scholarly journals Hazardous drinkers in Norwegian hospitals – a cross-sectional study of prevalence and drinking patterns among somatic patients

2011 ◽  
Vol 21 (1) ◽  
Author(s):  
Kristian Oppedal ◽  
Sverre Nesvåg ◽  
Bolette Pedersen ◽  
Jan Tore Daltveit ◽  
Hanne Tønnesen

<p><em><strong>Background</strong></em>: High alcohol intake has been associated with increased risk of hospital admission, increased complication rates, and prolonged hospital stay. Thus, hospital admission may present a relevant opportunity for alcohol intervention. To understand the potential of alcohol interventions we need knowledge about patients’ drinking patterns. The aim of this study was therefore to determine the drinking patterns in a Norwegian hospital population.</p><p><em><strong>Methods</strong></em>: A multicentre cross-sectional survey was carried out at three university hospitals. Patients were asked about alcohol intake one month prior to admission/outpatient treatment. The questionnaire included weekly alcohol intake calculated by frequency X quantity as well as episodes of binge drinking (drinking more than 5 AU during a single day). AUDIT-C was used to determine the frequency of patients having a hazardous drinking pattern during the 12 months prior to hospital treatment.</p><p><em><strong>Results</strong></em>: In total we assessed 2,932 patients for eligibility. A total of 2,350 patients fulfilled the inclusion criteria. We included 1,522 patients (65%) in the analyses. Six percent of the women and 11% of the men reported drinking more than the weekly limits of nine alcohol units (AU) for women and 14 AU for men. Fourteen percent of the women and 29% of the men reported binge drinking during the last month. The frequency of women scoring more or equal to 4 points on AUDIT-C was 20%. The frequency of men scoring more or equal to 5 points was 25%.</p><p><em><strong>Conclusion</strong></em>: Hazardous drinking among Norwegian hospital patients may be more prevalent than what has been reported for the Norwegian population in general. Binge drinking is the dominant drinking pattern.</p>

Author(s):  
Seung Won Lee ◽  
Sung-In Jang

This study examined the association of alcohol drinking patterns with metabolic syndrome (MetS) and its components in a nationally representative sample of South Korean adults. The cross-sectional study included 12,830 current drinkers (6438 men and 6392 women) who were at least 20 years old. Measures of alcohol drinking patterns included average drinking frequency, usual quantity, and binge drinking frequency over the past year. Multivariate logistic regression was performed to estimate odds ratios and 95% confidence intervals for MetS and its components according to alcohol drinking patterns, and also to examine linear trends in these relationships. The prevalence of MetS was 1822 (26.2%) in men and 1313 (17.5%) in women. After adjusting for potential confounding factors, drinking quantity and binge drinking frequency were positively associated with MetS in both sexes. Regarding components of MetS, while the risk of low HDL cholesterol decreased as drinking frequency increased, other MetS components (abdominal obesity, high blood pressure, and impaired fasting glucose) worsened. Our results suggest that separate management of each component of MetS will be required to protect cardio-metabolic health, and a healthy drinking culture that refrains from binge drinking should be established in the context of public health.


Crisis ◽  
2009 ◽  
Vol 30 (4) ◽  
pp. 186-191 ◽  
Author(s):  
Y.E. Razvodovsky

Background: The high suicide rate in Russia and its profound fluctuation over the past decades have attracted considerable interest. There is growing evidence that beverage preference and binge-drinking patterns, i.e., excessive consumption of strong spirits, results in a quicker and deeper level of intoxication, which increases the propensity for the alcohol-related suicide. In line with this evidence, we assumed that higher levels of vodka consumption, in conjunction with binge-drinking patterns, would result in a close, aggregate-level association between vodka sales and suicide in Russia. Aims and Methods: To test this hypothesis, trends in beverage-specific alcohol sales per capita and suicide rates from 1970 to 2005 in Russia were analyzed employing ARIMA time-series analysis. Results: The results of the time-series analysis suggested that a 1 liter increase in overall alcohol sales would result in a 4% increase in the male suicide rate and a 2.8% increase in the female suicide rate; a 1 liter increase in vodka sales would increase the suicide rate by 9.3% for men and by 6% for women. Conclusions: This study replicates previous findings from other settings, which suggest that suicide rates tend to be more responsive to changes in distilled spirits consumption per capita than to the total level of alcohol consumption. Assuming that drinking spirits is usually associated with intoxication episodes, these findings provide additional evidence that the drinking pattern is an important determinant in the relationship between alcohol and suicide. The outcomes of this study also provide support for the hypothesis that suicide and alcohol are closely connected in cultures where an intoxication-oriented drinking pattern prevails and adds to the growing body of evidence that alcohol plays a crucial role in the fluctuation in suicide mortality rates in Russia during recent decades.


BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e034520
Author(s):  
Deirdre Mongan ◽  
Sean R Millar ◽  
Claire O'Dwyer ◽  
Jean Long ◽  
Brian Galvin

ObjectivesIreland has high per capita alcohol consumption and also has high levels of problematic drinking patterns. While it is accepted that patterns of alcohol consumption in Ireland are a cause for concern, it is not clear if Irish people are actually aware of the extent of their hazardous or harmful pattern of drinking. The aim of this study was to determine awareness of drinking pattern in an Irish population using a representative random sample and to identify characteristics associated with self-awareness of hazardous or harmful drinking.MethodsWe analysed data from Ireland’s 2014/2015 Drug Prevalence Survey which recruited a stratified clustered sample of 7005 individuals aged 15 years and over living in private households. Logistic regression analysis was used to determine characteristics associated with self-awareness of hazardous or harmful drinking.ResultsAlmost one half of drinkers had a hazardous or harmful pattern of drinking; 38% engaged in monthly risky single occasion drinking (RSOD) and 10.5% met Diagnostic and Statistical Manual version IV (DSM-IV) criteria for alcohol dependence. Of the 2420 respondents who had a hazardous or harmful pattern of drinking, 67% were unaware of this and misclassified themselves as being either a light or moderate drinker who did not engage in RSOD. An adjusted logistic regression model identified that hazardous and harmful drinkers were more likely to be aware of their drinking pattern if they had completed third level education (OR=1.80, 95% CI: 1.30 to 2.49) while older drinkers (aged 65 and over) were less likely to be aware of their drinking pattern (OR=0.30, 95% CI: 0.14 to 0.65). Subjects who engaged in risk taking behaviours such as illicit drug use and gambling were also significantly more likely to be aware of their drinking pattern.ConclusionsThe results of this study suggest that patterns of alcohol use in Ireland are problematic. Older respondents and those with lower educational attainment are less likely to be aware of their hazardous or harmful drinking pattern. There is also a population of younger, more-educated drinkers who engage in potentially risk-taking behaviours and these subjects are aware of their harmful drinking pattern. Initiatives to reduce overall alcohol consumption and raise awareness around drinking patterns are required.


Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 25
Author(s):  
Chiann Ni Thiam ◽  
Kejal Hasmukharay ◽  
Wan Chieh Lim ◽  
Chai Chen Ng ◽  
Gordon Hwa Mang Pang ◽  
...  

(1) Background: Older people with COVID-19 infection report worse clinical outcomes. There is a paucity of local data and this study aimed to describe the clinical progression of older people admitted to a university hospital in Malaysia with COVID-19 infection. (2) Methods: Older people (≥60 years) admitted with COVID-19 infection confirmed with RT-PCR from 27 February 2020–25 May 2020 were included in this study. Data on patient characteristics, hospital treatment, and inpatient outcomes were collected via hospital-held electronic medical records. Analysis was done to describe the cohort and identify factors associated with inpatient mortality. (3) Results: 26 participants were included (mean age 76.2 years, female 57.7%). All had at least one comorbid condition and half were frail. About 19.2% had non-respiratory (atypical) symptoms; 23.1% had a severe disease that required intensive care unit monitoring; 46.2% were given COVID-19 targeted therapy. Inpatient mortality and overall complication rates were 23.1% and 42.3%, respectively. Delirium on presentation and lower Ct-value were associated with mortality. (4) Conclusions: Older people with COVID-19 infection have severe infection and poor hospital outcomes. Vigilant hospital care is necessary to address their multimorbidity and frailty, along with appropriate treatment for their infection.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
AM Pita Ruiz ◽  
D de Assumpção ◽  
P M Stolses ◽  
Bergamo Francisco

Abstract Background Abusive alcohol intake is associated with noncommunicable diseases that exert a financial impact on public healthcare systems throughout the world. Alcohol affects the absorption of nutrients and plasma levels of fatty acids and exerts a negative impact on food consumption. Objective Determine the regular consumption (≥ 5 days/week) of healthy and unhealthy foods in adults (≥ 20 years) according to binge drinking and sex. Methods A cross-sectional study was conducted with data from the Surveillance System of Risk and Protection Factors for Chronic Diseases of the 2016 Vigitel telephone survey conducted by the Brazilian Health Ministry. Multiple logistic regression was used to determine odds ratios (OR) and 95% confidence intervals (CI). Results Information from 32,195 women and 19,490 men was analyzed, with binge drinking reported in 11.95% and 27.85%, respectively. Lower regular consumption of fruit (OR: 0.80; 95%CI: 0.69-0.92) and milk (OR: 0.82; 95%CI: 0.72-0.94) as well as greater consumption of red meat (OR: 1.27; 95%CI: 1.10-1.46) were found among the men who reported binge drinking. Lower regular consumption of natural juice (OR: 0.79; 95%CI: 0.67-0.93), fruit (OR: 0.64; 95%CI: 0.55-0.75) and milk (OR: 0.70; 95%CI: 0.60-0.82) as well as greater consumption of red meat (OR: 1.35; 95%CI: 1.14-1.59) and soft drinks/artificial juice (OR: 1.55; 95%CI: 1.24-1.94) were found among the women who reported binge drinking. Regarding sex, women consumed more raw vegetables (OR: 1.50; 95%CI: 1.24-1.82), cooked vegetables (OR: 1.79; 95%CI: 1.44-2.21), fruit (OR: 1.28; 95%CI: 1.07-1.55) and sweets (OR: 1.35; 95%CI: 1.05-1.72) as well as less red meat (OR: 0.71; 95%CI: 0.59-0.86) than men who also engaged in binge drinking. Conclusions Binge drinking was associated with a lower frequency of the regular consumption of healthy foods, such as fruit, vegetables and milk, as well as a greater consumption of red meat, soft drinks and sweets. Key messages Alcohol exerts a negative impact on food consumption. Abusive alcohol intake is associated with noncommunicable diseases.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Vanessa Croteau ◽  
Jesse Stabile Morrell

Abstract Objectives To examine binge-drinking trends among undergraduate university students (18–24 years) over a five-year span. Methods Data were collected between 2012–17 through an ongoing, cross-sectional health survey at a midsize, northeastern university. Students (n = 2759; 69% female; 59% first-year) self-reported binge-drinking activity over the past 30 days through an online questionnaire. Binge drinking was defined as consumption of ≥4 or 5 drinks on a single occasion for females and males, respectively. Heavy binge drinking behavior was defined as ≥4 episodes of binge drinking in the past 30 days. Proportional differences were analyzed through chi-square analyses. Results Between 2012–17, binge drinking prevalence ranged from 65.1–75.4% among men and 53.9–65.9% among women. Overall, men reported higher rates of binge drinking compared to females (73.2% vs. 59.2%, P < 0.01). Collectively, 35.7% reported heavy binge drinking in the past 30 days. More males report heavy binge drinking over the past 30 days compared to females (49.1% vs. 29.6%, P < 0.01). Upperclass students reported a higher prevalence of binge drinking in the past 30 days compared to first-year students (68.3 vs. 60.3%, P < 0.01). Between 2012–17, binge drinking prevalence ranged from 65.1–75.4% among men and 53.9–65.9% among women. Overall, men reported higher rates of binge drinking compared to females (73.2% vs. 59.2%, P < 0.01). Collectively, 35.7% reported heavy binge drinking in the past 30 days. More males report heavy binge drinking over the past 30 days compared to females (49.1% vs. 29.6%, P < 0.01). Upperclass students reported a higher prevalence of binge drinking in the past 30 days compared to first-year students (68.3 vs. 60.3%, P < 0.01). Conclusions Our findings are consistent with other studies in showing high rates of binge drinking among college students, especially among male students. Monitoring binge-drinking patterns on college campuses assists administrators and health educators to address the severity of the problem to identify and monitor prevention and intervention efforts. Funding Sources New Hampshire Agriculture Experiment Station and the USDA National Institute of Food and Agriculture Project 1010738.


2008 ◽  
Vol 93 (10) ◽  
pp. 3833-3838 ◽  
Author(s):  
Amy Z. Fan ◽  
Marcia Russell ◽  
Timothy Naimi ◽  
Yan Li ◽  
Youlian Liao ◽  
...  

Context and Objective: Protective and detrimental associations have been reported between alcohol consumption and the metabolic syndrome. This may be due to variations in drinking patterns and different alcohol effects on the metabolic syndrome components. This study is designed to examine the relationship between alcohol consumption patterns and the metabolic syndrome. Design, Setting, Participants, and Measures: The 1999–2002 National Health and Nutrition Examination Survey is a population-based survey of noninstitutionalized U.S. adults. Current drinkers aged 20–84 yr without cardiovascular disease who had complete data on the metabolic syndrome and drinking patterns were included in the analysis (n = 1529). The metabolic abnormalities comprising the metabolic syndrome included having three of the following: impaired fasting glucose/diabetes mellitus, high triglycerides, abdominal obesity, high blood pressure, and low high-density-lipoprotein cholesterol. Measures of alcohol consumption included usual quantity consumed, drinking frequency, and frequency of binge drinking. Results: In multinomial logistic regression models controlling for demographics, family history of cardiovascular disease and diabetes, and lifestyle factors, increased risk of the metabolic syndrome was associated with daily consumption that exceeded U.S. dietary guideline recommendations (more than one drink per drinking day for women and more than two drinks per drinking day for men (odds ratio 1.60, 95% confidence interval 1.22–2.11) and binge drinking once per week or more [odds ratio (95% confidence interval) 1.51 (1.01–2.29]. By individual metabolic abnormality, drinking in excess of the dietary guidelines was associated with an increased risk of impaired fasting glucose/diabetes mellitus, hypertriglyceridemia, abdominal obesity, and high blood pressure. Conclusion: Public health messages should emphasize the potential cardiometabolic risk associated with drinking in excess of national guidelines and binge drinking.


2013 ◽  
Vol 17 (3) ◽  
pp. 597-606 ◽  
Author(s):  
Jong Eun Park ◽  
Hyeyoung Jung ◽  
Jung Eun Lee

AbstractObjectiveTo assess the dietary pattern associated with hypertension and pre-hypertension among Korean male and female adults.DesignCross-sectional study from a representative sample of the Korean population.SettingThe Korea National Health and Nutrition Examination Survey IV, which was conducted in 2007 and 2008.SubjectsMales and females (n 5308) over the age of 20 years.ResultsScores for three major dietary patterns (‘whole food’, ‘Western’ and ‘drinking’) were generated using a factor analysis of thirty predefined food groups based on the food items consumed. We used polytomous logistic regression analyses to obtain odds ratios and 95 % confidence intervals for pre-hypertension and hypertension. Participants with a high drinking pattern score (moderate to high alcohol intake, salted fermented seafood intake) had a significantly higher prevalence of pre-hypertension or hypertension than those with a lower drinking pattern score; odds for the top quintile v. the bottom quintile were OR = 1·56 (95 % CI 1·23, 1·99; P trend = 0·001) for pre-hypertension and OR = 3·05 (95 % CI 2·12, 4·40; P trend < 0·001) for hypertension. The whole food pattern was not associated with either pre-hypertension or hypertension, while the Western pattern was associated with the prevalence of hypertension only among men.ConclusionsOur finding warrants further prospective studies to examine whether alcohol drinking and salty food consumption increase the risk of developing hypertension in Koreans.


2020 ◽  
Author(s):  
Alejandro Q. Nato ◽  
Hafiz Ata Ul Mustafa ◽  
Riya K. Patel ◽  
Hannah G. Sexton ◽  
Scott D. Moore ◽  
...  

ABSTRACTIntroductionAlcohol use disorder (AUD) is a complex, chronic psychiatric disease. AUD manifests as having uncontrollable drinking patterns with detrimental effects. Excessive alcohol intake in the form of binge drinking, which is common among adolescents and young adults, is associated with increased risk of developing AUD. Here, we analyze RNA-seq data from hippocampi of Sprague Dawley rats to investigate temporal changes in gene expression. We used a rodent model of binge drinking, i.e., adolescent intermittent ethanol (AIE), to identify candidate genes that may play a role in the chronic changes in brain function and contribute to the development of AUD.MethodsAt postnatal day (PND) 30 (adolescence), rats received chronic intermittent ethanol (5g/kg intragastrically (i.g.) 10 times across 16 days). We extracted total RNA from rat hippocampal tissue that was collected at three time points. RNA was sequenced on an Illumina HiSeq 2000 platform. We processed RNA-seq data (TrimGalore), compiled gene counts (HTSeq), and performed differential expression analysis (DESeq2). The full rank list of genes and the differentially expressed genes (DEGs) with nominal p<0.05 were used as inputs for pathway-based enrichment analyses GSEA and Cytoscape, respectively, at 3 timepoints in the presence or absence of ethanol (i.e., 3 comparisons). For each of these comparisons, GSEA was used to identify genes involved in enriched Gene Ontology (GO) terms while Cytoscape and its apps were used to identify networks of genes and, subsequently, subnetworks (i.e., clusters) of genes enriched by higher interaction. From clusters containing 15 or more nodes, we prioritized genes related with particular functions, cell types, or diseases, which were present in GO Processes, Kyoto Encyclopedia of Genes and Genomes (KEGG) Pathways, or Reactome Pathways.ResultsBased on GSEA, the most impacted differential gene expression occurs within the potassium channels and receptor function but is heavily dependent on the time point at which the analysis occurs. Across both GSEA and Cytoscape pathway analyses, the most striking changes occur in genes that regulate neuroinflammatory processes and neuronal/synaptic remodeling and coincide with the enrichment of pathways involved in addiction processes.ConclusionIdentification of genes dysregulated by AIE may be useful in determining the underlying mechanism for acute and chronic effects of AIE exposure that contribute to neuronal remodeling and increased risk of developing AUD.


2009 ◽  
Vol 15 (1) ◽  
pp. 6 ◽  
Author(s):  
P Smit ◽  
P J Pretorius ◽  
G Joubert

<p><strong>Objectives:</strong> To investigate undergraduate medical students' knowledge of at-risk drinking behaviour and their own patterns of alcohol intake. The use of non-alcoholic psychoactive substances was also investigated.</p><p><strong>Design:</strong> A cross-sectional study design was used. A self-administered anonymous questionnaire was completed by participants. Questionnaires were designed using the U.S. Department of Health and Human Services guidelines for identifying at-risk drinking.</p><p><strong>Setting:</strong> The School of Medicine, University of the Free State, Bloemfontein.</p><p><strong>Subjects:</strong> Participants included first-, fourth- and fifth-year medical students enrolled in 2006. <strong></strong></p><p><strong>Results:</strong> 371/408 (90.9%) questionnaires were returned. 10% of students who repeated an academic year ascribed it to substance use. The majority of students conservatively estimated the maximum daily and weekly safe levels of alcohol consumption for both men and women as notably lower than recommended by the guidelines. Nevertheless, 32% of students admitted to alcohol intake exceeding these limits, and 55.3% were identified as at-risk drinkers. Marijuana was the most common non-alcoholic substance used by medical students (14.6%) in the preceding three years. Alcohol or other substances was most frequently used during social activities with friends.</p><p><strong>Conclusions:</strong> Medical students' knowledge of levels of alcohol intake associated with increased risks and their own drinking patterns might influence their approach to patients with alcohol-related problems. Therefore, education regarding at-risk drinking behaviour requires to be addressed.</p>


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