Although drinking patterns in women have received increased attention, few studies have focused on middle-aged women. Drinking patterns were investigated in a population sample of 513 Swedish women aged 50-59, and analysed in relation to social situation, and mental and physical health. The chi-square test was used to analyse differences in proportions. Variables showing significant differences were entered into a multivariate or multinomial logistic regression model. Abstainers and occasional drinkers had lower levels of education and more often regular medical control compared with weekly drinkers. Furthermore, abstainers more often had disability pension. Among women drinking alcohol, 56.6% affirmed binge drinking within the last year and 39.4% within the last month. Binge drinkers did not differ in terms of social situation, mental or physical health, compared with other drinkers. Drinking to relieve tension was affirmed by 7.2%. These women had more mental symptoms and less contact with friends compared with other drinkers; furthermore, they were more often binge drinkers. Binge drinking was common and health and social consequences of this drinking pattern in middle-aged women need to be further explored. Women drinking to relieve tension may need intervention for both drinking habits and mental health.
BACKGROUND: There are few epidemiological studies of the care for persons with acute ethanol intoxication. Most of them probable do not get into contact with neither the police nor the health care system. MATERIAL AND METHODS: We have studied the files from Romerike Police District and from the Central Hospital of Akershus for the years 1988, 1993, 1998 and 2000, i.e. over a 12-year period. RESULTS: Over these 12 years, the police took care of the vast majority of cases, 2,259 persons compared to the 293 that were admitted to hospital. From 1988 to 2000, there was a 40% reduction in the use of police custody and a 600% increase in the numbers admitted to hospital. Almost all hospital patients were aged 15 to 60 years. Those taken into custody were a slightly younger group; 45% were below 29. The age distribution remained constant throughout the period. Among those taken into custody, only 8% were women, compared to 37% among those hospitalized. There was a steady increase in hospitalized women from 1988 to 2000, especially in the below-20 age group. INTERPRETATION: A marked reduction in the use of police custody took place over this 12-year period. Hospitalization for ethanol intoxication remained constant in men, while there was a dramatic increase in the numbers of women admitted, especially of young women.
The purpose is to examine retrospectively the circumstances, clinical course and sequelae in 37 children (32 boys, 5 girls) admitted with acute alcohol intoxication during the 11 years 1978-1988. It is concluded, that the number of admissions has increased. Two distinct populations are found: 0-3 and 8-15 years. Strong spirits were usually involved, excessive amounts ingested because of inexperience and not at home. Admission is within two hours from last ingestion and most often at week-ends. 24% had histories of chronic behaviour problems. 32% had minor injuries. The maximal alcohol concentration found was 2.9%. None of the patients were found to be hypoglycaemic or had long term sequelae.
To investigate longitudinally the effect of alcohol consumption and related acute alcohol-related dysfunction on employment status.
A total of 1143 men aged 25-55 years in regular paid employment and resident in the city of Izhevsk, Russia were interviewed between 2003-06 and then re-interviewed (2008-09) and their employment status ascertained.
Exposures of interest were baseline alcohol intake (yearly total volume of ethanol consumed and non-beverage alcohols) and alcohol-related dysfunction, measured by a latent variable defined in terms of frequency of alcohol-related dysfunctional behaviours and by one or more episodes of zapoi (a period of continuous drunkenness lasting 2 or more days). The outcome of interest was whether or not men were still in regular paid employment at follow-up. The inter-relationship between these variables was investigated using structural equation modelling.
Total volume of ethanol consumed had no substantive effect on future employment status; however, taking into account education and other socio-demographic factors, there was strong evidence that loss of regular paid employment at follow-up was influenced by non-beverage alcohol consumption [odds ratio?=?2.30 for non-beverage drinkers compared with beverage-only drinkers, 95% confidence interval (CI)?=?1.21, 4.40)], latent acute alcohol-related dysfunction (odds ratio?=?1.50 per standard deviation increase in dysfunction score, 95% CI?=?1.20, 1.88) and zapoi (odds ratio?=?3.08, 95% CI?=?1.71, 5.55). Acute alcohol-related dysfunction was an important mediator of the relationship between non-beverage alcohol use and employment status.
Acute alcohol-related dysfunction is an important factor in determining whether men remain in employment and an important mediator of the effects of alcohol intake.
Cites: Annu Rev Psychol. 2012;63:369-9621721936
Cites: Am J Epidemiol. 2012 Oct 1;176(7):608-1222956513
From 3,548 drug overdose or abuse cases presenting at 21 Metropolitan Toronto hospitals' Emergency departments, data concerning demographic and medical characteristics, investigative and management procedures, drug analysis services, and disposition of patients were collected. Of the 3,548 cases, 2,723 (77%) were acute overdose and 816 (23%) were drug abuse. Drug overdose was more common than drug abuse for both sexes, but was more characteristic of females. The drugs most frequently alleged ingested were benzodiazepines (34%), ethanol (32%), salicylates (16%), and barbiturates (14%). The frequency with which particular classes of drugs are alleged in overdose corresponds closely to the frequency of prescribing these drugs in Ontario.
Alcohol and substance abuse in general is a risk factor for suicide, but very little is known about the acute effect in relation to suicide method. Based on information from 18,894 medico-legal death investigations, including toxicological findings and manner of death, did the present study investigate whether acute influence of alcohol, tetrahydrocannabinol (THC), or central stimulants (amphetamine and cocaine) was related to the use of a violent suicide method, in comparison with the nonviolent method self-poisoning and alcohol-/illicit drug-negative suicide decedents. Multivariate analysis was conducted, and the results revealed that acute influence of THC was related to using the violent suicide method–– jumping from a height (RR 1.62; 95% CI 1.01–2.41). Alcohol intoxication was not related to any violent method, while the central stimulant-positive suicide decedent had a higher, albeit not significant, risk of several violent methods. The study contributes with elucidating suicide methods in relation to acute intoxication.
In a retrospective analysis of 391,973 outpatient visits for acute injuries in 1971-1981 in the Casualty Department of the Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, a mean proportion in alcohol intoxication of 13.4% was found when clinical detection of inebriation was used for assessment. The proportion of alcohol intoxication in 2458 patients in a prospective study during a six week period in Autumn 1983 was considerably higher compared to that observed in the retrospective series. In Autumn 1983 series, clinical detection of alcohol intoxication was combined with breath alcohol analysis resulting alcohol intoxication proportion of 29.7%. The good correlation (r = 0.889) observed in the prospective study between clinical detection of alcohol intoxication and breath alcohol analysis is probably explained by the prudence to staff in the Casualty Department during the study period since they were aware of the importance of the results for specific research purposes. The prospective study (Autumn 1983 series) disclosed that the incidence of intoxication in men was higher than that in women (35% vs 18%, p less than 0.001). In particular, divorced and unemployed patients were frequently intoxicated, in 45.2 and 68.5% of the cases, respectively. The proportion of alcohol intoxication was particularly low in patients of the first social class (executive position) being only 14.3% and in patients aged 54 years or more. The visits of alcohol intoxicated injured patients occurred most frequently between 14.30 and 08.00 and at week-ends. Nearly one third of the injured patients arrived after a delay of 9 hours or more.(ABSTRACT TRUNCATED AT 250 WORDS)