The Relationship Between End-of-Treatment Alcohol Use and Subsequent Healthcare Costs: Do Heavy Drinking Days Predict Higher Healthcare Costs?

2016 ◽  
Vol 40 (5) ◽  
pp. 1122-1128 ◽  
Author(s):  
Arnie P. Aldridge ◽  
Gary A. Zarkin ◽  
William N. Dowd ◽  
Jeremy W. Bray
Keyword(s):  
Alcohol Use ◽  
Healthcare Costs ◽  
Heavy Drinking ◽  
End Of Treatment ◽  
The Relationship

scholarly journals Impaired control in heavy drinking and its association with alcohol craving and alcohol use disorder severity

Salud Mental ◽  
2020 ◽  
Vol 43 (4) ◽  
pp. 151-157
Author(s):  
Edén Sánchez ◽  
Carlos S. Cruz Fuentes ◽  
Corina Benjet ◽  
María Elena Medina-Mora
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Perceived Control ◽  
Alcohol Use Disorder ◽  
Latent Class ◽  
Heavy Drinking ◽  
Alcohol Craving ◽  
Heavy Drinkers ◽  
Impaired Control ◽  
The Relationship

Introduction. Impaired control over drinking has been frequently cited in diverse theoretical descriptions regarding harmful alcohol use and is considered a DSM criterion for alcohol use disorder. Differences in the frequency of endorsement of impaired control have been viewed as a reflection of the severity of the problem. Moreover, it has been posited that the ability to place a limit on alcohol consumption may be mediated through enhanced craving. Objective. In this study, we addressed the relationship between impaired control, self-reported craving, and alcohol dependence severity among heavy drinkers. Method. We conducted a latent class analysis of impaired control dimensions (perceived control, failed control, and attempted control) of 208 heavy drinkers. To determine whether the identified classes could represent different forms of severity of the disorder, the best-fit model was contrasted with scores on the Alcohol Dependence Scale. Furthermore, we assessed the relationship between impaired control criteria (using the Impaired Control Scale [ICS]) with alcohol craving. Results. We identified a three-class solution based on impaired control severity. A graded increase of the craving scores and alcohol severity among the three classes was also identified. Only the ICS items comprising perceived control and partially those related to failed control, but not those evaluating attempted control, distinguished the gradient among the latent classes. Discussion and conclusion. This study provides further support of the proposal of a unidimensional continuum of severity among heavy drinkers and strengthens the theoretical relationship between impaired control and alcohol craving.

scholarly journals Daytime Sleepiness: Associations with Alcohol Use and Sleep Duration in Americans

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Subhajit Chakravorty ◽  
Nicholas Jackson ◽  
Ninad Chaudhary ◽  
Philip J. Kozak ◽  
Michael L. Perlis ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Sleep Duration ◽  
Daytime Sleepiness ◽  
Population Sample ◽  
Heavy Drinking ◽  
Alcoholic Beverages ◽  
Logistic Regression Models ◽  
Drinking Frequency ◽  
The Relationship

The aim of the current analysis was to investigate the relationship of daytime sleepiness with alcohol consumption and sleep duration using a population sample of adult Americans. Data was analyzed from adult respondents of the National Health and Nutritional Examination Survey (NHANES) 2007-2008 (N=2919) using self-reported variables for sleepiness, sleep duration, and alcohol consumption (quantity and frequency of alcohol use). A heavy drinking episode was defined as the consumption of ≥5 standard alcoholic beverages in a day. Logistic regression models adjusted for sociodemographic variables and insomnia covariates were used to evaluate the relationship between daytime sleepiness and an interaction of alcohol consumption variables with sleep duration. The results showed that daytime sleepiness was reported by 15.07% of the subjects. In univariate analyses adjusted for covariates, an increased probability of daytime sleepiness was predicted by decreased log drinks per day [OR = 0.74 (95% CI, 0.58–0.95)], a decreased log drinking frequency [0.90 (95% CI, 0.83–0.98)], and lower sleep duration [OR = 0.75 (95% CI, 0.67–0.84)]. An interaction between decreased sleep duration and an increased log heavy drinking frequency predicted increased daytime sleepiness (P=0.004). Thus, the effect of sleep duration should be considered when evaluating the relationship between daytime sleepiness and heavy drinking.

Emotion dysregulation moderates the relationship between alcohol use and eating pathology among heavy‐drinking college men

2021 ◽  
Author(s):  
Sarah A. Horvath ◽  
Haley M. Kolp ◽  
Catherine V. Andersen ◽  
Ellen E. Johnson ◽  
Sarah E. Racine ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Emotion Dysregulation ◽  
Heavy Drinking ◽  
College Men ◽  
Eating Pathology ◽  
The Relationship

Competitiveness and Alcohol Use Among Recreational and Elite Collegiate Athletes

2008 ◽  
Vol 2 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Holly F. Serrao ◽  
Matthew P. Martens ◽  
Jessica L. Martin ◽  
Tracey L. Rocha
Keyword(s):  
Alcohol Use ◽  
Large Scale ◽  
Heavy Drinking ◽  
Collegiate Athletes ◽  
Future Research ◽  
Clinical Implications ◽  
Research Directions ◽  
Elite College ◽  
Future Research Directions ◽  
The Relationship

Large-scale, national research studies have consistently indicated that college students participating in athletics consume more alcohol than nonathletes. Theorists have speculated that a number of risk factors could be associated with heavy drinking among this group, although research in the area has been sparse. The purpose of the current study was to assess the relationship between one possible risk factor, competitiveness, in a sample of recreational and elite college athletes to determine whether competitiveness was related to alcohol use among these athletes. Data were collected from a sample of 298 undergraduates from a large university in the northeastern United States. Results showed that competitiveness was associated with higher amounts of alcohol consumption. Clinical implications and future research directions are discussed.

scholarly journals Alcohol and Tobacco Use in a Tuberculosis Treatment Cohort during South Africa’s COVID-19 Sales Bans: A Case Series

2021 ◽  
Vol 18 (10) ◽  
pp. 5449
Author(s):  
Bronwyn Myers ◽  
Tara Carney ◽  
Jennifer Rooney ◽  
Samantha Malatesta ◽  
Laura F. White ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Tobacco Use ◽  
Heavy Drinking ◽  
Case Series ◽  
Tobacco Consumption ◽  
Tuberculosis Treatment ◽  
Behavior Change Interventions ◽  
Patterns Of Drinking ◽  
Tobacco Ban ◽  
Drinking Occasion

Background: South Africa temporarily banned alcohol and tobacco sales for about 20 weeks during the COVID-19 lockdown. We described changes in alcohol and tobacco consumption after implementation of these restrictions among a small number of participants in a tuberculosis treatment cohort. Method: The timeline follow-back procedure and Fägerstrom test for nicotine dependence was used to collect monthly alcohol and tobacco use information. We report changes in heavy drinking days (HDD), average amount of absolute alcohol (AA) consumed per drinking day, and cigarettes smoked daily during the alcohol and tobacco ban compared to use prior to the ban. Results: Of the 61 participants for whom we have pre-ban and within-ban alcohol use information, 17 (27.9%) reported within-ban alcohol use. On average, participants reported one less HDD per fortnight (interquartile range (IQR): −4, 1), but their amount of AA consumed increased by 37.4 g per drinking occasion (IQR: −65.9 g, 71.0 g). Of 53 participants who reported pre-ban tobacco use, 17 (32.1%) stopped smoking during the ban. The number of participants smoking >10 cigarettes per day decreased from 8 to 1. Conclusions: From these observations, we hypothesize that policies restricting alcohol and tobacco availability seem to enable some individuals to reduce their consumption. However, these appear to have little effect on the volume of AA consumed among individuals with more harmful patterns of drinking in the absence of additional behavior change interventions.

scholarly journals Alcohol Use Disorder among Patients Suffered from Road Collisions in a Vietnamese Delta Province

2019 ◽  
Vol 16 (13) ◽  
pp. 2423 ◽  
Author(s):  
Hai Minh Vu ◽  
Tung Thanh Tran ◽  
Giang Thu Vu ◽  
Cuong Tat Nguyen ◽  
Chau Minh Nguyen ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Drinking Behavior ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Problematic Drinking ◽  
Current Context ◽  
Educational Campaign ◽  
Causes Of Deaths ◽  
The Relationship

Traffic collisions have continuously been ranked amongst the top causes of deaths in Vietnam. In particular, drinking has been recognized as a major factor amplifying the likelihood of traffic collisions in various settings. This study aims to examine the relationship between alcohol use and traffic collisions in the current context of Vietnam. A cross-sectional study was conducted on 413 traffic collisions patients in six health facilities in the Thai Binh Province to investigate the level of alcohol consumption and identify factors influencing alcohol use among these patients. The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) scale was used to determine the problematic drinking behavior of the participants. The percentage of patients having problematic drinking was more than 30%. Being male, having a high household income, and working as farmer/worker were risk factors for alcohol abuse. People causing accidents and patients with a traumatic brain injury had a higher likelihood of drinking alcohol before the accidents. This study highlights the necessity of more stringent laws on reducing drink-driving in Vietnam. In addition, more interventions, especially those utilizing mass media like educational campaign of good behavior on social networks, are necessary to reduce alcohol consumption in targeted populations in order to decrease the prevalence and burden of road injuries.

Nalmefene against alcohol use disorder: A report of one case

2017 ◽  
Vol 41 (S1) ◽  
pp. s866-s866
Author(s):  
M. Juncal Ruiz ◽  
O. Porta Olivares ◽  
L. Sánchez Blanco ◽  
R. Landera Rodríguez ◽  
M. Gómez Revuelta ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Alcohol Use ◽  
Opioid Receptor ◽  
Treatment Option ◽  
Withdrawal Syndrome ◽  
Alcohol Use Disorder ◽  
Alcohol Intake ◽  
Family Relationship ◽  
Heavy Drinking ◽  
Alcohol Withdrawal Syndrome

IntroductionAlcohol consumption represents a significant factor for mortality in the world: 6.3% in men and 1.1% in women. Alcohol use disorder is also very common: 5.4% in men and 1.5% in women. Despite its high frequency and the seriousness of this disorder, only 8% of all alcohol-dependents are ever treated. One potentially interesting treatment option is oriented toward reducing alcohol intake.AimsTo describe one case who has improved his alcohol consumption after starting treatment with nalmefene, an opioid receptor antagonist related to naltrexone.MethodsA 35-year-old male with alcohol use disorder since 2001 came to our consult in November 2015. He was in trouble with his family and he had a liver failure. We offer a new treatment option with nalmefene 18 mg to reduce alcohol consumption.ResultsBefore to start nalmefene he drank 21 drinks/week. Six-month later, he decreased alcohol intake until 5 drinks/week with better family relationship and liver function. After starting nalmefene he complained of nausea, so we recommend to take the middle of the pill for next 7 days. After this time he returned to take one pill with good tolerance and no more side effects or withdrawal syndrome.ConclusionsNalmefene appears to be effective and safe in reducing heavy drinking and in preventing alcohol withdrawal syndrome due to its opioid receptor antagonism. This case suggests nalmefene is a potential option to help patients, who do not want or cannot get the abstinence, in reducing their alcohol consumption.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Alcohol use and bipolar disorder comorbidity: Synthesis and perspectives

2017 ◽  
Vol 41 (S1) ◽  
pp. S470-S470
Author(s):  
A. Dahdouh ◽  
B. Semaoune ◽  
A. Tremey ◽  
L. Samalin ◽  
V. Flaudias ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Alcohol Use ◽  
Dual Diagnosis ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Systematic Screening ◽  
Electronic Search ◽  
Clinical Interest ◽  
Competing Interest ◽  
The Relationship

ObjectiveAlcohol use disorders and bipolar disorder commonly co-occur and both are associated with more pejorative outcomes, thus constituting a major public health problem. We undertook this synthetic review to provide an update on this issue in order to clarify the nature of the relationship between the two disorders, improve clinical outcomes, prevent complications and therefore optimize management of patients.MethodsWe conducted an electronic search by keywords in databases MEDLINE, EMBASE, PsychINFO, published in English and French from January1985 to December 2015.ResultsThe AUD prevalence is important among BD patients in whom the effects of alcohol are more severe. However, in terms of screening, it appears that the comorbidity is not systematically sought. The concept of co-occurrence finds its clinical interest in the development of specific screening and therapeutic strategies. To date, there are only few recommendations about the management of dual diagnosis and the majority of them support “integrated” approaches.ConclusionsRecommendations should emphasize this strong co-occurrence and promote systematic screening and offered integrated cares.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Recent Alcohol Use and Episodic Heavy Drinking Among American Indian Youths

2014 ◽  
Vol 23 (5) ◽  
pp. 334-346 ◽  
Author(s):  
Keith A. King ◽  
Rebecca A. Vidourek ◽  
Mallory K. Hill
Keyword(s):  
Alcohol Use ◽  
American Indian ◽  
Heavy Drinking ◽  
Recent Alcohol Use
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