Alcohol outlets have geographic and spatial characteristics which are important for researchers to consider when planning and evaluating community prevention programs. Community-level data used in monitoring alcohol problems across community areas and over time exhibit spatial dependencies. Statistical procedures which depend on assumptions of independence may fail to give proper ...

This study examines sources of motivation to seek treatment. Participants were 105 male alcoholics and their non-alcoholic female partners who participated in a study of three different approaches to the conjoint treatment of alcoholism. Participants' sources of motivation were coded from responses to questions at the initial clinical screening interview. ...

The prevalence of alcoholism among the elderly is significant. Drinking problems in the aged may be masked by a physical or psychological conditioning. Diagnosis can thus be difficult but once it is made, treatment is fairly standard.

This paper investigates whether solitary drinking is a risk factor for alcohol-related problems using data from a general population of drinkers in Montréal, Canada. Three indicators of solitary drinking were used: (1) having had a drink alone; (2) frequency of solitary drinking; and (3) having had five drinks or more ...

OBJECTIVE: This article reports on the relationship between drinking patterns and workplace problems in a manufacturing facility operated by a Fortune 500 industry. METHOD: The data come from a survey of 832 hourly employees (88% male) and from ethnographic research in the plant. This study is distinctive because it examined ...

OBJECTIVE: Drinking motives have frequently been linked to both the quantity of alcohol consumption and the likelihood of negative consequences. For motivational models of drinking to be useful, however, drinking motives must have predictive power independent of other variables typically associated with alcohol-related problems. Thus, this study evaluated the relationship ...

To examine both the extent and nature of alcohol-related problems in senior housing and how management responds to these problems, 100 local housing authorities (LHAs) in Connecticut with responsibility for senior housing were surveyed. The response rate was 90%. Results indicated variability among LHAs regarding their experiences with alcohol misuse ...

Fifty six individuals admitted to Recovery Acres (a thirty five bed male residential recovery program/half way house) were evaluated using the Addiction Severity Index (ASI) and Socrates, an instrument designed to measure stage of change. Composite scores obtained from the ASI indicated that major problems were present in the areas ...

Researchers have differentiated sons of alcoholics (SOA's) from sons of nonalcoholics (non-SOA's) on various measures of physiological activity that appear to be related to the SOA's increased vulnerability to developing alcohol problems. This article summarizes major findings in the literature and discusses the implications of risk-related physiological characteristics for the ...

OBJECTIVE: This study was conducted to examine the associations between communication problems and marital violence in couples with a male alcoholic, and to determine whether the communication correlates of marital violence found in nonalcoholic community samples also characterize male alcoholics' relationships. METHOD: Ninety newly abstinent treatment-seeking male alcoholics and their ...

This study compared the alcohol-use-related problems of Puerto Rican and Irish-American men: groups sometimes considered at "high risk" for the development of such problems. It was found that Irish-American men had higher lifetime prevalence rates in the following areas: excessive intake, tolerance and/or dependence, physical or psychological problems associated with ...

An interview was obtained with 212 patients who had, at a point 12 months previously, been in contact with an alcohol problems clinic. Quality of life (SF-36) was measured and for the preceding 6 months the cost of health and social service resource use was estimated, together with the total ...

A harm reduction approach to alcohol and substance abuse is becoming increasingly popular as an alternative to prohibitionist and abstentionist policies. It is seen as particularly valuable for some high-risk populations, such as injection drug users and street youth. A strong argument can be made that Aboriginal communities in Ontario, ...

Traditionally, the college Spring Break in the U.S. is used by a significant number of university students as an opportunity for excessive alcohol use. Thus, this fairly discreet time period lends itself to the introduction of a harm reduction intervention for problems related to alcohol use. During the week prior ...

Temporal drinking patterns and their associated social consequences are described for a sample of US adults aged 18 years and over who drank at least 12 drinks in the preceding year and did not restrict their drinking to special occasions (n = 16086). The earliest time of day when these ...

Alcohol abuse and alcoholism are among the world's most pressing public health concerns. Research has shown that while primary care physicians are in a good position to screen for alcohol-use disorders and to aid in treating these problems, they tend to identify only a small percentage of patients with such ...

Despite the fact that more adolescents use alcohol than any other drug, studies of teenage alcohol misuse are relatively rare. Those that exist frequently fail to include high school dropouts and often focus on only part of the problem, such as how much or how often the adolescent drinks. This ...

BACKGROUND: Four previous studies of homeless adults have yielded conflicting results regarding the presence of cognitive impairment. METHOD: A consecutive series of 80 roofless entrants to a hostel for homeless men were sampled and 62 (76%) completed a range of assessments, including measures of mental state, cognitive functions and substance ...

This paper reports changes in drinking problems among Whites, Blacks, and Hispanics between 1984 and 1992. A probability sample including 1,777 Whites. 1,947 Blacks, and 1,453 Hispanics in the United States adult household population was interviewed in 1984. In 1992 a subsample consisting of 788 Whites, 723 Blacks, and 703 ...

The misuse of alcohol is estimated to result in enormous economic costs, composed largely of reduced labor market productivity. However, there has been debate on this issue. The purpose of this paper is to help to resolve this debate by presenting sound structural estimates of the relationship between measures of ...

This study compared sons of male alcoholics (SOMAs) who had no problems with those who were abusing substances, those who had school problems, those who were delinquent and those who were multiproblem. Corresponding groups of non-SOMAs were also included. Groups were compared at ages 6, 10, 12 and 14 years ...

Predicting with certainty which older patient will have driving problems is not possible, as standardized guidelines do not exist. In the absence of guidelines, the mnemonic SAFE DRIVE outlined in this article can help you identify important risk factors for unsafe driving. Risk factors included in SAFE DRIVE are problems ...

The economic, social and health costs associated with alcohol and other drug use, including medicines, impact on the Australian community profoundly. Many Australians use alcohol and other drugs (AODs) on a regular basis and a significant number experience problems at some time. There are about 25,000 drug-related deaths annually, the ...

The Clients at Residential Agencies (CARA) database of the New South Wales Drug and Alcohol Directorate was analysed for trends in admissions of clients with alcohol problems over the years 1988-92. There were no changes in the mean age and sex ratio of admissions, with the treatment population in all ...

OBJECTIVE: Comorbidity between anxiety and substance use disorders was examined. The hypothesis was tested that social phobics may report greater problem alcohol use (if alcohol is used to manage social anxiety) while problem use of sedative-hypnotics may be greater in people with panic (who may be over-prescribed anxiolytics because they ...

It is useful to view the social handling of alcohol problems in US communities from the perspective of a whole network of human service systems that share in the burden of identifying and responding to problem drinkers. This analysis examines the management of alcohol problems in different community service systems ...

In The Netherlands general practice attenders are not usually questioned about their drinking habits. The objective of this study was to determine to what extent easily available data (e.g. age, gender) can be used to identify categories of patients who are at risk of problem drinking as a preliminary to ...

Problem drinking is far more common than severe alcohol dependence and is associated with considerable morbidity and health care costs. Whereas patients with alcohol dependence respond best to intensive treatment, one or more brief sessions of physician advice and counseling reduces alcohol consumption among problem drinkers. The two most useful ...

Direct and mediating effects of mechanisms hypothesized to account for the association between parental problem drinking and later problem drinking by offspring were investigated. Specifically, a "negative affect" submodel was proposed in which family environment, self-esteem, alienation, likelihood of attaining valued goals, psychopathology, and drinking motives would all mediate the ...

Recent research emphasizes the importance of identifying older problem drinkers. However, very little is known about the longitudinal course and predictors of late-life problem drinking. This prospective study of late-life problem drinkers (N = 581) focused on predictors of alcohol consumption, drinking problems, depression, and treatment seeking over a 4-year ...

The purpose of this study was to see whether and how the number of suicide attempters with alcohol problems and their drinking habits differ between the Nordic areas under study. Problem-drinkers were defined as persons who themselves felt that they had an alcohol problem. The analyses were based on data ...

Alcohol home delivery services (AHDS) provide convenient and confidential access to alcohol, yet little is known about their use. The purpose of this report is to present preliminary data describing the use of AHDS by problem drinkers. We surveyed 174 males regarding social and demographic characteristics, alcohol use history, and ...

This study examines the relationship between diagnosis and life functioning using the Addiction Severity Index (ASI) with 467 hospitalized individuals with mental illness and substance abuse problems. Persons diagnosed with schizophrenia were the best functioning group across most of the ASI domains except employment and psychiatric functioning. More robust relationships ...

Characteristic HPLC profiles of fresh and aged aloe solutions, detected at 360 and 220 nm, are presented and compared. Several aloe constituents (aloesin, aloeresin A, hydroxyaloin, aloin A and B and aloinoside A and B) were simultaneously separated and identified. The determination of aloin is described (detection limit 0.15 ppm) ...

This paper compares the sensitivity and specificity of a five-item Rapid Alcohol Problems Screen (RAPS) optimized in this sample with the CAGE, brief MAST, AUDIT, TWEAK, History of Trauma Scale and breathalyzer reading against ICD-10 criteria for alcohol dependence or harmful drinking, by gender, ethnicity and injury status in a ...

If general practitioners are to take an active role in the secondary prevention of problems connected with alcohol, they must be able to discuss the subject in an adequate fashion. Interviews from a trial study showed that the greatest difficulties were lack of time and fear of spoiling the relationship ...

Alcohol consumption as a cofactor in the progression of HIV infection was examined in 1,446 homosexual and bisexual HIV + men enrolled in the Multicenter AIDS Cohort Study who had a minimum of three visits. Two measures of drinking were employed: initial level, and pattern during the study period. Outcome ...

Rates and correlates of problems associated with the use of alcohol are reported from the 1993 General Social Survey in Canada. Approximately 1 in 11 drinkers (9.2%) reported that drinking has had an adverse effect on his or her social life, physical health, happiness, home life or marriage, work, or ...

The present study examines the association between breath alcohol concentration (BAC) at arrest and problem drinking for a sample of 1,283 male DWI offenders in the US Army. The results indicated a moderate but statistically significant association between BAC at arrest and DSM-III diagnosis. BAC's ability to indicate problem drinking ...

The prevalence of alcohol use and misuse declines with age, but misuse remains an important public health problem among older people. Between 2 and 4% of the United States elderly population meet DSM-III criteria for "alcohol abuse" or dependence. Up to 10% are "heavy" or problem drinkers. Alcohol use and ...

Yu and Williford (J. Drug Issues 22:75-90, 1992) report from a structural study that drinking style is the best predictor of problem drinking. This study further examines a measurement model on drinking style, alcohol consumption, and problem drinking. Four measures are specified for drinking style, three for alcohol consumption, and ...

Adult survivors of rape were compared to controls on 34 scales of the Apperceptive Personality Test and Draw-A-Person Questionnaire. They also reported on present or past weight problems, alcohol or drug problems, and psychotherapy. They differed on 12 scales and on alcohol, weight problems, and therapy. These survivors more frequently ...

In order to facilitate general practitioner (GP) detection of problem drinkers the Dutch College of General Practitioners developed a standard specifying the differences in medical profile between problem drinker and non-problem drinkers. The standard mentions 35 Reasons for Encounter (RFEs) and GP Evaluations (Es) that are thought to be specific ...

Four hundred and eight respondents, who did or did not know persons close to themselves with alcohol problems, from four different racial/ethnic groups (with one group, Filipinos, categorized in terms of whether they were born in the Philippines or in the U.S.) rated the importance of 19 different causes of ...

Using longitudinal data from a sample of 369 Finnish adolescents, the authors examined whether problems in social functioning in young adulthood were interrelated and accumulated, and analyzed processes that may lead to cumulative problems. The log-linear modeling showed that an unstable career line of men at age 26 was related ...

The present study investigated perceptions of AIDS as a social problem relative to 10 other problems in a sample of 194 inner-city sexually transmitted disease (STD) clinic patients. Within-subjects analyses showed that AIDS was viewed as a more serious problem than housing, alcoholism, and child care, while AIDS was less ...

This 3-year longitudinal study examined two recovery pathways among 135 problem drinking individuals who never received professional treatment. Almost half (48.3%) of those individuals for whom outcome could be clearly determined became moderate drinkers or stably abstinent. At baseline, individuals who subsequently became abstinent (n = 28) were of low ...

Qualitative data on enforcement of the minimum drinking age in the United States were obtained through in depth interviews with law enforcement officers in May and June 1992. Interviews were conducted with 37 supervisory and line law enforcement personnel in 15 city and county law enforcement agencies in four States. ...

Although it is generally accepted that the spouses of excessive drinkers experience a range of problems as a result of their partner's alcohol consumption, there have been few attempts at measuring the hardship experienced. Previous attempts have counted only the number of categories of hardship experienced over the previous year ...

We sought to examine the relationships between socioeconomic status and drinking problems within the Black and White male populations. A two-way interactions of social class with race/ethnicity, and with drinking consequences and alcohol dependence symptoms was hypothesized among drinkers. Drinking problems were regressed on social class, race/ethnicity, age, alcohol consumption, ...