcohol & Alcohol-Problems Perceptions Questionnaire (AAPPQ) and Staff Perception of Alcohol Treatment Resources. Results: About 128 doctors and 785 nurses responded. Around 75.5% doctors and 51.9% nurses endorsed role-legitimacy in the AAPPQ. Both the doctor (86.7%) and nurse (77.6%) groups agreed on the importance to initiate intervention for patients with problematic alcohol-use in daily work. Both groups were sceptical and negative towards these patients endorsing low-level role-adequacy (41.2%), role-support (36.9%), motivation (36.5%), task-specific self-esteem (25.1) as well as work satisfaction (20.5%). Conclusion/discussion: Doctors and nurses demonstrated low levels of therapeutic commitments towards patients with problematic alcohol-use thereby necessitating the introduction of in-house programmes to educate, empower and emphasise the importance of therapeutic contact with patients for alcohol intervention. Scientific significance: The prompt identification and treatment of patients with alcohol problems are contingent on the workers’ attitudes towards them. This study’s results should spark a nation-wide interest to improve the training and recognition of such patients and providing adequate educational resources.

Impaired and Incapacitated Rape Victims: Assault Characteristics and Post-Assault Experiences

2009 ◽  
Vol 24 (4) ◽  
pp. 439-457 ◽  
Author(s):  
Heather Littleton ◽  
Amie Grills-Taquechel ◽  
Danny Axsom
Keyword(s):  
Substance Use ◽  
Sexual Assault ◽  
Alcohol Use ◽  
Future Research ◽  
Rape Victims ◽  
Self Blame ◽  
Problematic Alcohol ◽  
Assault Victims ◽  
Problematic Alcohol Use ◽  
Assault Characteristics

Alcohol is the most common “rape drug,” with up to two-thirds of victims consuming alcohol prior to the assault. Surprisingly, little research has examined the assault and postassault experiences of victims who were impaired or incapacitated as a result of substance use, including alcohol, during a rape. Thus, the current study evaluated the assault and postassault experiences of a sample of 340 nonimpaired, impaired, and incapacitated college rape victims. Results supported that these three groups differed in several assault characteristics, including threats by the assailant, resistance by the victim, and relationship with the assailant. In addition, impairment and incapacitation were associated with several postassault factors, including self-blame, stigma, and problematic alcohol use. Results also highlighted similarities in victims’ experiences, including levels of postassault distress. Implications of the findings for future research investigating impaired and incapacitated sexual assault victims are discussed.

Affective Risk for Problem Drinking: Reciprocal Influences Among Negative Urgency, Affective Lability, and Rumination

2020 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Emily A. Atkinson ◽  
Anna M.L. Ortiz ◽  
Gregory T. Smith
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Problem Drinking ◽  
Risk Process ◽  
Future Research ◽  
Problematic Alcohol ◽  
Recent Advances ◽  
Affective Lability ◽  
Problematic Alcohol Use ◽  
Risk Processes

Background: Affective disturbances have long been implicated in the onset and maintenance of problematic alcohol use. Affective risk theory for problem drinking has moved beyond early documentation that negative affect broadly confers risk to models specifying specific affectbased risk processes. Objective: This paper provides a theory-driven review of recent literature on the role of affect-based factors in the etiology of problematic alcohol use. First, we review recent advances in the understanding of affect-based risk for problem drinking. Second, we highlight the importance of three specific affect-based risk factors: urgency, affective lability, and rumination. Third, we offer hypotheses regarding the reciprocal relationships between specific risk factors and drinking problems. Finally, we suggest possible avenues for future research. Conclusion: Recent advances in the understanding of reciprocal prediction between affect-based risk factors and problem drinking have set the stage for important new avenues of investigation into the risk process. Affect-based risk processes appear to influence each otherover time, and they influence and are influenced by problem drinking. Further understanding of these processes will pave the way for a new generation of intervention strategies.

Reduced-risk drinking as a viable treatment goal in problematic alcohol use and alcohol dependence

2013 ◽  
Vol 27 (11) ◽  
pp. 987-997 ◽  
Author(s):  
Jan van Amsterdam ◽  
Wim van den Brink
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Empirical Support ◽  
Additional Treatment ◽  
Treatment Goal ◽  
Added Value ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use ◽  
Reduced Risk

This review describes and discusses studies related to reduced-risk drinking as an additional treatment option for patients with problematic alcohol use and alcohol dependence. The review provides some empirical support for the following statements: (a) reduced-risk drinking is a viable option for at least some problem and dependent drinkers; (b) abstinence and non-abstinence-based treatments appear to be equally effective; (c) allowing patients to choose their treatment goal increases the success rate. The relatively short follow-up period (1–2 years) of the studies hampers a proper evaluation of the added value of the reduced-risk drinking approach.

scholarly journals Cloninger's temperament dimensions and longitudinal alcohol use in early mid-life: A Northern Finland birth cohort 1966 study

2016 ◽  
Vol 33 (S1) ◽  
pp. S118-S118
Author(s):  
D. Vladimirov ◽  
S. Niemelä ◽  
J. Auvinen ◽  
M. Timonen ◽  
S. Keinänen-Kiukaanniemi ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Birth Cohort ◽  
Heavy Drinking ◽  
Novelty Seeking ◽  
Multinomial Regression ◽  
Time Points ◽  
Problematic Alcohol ◽  
Competing Interest ◽  
Problematic Alcohol Use

BackgroundLongitudinal studies on how temperament is related to alcohol use in general population are scarce.ObjectivesFinding relations with temperament and problematic alcohol use using prospective birth cohort data.AimsTo investigate trends in self-reported alcohol consumption in adulthood.MethodsIn the Northern Finland Birth Cohort 1966 (n = 5247), alcohol use was studied with questionnaires at ages 31 and 46. Participants were classified into abstainers, bingers, heavy drinkers, steady drinkers, increasers or reducers based on the change in consumption (g/day). Cloninger's TCI-scores were calculated for each group. Multinomial regression analysis was conducted with TCI-scores as factors influencing the change in alcohol consumption.ResultsHigh novelty seeking was associated with increased consumption, binging and heavy drinking among both sexes at both time points (P < 0.01). Lower persistence was associated with increased consumption at both time points among men and among women at age 46. Baseline novelty seeking predicted both increasing (OR 1.1; 95% CI: 1.0–1.1) and reducing (1.1; 1.0–1.1) for men and for women also increasing (1.1; 1.0–1.1) and reducing (1.1; 1.0–1.1), but when adjusted with baseline alcohol use novelty seeking only predicted increasing for men (1.0; 1.0–1.1).ConclusionsHigh novelty seeking and low persistence are associated with problematic alcohol use among middle-aged Northern Finns. Gender differences in predictors existed: novelty seeking predicted increase only for men in the adjusted model. Temperament scores do not seem to affect strongly changes in alcohol use.Disclosure of interestThe authors have not supplied their declaration of competing interest.

An Examination of Pathways From Childhood Victimization to Violence: The Role of Early Aggression and Problematic Alcohol Use

2006 ◽  
Vol 21 (6) ◽  
pp. 675-690 ◽  
Author(s):  
Cathy Spatz Widom ◽  
Amie M. Schuck ◽  
Helene Raskin White
Keyword(s):  
Alcohol Use ◽  
Child Maltreatment ◽  
Aggressive Behavior ◽  
Structural Equation Models ◽  
Alcohol Problems ◽  
Control Group ◽  
Childhood Victimization ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

Using prospective data from a cohort design study involving documented cases of child abuse and neglect and a matched control group, we examine two potential pathways between childhood victimization and violent criminal behavior: early aggressive behavior and problematic drinking. Structural equation models, including controls for race/ethnicity, socioeconomic status, parental alcoholism, and parental criminality, revealed different pathways for men and women. For men, child maltreatment has direct and indirect (through aggressive behavior and problematic alcohol use) paths to violence. For women, problematic alcohol use mediates the relationship between childhood victimization and violence, and, independent of child maltreatment, early aggression leads to alcohol problems, which lead to violence. Interventions for victims of childhood maltreatment need to recognize the role of early aggressive behavior and alcohol problems as risk factors for subsequent violence.

scholarly journals Screening, brief intervention, and referral to treatment for adolescent alcohol use in Canadian pediatric emergency departments: a national survey of pediatric emergency physicians

CJEM ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 97-102 ◽  
Author(s):  
Shelly Jun ◽  
Amy C Plint ◽  
Sarah Curtis ◽  
Amanda S. Newton
Keyword(s):  
Alcohol Use ◽  
Brief Intervention ◽  
Pediatric Emergency ◽  
Alcohol Problems ◽  
Social Consequences ◽  
Emergency Physicians ◽  
Adolescent Alcohol Use ◽  
Adolescent Alcohol ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

AbstractBackgroundProblematic alcohol use is associated with detrimental cognitive, physiological and social consequences. In the emergency department (ED), Screening, Brief Intervention, and Referral to Treatment (SBIRT) is the recommended approach to identify and treat adolescent alcohol-related concerns, but is underused by physicians.ObjectiveThis study examined pediatric emergency physicians’ perceptions of adolescent drinking and treatment, and their current self-reported SBIRT practices.MethodPhysicians in the Pediatric Emergency Research Canada database (n=245) received a 35-item questionnaire that was administered through a web-based platform and paper-based mail-outs. Recruitment followed a modified Dillman four-contact approach.ResultsFrom October 2016 to January 2017, 166 pediatric emergency physicians (46.4% males; mean age=43.6 years) completed the questionnaire. The response rate was 67.8%. Physicians recognized the need (65%) and responsibility (86%) to address adolescent alcohol problems. However, confidence in knowledge and abilities for SBIRT execution was low. Twenty-five percent of physicians reported never having practiced all, or part of, SBIRT while 1.3% reported consistent SBIRT delivery for adolescents with alcohol-related visits. More alcohol education and counselling experience was associated with higher SBIRT use; however, physicians generally reported to have received minimal alcohol training. SBIRT practices were also associated with physician perceptions of problematic alcohol use and its treatability.ConclusionsPediatric emergency physicians acknowledge the need to address problematic adolescent alcohol use, but routine SBIRT use is lacking. Strategies to educate physicians about SBIRT and enhance perceived self-competency may improve SBIRT use. Effectiveness trials to establish SBIRT impact on patient outcomes are also needed.

scholarly journals Trajectories of Racial Discrimination That Predict Problematic Alcohol Use Among African American Emerging Adults

2017 ◽  
Vol 6 (5) ◽  
pp. 347-357 ◽  
Author(s):  
Daniel B. Lee ◽  
Justin E. Heinze ◽  
Enrique W. Neblett ◽  
Cleopatra H. Caldwell ◽  
Marc A. Zimmerman
Keyword(s):  
African American ◽  
Alcohol Use ◽  
Emerging Adults ◽  
Racial Discrimination ◽  
Future Research ◽  
Problematic Alcohol ◽  
Sociodemographic Predictors ◽  
Problematic Alcohol Use ◽  
Stable Trajectory ◽  
Gender Specific

The association between racial discrimination (discrimination) and problematic alcohol use in African American (AA) emerging adults is well-documented. Few researchers, however, have studied the longitudinal relationship between discrimination and problematic alcohol use among AA male and female emerging adults. In a sample of 681 AAs aged 19–25 (51% male), we explored multiple, distinct trajectories of discrimination and sociodemographic predictors of the trajectory classifications. We also examined the relation between discrimination trajectories and problematic alcohol use and the extent to which sex modified these associations. Collectively, the findings revealed that three trajectories—high-stable, low-rising, and low-declining—characterized discrimination experiences for AA emerging adults. Males in the high-stable trajectory class reported more problematic alcohol use than males in other trajectory classes and all females. These findings lay the foundation for future research that examines gender-specific mechanisms in the discrimination–health link.

Sign in / Sign up

Export Citation Format

Share Document