Alcohol consumption

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High levels of drinking have repeatedly been shown to predict divorce. The most cited explanation for this is that excessive alcohol use disrupts daily tasks and functioning, and increases spousal conflicts. A study of the effects of drinking among husbands versus wives, and of similar versus dissimilar drinking in couples, has found that both level of drinking and compatibility in drinking can have an influence on divorce.

 
Results will be published in the May 2013 issue of Alcoholism: Clinical & Experimental Research and are currently available at Early View.

“On average, divorced people drink more than married people,” said Fartein Ask Torvik, a researcher at the Norwegian Institute of Public Health as well as corresponding author for the study. “To some extent, this is due to increased drinking after a divorce, but people who drink heavily also have a higher risk of experiencing a divorce, so heavy drinking likely interferes fundamentally with the quality of marriage.”

“Heavy alcohol consumption is a problem of great public health concern in most Western societies,” added Ellinor F. Major, director of the division of mental health at the Norwegian Institute of Public Health. “It often leads to dysfunctional marriages and divorces. The present study adds to our understanding of the predictive value of alcohol use, and particularly of discordant alcohol consumption for marital dissolution.”

Torvik and his colleagues used data from a previous health study, in which all inhabitants in a Norwegian county were invited to participate in a health study between 1984 and 1986: 19,977 married couples partook. All participants provided information on alcohol use and mental distress. Cox regression (“time-to-event” analysis) was used to study the risk for divorce during the next 15 years, using demographics and mental distress as covariates. “There was one earlier study of this issue,” said Torvik, “but we had a larger sample and a longer follow-up period.”

“Essentially, the more people drink, the higher is the risk of divorce,” said Torvik. “In addition, the risk of divorce is lowered if the spouses drink approximately the same amount of alcohol. This is not only true for those who drink excessively – there is also a reduced risk of divorce if both spouses abstain totally from alcohol. Also, we found heavy drinking among women to be more strongly associated with divorce than heavy drinking among men.”

“This latter finding is of major interest,” said Major. “For instance, the risk of divorce is estimated to be tripled when the husband’s level drinking is low and the wife’s drinking is heavy, compared with couples where both drink lightly.”

“There are several possible explanations for this,” said Torvik. “One of them is that women in general seem to be more strongly affected by heavy drinking than men are. Thus, heavy-drinking women may be more impaired than heavy-drinking men. It is, however, important to note that heavy drinking is much less common among women than among men.”

“Heavy drinking among women is also less acceptable than among men in our society,” said Major. “A wife’s heavy drinking probably also interferes more with general family life – that is, the caring role of the mother, upbringing of children, etc. Perhaps the husband is more apt to the leave the spouse than is the wife when major problems occur. These factors may account for the higher risk for marital dissolution when the wife is a heavy drinker than when the husband is a heavy drinker.”

“Research on alcohol use and relationships should always include data from both spouses,” said Torvik. “The interaction between the spouses is too important to ignore. Likewise, clinicians working with this population should be interested in the alcohol use of the spouse.”

“Couples who intend to marry should be aware of the drinking pattern of their partner since it may become a problem in the future,” added Major. “Someone with a light or moderate alcohol use, who has a spouse who drinks heavily, should encourage that spouse to change their drinking pattern into light or moderate level if the main concern is a lasting marriage of good quality. Good advice probably would be to encourage a similar pattern of moderate or light drinking in both spouses.”

“Furthermore, while our results indicate that compatibility in drinking is important with regard to divorce, a couple with two heavy drinkers still has a higher divorce risk than couples consisting of light drinkers,” noted Torvik. “I would also like to add that we have only been looking into divorce – alcohol may lead to other social or health problems.”

“Most couples in the present study have children,” said Major. “It would be of interest to study the benefits and disadvantages for the children if parents choose to stay or leave a marriage because of discordant or concordant heavy drinking. From the children’s point of view, parental divorce brings a lot of suffering, but nonetheless, marriage dissolution might be preferable for some children rather than parents staying in a marriage with poor quality.”


Alcoholism: Clinical & Experimental Research (ACER) is the official journal of the Research Society on Alcoholism and the International Society for Biomedical Research on Alcoholism. Co-authors of the ACER paper, “Discordant and Concordant Alcohol Use in Spouses as Predictors of Marital Dissolution in the General Population: Results from the Hunt Study,” were: Kristin Gustavson, Mariann Idstad, and Kristian Tambs of the Division of Mental Health at the Norwegian Institute of Public Health; and Espen Røysamb of the Division of Mental Health at the Norwegian Institute of Public Health, and the Department of Psychology at the University of Oslo. The study was funded by the Research Council of Norway. This release is supported by the Addiction Technology Transfer Center Network at http://www.ATTCnetwork.org.

glass-of-wineDrinking even “moderate” amounts of alcohol increases dementia risk.

Light to moderate alcohol consumption has generally been considered to have some health benefits, including possibly reducing risk of cognitive decline. However, two studies reported today at the Alzheimer’s Association International Conference® 2012 (AAIC®2012) in Vancouver suggest that moderate alcohol use in late-life, heavier use earlier in life, and “binge” drinking in late-life increase risk of cognitive decline.

“The many dangers of misuse of alcohol, and some of its possible benefits, have been widely reported, and there needs to be further clarification by the scientific community,” said William Thies, PhD, Alzheimer’s Association® chief medical and scientific officer. “Certainly no one should start drinking in order to reduce Alzheimer’s risk, as these two new reports attest.”

“We need to know more about what factors actually raise and lower risk for cognitive decline and Alzheimer’s disease. To do that, we need longer term studies in larger and more diverse populations, and we need more research funding to make that happen. We have learned incredible amounts about heart disease and stroke risk from long-term research like the Framingham Study – we have solidly proven lifestyle risk factors that people can act on every day. Alzheimer’s now needs its version of that research,” Thies added. [continue reading…]

young people drinking alcohol

Nearly two in three youngsters underestimated the unit content of their drinks
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Anew University of Sussex-led study reveals that many young people do not have the knowledge or skills to keep their drinking within guidelines on sensible consumption.

According to research led by Dr Richard de Visser, a senior lecturer in psychology at Sussex, young people are highly likely to underestimate their own consumption of alcohol units, even if they have some knowledge of government guidelines.

The study, which is published in Drug and Alcohol Review, involved surveying 18 to 25-year-olds about their knowledge and beliefs about safe drinking. The participants were then asked to pour their “usual” measure of a drink (wine, beer or vodka), followed by what they believed to be a “unit” of that particular drink.

The researchers found that the “usual” drinks were substantially larger than one unit, as set by government guidelines, with nearly two thirds of participants underestimating the unit content of the drinks they had poured.

In the survey, which tested knowledge of the government’s guidelines about alcohol consumption, fewer than half the respondents gave correct responses to five of the seven questions, although most were able to correctly state the recommended daily units for men and women.

“Our results indicate that young people tend not to possess the knowledge and or skills required to drink alcohol in accordance with government guidelines,” says Dr De Visser. “Using drink-pouring tasks as part of this education could promote better understanding of alcohol units and more accurate reporting of alcohol consumption.”

However, he acknowledges that the success of getting the message across to young drinkers depends on how motivated they are to take in the information.

“Many other studies have shown that young people are less concerned about the health issues of drinking and more interested in the pleasure it gives them. Moderation and restraint runs counter to the contemporary cultural emphasis of excessive and conspicuous consumption.”

Source: University of Sussex
Further reading: The UK government’s guideline for “sensible drinking”

WHO launches a worldwide war on alcohol

Today’s focus is on alcohol abuse.The World Health Organization is launching the first global war against alcohol abuse.Can it replicate the success of the anti-smoking campaign?Well that at least is the hope of the World Health Organization, which, between now and January, will be honing its draft of the first global strategy on reducing health damage from alcohol abuse, the fifth leading cause of premature death and disability worldwide.

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Source:
New Scientist