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Kurihara K, Shinzato H, Takaesu Y, Kondo T. Drinking behavior patterns may be associated with persistent depressive symptoms after alcohol abstinence in alcohol use disorder. Neuropsychopharmacol Rep 2024. [PMID: 38463015 DOI: 10.1002/npr2.12429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 02/15/2024] [Accepted: 02/25/2024] [Indexed: 03/12/2024] Open
Abstract
AIM This study examined the association between drinking behavior patterns and depressive symptoms after alcohol abstinence in patients with alcohol use disorder (AUD). METHOD We recruited 102 AUD inpatients with baseline depressive symptoms, indicated by scores ≥6 on the Quick Inventory of Depressive Symptomatology Self-Report Japanese Version (QIDS-SR-J) pre-detoxification. Post-4-week abstinence, remission was defined as QIDS-SR-J scores <6. Patients were classified into remitted (n = 51) and persistent (n = 51) groups. Comparative analyses were conducted using patient profiles and the Drinking Behavior Pattern 20-item Questionnaire (DBP-20). Logistic regression identified factors related to post-abstinence persistent depression. Receiver operating characteristic curve analysis determined DBP-20 cutoff scores differentiating between persistent and remitted depression. RESULTS The persistent group exhibited higher scores in the DBP-20 "coping with negative affect" subscale. Logistic regression showed low education, unemployment, and using alcohol for coping as significant factors for persistent depression. Conversely, an automatic drinking pattern indicated natural remission post-abstinence. A subscale score of ≥8 in alcohol use for coping, especially among unemployed patients, predicted persistent depression (sensitivity 86.8%, positive predictive value 73.3%). CONCLUSION Unemployed patients with AUD using alcohol to cope with negative affect may experience residual depression even after detoxification. In contrast, patients with AUD with predominantly automatic drinking behavior may exhibit natural remission post-abstinence.
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Affiliation(s)
- Kazuhiro Kurihara
- Department of Neuropsychiatry, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Hotaka Shinzato
- Department of Neuropsychiatry, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Yoshikazu Takaesu
- Department of Neuropsychiatry, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
| | - Tsuyoshi Kondo
- Department of Neuropsychiatry, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan
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Alen GD, Anderson-Luxford D, Kuntsche E, He Z, Riordan B. The prevalence of alcohol references in music and their effect on people's drinking behavior: A systematic review and meta-analysis. Alcohol Clin Exp Res (Hoboken) 2024; 48:435-449. [PMID: 38367006 DOI: 10.1111/acer.15262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2023] [Revised: 12/25/2023] [Accepted: 12/28/2023] [Indexed: 02/19/2024]
Abstract
Understanding the prevalence of alcohol references in music and their impact on alcohol drinking behavior is important given the increased accessibility to daily music listening with the proliferation of smart devices. In this review, we estimate the pooled prevalence of alcohol references in music and its association with drinking behavior. Systematic searches were conducted across four major databases (MEDLINE, PsycINFO, EMBASE, and CINHAL). Articles were selected following duplicate checking, title and abstract screening, and full-text review. Studies reporting the prevalence of alcohol-referencing music and/or investigating its association with drinking behavior were included. Pooled prevalence with 95% confidence intervals (CIs) were computed using a random effects model. Of 1007 articles identified, 26 met inclusion criteria and 23 studies comprising 12,224 songs were eligible for meta-analysis. The overall pooled prevalence of alcohol references in music (including lyrics and videos) was 24.0% (95% CI: 19.0%-29.0%). The pooled prevalence was 22.0% (95% CI: 16.0%-29.0%) for only lyrics, 25.0% (95% CI: 18.0%-33.0%) for only the visual elements of music videos, and 29.0% (95% CI: 21.0%-38.0%) for both the lyrical content and the visual components. Only three studies assessed the relationship between listening to music with alcohol references and drinking behavior, and all three reported a positive association. Whereas almost a quarter of all songs included references to alcohol, public health preventive measures are needed to reduce alcohol exposure from music. Future research is needed to understand fully the effect of music with alcohol references on drinking behavior.
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Affiliation(s)
- Gedefaw Diress Alen
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia
- Department of Public Health, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia
| | - Dan Anderson-Luxford
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia
| | - Emmanuel Kuntsche
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia
| | - Zhen He
- Department of Computer Science and Information Technology, La Trobe University, Melbourne, Victoria, Australia
| | - Benjamin Riordan
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Victoria, Australia
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Wardenaar FC, Beaumont JS, Boeckman J, van Geffen B, Vanos JK. Analysis of potential hydration opportunities during future football tournaments based on data from the 2018 FIFA World Cup. SCI MED FOOTBALL 2024; 8:32-36. [PMID: 36252322 DOI: 10.1080/24733938.2022.2137574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/05/2022] [Indexed: 10/24/2022]
Abstract
The World Cup is traditionally held oppressive thermal conditions. Therefore, teams should follow heat strain mitigation strategies, including optimal fluid ingestion. The objective of this analysis was to assess and visually communicate match-based World Cup player hydration opportunities and behaviors. Broadcast recordings of the 2018 World Cup (June-July) were analyzed. Descriptive data were reported for match duration, the number, type, and duration of breaks, and player-initiated hydration moments, as well as environmental conditions categorized as 'no thermal stress' and 'thermal heat stress.' The median number and interquartile range of total match breaks were 7 [5-8] during official breaks, with a duration of 42 [23-72] seconds. There were 2 [1-3] player-initiated hydration moments per game, with a duration of 77 [55-100] seconds. On top of the 29% (#126) of breaks in which drinking occurred, an additional 26% (#33) of self-initiated drinking was registered with a duration of 7 [4-28] seconds without an official break. There was no significant difference (P = 0.22) in self-initiated hydration between thermal conditions. Relative percentages showed suboptimal use of substitution (14%) and VAR (38%) breaks vs. injury breaks (75%). In conclusion, football players did not sufficiently use available breaks to hydrate.
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Affiliation(s)
| | - Joshua S Beaumont
- College of Health Solutions, Arizona State University, Phoenix, AZ, USA
| | - Josh Boeckman
- College of Health Solutions, Arizona State University, Phoenix, AZ, USA
| | - Bregje van Geffen
- Mary Lou Fulton Teachers College, Arizona State University, Tempe, AZ, USA
| | - Jennifer K Vanos
- School of Sustainability, College of Global Futures, Arizona State University, Tempe, AZ, USA
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Östh J, Danielsson AK, Lundin A, Wennberg P, Andréasson S, Jirwe M. Keeping Track of My Drinking - Patient Perceptions of Using Smartphone Applications as a Treatment Complement for Alcohol Dependence. Subst Use Misuse 2023; 59:291-299. [PMID: 37876238 DOI: 10.1080/10826084.2023.2269578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
BACKGROUND Alcohol dependence is common, yet highly undertreated. Smartphone applications (apps) have potential to enhance treatment accessibility and effectiveness, however evidence is limited, especially studies focussing on user experiences. The aim was to describe patient perceptions on the usability and acceptability of self-monitoring apps provided as treatment complement for alcohol dependence. METHODS Individual semi-structured interviews were conducted through video or phone calls with 21 participants, recruited from a randomized controlled trial at a dependency clinic in Stockholm. The participants had used two specific apps for self-monitoring consumption ("Glasklart" and "iBAC") during 12 wk prior to the interviews. Data was analyzed using Qualitative Content Analysis. RESULTS Two domains were identified: 1) Smartphone applications as facilitators to treatment, and 2) Barriers to smartphone application use. Using apps within the treatment context was believed to increase the accuracy of the reported consumption. Participants became more aware of their alcohol problem and described the apps as reinforcers that could increase both the motivation to change and the focus on the problem and commitment to treatment. The apps were further described as helpful to control alcohol consumption. However, app usage was constrained by technical problems, unfit app-specific features and procedures, and alcohol-related shame and stigma. DISCUSSION AND CONCLUSIONS Self-monitoring alcohol apps have several beneficial features that can help assess, track, and control alcohol consumption, and improve communication with clinicians. The results indicate they can be useful complements to treatment for patients with alcohol dependence, but their use can be limited by different, foremost technical, issues.
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Affiliation(s)
- J Östh
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - A K Danielsson
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - A Lundin
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - P Wennberg
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
- Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
- Department of Psychology, Inland Norway University of Applied Sciences, Lillehammer, Norway
| | - S Andréasson
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - M Jirwe
- Department of Health Sciences, Swedish Red Cross University, Huddinge, Sweden
- Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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Liu M, Zhao WQ, Zhao QR, Wang Y, Li SG. The impact of the peer effect on adolescent drinking behavior: instrumental-variable evidence from China. Front Psychiatry 2023; 14:1306220. [PMID: 38193133 PMCID: PMC10772145 DOI: 10.3389/fpsyt.2023.1306220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Accepted: 11/24/2023] [Indexed: 01/10/2024] Open
Abstract
Background Governments around the world have taken measures to limit adolescent drinking, however, rates are still alarmingly high. However, most of these measures ignore the peer effect of drinking among adolescents. Previous studies have not sufficiently considered the reciprocal relationship between adolescent alcohol consumption and peer alcohol consumption, which may lead to an overestimation of the peer effect and mask underlying issues. Good instrumental variables are powerful but rare tools to address these issues. Objective This paper aims to correctly estimate the peer effect of drinking on adolescent drinking behavior in China. Methods Owing to the detailed information of household background in the dataset of our survey, we were able to use the drinking behaviors of peers' fathers and their beliefs about the health risks of alcohol as instrumental variables, which are more powerful than school-average instrumental variables. We collected data from the 2017 Health and Nutrition Panel survey, which surveyed 10,772 primary school students from 59 urban migrant and 60 rural public schools. Results The instrumental variable method estimation revealed that peer drinking significantly influences adolescent drinking behavior, with adolescents who have peers who drink alcohol being 10.5% points (2 stage least square, i.e., 2SLS, full sample estimation) more likely to engage in drinking compared to those without such peers. Furthermore, the effect differs significantly between migrant and rural adolescents. Conclusion The study found that parental care plays a significant role in the degree of peer effect, with the absence of parental care being a key factor in the presence of the peer effect.
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Affiliation(s)
- Meng Liu
- Institute of Millet Crops, Hebei Academy of Agriculture and Forestry Sciences, Shijiazhuang, Hebei, China
| | - Wen-Qing Zhao
- Institute of Millet Crops, Hebei Academy of Agriculture and Forestry Sciences, Shijiazhuang, Hebei, China
| | - Qi-Ran Zhao
- College of Economics and Management, China Agricultural University, Beijing, China
| | - Yu Wang
- College of Economics and Management, China Agricultural University, Beijing, China
| | - Shun-Guo Li
- Institute of Millet Crops, Hebei Academy of Agriculture and Forestry Sciences, Shijiazhuang, Hebei, China
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Kurihara K, Shinzato H, Takaesu Y, Kondo T. Associations between relapse and drinking behaviors in patients with alcohol use disorders: A 6-month prospective study. Neuropsychopharmacol Rep 2023; 43:633-640. [PMID: 38069609 PMCID: PMC10739145 DOI: 10.1002/npr2.12405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 11/13/2023] [Accepted: 11/23/2023] [Indexed: 12/23/2023] Open
Abstract
BACKGROUND Habitual behaviors, rather than goal-oriented behaviors, mainly characterize drinking patterns in patients with alcohol use disorder (AUD). However, few studies have focused on the influence of drinking behavior on AUD relapse. This prospective study examined associations between drinking behavior patterns and alcohol-use relapse using the 20-item questionnaire for drinking behavior patterns (DBP-20). METHODS We enrolled patients with AUD and compared the cohort's demographic data and 6-month outcomes based on the DBP-20 and the Alcohol Use Disorders Identification Test between two groups (alcohol use relapse vs. abstinence). We also assessed the results for significant factors related to relapse. RESULTS We included 105 patients with AUD. More patients in the relapse group (n = 63) were active smokers and lived alone, while fewer took medication with cyanamide or disulfiram than those in the abstinence group (n = 42). The DBP-20 automaticity subscale score was higher in the relapse group than that in the abstinence group. Current smoker, living alone, and automatic drinking habits were significantly associated with AUD relapse. CONCLUSIONS Automaticity may be a risky drinking behavior that leads to future relapse in patients with AUD, justifying behavioral strategies to combat automatic drinking for relapse prevention.
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Affiliation(s)
- Kazuhiro Kurihara
- Department of Neuropsychiatry, Graduate School of MedicineUniversity of the RyukyusOkinawaJapan
| | - Hotaka Shinzato
- Department of Neuropsychiatry, Graduate School of MedicineUniversity of the RyukyusOkinawaJapan
| | - Yoshikazu Takaesu
- Department of Neuropsychiatry, Graduate School of MedicineUniversity of the RyukyusOkinawaJapan
| | - Tsuyoshi Kondo
- Department of Neuropsychiatry, Graduate School of MedicineUniversity of the RyukyusOkinawaJapan
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Spalinger M, Schwarzfischer M, Niechcial A, Atrott K, Laimbacher A, Jirkof P, Scharl M. Evaluation of the effect of tramadol, paracetamol and metamizole on the severity of experimental colitis. Lab Anim 2023; 57:529-540. [PMID: 36960681 DOI: 10.1177/00236772231163957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023]
Abstract
Application of dextran sodium sulfate (DSS) is often used to induce experimental colitis. Current state of the art is to refrain from the use of analgesics due to their possible interaction with the model. However, the use of analgesics would be beneficial to reduce the overall constraint imposed on the animals. Here, we analyzed the effect of the analgesics Dafalgan (paracetamol), Tramal (tramadol) and Novalgin (metamizole) on DSS-induced colitis. To study the effect of those analgesics in colitis mouse models, acute and chronic colitis was induced in female C57BL6 mice by DSS administration in the drinking water. Analgesics were added to the drinking water on days four to seven (acute colitis) or on days six to nine of each DSS cycle (chronic colitis). Tramadol and paracetamol had minor effects on colitis severity. Tramadol reduced water uptake and activity levels slightly, while mice receiving paracetamol presented with a better overall appearance. Metamizole, however, significantly reduced water uptake, resulting in pronounced weight loss. In conclusion, our experiments show that tramadol and paracetamol are viable options for the use in DSS-induced colitis models. However, paracetamol seems to be slightly more favorable since it promoted the overall wellbeing of the animals upon DSS administration without interfering with typical readouts of colitis severity.
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Affiliation(s)
- Marianne Spalinger
- Department of Gastroenterology and Hepatology, University Hospital Zurich, University of Zurich, Switzerland
| | - Marlene Schwarzfischer
- Department of Gastroenterology and Hepatology, University Hospital Zurich, University of Zurich, Switzerland
| | - Anna Niechcial
- Department of Gastroenterology and Hepatology, University Hospital Zurich, University of Zurich, Switzerland
| | - Kirstin Atrott
- Department of Gastroenterology and Hepatology, University Hospital Zurich, University of Zurich, Switzerland
| | - Andrea Laimbacher
- Department of Gastroenterology and Hepatology, University Hospital Zurich, University of Zurich, Switzerland
| | - Paulin Jirkof
- Institute of Animal Welfare and 3R, University of Zurich, Switzerland
| | - Michael Scharl
- Department of Gastroenterology and Hepatology, University Hospital Zurich, University of Zurich, Switzerland
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Yin R, Yang Y, Chang Y, Tang L, Hu Q, Yang J, Cheng C, Xiao L, Zhang F. Association Between Alcohol Expectancy and Drinking Behaviors in Summer Vacation and Last Year Among College Students. Int J Gen Med 2023; 16:2679-2692. [PMID: 37398513 PMCID: PMC10314789 DOI: 10.2147/ijgm.s413193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Accepted: 06/19/2023] [Indexed: 07/04/2023] Open
Abstract
Background Drinking in summer vacation, as an important part of college students' drinking behavior, has rarely been studied. At present, there is no research to explore the association between alcohol expectancy and college students' drinking behavior during the summer vacation. Methods A total of 487 college students were selected from three universities in Chongqing from July 30, 2017, to August 30, 2017, by cluster sampling. The electronic questionnaires were distributed to complete the anonymous survey related to drinking. The questionnaire on drinking mainly included baseline characteristics, influencing factors related to drinking, drinking behavior in the last year and summer vacation, and alcohol expectancy. Independent sample t-test and one-way ANOVA were used for multi-factor analysis. Multi-level logistic regression analysis and ordered logistic regression analysis were used for multivariate analysis. Results The past drinking rate in the study group was 86.24%. In the past year, the drinking rate and binge drinking rate of college students were 63.24% and 23.20%. In summer drinking, these two indicators were 29.57% and 8.42%, respectively. About 92.50% of the moderate and heavy drinking groups among college students had drinking behavior during the summer vacation. The average negative expectancy among college students was 3.26 ± 0.87 while the average positive expectancy was 2.63 ± 0.66. In drinking last year, positive expectancy was a risk factor for occasional and light drinking compared with those of non-drinkers (P<0.05). In summer vacation drinking, compared with those of non-drinkers, negative expectancy was a protective factor for occasional drinking (OR: 1.847, 95% CI: 1.293-2.638), negative expectancy and positive expectancy were both influencing factors for light drinking (P<0.05). Conclusion The drinking rate in the study group was at a high level in the past. The association between alcohol expectancy and drinking behavior among college students would be different according to the period and amount of drinking.
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Affiliation(s)
- Ruoyun Yin
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Yuan Yang
- Department of Cardiovascular Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
| | - Yujiao Chang
- Department of Infection, the First Affiliated Hospital of Chongqing Medical University, Chongqing, People’s Republic of China
| | - Lei Tang
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Qian Hu
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Jian Yang
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Chong Cheng
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Lei Xiao
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
| | - Fan Zhang
- School of Public Health and Management, Chongqing Medical University, Chongqing, People’s Republic of China
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Petersen N, Adank DN, Raghavan R, Winder DG, Doyle MA. LIQ HD (Lick Instance Quantifier Home Cage Device): An Open-Source Tool for Recording Undisturbed Two-Bottle Drinking Behavior in a Home Cage Environment. eNeuro 2023; 10:ENEURO.0506-22.2023. [PMID: 36997312 PMCID: PMC10112549 DOI: 10.1523/eneuro.0506-22.2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Revised: 03/05/2023] [Accepted: 03/24/2023] [Indexed: 04/01/2023] Open
Abstract
Investigation of rodent drinking behavior has provided insight into drivers of thirst, circadian rhythms, anhedonia, and drug and ethanol consumption. Traditional methods of recording fluid intake involve weighing bottles, which is cumbersome and lacks temporal resolution. Several open-source devices have been designed to improve drink monitoring, particularly for two-bottle choice tasks. However, beam-break sensors lack the ability to detect individual licks for bout microstructure analysis. Thus, we designed LIQ HD (Lick Instance Quantifier Home cage Device) with the goal of using capacitive sensors to increase accuracy and analyze lick microstructure, building a device compatible with ventilated home cages, increasing scale with prolonged undisturbed recordings, and creating a design that is easy to build and use with an intuitive touchscreen graphical user interface. The system tracks two-bottle choice licking behavior in up to 18 rodent cages, or 36 single bottles, on a minute-to-minute timescale controlled by a single Arduino microcontroller. The data are logged to a single SD card, allowing for efficient downstream analysis. LIQ HD accuracy was validated with sucrose, quinine, and ethanol two-bottle choice tasks. The system measures preference over time and changes in bout microstructure, with undisturbed recordings tested up to 7 d. All designs and software are open-source to allow other researchers to build on the system and adapt LIQ HD to their animal home cages.
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Affiliation(s)
- Nicholas Petersen
- Vanderbilt Brain Institute, Vanderbilt University School of Medicine, Nashville, TN 37232
- Vanderbilt Center for Addiction Research, Vanderbilt University School of Medicine, Nashville, TN 37232
- Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232
| | - Danielle N Adank
- Vanderbilt Brain Institute, Vanderbilt University School of Medicine, Nashville, TN 37232
- Vanderbilt Center for Addiction Research, Vanderbilt University School of Medicine, Nashville, TN 37232
- Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232
| | - Ritika Raghavan
- Vanderbilt Brain Institute, Vanderbilt University School of Medicine, Nashville, TN 37232
- Vanderbilt Center for Addiction Research, Vanderbilt University School of Medicine, Nashville, TN 37232
- Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232
| | - Danny G Winder
- Vanderbilt Brain Institute, Vanderbilt University School of Medicine, Nashville, TN 37232
- Vanderbilt Center for Addiction Research, Vanderbilt University School of Medicine, Nashville, TN 37232
- Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232
- Department of Pharmacology, Vanderbilt University School of Medicine, Nashville, TN 37232
| | - Marie A Doyle
- Vanderbilt Brain Institute, Vanderbilt University School of Medicine, Nashville, TN 37232
- Vanderbilt Center for Addiction Research, Vanderbilt University School of Medicine, Nashville, TN 37232
- Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232
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John DA, Hoxmeier JC, Brown AL. The Theory of Planned Behavior & Bystander Intention: Differences Based on Gender and Heavy Episodic Drinking. J Interpers Violence 2022; 37:NP23306-NP23329. [PMID: 35245167 DOI: 10.1177/08862605221078809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Research indicates that people who engage in heavy episodic drinking (HED) report less intention to intervene and intervention behavior to prevent sexual violence. Researchers have also found gender differences across bystander intention, bystander confidence, and intervention behavior. However, research in this area could benefit from use of an evidence-based health behavior theory. The theory of planned behavior (TPB) posits that personal attitudes, subjective norms, and perceived behavioral control (PBC) predict behavioral intention. Substantial evidence supports the utility of the TPB for predicting behavioral intention in a variety of health-related behaviors, yet few researchers have applied this theory when predicting bystander intention to prevent sexual violence. Undergraduate students (N = 395) from a southern university (77% female; 70% White, Non-Hispanic) completed a modified Sexual Assault Bystander Behavior Questionnaire and the Daily Drinking Questionnaire. Our findings did not reveal significant differences in attitudes, subjective norms, PBC, nor intention based on HED; however, there were significant differences based on gender, with women indicating more positive attitudes and supportive subjective norms regarding bystander intervention. Multiple regression analysis indicated that theoretical antecedents of intention positively predicted bystander intention, however, the relations were not moderated by prior engagement in HED. These findings support the utility of the TPB for predicting bystander intention to intervene; however, they do not support previous research examining how HED influences bystanders' intention to engage in prosocial actions.
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Affiliation(s)
- Dylan A John
- Department of Psychology, University of Louisiana at Lafayette, Lafayette, LA, USA
| | - Jill C Hoxmeier
- Department of Health Sciences, Central Washington University, Ellensburg, WA, USA
| | - Amy L Brown
- Department of Psychology, University of Louisiana at Lafayette, Lafayette, LA, USA
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Larsen MLV, Pedersen LJ. Use of drinkers by finisher pigs depend on drinker location, pig age, time of day, stocking density and tail damage. Front Vet Sci 2022; 9:1029803. [PMID: 36504855 PMCID: PMC9733719 DOI: 10.3389/fvets.2022.1029803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 11/09/2022] [Indexed: 11/27/2022] Open
Abstract
Water is a vital nutrient for mammals, including the pig. Despite this, the use of drinkers and water have not yet been explicitly quantified across the finisher period. The current study aimed at gaining greater insight into finisher pigs' drinker use and its relation to drinker location, age, time of day, stocking density, enrichment provision and tail damage. The experiment included 110 pens of finisher pigs over a 9-week period, with two drinker cups per pen. Pens had a stocking density of either 0.73 m2/pig (n = 54 pens, 18 pigs per pen) or 1.21 m2/pig (n = 56 pens, 11 pigs per pen), were either provided with straw (n = 54, 150 g per pig and day) or not (n = 56), and had pigs with either undocked (n = 50) or docked tails (n = 60). Drinker use was recorded automatically by water-flow meters and summed to L and number of activations per hour and pig. Pens never experiencing a tail damage event (at least one pig in the pen with a bleeding tail) were used to investigate the normal drinker use of finisher pigs (n = 56). The water use of pigs increased from 3.7 to 8.2 L per pig and day during the 9 weeks, and this increase was mainly seen during the two large peaks of the diurnal pattern within the pigs' active period (06:00-18:00 h). No such increase was seen in the activation frequency at average 50 activations per pig and day. A decrease in stocking density increased both water use and activation frequency during the active period, suggesting that pigs at the standard space allowance and pig:drinker ratio could be restricted in their access to the drinking cups. The pigs also seemed to prefer to use the drinking cup closest to the feeder. Water use and activation frequency did not change the last 3 days prior to an event of tail damage, but general differences were seen between pens with and without a tail damage event. The current results may explain the success of previous studies in classifying tail damage pens from pens without tail damage using sensor data on drinker use.
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Honkalampi K, Jokela M, Lehto SM, Kivimäki M, Virtanen M. Association between alexithymia and substance use: A systematic review and meta-analysis. Scand J Psychol 2022; 63:427-438. [PMID: 35436351 PMCID: PMC9790486 DOI: 10.1111/sjop.12821] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 11/11/2021] [Accepted: 01/12/2022] [Indexed: 12/31/2022]
Abstract
Alexithymia has been associated with substance use, but the magnitude of the association has not been evaluated and sub-group differences, if any, are unknown. The aim of this meta-analysis is to systematically review the association between alexithymia and substance use (alcohol or illicit drugs). We identified studies through a systematic review of PubMed and Web of Science and obtained a total of 52 publications using the Toronto Alexithymia Scale-20 scale. Random effects meta-analysis was used to evaluate the overall and sub-group associations. Of the studies, 50 were cross-sectional and two longitudinal. Alexithymia was associated with any substance use (Cohen's d = 0.62, 95% confidence interval [CI] 0.49-0.76), with little difference between estimates for use of alcohol or illicit drugs. A stronger association was observed for the alexithymia dimension "Difficulty in Identifying Feelings" (d = 0.64, 95% CI = 0.47-0.81) and "Difficulty in Describing Feelings" (d = 0.44, 95% CI = 0.32-0.55) than for "Externally Oriented Thinking" (d = 0.19, 95% CI = 0.09-0.28). The association was stronger in studies with clinical patient populations (d = 0.83, 95% CI = 0.62-1.05) than in those investigating general or student populations, and in studies with a majority of male rather than female participants. These findings suggest a strong overall association between alexithymia and substance use and a very strong association among clinical patient populations. The association may be stronger with the emotion-related dimensions than with the cognition-related dimension of alexithymia. As nearly all the studies were cross-sectional, more longitudinal studies are needed.
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Affiliation(s)
- Kirsi Honkalampi
- School of Educational Sciences and PsychologyUniversity of Eastern FinlandJoensuuFinland
| | - Markus Jokela
- Department of Psychology and LogopedicsUniversity of HelsinkiHelsinkiFinland
| | - Soili M. Lehto
- Department of Psychology and LogopedicsUniversity of HelsinkiHelsinkiFinland,Institute of Clinical MedicineUniversity of OsloOsloNorway,R&D department, Division of Mental Health ServicesAkershus University HospitalLørenskogNorway,Department of PsychiatryUniversity of HelsinkiHelsinkiFinland
| | - Mika Kivimäki
- Clinicum, Faculty of MedicineUniversity of HelsinkiHelsinkiFinland,Department of Epidemiology and Public HealthUniversity College LondonLondonUK
| | - Marianna Virtanen
- School of Educational Sciences and PsychologyUniversity of Eastern FinlandJoensuuFinland,Division of Insurance MedicineKarolinska InstitutetStockholmSweden
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13
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Ruiz M, Johnson A, Campbell L. Acculturation and drinking behavior among Latinxs: a narrative review. J Ethn Subst Abuse 2022; 23:21-57. [PMID: 35635435 DOI: 10.1080/15332640.2022.2080144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Research suggests that acculturation is associated with increased alcohol consumption among Latinxs. The purpose of this narrative review is to contribute to this literature by examining the association between acculturation and alcohol use within current theoretical and etiological frameworks on cultural norms, acculturative stress, and acculturative gaps. This review also compares the utility of these explanatory frameworks for guiding future research. Two databases (PubMed and PsycInfo) were used to identify peer-reviewed studies pertaining to the associations between acculturation and alcohol use among Latinxs. Studies that examined drinking norms, acculturative stress, acculturation gaps, and drinking behavior in Latinxs were included. The types of study approaches and designs included quantitative, qualitative, cross-sectional, cohort, and longitudinal studies published between January 2000 and December 2021. Quality assessment and data synthesis were conducted by two reviewers. A total of 65 articles reporting empirical studies were included in the final review. Eighteen studies did not utilize a specific framework, but generally supported that acculturation is associated with increased alcohol consumption and alcohol related consequences among Latinxs. Additionally, sixteen studies examined cultural norms, twenty-two examined acculturative stress, while only nine utilized a gap discrepancy framework. Studies examining drinking norms appeared to largely explain changes in drinking behavior among Latinas, while studies examining acculturative stress seemed to be better equipped to explain changes in drinking behavior among Latino men. Meanwhile, the Gap Discrepancy Model articulates the gap between old and new cultural influences and can be conceptualized as an additional dimension of acculturative stress.
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Affiliation(s)
- Michelle Ruiz
- East Carolina University, Greenville, North Carolina
| | | | - Lisa Campbell
- East Carolina University, Greenville, North Carolina
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14
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Maeda K, Yamada H, Munetsuna E, Fujii R, Yamazaki M, Ando Y, Mizuno G, Ishikawa H, Ohashi K, Tsuboi Y, Hattori Y, Ishihara Y, Hashimoto S, Hamajima N, Suzuki K. Association of drinking behaviors with TXNIP DNA methylation levels in leukocytes among the general Japanese population. Am J Drug Alcohol Abuse 2022; 48:302-310. [PMID: 35416731 DOI: 10.1080/00952990.2022.2037137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 01/28/2022] [Accepted: 01/30/2022] [Indexed: 06/14/2023]
Abstract
Background: Thioredoxin-interacting protein (TXNIP) controls the cellular redox balance by binding to and inhibiting the expression and function of thioredoxin. DNA methylation of the TXNIP gene is involved in the regulation of TXNIP mRNA expression. Changes in TXNIP DNA methylation levels are associated with the development of various diseases such as type 2 diabetes mellitus (T2DM). However, few studies have focused on the influence of lifestyle factors such as alcohol intake on TXNIP DNA methylation.Objectives: This research examines the association of drinking behaviors with TXNIP DNA methylation levels in the general Japanese population.Methods: We conducted a cross-sectional study of 404 subjects (176 males and 228 females) who were divided into non-, moderate and heavy drinkers based on self-reported drinking behaviors. TXNIP DNA methylation levels in leukocytes were determined using a pyrosequencing assay.Results: The mean TXNIP DNA methylation level in heavy drinkers (74.2%) was significantly lower than that in non- and moderate drinkers (non: 77.7%, p < .001; moderate: 76.6%, p = .011). Multivariable linear regression analysis showed that log-transformed values of daily (b = -1.34; p < .001) and cumulative (b = -1.06; p = .001) alcohol consumption were associated with decreased TXNIP DNA methylation levels.Conclusion: TXNIP DNA methylation levels in heavy drinkers was lower than in non- and- moderate drinkers. Decreased TXNIP DNA methylation level increases the expression of TXNIP and elevates the risk of developing of diseases such as T2DM. Therefore, decreasing alcohol use in heavy drinkers may lessen the likelihood of some alcohol-related illnesses moderated through TXNIP DNA methylation.
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Affiliation(s)
- Keisuke Maeda
- Department of Clinical Physiology, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Hiroya Yamada
- Department of Hygiene, Fujita Health University School of Medicine, Toyoake, Japan
| | - Eiji Munetsuna
- Department of Biochemistry, Fujita Health University School of Medicine, Toyoake, Japan
| | - Ryosuke Fujii
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Mirai Yamazaki
- Department of Medical Technology, Kagawa Prefectural University of Health Sciences, Takamatsu, Japan
| | - Yoshitaka Ando
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Genki Mizuno
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Hiroaki Ishikawa
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Koji Ohashi
- Department of Informative Clinical Medicine, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Yoshiki Tsuboi
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Yuji Hattori
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Yuya Ishihara
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Japan
| | - Shuji Hashimoto
- Department of Hygiene, Fujita Health University School of Medicine, Toyoake, Japan
| | - Nobuyuki Hamajima
- Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Koji Suzuki
- Department of Preventive Medical Sciences, Fujita Health University School of Medical Sciences, Toyoake, Japan
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15
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Lee HW, Huang D, Shin WK, de la Torre K, Song M, Shin A, Lee JK, Kang D. Frequent low dose alcohol intake increases gastric cancer risk: the Health Examinees-Gem (HEXA-G) study. Cancer Biol Med 2022; 19:j.issn.2095-3941.2021.0642. [PMID: 35484712 PMCID: PMC9425184 DOI: 10.20892/j.issn.2095-3941.2021.0642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVE Epidemiological studies indicate that alcohol increases gastric cancer (GC) risk, yet most studies have focused on heavy alcohol intake, leaving other factors understudied. A comprehensive investigation of the effects of the frequency and amount of alcohol intake may help elucidate the GC risk associated with drinking behavior. METHODS The Health Examinees-Gem (HEXA-G) study, a community-based large-scale prospective cohort study, enrolled Korean adults 40-69 years of age between the years 2004 and 2013. Incident GC cases were identified through linkage to Korea Central Cancer Registry data until December 31, 2017. Self-reported questionnaires were used to survey alcohol consumption-related factors (duration, frequency, amount, and type of alcoholic beverages). The frequency and amount of alcohol consumption were combined to explore GC risk according to 4 drinking patterns: "infrequent-light", "frequent-light", "infrequent-heavy", and "frequent-heavy". We used Cox proportional hazard models to estimate the adjusted hazard ratios (HRs) and 95% confidence intervals (CIs), and investigate the relationship between alcohol intake and GC incidence. RESULTS A total of 128,218 participants were included in the analysis. During an average follow-up period of 8.6 years, 462 men and 385 women were diagnosed with GC. In men, current drinkers showed a 31% greater risk of GC than non-drinkers (HR 1.31, 95% CI 1.03-1.66), whereas no significant association was observed in women. In men, GC risk was associated with a higher frequency (P trend 0.02) and dose of ethanol intake in grams (P trend 0.03). In men, the "frequent-light" (≥5 times/week and <40 g ethanol/day) drinking pattern was associated with a 46% greater risk of GC (HR 1.46, 95% CI 1.02-2.07) than the "infrequent-light" pattern (<5 times/week and <40 g ethanol/day). CONCLUSIONS This study suggests that frequent intake of alcohol, even in low quantities per session, increases GC risk. Further research is warranted to evaluate the relationship between alcohol and GC in detail.
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Affiliation(s)
- Hwi-Won Lee
- Department of Biomedical Sciences, Seoul National University Graduate School, Seoul 03080, Korea.,Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
| | - Dan Huang
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.,Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul 03080, Korea
| | - Woo-Kyoung Shin
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.,Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul 03080, Korea
| | - Katherine de la Torre
- Department of Biomedical Sciences, Seoul National University Graduate School, Seoul 03080, Korea.,Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
| | - Minkyo Song
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
| | - Aesun Shin
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea
| | - Jong-Koo Lee
- Department of Family Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Daehee Kang
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Korea.,Integrated Major in Innovative Medical Science, Seoul National University Graduate School, Seoul 03080, Korea
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16
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Abstract
This article is part of a Festschrift commemorating the 50th anniversary of the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Established in 1970, first as part of the National Institute of Mental Health and later as an independent institute of the National Institutes of Health, NIAAA today is the world's largest funding agency for alcohol research. In addition to its own intramural research program, NIAAA supports the entire spectrum of innovative basic, translational, and clinical research to advance the diagnosis, prevention, and treatment of alcohol use disorder and alcohol-related problems. To celebrate the anniversary, NIAAA hosted a 2-day symposium, "Alcohol Across the Lifespan: 50 Years of Evidence-Based Diagnosis, Prevention, and Treatment Research," devoted to key topics within the field of alcohol research. This article is based on Dr. Tapert's presentation at the event. NIAAA Director George F. Koob, Ph.D., serves as editor of the Festschrift.
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Affiliation(s)
- Susan F Tapert
- Department of Psychiatry, University of California San Diego, La Jolla, California
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17
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Ling H, Yan Y, Feng H, Zhu A, Zhang J, Yuan S. Parenting Styles as a Moderator of the Association between Pubertal Timing and Chinese Adolescents' Drinking Behavior. Int J Environ Res Public Health 2022; 19:3340. [PMID: 35329024 DOI: 10.3390/ijerph19063340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/06/2022] [Accepted: 03/10/2022] [Indexed: 11/17/2022]
Abstract
BACKGROUND Previous work has indicated that pubertal timing and parenting styles are associated with adolescents' drinking behavior, but studies on the relationship between the above three variables are lacking. METHODS Participants were 1408 Chinese adolescents aged 11-16 years old (46.52% girls). The data emphasized pubertal timing, parenting styles, drinking behavior, and socioeconomic and demographic characteristics of the adolescent and his or her family. RESULTS Early pubertal timing was related to drinking behavior; however, parenting styles played a moderating role. For male adolescents, father emotional warmth, mother rejection, and mother emotional warmth moderated the relationship between early pubertal timing and drinking behavior. For female adolescents, mother rejection, mother emotional warmth, and mother over-protection moderated the relationship between pubertal timing and drinking behavior. CONCLUSIONS Parenting styles that include emotional warmth, rejection, and over-protection appear to influence the negative outcomes associated with early pubertal timing, and may be useful in reducing adolescents' drinking behavior.
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18
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Enke N, Brinkmann L, Südekum KH, Tholen E, Gerken M. Sensitivity of ponies to sodium in the drinking water. Anim Sci J 2022; 93:e13697. [PMID: 35233887 DOI: 10.1111/asj.13697] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 01/22/2022] [Accepted: 01/28/2022] [Indexed: 12/01/2022]
Abstract
Horses lose high amounts of Na through excessive sweating. These fluid losses can often not be replaced completely by voluntary water intake, requiring saline solutions as rehydration therapy to regain electrolyte balance. The experiment aimed to evaluate the sensitivity and tolerance of Shetland ponies towards different Na concentrations in their drinking water and contained three phases: (1) control: only fresh water provided; (2) pairwise-preference test: choice between fresh water and saline solution with stepwise increasing sodium chloride (NaCl) concentration (0.25%, 0.5%, 0.75%, 1.0%, 1.25%, or 1.5%); and (3) free-choice test: six simultaneously provided buckets containing NaCl concentrations of 0%, 0.25%, 0.5%, 0.75%, 1.0%, or 1.25%. During the pairwise test, the ponies did not distinguish between fresh and 0.25% NaCl-water but demonstrated clear preference for 0.5%, whereas >0.75% NaCl was avoided/rejected. During the free-choice test, a pronounced preference of fresh over saline water was exhibited. The Na intake via salt lick was not reduced as response to higher Na intakes via water. The ponies exhibited a remarkable sensory discrimination capacity to detect different NaCl concentrations in their drinking water. The acceptance of solutions with low NaCl levels (0.25/0.5%) without adverse effects demonstrates potential as rehydration solution for voluntary intake.
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Affiliation(s)
- Nick Enke
- Department of Animal Sciences, University of Göttingen, Göttingen, Germany.,Institute of Animal Science, University of Bonn, Bonn, Germany
| | - Lea Brinkmann
- Department of Animal Sciences, University of Göttingen, Göttingen, Germany
| | | | - Ernst Tholen
- Institute of Animal Science, University of Bonn, Bonn, Germany
| | - Martina Gerken
- Department of Animal Sciences, University of Göttingen, Göttingen, Germany
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19
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Nordeck CD, Riehm KE, Smail EJ, Holingue C, Kane JC, Johnson RM, Veldhuis CB, Kalb LG, Stuart EA, Kreuter F, Thrul J. Changes in drinking days among United States adults during the COVID-19 pandemic. Addiction 2022; 117:331-340. [PMID: 34159674 PMCID: PMC8441933 DOI: 10.1111/add.15622] [Citation(s) in RCA: 35] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 12/30/2020] [Accepted: 06/09/2021] [Indexed: 12/11/2022]
Abstract
AIMS To examine changes in drinking behavior among United States (US) adults between March 10 and July 21, 2020, a critical period during the COVID-19 pandemic. DESIGN Longitudinal, internet-based panel survey. SETTING The Understanding America Study (UAS), a nationally representative panel of US adults age 18 or older. PARTICIPANTS A total of 4298 US adults who reported alcohol use. MEASUREMENTS Changes in number of reported drinking days from March 11, 2020 through July 21, 2020 in the overall sample and stratified by sex, age, race/ethnicity, household structure, poverty status, and census region. FINDINGS Compared with March 11, the number of drinking days per week was significantly higher on April 1 by an average of 0.36 days (95% CI = 0.30, 0.43), on May 1 by an average of 0.55 days (95% CI = 0.47, 0.63), on June 1 by an average of 0.41 days (95% CI = 0.33, 0.49), and on July 1 by an average of 0.39 days (95% CI = 0.31, 0.48). Males, White participants, and older adults reported sustained increases in drinking days, whereas female participants and individuals living under the federal poverty line had attenuated drinking days in the latter part of the study period. CONCLUSIONS Between March and mid-July 2020, adults in the United States reported increases in the number of drinking days, with sustained increases observed among males, White participants, and older adults.
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Affiliation(s)
- Courtney D. Nordeck
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
| | - Kira E. Riehm
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
| | - Emily J. Smail
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
| | - Calliope Holingue
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
- Department of Neuropsychology, Kennedy Krieger InstituteJohns Hopkins UniversityBaltimoreMDUSA
| | - Jeremy C. Kane
- Department of Epidemiology, Mailman School of Public HealthColumbia UniversityNew YorkNYUSA
| | - Renee M. Johnson
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
| | | | - Luther G. Kalb
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
- Department of Neuropsychology, Kennedy Krieger InstituteJohns Hopkins UniversityBaltimoreMDUSA
| | - Elizabeth A. Stuart
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
| | - Frauke Kreuter
- Joint Program in Survey MethodologyUniversity of MarylandMDUSA
- Department of StatisticsLudwig Maximilian University of MunichMunichGermany
- Statistical Methods GroupInstitute for Employment ResearchNurembergGermany
| | - Johannes Thrul
- Department of Mental Health, Bloomberg School of Public HealthJohns Hopkins UniversityBaltimoreMDUSA
- Centre for Alcohol Policy ResearchLa Trobe UniversityBundooraVICAustralia
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20
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Zale EL, Williams CM, Reynolds LR, Mastroleo NR. Examining Sex Differences in Associations between Pain and Alcohol Use among College Student-Athletes. Subst Use Misuse 2022; 57:539-547. [PMID: 34957907 DOI: 10.1080/10826084.2021.2019784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Background: College student-athletes are a high-risk population for both pain and alcohol use. Although a growing literature indicates that pain motivates alcohol consumption, no studies have tested associations between pain and alcohol in college student-athletes. Methods and Results: Among National Collegiate Athletic Association Division I student-athletes at a large public university (N = 65; 48% Female), nearly all student-athletes (97%) reported alcohol use and 65% reported pain due to an athletic injury. Pain intensity was positively associated with greater motivation to reduce drinking prior to receiving a brief alcohol intervention. Among females, pain intensity was associated with lower self-reported alcohol consumption. Among male athletes, pain-related interference was associated with greater alcohol-related problems and lower perceived ability to deal with alcohol-related situations. Conclusion: Results provide initial evidence that pain may be important to consider when addressing alcohol use among student-athletes.
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Affiliation(s)
- Emily L Zale
- Department of Psychology, Harpur College of Arts & Sciences, Binghamton University, Binghamton, New York, USA
| | - Callon M Williams
- Department of Psychology, Harpur College of Arts & Sciences, Binghamton University, Binghamton, New York, USA
| | - Linda R Reynolds
- Health Promotion and Prevention Services Department, Binghamton University, Binghamton, New York, USA
| | - Nadine R Mastroleo
- Department of Psychology, Harpur College of Arts & Sciences, Binghamton University, Binghamton, New York, USA
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21
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Seo BA, Kim SG, Huh SY, Lee DH, An HS, Lee SY, Kim HK, Choi JM. Changes of drinking behavior in Korean pregnant women for the last 20 year. J Public Health (Oxf) 2021; 43:e632-e636. [PMID: 34918088 DOI: 10.1093/pubmed/fdaa143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Revised: 06/15/2020] [Accepted: 07/31/2020] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The purpose of this study is to investigate the drinking behavior of Korean pregnant women in 2017 and to compare the changes of drinking status with the results of the research conducted in 1997 and 2008. METHODS Pregnant women at one obstetrics and gynecology hospital and one university hospital were the subjects of the study. They were filled out questionnaire. RESULTS The rate of positive responses to CAGE increased 16.0% in 2008 and 16.3% in 2017 compared to 11.8% in 1997 (P = 0.046). Blackout history rate was keep increasing from 1997 to 2017 (8.8% versus 27.7% versus 36.3%, P < 0.001). The rate of family history of alcohol was nearly doubled in 2017 (30.3%) compared to 1997 (17.6%) and 2008 (16.3) (P < 0.001). The rate of pregnant women who drink alcohol during pregnancy decreased from 57.5% in 1997 to 39.5% in 2008 and decreased to 25.6% in 2017 (P < 0.001). The rate of pregnant women who drink alcohol after knowing the pregnancy was decreased in 2017 (6.9%) compared to 2008 (23.5%) (P < 0.001). CONCLUSION According to the results of the study in 2017, the rate of pregnant women who drink alcohol after pregnancy was decreased compared to 1997 and 2008. However drinking behavior severity has increased in 2017.
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Affiliation(s)
- Bi-A Seo
- Department of Psychiatry, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea
| | - Sung-Gon Kim
- Department of Psychiatry, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea.,Department of Psychiatry, Pusan National University School of Medicine, Yangsan 50612, South Korea
| | - Sung-Young Huh
- Department of Psychiatry, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea.,Department of Psychiatry, Pusan National University School of Medicine, Yangsan 50612, South Korea
| | - Dong-Hyeong Lee
- Department of Obstetrics & Gynecology, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea
| | - Hyun-Sook An
- Ilsin Christian Hospital, Busan 48724, South Korea
| | - So-Young Lee
- Ilsin Christian Hospital, Busan 48724, South Korea
| | - Hyeon Kyeong Kim
- Medical Research Institute, Pusan National University Hospital, Yangsan 50612, South Korea
| | - Ji-Min Choi
- Department of Information Management Systems, Dong-A University, Busan 49236, South Korea
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22
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Koo HY, Han K, Shin DW, Yoo JE, Cho MH, Jeon KH, Kim D, Hong S, Jun JK. Alcohol Drinking Pattern and Risk of Head and Neck Cancer: A Nationwide Cohort Study. Int J Environ Res Public Health 2021; 18:11204. [PMID: 34769724 DOI: 10.3390/ijerph182111204] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 10/20/2021] [Accepted: 10/21/2021] [Indexed: 11/21/2022]
Abstract
Alcohol consumption is a major risk factor for head and neck cancer (HNC), yet little data exist examining drinking patterns and HNC risk. In this population-based, retrospective cohort study, 11,737,467 subjects were recruited from the Korean National Health Insurance Service database. The risks of overall HNC and HNC subtypes according to average alcohol consumption, drinking frequency, and daily amount were examined using Cox proportional hazard models. Over the median follow-up of 6.4 years, 15,832 HNC cases were identified. HNC risk linearly increased with drinking frequency (p-trend < 0.01; adjusted hazard ratio [aHR] 1.55, 95% confidence interval [CI] 1.45–1.67 in subjects who drank 7 days/week). HNC risk also increased according to daily amount of alcohol consumption (p-trend < 0.01), but plateaued from 5–7 units/occasion (aHR 1.25, 95% CI 1.19–1.31) to >14 units/occasion (aHR 1.26, 95% CI 1.13–1.40). When stratified by average alcohol consumption, drinking frequency, but not daily amount, showed a linear relationship with HNC risk in moderate and heavy drinkers. When comparing the HNC subtypes, similar tendencies were observed in cancers of the oral cavity, pharynx, and larynx, but not in the salivary gland. In conclusion, drinking frequency is a stronger risk factor for HNC, especially for cancer of the oral cavity, pharynx, and larynx, than the daily amount of alcohol consumption.
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23
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Cho MK, Cho YH. Do Alcohol Prevention Programs Influence Adolescents' Drinking Behaviors? A Systematic Review and Meta-Analysis. Int J Environ Res Public Health 2021; 18:8524. [PMID: 34444272 PMCID: PMC8392207 DOI: 10.3390/ijerph18168524] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 08/09/2021] [Accepted: 08/10/2021] [Indexed: 11/16/2022]
Abstract
This study analyzed the effects of various alcohol prevention programs on the drinking behavior of adolescents. There were seven electronic databases used for the literature search. A systematic review and meta-analysis are employed for works published in Korean and English from January 2010 to April 2021, with strict inclusion criteria yielding 12 papers in the review. The type of alcohol prevention interventions included educational and motivational interventions. Six studies had more than 500 participants each, and five studies had more than 10 participating schools. The programs did not effectively reduce the frequency of drinking or binge drinking of adolescents but significantly reduced the amount of alcohol consumed. Based on the results of this study, when planning alcohol prevention programs for adolescents, it is necessary to adopt a multi-level approach, including the engagement of parents and the community.
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Affiliation(s)
- Mi-Kyoung Cho
- Department of Nursing Science, Chungbuk National University, Cheongju 28644, Korea;
| | - Yoon-Hee Cho
- Department of Nursing, College of Nursing, Dankook University, Cheonan 31116, Korea
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Son HG, Jeong KH, Cho HJ, Lee M. Changes in Types of Drinking Behavior in Korean Adults: Differences in Demographics, Depression, and Suicidal Thoughts. Int J Environ Res Public Health 2021; 18:ijerph18147514. [PMID: 34299965 PMCID: PMC8303559 DOI: 10.3390/ijerph18147514] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 07/01/2021] [Accepted: 07/03/2021] [Indexed: 11/16/2022]
Abstract
Background: Longitudinal studies of drinking behavior have reported inconsistent changes in drinking behavior as people age. Thus, this study aims to characterize the changes in drinking behavior among Korean adults and to reveal differences in their demographics, depression, and suicidal thoughts. Methods: This study used the Korea Welfare Panel Study data over nine years (2009 to 2017), analyzing a total of 7506 participants. Growth mixture modeling was applied to classify patterns of change in drinking in these participants. The χ2 test and analysis of variance were used to analyze the differences in demographics, depression, and suicidal thoughts according to patterns of change in drinking. Results: Changes in drinking among Korean adults were categorized into four types: "high-risk retention", "medium-risk to high-risk", "high-risk to low-risk", and "low-risk retention". Gender, age, education, marital status, living arrangement, living area, and depression differed among these groups. Conclusion: We identified four types of changes in adult drinking behavior in South Korea, which varied in their demographics and depression levels. These results suggest that tailoring interventions to the type of behavioral changes might be more useful than batch interventions.
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Affiliation(s)
- Hye-Gyeong Son
- College of Nursing, Kosin University, Busan 49104, Korea;
| | - Kyu-Hyoung Jeong
- Department of Social Welfare, Semyung University, Jecheon 27136, Korea
- Correspondence: (K.-H.J.); (H.J.C.)
| | - Heeran J. Cho
- Department of Health Administration, Yonsei University, Seoul 03021, Korea
- Correspondence: (K.-H.J.); (H.J.C.)
| | - Minuk Lee
- Mirea Social Science Institute, Seoul 07640, Korea;
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Hu C, Luo D, Huang Y, Chen Z, Huang Z, Xiao S. Drinking behavior among government employees in Changsha and its influencing factors. Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021; 46:283-292. [PMID: 33927076 PMCID: PMC10929929 DOI: 10.11817/j.issn.1672-7347.2021.190818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Indexed: 11/03/2022]
Abstract
OBJECTIVES To analyze the prevalence and influencing factors for drinking behavior and heavy drinking among government employees in Changsha and provide a basis for carrying out interventions for drinking behaviors and formulating public health promotion plans for government employees. METHODS Government employees were recruited consecutively from the Health Management Center of a general hospital in Changsha between December 2017 and December 2018. Information on sociodemograpic characteristics, drinking behaviors, life events, and psychosocial characteristics was collected using a standard set of questionnaire. Drinking behavior was defined as drinking once or more per week for the past 12 months. The differences in drinking rates and excessive drinking rates among groups with different characteristics were compared. Multivariate analysis was performed to analyze the associated factors of drinking behaviors and heavy drinking for government employees. RESULTS A total of 6 190 people completed this investigation. The overall drinking rate of government employees in Changsha was 21.9%, and the rate of drinking was higher in males than that in females (44.7% vs 4.0%, P<0.01). Among the participants who drinked, the heavy drinking rates of males and females were 26.4% and 10.1%, respectively, while the harmful drinking rates of males and females were 6.0% and 2.2%, respectively. The results of multivariate logistic regression analysis showed that smoking, below high school education level, frequency of social intercourse ≥ 2 times per week, and having married or the divorced/widowed marital status were associated with alcohol drinking for male governmental employees. While aged 41 to 60 years old, frequency of social intercourse ≥ 2 times per week, life events stimulation ≥8 points were the risk factors for female; male, aged 41 to 60 years old, smoking, frequency of social intercourse≥ 2 times per week, and life events stimulation ≥1 point were the risk factors for heavy drinking. CONCLUSIONS The drinking and heavy drinking rates of government employees are high in Changsha. Marital status, physical exercise, and frequency of social intercourse are the common influencing factors of male drinking behavior and female drinking behavior. The life events stimulation is the influencing factor of heavy drinking.
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Affiliation(s)
- Cheng Hu
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078.
| | - Dan Luo
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078.
| | - Yunxiang Huang
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078
| | - Zhiheng Chen
- Health Management Center, Third Xiangya Hospital, Central South University, Changsha 410013
| | - Zhijun Huang
- Clinical Research Center, Third Xiangya Hospital, Central South University, Changsha 410013, China
| | - Shuiyuan Xiao
- Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha 410078
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Fisk RJ, Richards VL, Leeman RF, Brumback B, Cook C, Cook RL. Negative Consequences of Alcohol Use among People Living with HIV. Subst Use Misuse 2021; 56:871-878. [PMID: 33769201 PMCID: PMC8988930 DOI: 10.1080/10826084.2021.1899232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Introduction: Among people living with HIV (PLWH), alcohol use can have negative impacts beyond HIV-related outcomes. The objectives of this study are to identify the most common alcohol-related consequences among PLWH in Florida and describe factors associated with experiencing more alcohol-related consequences. Methods: Data were collected from PLWH in the Florida Cohort study who drank at least monthly in the past year (n=397). Self-reported consequences were assessed by the 15-item Short Inventory of Problems Revised (SIP-2R). Nonparametric tests and a generalized estimating equation model with inverse probability of exposure weighting were used to evaluate associations between the total SIP-2R score and socio-demographics, mental health, and substance use while controlling for alcohol use. Results: Over half (56%) endorsed at least one consequence and 29% endorsed 5 or more consequences. The most common consequences were doing something they regretted and taking foolish risks (both endorsed by 37% of participants), both in the impulse control domain. After controlling for alcohol use and other covariates, homelessness and injection drug use remained significantly associated with greater SIP-2R scores. Conclusion: PLWH who are experiencing homelessness or injecting drugs could benefit from receiving additional screening for alcohol-related consequences if they report any alcohol use.
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Affiliation(s)
- Rebecca J Fisk
- Department of Epidemiology, University of Florida, Gainesville, FL, USA
| | | | - Robert F Leeman
- Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA
| | - Babette Brumback
- Department of Biostatistics, University of Florida, Gainesville, FL, USA
| | - Christa Cook
- College of Nursing, University of Central Florida, Orlando, FL, USA
| | - Robert L Cook
- Department of Epidemiology, University of Florida, Gainesville, FL, USA
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Zanaty M, Seara FAC, Nakagawa P, Deng G, Mathieu NM, Balapattabi K, Karnik SS, Grobe JL, Sigmund CD. β-Arrestin-Biased Agonist Targeting the Brain AT 1R (Angiotensin II Type 1 Receptor) Increases Aversion to Saline and Lowers Blood Pressure in Deoxycorticosterone Acetate-Salt Hypertension. Hypertension 2020; 77:420-431. [PMID: 33249862 DOI: 10.1161/hypertensionaha.120.15793] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Activation of central AT1Rs (angiotensin type 1 receptors) is required for the increased blood pressure, polydipsia, and salt intake in deoxycorticosterone acetate (DOCA)-salt hypertension. TRV120027 (TRV027) is an AT1R-biased agonist that selectively acts through β-arrestin. We hypothesized that intracerebroventricular administration of TRV027 would ameliorate the effects of DOCA-salt. In a neuronal cell line, TRV027 induced AT1aR internalization through dynamin and clathrin-mediated endocytosis. We next evaluated the effect of chronic intracerebroventricular infusion of TRV027 on fluid intake. We measured the relative intake of water versus various saline solutions using a 2-bottle choice paradigm in mice subjected to DOCA with a concomitant intracerebroventricular infusion of either vehicle, TRV027, or losartan. Sham mice received intracerebroventricular vehicle without DOCA. TRV027 potentiated DOCA-induced water intake in the presence or absence of saline. TRV027 and losartan both increased the aversion for saline-an effect particularly pronounced for highly aversive saline solutions. Intracerebroventricular Ang (angiotensin) II, but not TRV027, increased water and saline intake in the absence of DOCA. In a separate cohort, blood pressure responses to acute intracerebroventricular injection of vehicle, TRV, or losartan were measured by radiotelemetry in mice with established DOCA-salt hypertension. Central administration of intracerebroventricular TRV027 or losartan each caused a significant and similar reduction of blood pressure and heart rate. We conclude that administration of TRV027 a selective β-arrestin biased agonist directly into the brain increases aversion to saline and lowers blood pressure in a model of salt-sensitive hypertension. These data suggest that selective activation of AT1R β-arrestin pathways may be exploitable therapeutically.
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Affiliation(s)
- Mario Zanaty
- From the Department of Physiology, Cardiovascular Center Medical College of Wisconsin, Milwaukee, WI (M.Z., P.N., N.M.M., K.B., J.L.G., C.D.S.).,Department of Neurosurgery (M.Z.), Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA
| | - Fernando A C Seara
- Department of Pharmacology and Neuroscience (F.A.C.S., G.D.), Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA
| | - Pablo Nakagawa
- From the Department of Physiology, Cardiovascular Center Medical College of Wisconsin, Milwaukee, WI (M.Z., P.N., N.M.M., K.B., J.L.G., C.D.S.)
| | - Guorui Deng
- Department of Pharmacology and Neuroscience (F.A.C.S., G.D.), Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA
| | - Natalia M Mathieu
- From the Department of Physiology, Cardiovascular Center Medical College of Wisconsin, Milwaukee, WI (M.Z., P.N., N.M.M., K.B., J.L.G., C.D.S.)
| | - Kirthikaa Balapattabi
- From the Department of Physiology, Cardiovascular Center Medical College of Wisconsin, Milwaukee, WI (M.Z., P.N., N.M.M., K.B., J.L.G., C.D.S.)
| | - Sadashiva S Karnik
- Molecular Cardiology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH (S.S.K.)
| | - Justin L Grobe
- From the Department of Physiology, Cardiovascular Center Medical College of Wisconsin, Milwaukee, WI (M.Z., P.N., N.M.M., K.B., J.L.G., C.D.S.)
| | - Curt D Sigmund
- From the Department of Physiology, Cardiovascular Center Medical College of Wisconsin, Milwaukee, WI (M.Z., P.N., N.M.M., K.B., J.L.G., C.D.S.)
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Abstract
BACKGROUND AND PURPOSE Although it has been reported that the amount of alcohol consumption has a J-shaped association with ischemic stroke, it is unclear whether differences in drinking patterns affect this relationship. We aimed to clarify the impact of drinking patterns on ischemic stroke in midlife. METHODS We used data from the National Health Insurance Service-National Sample Cohort, which is a large-sized, standardized population cohort in Korea. Five different drinking patterns were defined by combining the frequency of alcohol consumption and quantity of alcohol consumed per occasion, that is, abstainers, not drinking alcohol; drinker group I, ≤30 g/d and <5 d/wk; drinker group II, ≤30 g/d and ≥5 d/wk; drinker group III, >30 g/d and <5 d/wk; and drinker group IV, >30 g/d and ≥5 d/wk. The association between the drinking patterns and ischemic stroke occurrence was analyzed using the Cox proportional hazard model. RESULTS A total of 152 469 middle-aged participants (mean age, 50.2 years; 72 285 men [47.4%]) were eligible for the analyses. The median follow-up time was 9.0 years. Compared with abstainers, those who drank <5 d/wk (drinker groups I and III) had a significantly lower risk of ischemic stroke (group I hazard ratio, 0.71 [95% CI, 0.59-0.85]; group III hazard ratio, 0.80 [95% CI, 0.68-0.93]) during the first 7 years from the baseline, while other drinker groups showed no such differences. However, the effect of drinking patterns on ischemic stroke risk was attenuated after the first 7 years. CONCLUSIONS Reduced risk of ischemic stroke was observed in middle-aged participants with specific drinking patterns, but it was limited to the earlier period. Physicians should be cautious in educating patients on alcohol consumption, considering the long-term association between drinking patterns and ischemic stroke.
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Affiliation(s)
- Wookjin Yang
- Department of Neurology, Seoul National University Hospital, Republic of Korea (W.Y., D.-W.K., S.Y.H., S.-H.L.).,The Korean Cerebrovascular Research Institute, Seoul, Republic of Korea (W.Y., D.-W.K., S.-H.L.)
| | - Dong-Wan Kang
- Department of Neurology, Seoul National University Hospital, Republic of Korea (W.Y., D.-W.K., S.Y.H., S.-H.L.).,The Korean Cerebrovascular Research Institute, Seoul, Republic of Korea (W.Y., D.-W.K., S.-H.L.)
| | - Sue Young Ha
- Department of Neurology, Seoul National University Hospital, Republic of Korea (W.Y., D.-W.K., S.Y.H., S.-H.L.)
| | - Seung-Hoon Lee
- Department of Neurology, Seoul National University Hospital, Republic of Korea (W.Y., D.-W.K., S.Y.H., S.-H.L.).,The Korean Cerebrovascular Research Institute, Seoul, Republic of Korea (W.Y., D.-W.K., S.-H.L.)
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Abstract
Animal behavior is motivated by internal drives, such as thirst and hunger, generated in hypothalamic neurons that project widely to many brain areas. We find that water-restricted mice maintain stable, high-level contrast sensitivity and brief reaction time while performing a visual task, but then abruptly stop and become disengaged. Mice consume a significant amount of water when freely provided in their home cage immediately after the task, indicating that disengagement does not reflect cessation of thirst. Neuronal responses of V1 neurons are reduced in the disengaged state, but pupil diameter does not decrease, suggesting that animals’ reduced level of arousal does not drive the transition to disengagement. Our findings indicate that satiation level alone does not have an instructive role in visually guided behavior and suggest that animals’ behavior is governed by cost-benefit analysis that can override thirst signals. Ortiz et al. study performance of mice in a visual task during engagement and disengagement. Mice disengage from the task without reaching satiation. Pupil diameter indicates that reduced alertness is not associated with disengagement. We suggest that areas downstream of visual cortex perform cost-benefit analysis governing response to thirst signals.
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Affiliation(s)
- Alexander V Ortiz
- Department of Comparative Medicine, Stanford School of Medicine, Stanford, CA 94305, USA
| | - David Aziz
- College of Optical Sciences, University of Arizona, Tucson, AZ 85721, USA
| | - Shaul Hestrin
- Department of Comparative Medicine, Stanford School of Medicine, Stanford, CA 94305, USA.
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Fernández CR, Chen L, Cheng ER, Charles N, Meyer D, Monk C, Woo Baidal J. Food Insecurity and Sugar-Sweetened Beverage Consumption Among WIC-Enrolled Families in the First 1,000 Days. J Nutr Educ Behav 2020; 52:796-800. [PMID: 32444189 PMCID: PMC7423699 DOI: 10.1016/j.jneb.2020.03.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Revised: 03/27/2020] [Accepted: 03/27/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE Determine the association between household food insecurity and habitual sugar-sweetened beverage (SSB) consumption among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-enrolled families during the first 1,000 days. METHODS Cross-sectional analysis of pregnant women and mothers of infants aged under 2 years in the WIC was performed. Families recruited sequentially at consecutive visits completed food insecurity and beverage intake questionnaires; estimated logistic regression models controlled for sociodemographic characteristics. RESULTS Of 394 Hispanic/Latino mothers and 281 infants, 63% had household food insecurity. Food insecurity significantly increased odds of habitual maternal (unadjusted odds ratio (OR), 2.39; 95% CI, 1.27-4.47; P = .01) and infant SSB consumption (OR, 2.05; 95% CI, 1.15-3.65; P = .02), and the relationship was not attenuated by maternal age, education, or foreign-born status. CONCLUSIONS AND IMPLICATIONS Food insecurity increased odds of habitual SSB consumption in WIC families. Interventions to curb SSB consumption among WIC-enrolled families in the first 1,000 days in the context of household food insecurity are needed.
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Affiliation(s)
- Cristina R Fernández
- Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY
| | - Ling Chen
- Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY
| | - Erika R Cheng
- Division of Children's Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN
| | - Nalini Charles
- NewYork-Presbyterian Hospital Special Supplemental Nutrition Program for Women, Infants, and Children, New York, NY
| | - Dodi Meyer
- Division of Child and Adolescent Health, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY
| | - Catherine Monk
- Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, NY; Department of Psychiatry, Columbia University Irving Medical Center, New York, NY; New York State Psychiatric Institute, New York, NY
| | - Jennifer Woo Baidal
- Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Columbia University Irving Medical Center, New York, NY.
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Higuchi S, Takahashi M, Murai Y, Tsuneyoshi K, Nakamura I, Meulien D, Miyata H. Long-term safety and efficacy of nalmefene in Japanese patients with alcohol dependence. Psychiatry Clin Neurosci 2020; 74:431-438. [PMID: 32359104 PMCID: PMC7496902 DOI: 10.1111/pcn.13017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2020] [Revised: 04/16/2020] [Accepted: 04/27/2020] [Indexed: 12/01/2022]
Abstract
AIM The safety and efficacy of nalmefene in Japanese patients with high or very high World Health Organization drinking risk level of alcohol dependence were assessed in a multicenter, randomized, double-blind, placebo-controlled, phase 3 (lead-in) study. Here, the long-term safety and efficacy of nalmefene in an open-label extension of the lead-in study are presented. METHODS Patients who completed the 24-week lead-in study were eligible for the extension study, where they were treated with nalmefene 20 mg as needed for 24 weeks. The long-term safety and efficacy of nalmefene 20 mg during the total 48-week period were evaluated. Treatment-emergent adverse events during the study period were recorded and change from baseline in the number of heavy drinking days and total alcohol consumption were calculated. RESULTS Overall, long-term nalmefene 20 mg was well tolerated; the main treatment-emergent adverse events reported in ≥5% of patients included nasopharyngitis (37.2%), nausea (36.5%), somnolence (21.2%), dizziness (16.8%), malaise (14.6%), and vomiting (12.4%). The number of heavy drinking days and total alcohol consumption decreased from baseline to 48 weeks (mixed model for repeated measures, least squares mean ± standard error, -15.09 ± 0.77 days/month and -53.20 ± 2.29 g/day, respectively) during the study. CONCLUSION This long-term evaluation in Japanese patients with high or very high drinking risk levels of alcohol dependence indicated that nalmefene was safe, well tolerated, and efficacious.
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Affiliation(s)
- Susumu Higuchi
- National Hospital Organization, Kurihama Medical and Addiction Center, Yokosuka, Japan
| | - Masayoshi Takahashi
- Department of Clinical Management, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan
| | - Yoshiyuki Murai
- Department of Clinical Management, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan
| | - Kana Tsuneyoshi
- Department of Biometrics, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Osaka, Japan
| | - Izuru Nakamura
- Medical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan
| | - Didier Meulien
- Clinical Research and Development, H. Lundbeck A/S, Valby, Denmark
| | - Hisatsugu Miyata
- Department of Psychiatry, Jikei University School of Medicine, Tokyo, Japan
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Zhang Z, Zheng R. The Impact of Cigarette Excise Tax Increases on Regular Drinking Behavior: Evidence from China. Int J Environ Res Public Health 2020; 17:E3327. [PMID: 32403253 PMCID: PMC7246798 DOI: 10.3390/ijerph17093327] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Revised: 05/05/2020] [Accepted: 05/08/2020] [Indexed: 12/14/2022]
Abstract
(1) Background: Many studies have shown that increasing taxation on cigarettes does play a role in tobacco control, but few studies have focused on whether increasing cigarette excise taxes significantly affects alcohol consumption. In this article, we aim to examine the effects of China's 2015 increase in the cigarette excise tax on residents' regular drinking behavior. (2) Methods: Using survey data from China Family Panel Studies (CFPS), we performed a panel logit regression analysis to model the relationship between the cigarette excise tax and regular drinking behavior. The Propensity Score Matching with Difference-in-Differences (PSM-DID) approach was adopted to determine the extent to which the cigarette excise tax affected residents' drinking behavior. To test whether the cigarette excise tax could change regular drinking behavior by decreasing daily smoking quantity, we used an interaction term model. (3) Results: China's 2015 increase in the cigarette excise tax had a significant negative effect on the probability of regular alcohol consumption among smokers, and the cigarette excise tax worked by reducing the average daily smoking of smokers. We also found that the regular drinking behavior of male smokers was more deeply affected by the increased cigarette excise tax than females. (4) Conclusions: Our research results not only give a deeper understanding of the impact of the cigarette excise tax, but also provide an important reference with which to guide future decisions concerning excise taxes imposed on cigarettes.
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Affiliation(s)
- Zili Zhang
- School of International Trade and Economics, University of International Business and Economics, Beijing 100029, China;
| | - Rong Zheng
- School of International Trade and Economics, University of International Business and Economics, Beijing 100029, China;
- World Health Organization Collaborating Center on Tobacco and Economics, 10 Huixin East Street, Chaoyang District, Beijing 100029, China
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Mori H, Fukuda T. Prevalence patterns of alcohol consumption and factors associated with problematic drinking on remote islands of Okinawa, Japan: a cross-sectional study. J Rural Med 2020; 15:50-56. [PMID: 32269640 PMCID: PMC7110096 DOI: 10.2185/jrm.2019-006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 10/27/2019] [Indexed: 01/12/2023] Open
Abstract
Objective: This study aims to investigate the drinking behavior on the
remote islands of Okinawa Prefecture. Patients/Materials and Method: This was a cross-sectional study conducted
with residents of Okinawa Prefecture’s small, isolated islands. Between October 1 and
December 3, 2014, island residents over 20 years of age who visited island clinics for an
annual health checkup or influenza vaccination were recruited. An anonymous entry survey
was administered to those who provided their consent. The survey included information on
age, sex, presence or absence of drinking, age at drinking initiation, smoking status,
comorbidities, and family and social background. The Alcohol Use Disorder Identification
Test (AUDIT) was used to assess alcohol consumption. Participant characteristics were
analyzed descriptively, and logistic regression analysis was conducted to assess
relationships between the high-risk drinking group (AUDIT score ≥10 points) and other
measured variables (age, sex, age at drinking initiation, smoking, residence, and
employment status). Results: Compared to the results of a national survey in 2013, there was a
significantly higher prevalence of male island residents who drank ≥40 g of alcohol per
day and female island residents who drank ≥20 g/day, levels which are considered risk
factors for lifestyle diseases. Among both male and female island residents, there were
significantly higher proportions of those with AUDIT scores ≥8 points, referred to as
high-risk drinkers, and those with AUDIT scores ≥20, individuals considered to have
probable alcohol dependence, as compared to the results of the national survey. In a
logistic regression analysis, factors related to high-risk drinking included younger age,
male sex, smoking history, inoccupation, and underage drinking initiation. Conclusion: This is the first report on drinking behavior among inhabitants
of Okinawa’s remote islands. The degree of alcohol consumption is serious and must be
recognized as a regional health problem.
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Affiliation(s)
- Hideki Mori
- Department of General Internal Medicine, National Hospital Organization Nagasaki Medical Center, Japan
| | - Takahiro Fukuda
- Department of Psychiatry, National Hospital Organization Hizen Psychiatric Center, Japan
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Abstract
Based on research suggesting that alcohol consumption can be used as a means of coping with negative affect (Cooper, Frone, Russell, & Mudar, 1995), the current study examines sexism as a factor in college women's alcohol consumption. Despite being more prevalent than hostile sexism, benevolent sexism is often viewed as less sexist (Oswald, Baalbaki, & Kirkman, 2018) and having a less aversive impact on women (Bosson, Pinel, & Vandello, 2010). To increase understanding of the negative effects of both hostile and benevolent sexism, the current study experimentally manipulated sexism during a lab session and measured 176 U.S. college women's actual alcohol consumption that evening. As predicted, college women who experienced either the hostile or the benevolent sexism condition reported consuming a greater number of alcoholic drinks, and those in the hostile sexism condition were more likely to meet the binge drinking threshold than participants in the control condition. This pattern suggests the importance of examining the unique effects of benevolent sexism in addition to hostile sexism because both may influence women's behavior even in important health domains. Given the many negative consequences associated with alcohol consumption, our results provide evidence for education on healthy coping mechanisms and interventions to reduce both hostile and benevolent sexism.
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Chen P, Xin M, Xie Q, Wei C, Yu C, Gan X, Xie X, Zhang W. Cyberbullying Victimization and Adolescent Drinking Behavior: Deviant Peer Affiliation as a Mediator and Personal Growth Initiative as a Moderator. Front Psychiatry 2020; 11:572530. [PMID: 33192698 PMCID: PMC7541832 DOI: 10.3389/fpsyt.2020.572530] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 08/31/2020] [Indexed: 01/08/2023] Open
Abstract
Research has demonstrated a robust positive association between cyberbullying victimization and adolescent drinking behavior; however, the mediating and moderating mechanisms underlying this relationship remain largely unexplored. Grounded in the social development model and person-environment interactions model, our study explored whether deviant peer affiliation mediated the relationship between cyberbullying victimization and adolescent drinking behavior and whether this mediating effect was moderated by personal growth initiative. A sample of 1,006 adolescents (Mage = 13.16 years; SD = 0.67) anonymously completed self-report questionnaires. Structural equation modeling indicated that the positive association between cyberbullying victimization and drinking behavior was partly mediated by deviant peer affiliation for both girls and boys. Further, this mediating process was stronger for adolescents with low personal growth initiative than for those with high personal growth initiative. There were no significant gender differences for this moderating effect. These findings underline the importance of deviant peer affiliation and personal growth initiative in understanding how and when cyberbullying victimization impacts adolescent drinking behavior.
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Affiliation(s)
- Pei Chen
- Department of Psychology and Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou, China
| | - Mucheng Xin
- Department of Psychology and Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou, China
| | - Qi Xie
- Department of Psychology and Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou, China
| | - Chang Wei
- School of Psychology and Center for Studies of Psychological Application, South China Normal University, Guangzhou, China
| | - Chengfu Yu
- Department of Psychology and Research Center of Adolescent Psychology and Behavior, School of Education, Guangzhou University, Guangzhou, China
| | - Xiong Gan
- School of Education and Sports Science, Yangtze University, Jingzhou, China
| | - Xiaodong Xie
- Human Resources Department, South China Normal University, Guangzhou, China
| | - Wei Zhang
- School of Psychology and Center for Studies of Psychological Application, South China Normal University, Guangzhou, China
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Miyata H, Takahashi M, Murai Y, Tsuneyoshi K, Hayashi T, Meulien D, Sørensen P, Higuchi S. Nalmefene in alcohol-dependent patients with a high drinking risk: Randomized controlled trial. Psychiatry Clin Neurosci 2019; 73:697-706. [PMID: 31298784 PMCID: PMC6899457 DOI: 10.1111/pcn.12914] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 06/18/2019] [Accepted: 07/05/2019] [Indexed: 12/19/2022]
Abstract
AIMS Reducing alcohol consumption is one treatment approach for alcohol-dependent patients. This study compared nalmefene 20 mg and 10 mg with placebo, combined with psychosocial support, in alcohol-dependent Japanese patients with a high or very high drinking risk level (DRL). METHODS This was a multicenter, randomized, double-blind, phase 3 study conducted in alcohol-dependent patients with a high or very high DRL. Patients were randomized to 24 weeks of treatment with as-needed nalmefene 20 mg, 10 mg, or placebo with psychosocial support. The primary endpoint was change in heavy drinking days (HDD) from baseline to week 12. A key secondary endpoint was the change in total alcohol consumption (TAC) from baseline to week 12. RESULTS At week 12, 234, 206, and 154 patients who received placebo, nalmefene 20 mg, and 10 mg were included in the primary endpoint analysis. Compared with placebo, nalmefene was associated with significant reductions in HDD at week 12 (difference in 20 mg group, -4.34 days/month; 95% confidence interval [CI]: -6.05 to -2.62; P < 0.0001; difference in 10 mg group, -4.18 days/month; 95%CI: -6.05 to -2.32; P < 0.0001), as well as a significant reduction in TAC at week 12 (P < 0.0001). The incidence of treatment-emergent adverse events was 87.9%, 84.8%, and 79.2% in the groups receiving nalmefene 20 mg, 10 mg, and placebo, respectively. These events were mostly of mild or moderate severity. CONCLUSIONS Nalmefene 20 mg or 10 mg effectively reduced alcohol consumption and was well tolerated in alcohol-dependent patients with a high or very high DRL.
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Affiliation(s)
- Hisatsugu Miyata
- Department of Psychiatry, Jikei University School of Medicine, Tokyo, Japan
| | - Masayoshi Takahashi
- Department of Clinical Management, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan
| | - Yoshiyuki Murai
- Department of Clinical Management, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan
| | - Kana Tsuneyoshi
- Department of Biometrics, Clinical Development Headquarters, Otsuka Pharmaceutical Co., Ltd., Osaka, Japan
| | - Takako Hayashi
- Medical Affairs, Otsuka Pharmaceutical Co., Ltd., Tokyo, Japan
| | - Didier Meulien
- Clinical Research and Development - Neurology, H. Lundbeck SAS, Issy-les-Moulineaux, Paris, France
| | | | - Susumu Higuchi
- National Hospital Organization, Kurihama Medical and Addiction Center, Japan
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Vázquez-Diosdado JA, Miguel-Pacheco GG, Plant B, Dottorini T, Green M, Kaler J. Developing and evaluating threshold-based algorithms to detect drinking behavior in dairy cows using reticulorumen temperature. J Dairy Sci 2019; 102:10471-10482. [PMID: 31447153 DOI: 10.3168/jds.2019-16442] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Accepted: 06/28/2019] [Indexed: 01/10/2023]
Abstract
In this study, we assessed for the first time the use of a reticuloruminal temperature bolus and a thresholding method to detect drinking events and investigated different factors that can affect drinking behavior. First, we validated the detection of drinking events using 16 cows that received a reticuloruminal bolus. For this, we collected continuous drinking behavior data for 4 d using video recordings and ambient and water temperature for the same 4 d. After all the data were synchronized, we performed 2 threshold algorithms: a general-fixed threshold and a cow-day specific threshold algorithm. In the general-fixed threshold, a positive test was considered if the temperature of any cow fell below a fixed threshold; in the cow-day specific threshold, a positive test was considered when the temperature of specific cows fell below the threshold value deviations around the mean temperature of the cow for that day. The former was evaluated using a threshold varying between 35.7 and 39.5°C, and the latter using the formula μ-n10σ, where µ = mean of the temperature of each cow for one day, n = 1, 2, …, 20, and σ = standard deviation of the temperature of each cow on that day. The performance of the validation of detection using each of the threshold types was computed using different metrics, including overall accuracy, precision, recall (also known as sensitivity), F-score, positive predictive value, negative predictive value, false discovery rate, false omission rate, and Cohen's kappa statistic. The findings of the first study showed that the cow-day specific threshold of n = 10 performed better (true positives = 466; false positives = 167; false negatives = 165; true negatives = 8,416) than using a general-fixed threshold of 38.1°C (true positives = 449; false positives = 181; false negatives = 182; true negatives = 8,402). With the information gained in this first study, we investigated the different factors associated with temperature drop characteristics per cow: number of drops, mean amplitude of the drop, and mean recovery time. For this, we used data from 54 cows collected for almost 1 yr to build a mixed-effect multilevel model that included days in milk, parity, average monthly milk production, and ambient temperature as explanatory variables. Cow characteristics and ambient temperature had significant effects on drinking events. Our results provide a platform for automated monitoring of drinking behavior, which has potential value in prediction of health and welfare in dairy cattle.
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Affiliation(s)
- J A Vázquez-Diosdado
- School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, United Kingdom
| | - G G Miguel-Pacheco
- School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, United Kingdom
| | - Bobbie Plant
- School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, United Kingdom
| | - Tania Dottorini
- School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, United Kingdom
| | - Martin Green
- School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, United Kingdom
| | - Jasmeet Kaler
- School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington Campus, Leicestershire LE12 5RD, United Kingdom.
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Leib DE, Zimmerman CA, Poormoghaddam A, Huey EL, Ahn JS, Lin YC, Tan CL, Chen Y, Knight ZA. The Forebrain Thirst Circuit Drives Drinking through Negative Reinforcement. Neuron 2019; 96:1272-1281.e4. [PMID: 29268095 DOI: 10.1016/j.neuron.2017.11.041] [Citation(s) in RCA: 79] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2017] [Revised: 11/09/2017] [Accepted: 11/30/2017] [Indexed: 10/18/2022]
Abstract
The brain transforms the need for water into the desire to drink, but how this transformation is performed remains unknown. Here we describe the motivational mechanism by which the forebrain thirst circuit drives drinking. We show that thirst-promoting subfornical organ neurons are negatively reinforcing and that this negative-valence signal is transmitted along projections to the organum vasculosum of the lamina terminalis (OVLT) and median preoptic nucleus (MnPO). We then identify molecularly defined cell types within the OVLT and MnPO that are activated by fluid imbalance and show that stimulation of these neurons is sufficient to drive drinking, cardiovascular responses, and negative reinforcement. Finally, we demonstrate that the thirst signal exits these regions through at least three parallel pathways and show that these projections dissociate the cardiovascular and behavioral responses to fluid imbalance. These findings reveal a distributed thirst circuit that motivates drinking by the common mechanism of drive reduction.
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Affiliation(s)
- David E Leib
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA; Neuroscience Graduate Program, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Christopher A Zimmerman
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA; Neuroscience Graduate Program, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Ailar Poormoghaddam
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Erica L Huey
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Jamie S Ahn
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Yen-Chu Lin
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Chan Lek Tan
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Yiming Chen
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA; Neuroscience Graduate Program, University of California, San Francisco, San Francisco, CA 94158, USA
| | - Zachary A Knight
- Department of Physiology, University of California, San Francisco, San Francisco, CA 94158, USA; Kavli Institute for Fundamental Neuroscience, University of California, San Francisco, San Francisco, CA 94158, USA; Neuroscience Graduate Program, University of California, San Francisco, San Francisco, CA 94158, USA.
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Jimoh OF, Brown TJ, Bunn D, Hooper L. Beverage Intake and Drinking Patterns-Clues to Support Older People Living in Long-Term Care to Drink Well: DRIE and FISE Studies. Nutrients 2019; 11:E447. [PMID: 30795521 PMCID: PMC6412353 DOI: 10.3390/nu11020447] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 02/06/2019] [Accepted: 02/16/2019] [Indexed: 11/16/2022] Open
Abstract
Low-intake dehydration, due to insufficient beverage intake, is common in older people and associated with increased mortality and morbidity. We aimed to document the drinking patterns of older adults living in long-term care and compared patterns in those drinking well with those not drinking enough. One-hundred-and-eighty-eight people aged ≥ 65 years living in 56 UK long-term care homes were interviewed and hydration status was assessed in the Dehydration Recognition In our Elders (DRIE) study. In 22 DRIE residents, the Fluid Intake Study in our Elders (FISE) directly observed, weighed and recorded all drinks intake over 24 h. Twenty percent of DRIE participants and 18% of FISE participants had low-intake dehydration (serum osmolality > 300 mOsm/kg). Mean total drinks intake was 1787 mL/day (SD 693) in FISE participants (2033 ± 842 mL/day in men; 1748 ± 684 mL/day in women). Most drinks intake was between meals (59%, including 10% with medications). Twelve (55%) FISE participants achieved European Food Safety Authority drinks goals (3/6 men drank ≥ 2.0 L/day, 9/16 women drank ≥ 1.6 L/day). Those drinking well were offered beverages more frequently and drank more with medications and before breakfast (beverage variety did not differ). Promising strategies to support healthy drinking include offering drinks more frequently, particularly before and during breakfast and with medication.
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Affiliation(s)
- Oluseyi F Jimoh
- Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK.
| | - Tracey J Brown
- Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK.
| | - Diane Bunn
- School of Health Sciences, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK.
| | - Lee Hooper
- Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK.
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Ratnam A, Das RC, Madhusudan T, Sharma P, Panda SP. Absolute Abstinence as a Treatment Outcome in Servicemen with Alcohol Dependence: A Retrospective Cohort Study. Subst Use Misuse 2019; 54:2304-2316. [PMID: 31386599 DOI: 10.1080/10826084.2019.1646284] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Background: Within India's military medical framework, alcohol dependence syndrome (ADS) is deemed a treatable medical illness incompatible with military service, and complete abstinence is the only acceptable successful treatment outcome. Objective: This study was designed to identify factors which were able to differentiate treatment outcomes of abstinence and relapse among ADS patients in a military framework. Method: Recognizing personal incentives to misrepresent alcohol consumption, abstinence, and relapse outcomes were established using official reports from a patient's parent unit, in combination with biochemical parameters and clinical examination. Patients serially admitted for ADS treatment or follow-up review were surveyed, and their socio-demographic and alcohol consumption profiles, coping styles, life events and specific relapse precipitants were recorded and compared as contributory variables in a cognitive-behavioral model of ADS. From this survey of 140 patients, membership to abstainer or relapser groups was then predicted using a discriminant analysis. Results: 34% of patients achieved early absolute abstinence. No baseline socio-demographic or drinking profile distinctions existed between abstainers and relapsers. Differences were forthcoming on coping styles, life-event, and relapse-precipitant exposure measures. Stepwise discriminant analysis produced a final equation comprising 10 independent variables (including two positive life event measures), which predicted an abstinence/relapse outcome with an 86% and 79% hit-rate (original and cross-validated). Conclusion: Using prevailing cognitive-behavioral constructs, early absolute abstinence emerged as an actionable objective and an achievable goal without any contributory socio-demographic predilections. This preliminary evaluation suggests it is a tenable and realistic target of current ADS treatment programs.
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Affiliation(s)
- Ashutosh Ratnam
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
| | - R C Das
- Department of Psychiatry, Armed Forces Medical College, Pune, Maharashtra, India
| | - T Madhusudan
- Department of Psychiatry, Command Hospital (Central Command), Lucknow, India
| | - Pankaj Sharma
- Department of Psychiatry, Military Hospital Jalandhar Cantt, Punjab, India
| | - S P Panda
- Department of Psychiatry, Military Hospital Jalandhar Cantt, Punjab, India
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Kojima G, Jivraj S, Iliffe S, Falcaro M, Liljas A, Walters K. Alcohol Consumption and Risk of Incident Frailty: The English Longitudinal Study of Aging. J Am Med Dir Assoc 2018; 20:725-729. [PMID: 30503591 DOI: 10.1016/j.jamda.2018.10.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2018] [Revised: 09/27/2018] [Accepted: 10/01/2018] [Indexed: 10/27/2022]
Abstract
BACKGROUND Alcohol consumption is a common modifiable lifestyle factor. Alcohol may be a risk factor for frailty, however, there is limited evidence in the literature. OBJECTIVE The objectives of this study were to examine the association of alcohol consumption with the risk of incident frailty. METHODS This is a prospective panel study of 2544 community-dwelling people aged 60 years and older in England. Frailty status defined by frailty phenotype criteria was measured at baseline and 4 years later. Participants free of frailty at baseline were divided into 5 groups based on quantity of self-reported alcohol consumption per week with cut-points at 0, 7, 14, and 21 UK units per week. Adjusted odds ratios (OR) were calculated for incident frailty according to the alcohol consumption using logistic regression models. RESULTS Compared with the low consumption group (>0 and ≤7 units per week), incident frailty risk over 4 years was significantly higher among nondrinkers [OR 1.71, 95% confidence interval (CI) 1.12‒2.60, P value = .01], after controlling for sociodemographic confounders. In a supplementary analysis this became nonsignificant after further adjustment for baseline health status. Heavy drinkers (>21 units per week) had a significantly lower incident frailty risk (unadjusted OR 0.45, 95% CI 0.27‒0.75, P < .01), which became nonsignificant on adjustment for sociodemographic factors (OR 0.64, 95% CI 0.37‒1.13, P = .12). CONCLUSIONS/IMPLICATIONS We found that nondrinkers were more likely than those with low alcohol consumption to develop frailty, but this appeared to be explained by poorer baseline health status. No evidence was found for an association between high levels of alcohol consumption and becoming frail. Future studies with information on life-course history of alcohol use, especially for those classified as nondrinkers in old age, are warranted.
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Affiliation(s)
- Gotaro Kojima
- Department of Primary Care and Population Health, University College London, London, United Kingdom.
| | - Stephen Jivraj
- Department of Epidemiology and Public Health, University College London, London, United Kingdom
| | - Steve Iliffe
- Department of Primary Care and Population Health, University College London, London, United Kingdom
| | - Milena Falcaro
- Department of Primary Care and Population Health, University College London, London, United Kingdom
| | - Ann Liljas
- Department of Primary Care and Population Health, University College London, London, United Kingdom
| | - Kate Walters
- Department of Primary Care and Population Health, University College London, London, United Kingdom
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Bishop FM, Rodriquez Orjuela JL. Toward the prevention of alcohol use disorders: Overdrinking (unintentional binge drinking) in a community sample. Health Psychol Open 2018; 5:2055102918792705. [PMID: 30151223 PMCID: PMC6108020 DOI: 10.1177/2055102918792705] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Approximately 64,000,000 people in the United States report binge drinking at least once in the past month. Unlike overeating and oversleeping, "overdrinking"-defined as drinking more than a person intends to drink-does not exist in the literature. Terms such as binge and problem drinking do not consider the intent of the drinker. The results of this pilot study suggest that most people drink more than they intend to drink. Moreover, they also report often being surprised that they overdrank. Smartphones may help overdrinkers be less often surprised by overdrinking and may prevent drinkers from developing an alcohol use disorder.
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Flôr AFL, de Brito Alves JL, França-Silva MS, Balarini CM, Elias LLK, Ruginsk SG, Antunes-Rodrigues J, Braga VA, Cruz JC. Glial Cells Are Involved in ANG-II-Induced Vasopressin Release and Sodium Intake in Awake Rats. Front Physiol 2018; 9:430. [PMID: 29765330 PMCID: PMC5938358 DOI: 10.3389/fphys.2018.00430] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 04/06/2018] [Indexed: 01/28/2023] Open
Abstract
It is known that circulating angiotensin II (ANG-II) acts on the circumventricular organs (CVOs), which partially lack a normal blood-brain barrier, to stimulate pressor responses, vasopressin (AVP), and oxytocin (OT) secretion, as well as sodium and water intake. Although ANG-II type 1 receptors (AT1R) are expressed in neurons and astrocytes, the involvement of CVOs glial cells in the neuroendocrine, cardiovascular and behavioral responses induced by central ANG II remains to be further elucidated. To address this question, we performed a set of experiments combining in vitro studies in primary hypothalamic astrocyte cells (HACc) and in vivo intracerebroventricular (icv) microinjections into the lateral ventricle of awake rats. Our results showed that ANG-II decreased glutamate uptake in HACc. In addition, in vivo studies showed that fluorocitrate (FCt), a reversible glial inhibitor, increased OT secretion and mean arterial pressure (MAP) and decreased breathing at rest. Furthermore, previous FCt decreased AVP secretion and sodium intake induced by central ANG-II. Together, our findings support that CVOs glial cells are important in mediating neuroendocrine and cardiorespiratory functions, as well as central ANG-II-induced AVP release and salt-intake behavior in awake rats. In the light of our in vitro studies, we propose that these mechanisms are, at least in part, by ANG-II-induced astrocyte mediate reduction in glutamate extracellular clearance.
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Affiliation(s)
- Atalia F L Flôr
- Departamento de Biotecnologia, Centro de Biotecnologia, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - José L de Brito Alves
- Departamento de Biotecnologia, Centro de Biotecnologia, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - Maria S França-Silva
- Departamento de Biotecnologia, Centro de Biotecnologia, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - Camille M Balarini
- Departamento de Biotecnologia, Centro de Biotecnologia, Universidade Federal da Paraíba, João Pessoa, Brazil.,Departamento de Fisiologia e Patologia, Centro de Ciências da Saúde, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - Lucila L K Elias
- Departamento de Fisiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Silvia G Ruginsk
- Departamento de Ciências Fisiológicas, Instituto de Ciências Biomédicas, Universidade Federal de Alfenas, Alfenas, Brazil
| | - José Antunes-Rodrigues
- Departamento de Fisiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Valdir A Braga
- Departamento de Biotecnologia, Centro de Biotecnologia, Universidade Federal da Paraíba, João Pessoa, Brazil
| | - Josiane C Cruz
- Departamento de Biotecnologia, Centro de Biotecnologia, Universidade Federal da Paraíba, João Pessoa, Brazil
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Kirkman JJL, Leo B, Moore JC. Alcohol Consumption Reduction Among a Web-Based Supportive Community Using the Hello Sunday Morning Blog Platform: Observational Study. J Med Internet Res 2018; 20:e196. [PMID: 29773530 PMCID: PMC5981056 DOI: 10.2196/jmir.9605] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Revised: 03/14/2018] [Accepted: 04/22/2018] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Alcohol misuse is a major social and public health issue in Australia, with an estimated cost to the community of Aus $30 billion per annum. Until recently, a major barrier in addressing this significant public health issue is the fact that the majority of individuals with alcohol use disorders and alcohol misuse are not receiving treatment. OBJECTIVE This study aimed to assess whether alcohol consumption changes are associated with participation in Hello Sunday Morning's blog platform, an online forum discussing experiences in abstaining from alcohol. METHODS The study reports on Hello Sunday Morning participants who signed up for a 3-month period of abstinence from November 2009 to November 2016. The sample comprised 1917 participants (female: 1227/1917, 64.01%; male: 690/1917, 35.99%). Main outcome measures were Alcohol Use Disorders Identification Test (AUDIT) scores, mood, program engagement metrics, and slip-ups. RESULTS Individuals who reported hazardous (preprogram AUDIT mean 11.92, SD 2.25) and harmful consumption levels (preprogram AUDIT mean 17.52, SD 1.08) and who engaged in the Hello Sunday Morning program reported a significant decrease in alcohol consumption, moving to lower risk consumption levels (hazardous, mean 7.59, SD 5.70 and harmful, mean 10.38, SD 7.43), 4 months following program commencement (P<.001). Those who reported high-risk or dependent consumption levels experienced the biggest reduction (preprogram mean 25.38, SD 4.20), moving to risky consumption (mean 15.83, SD 11.11), 4 months following program commencement (P<.001). These reductions in risk were maintained by participants in each group, 7 months following program commencement. Furthermore, those who engaged in the program more (as defined by more sign-ins, blogs posted, check-ins completed, and engagement with the community through likes and following) had lower alcohol consumption. Finally, those who experienced more slip-ups had lower alcohol consumption. CONCLUSIONS Participation in an online forum can support long-term behavior change in individuals wishing to change their drinking behavior. Importantly, reductions in AUDIT scores appeared larger for those drinking at high-risk and hazardous levels before program commencement. This has promising implications for future models of alcohol reduction treatment, as online forums are an anonymous, accessible, and cost-effective alternative or adjunct to treatment-as-usual. Further research is needed into the specific mechanisms of change within a Web-based supportive community, as well as the role of specific mood states in predicting risky drinking behavior.
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Affiliation(s)
| | - Briony Leo
- Hello Sunday Morning, Surry Hills, Australia
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Barbieri S, Feltracco P, Lucchetta V, Gaudio RM, Tredese A, Bergamini M, Vettore G, Pietrantonio V, Avato FM, Donato D, Boemo DG, Nesoti MV, Snenghi R. A Social Media-Based Acute Alcohol Consumption Behavior (NekNomination): Case Series in Italian Emergency Departments. Interact J Med Res 2018; 7:e2. [PMID: 29386170 PMCID: PMC5812984 DOI: 10.2196/ijmr.6573] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Revised: 01/24/2017] [Accepted: 11/19/2017] [Indexed: 11/21/2022] Open
Abstract
Background NekNomination, also known as NekNominate, Neck and Nominate, or Neck Nomination, is a social network–based drinking game which is thought to have originated in Australia and spread all over the world between 2013 and 2014. Individuals record videos of themselves while rapidly drinking excessive quantities of alcoholic drinks (necking) and then nominate friends to outdo them within 24 hours; the videos are then posted on social media such as Facebook or YouTube. The consequences of this drinking game have been very dangerous; at least 5 people under age 30 years have died after drinking deadly cocktails, and many others have suffered from alcohol intoxication. Objective The goal of the research is to evaluate data about clinically important acute alcohol intoxication among teenagers and young adults and inform and educate the general public, especially parents, teachers, and health workers, about the spreading craze of dangerous Internet-related behavior among today’s teenagers and young people up to the age of 23 years. Methods Patients aged 15 to 23 years with acute alcohol intoxication who came to the emergency department (ED) of 2 major hospitals in Italy from January 1, 2011, to June 30, 2014, were included in this study. Data were retrieved from prehospital and intrahospital medical records and included personal information, methods of intoxication, triage color code, date and time of access to the ED, any relevant signs and symptoms, blood alcohol concentration, and diagnosis at discharge. Results A total of 450 young patients (male 277/450, 61.5%, female 173/450, 38.5%; age 15 to 16 years 15/450, 3.3%, age 17 to 18 years 184/450, 40.9%, age 19 to 23 years 251/450, 55.8%) were recruited. The causes of intoxication were happy hour, binge drinking, NekNominate, eyeballing, other alcoholic games, or a mix of them. Happy hour was found to be more common among the older patients, whereas NekNominate accounted for almost half of the youngest group of hospitalizations. Eyeballing occurred in 1.6% (7/450) of cases; binge drinking and other alcoholic games caused 23.3% (105/450) and 23.8% (107/450) of hospitalizations, respectively. On admission, 44.2% (199/450) of patients were assigned a red or yellow color code requiring immediate medical attention; about 14% of them required additional medical assistance (after being in the ED) or hospitalization, some in semi-intensive care units. Conclusions Our study shows that the increased numbers of hospitalizations due to alcohol intoxication in the adolescent age group, as a consequence of NekNominate or other drinking games, is alarming and represents a serious public health issue. The potential markers of improper use of social networks must be clearly identified, including categories at risk of alcohol abuse, in order to develop intervention and prevention strategies in terms of education and awareness, which may help in averting potentially fatal episodes.
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Affiliation(s)
- Stefania Barbieri
- Department of Urgent and Emergency Care, University of Padova, Padova, Italy.,Forensic Medicine and Toxicology, University of Ferrara, Ferrara, Italy.,Preventive Medicine and Risk Assessment, University of Ferrara, Ferrara, Italy
| | - Paolo Feltracco
- Department of Urgent and Emergency Care, University of Padova, Padova, Italy
| | - Vittorio Lucchetta
- Department of Urgent and Emergency Care, University of Padova, Padova, Italy
| | - Rosa Maria Gaudio
- Forensic Medicine and Toxicology, University of Ferrara, Ferrara, Italy
| | - Alberto Tredese
- Forensic Medicine and Toxicology, University of Padova, Padova, Italy
| | - Mauro Bergamini
- Preventive Medicine and Risk Assessment, University of Ferrara, Ferrara, Italy
| | - Gianna Vettore
- Department of Urgent and Emergency Care, University of Padova, Padova, Italy
| | | | | | - Daniele Donato
- Department of Directional Hospital Management, Padova Hospital, Padova, Italy
| | - Deris Gianni Boemo
- Department of Directional Hospital Management, Padova Hospital, Padova, Italy
| | | | - Rossella Snenghi
- Forensic Medicine and Toxicology, University of Padova, Padova, Italy
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Wundersitz L, Raftery S. Understanding the context of alcohol impaired driving for fatal crash-involved drivers: A descriptive case analysis. Traffic Inj Prev 2017; 18:781-787. [PMID: 28463528 DOI: 10.1080/15389588.2017.1322696] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Accepted: 04/20/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE The objective of this study was to understand the social context and circumstances surrounding alcohol-impaired driving prior to fatal crash involvement for drivers with an illegal blood alcohol concentration (BAC ≥ 0.05 g/100 ml or 0.00 g/100 ml for restricted license holders). METHODS Coroners' case reports investigating fatal crashes in South Australia over a 3-year period (2008-2010) were examined. The personal and crash characteristics of drivers with an illegal BAC were compared with those who had a legal BAC. For each driver with an illegal BAC, information was recorded including characteristics of last trip, location and social context of alcohol consumption, quantity and type of alcohol consumed, BAC level, presence of drugs, perceived alcohol intoxication, and alcohol dependence. Official traffic offense records were also obtained. RESULTS Of the 284 fatal crashes included in the study, 34% (n = 95) involved a driver or rider with an illegal BAC. Prior to the crash, alcohol was most frequently consumed by drivers in rural areas, within private homes, and was part of normal social activities. Drivers recorded a high level of alcohol impairment, with a mean BAC of 0.173 g/100 ml and a level of alcohol dependence that was above the Australian national average (7.4 vs. 3.9%). In addition, 23% of drivers were known to be experiencing psychological stress at the time of the crash. The results also confirm that drink driving recidivism continues to be a significant problem, with 44% of drivers recording at least one prior alcohol driving offense. CONCLUSIONS Alcohol-impaired driving continues to be a leading cause of fatal crashes. The popularity of drinking at home, particularly in rural areas, has implications for police enforcement strategies and suggests that drink driving interventions that focus on community values and looking after friends might be beneficial. Importantly, the study highlights the need for a broader holistic approach to reduce the high levels of alcohol consumption and alcohol dependence underlying drink driving behavior.
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Affiliation(s)
- Lisa Wundersitz
- a Centre for Automotive Safety Research , The University of Adelaide , Adelaide , South Australia , Australia
| | - Simon Raftery
- a Centre for Automotive Safety Research , The University of Adelaide , Adelaide , South Australia , Australia
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Marotta PL, Voisin DR. Pathways to delinquency and substance use among African American youth: Does future orientation mediate the effects of peer norms and parental monitoring? J Health Psychol 2017; 25:840-852. [PMID: 29105490 DOI: 10.1177/1359105317736912] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The following study assessed whether future orientation mediated the effects of peer norms and parental monitoring on delinquency and substance use among 549 African American adolescents. Structural equation modeling computed direct and indirect (meditational) relationships between parental monitoring and peer norms through future orientation. Parental monitoring significantly correlated with lower delinquency through future orientation (B = -.05, standard deviation = .01, p < .01). Future orientation mediated more than quarter (27.70%) of the total effect of parental monitoring on delinquency. Overall findings underscore the importance of strengthening resilience factors for African American youth, especially those who live in low-income communities.
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Nieh HP, Wu WC, Luh DL, Yen LL, Hurng BS, Chang HY. Will personal values predict the development of smoking and drinking behaviors? A prospective cohort study of children and adolescents in Taiwan. J Health Psychol 2017; 23:982-992. [PMID: 28810365 DOI: 10.1177/1359105316681063] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study examined how personal values predict the development of smoking and drinking behaviors in adolescence. The longitudinal data of 1545 adolescents over a 6-year period were analyzed. The results showed that adolescents who valued health and academics had similarly lower odds of reporting cigarette and alcohol use and those who valued friends had significantly higher odds. While the odds increased over time, the trend on alcohol use lessened for adolescents who valued academics, while the trend accelerated for those who valued friends. The finding suggests the important role that personal values play in adolescent risk behavioral development.
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Hadland SE, Copelas SH, Harris SK. Trajectories of Substance Use Frequency among Adolescents Seen in Primary Care: Implications for Screening. J Pediatr 2017; 184:178-185. [PMID: 28196680 PMCID: PMC5403571 DOI: 10.1016/j.jpeds.2017.01.033] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Revised: 12/27/2016] [Accepted: 01/12/2017] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To identify trajectories of substance use in a prospective cohort of adolescent primary care patients one year after a clinic visit. STUDY DESIGN We recruited 12- to 18-year-olds from 9 New England practices between 2005 and 2008 and identified 5 trajectories of substance use. We first distinguished adolescents with no past-year use at a baseline clinic visit and at 12-month follow-up (trajectory A). For adolescents who used substances, we assessed past 90-day use at both timepoints, and identified the remaining 4 trajectories based on frequency of use. Trajectories included less than monthly use at both timepoints (trajectory B), less than monthly use increasing to monthly or more often (trajectory C), monthly or more often use decreasing to less than monthly (trajectory D), and monthly or more often use at both timepoints (trajectory E). Using multiple logistic regression, we then examined associations with substance-involved parents, siblings, and peers. RESULTS Among 860 adolescents (mean age 15.4 years; 60.9% female; 65.6% non-Hispanic white), more than one-half (52.7%) abstained (trajectory A). The remainder were classified into trajectories B (23.8%), C (9.5%), D (5.7%), and E (8.3%). Those who abstained were least likely to have substance-involved parents (aOR 0.58; 95% CI 0.46-0.72), siblings (aOR 0.49; 95% CI 0.40-0.60), or peers (aOR 0.44; 95% CI 0.37-0.52). Those increasing from less than monthly use to using monthly or more often were more likely to have substance-involved siblings (aOR 1.58; 95% CI 1.23-2.03) or peers (aOR 1.51; 95% CI 1.06-2.17). CONCLUSIONS Most adolescent primary care patients remained abstinent or infrequent users over 1 year, but 1 in 5 showed frequent use, with substance-involved siblings and peers predicting escalation of use.
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Affiliation(s)
- Scott E Hadland
- Division of General Pediatrics, Department of Pediatrics, Boston University School of Medicine, Boston, MA; Department of Pediatrics, Boston Medical Center, Boston, MA; Division of Adolescent/Young Adult Medicine, Department of Medicine, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
| | - Sarah H Copelas
- Division of Adolescent/Young Adult Medicine, Department of Medicine, Boston Children's Hospital, Boston, MA; Center for Adolescent Substance Abuse Research, Division of Developmental Medicine, Boston Children's Hospital, Boston, MA; College of Osteopathic Medicine, University of New England, Biddeford, ME
| | - Sion K Harris
- Division of Adolescent/Young Adult Medicine, Department of Medicine, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA; Center for Adolescent Substance Abuse Research, Division of Developmental Medicine, Boston Children's Hospital, Boston, MA
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Schofield TJ, Toro RI, Parke RD, Cookston JT, Fabricius WV, Coltrane S. Parenting and later substance use among Mexican-origin youth: Moderation by preference for a common language. Dev Psychol 2017; 53:778-786. [PMID: 28080082 PMCID: PMC5364051 DOI: 10.1037/dev0000280] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The primary goal of the current study was to test whether parent and adolescent preference for a common language moderates the association between parenting and rank-order change over time in offspring substance use. A sample of Mexican-origin 7th-grade adolescents (Mage = 12.5 years, N = 194, 52% female) was measured longitudinally on use of tobacco, alcohol, and marijuana. Mothers, fathers, and adolescents all reported on consistent discipline and monitoring of adolescents. Both consistent discipline and monitoring predicted relative decreases in substance use into early adulthood but only among parent-offspring dyads who expressed preference for the same language (either English or Spanish). This moderation held after controlling for parent substance use, family structure, having completed schooling in Mexico, years lived in the United States, family income, and cultural values. An unintended consequence of the immigration process may be the loss of parenting effectiveness that is normally present when parents and adolescents prefer to communicate in a common language. (PsycINFO Database Record
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Affiliation(s)
- Thomas J Schofield
- Department of Human Development and Family Studies, Iowa State University
| | - Rosa I Toro
- Department of Psychology, Fresno State University
| | - Ross D Parke
- Department of Psychology, University of California, Riverside
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