Alcohol use among male undergraduate students continues to be problematic. Most college drinkers started drinking in high school, but some begin even earlier; their college alcohol problem is just a continuation of earlier practices. The precise reasons that the college environment is particularly risky for alcohol use are not understood.The first and fourth year experience in college appear to be very different. This study has examined the drinking / non-drinking habits of first and fourth year Ball State male students who have or are presently living in the residence halls. There were five first-year and five fourth-year students who were asked questions in a qualitative interview format. Some of the issues which were covered included hangovers, tolerance, drinking games, and music.First and fourth year students act similarly in some areas, while there are significant differences in others. Drinking from the first to the fourth year seems to become progressively moderate. Drinking, and the consequences from drinking are most serious for freshmen and less serious for seniors and upperclass students.All of the respondents had a very high tolerance to alcohol. This was very puzzling considering that most students use their tolerance and the effect of hangovers to determine whether or not they are drinking responsibly. Therefore, because the respondents generally did not get hungover from a night of heavy drinking, they may think that their drinking is responsible, when it fact it may be causing unforeseen harm.Respondents drank for two specific positive reasons: (1) euphoria and (2) malebonding comradary experience. Many of the respondents stated they received some of their emotional and problem-solving support when they were drinking and talking with friends. Music also played an important role in the drinking experience. "Classic" rock and roll was popular among the respondents because of the rhythm and the pro-drug and pro-alcohol lyrics. Drinking games were looked upon as activities to make drinking even more convivial. They also contributed to the male-bonding experience whereby one would be surrounded by friends cheering them on to have another drink.In conclusion, alcohol is a significant problem on the college / university campus. The narrative suggests that although students experiences are individual, there are perceptions about alcohol which are common among many students. These commonalities can be used to provide effective educational programming to students in order to educate about responsible alcohol use. / Fisher Institute for Wellness

Background: Although parental drinking is associated with adolescent drinking, the impacts of parental alcohol-related actions were controversial. The present study aims to 1) examine the prevalence of parental pro-drinking practices (PPDPs), 2) examine the association between PPDPs and parental drinking, 3) identify the factors associated with PPDPs among adolescents with drinking parents, 4) examine the association between PPDPs and adolescent drinking, and 5) explore the experience of PPDPs and alcohol use in adolescents and parents qualitatively. Methods: A cross-sectional survey was conducted among 2200 secondary 1 to 6 students from 4 randomly selected local schools. Students were asked if they have experienced each of 9 PPDPs including 1) saw parents drank and being drunk; 2) heard parents saying benefits of drinking and certain alcohol tasted good; 3) helped parents buy alcohol, open bottle and pour alcohol; and 4) parental action in encouraging drinking and training of drinking capacity. Logistic regression was used to compute the adjusted odds ratios (AORs) and 95% confidence interval (95% CI) of each PPDP by the number of drinking parents, and the drinking frequency of each parent adjusting for socio-demographic variables. Moreover, correlates of PPDPs were identified among students with at least one drinking parent. Furthermore, the AORs and 95% CI of student drinking and drinking intention by each PPDP were computed. A total of 40 families (33 student-parent pairs, 6 students and 1 parent) were then selected for telephone interview. Results: Overall, 67.5% of students experienced at least 1 PPDP with the prevalence of PPDPs ranging from 9.3% for hearing the benefits of drinking to 51.0% for seeing parents drank. The prevalence of PPDP increased dramatically with the number of drinking parents (none 38.8%, either 81.6%, both 89.0%). PPDPs were associated with parental drinking frequency and various socio-demographic factors. For instance, adolescent girls (AOR: 2.28) were more likely to have received parental training of drinking capacity than boys. Frequent paternal and maternal drinking were most strongly associated with helping parents buy alcohol (AOR: 6.55) and training of drinking capacity (AOR: 5.14), respectively. In general, most PPDPs were significantly associated with ever drinking and monthly drinking in students. Both ever and monthly drinking in adolescents were strongly associated with parental training of drinking capacity with AORs of 6.20 and 8.20, respectively. Similarly, each PPDP was significantly associated with adolescent drinking intention with AORs ranging from 1.50 for helping parents buy alcohol to 3.53 for being encouraged by parents to drink. Consistent with quantitative data, the interviews revealed that almost half the students reported PPDPs (N=17/39) and it was common for students to see parents drink (N=7). Of the 17 families reporting involvement in PPDPs, all had at least one drinking parent. Conclusions: Most students experienced PPDPs and its prevalence increased with the number of drinking parents. In drinking parents, PPDPs were associated with socio-demographic factors and parental drinking frequency. Most PPDPs were associated with adolescent drinking and intention to drink. These results suggested that parents should avoid PPDPs to prevent adolescent drinking. / published_or_final_version / Public Health / Master / Master of Philosophy

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Alcohol use (AU) and alcohol use disorder (AUD) are leading causes of morbidity, premature death, and economic burden. They are also associated with high levels of disability and many other negative outcomes. Twin and family studies have consistently shown that AU and AUD are complex traits influenced by both genetic and environmental factors. Although much has been learned about the genetic and environmental etiology of AU and AUD, significant gaps remain. These include the need for a more comprehensive understanding of the roles of risk and protective factors, and the nature of developmental trajectories underpinning the progression from AU to AUD. The aims of this dissertation are: (1) to examine the roles of resilience and personality disorders in the etiology of AU and AUD; (2) to investigate the nature of longitudinal changes in genetic and environmental risk factors responsible for individual differences in AU; and (3) to determine the moderating roles of key environmental risk factors on the impact of aggregate molecular, or polygenic, risk for AU during adolescence. Using both biometrical behavioral genetic and molecular genetic methodologies, five key findings were observed: (1) Resilience is strongly associated with a reduction in risk for AUD, and this relationship appears to be the result of overlapping genetic and shared environmental influences; (2) Borderline and antisocial personality disorders are the strongest and most stable personality pathology predictors of the phenotypic and genotypic liability to AU and AUD across time; (3) Genetic influences on the development of AUD from early adulthood to mid-adulthood are dynamic, whereby two sets of genetic risk factors contribute to AUD risk; (4) The specific genetic influences on AU follow an unfolding pattern of growth over time, whereas unique environmental risk factors are consistent with an accumulation of environmental impacts and risks across time; and (5) High peer group deviance and low parental monitoring are associated with increased AU, while early parental monitoring moderates the polygenic risk for AU at age 20. The implications of these results with regard to prevention and intervention efforts are discussed.

Twenty years ago the Shuswap Indian community of Alkali Lake was like many other reserve communities in the northern Interior of British Columbia, with life characterized by high levels of drinking, violence, suicide, accidental death, and child abuse and neglect. In 1973 this pattern of life was challenged by the newly-elected Band chief and his wife. Working as a team, and by drawing upon the powers of the Band Office and applying confrontational tactics, the two initiated an anti-alcohol campaign in the community. For three years the chief and his wife persisted, despite extreme hostility and occasional threats against their lives. In 1976 their efforts began to achieve success. By 1981 most adults on the reserve had become committed to a sober lifestyle, and by 1985 the reserve was essentially "dry". This thesis traces the development of the recent events at Alkali Lake. To refer to these events the term "Sobriety movement" has been used. The movement is analyzed largely from a political processual point of view, with attention paid not to the underlying sources of "deprivation" or "stress" that may have generated the movement, but to the strategies and tactics utilized by the movement leaders to promote their cause. In this manner the resource mobilization approach to the study of social movements provides an analytical framework for this study. Several factors are identified as key ingredients in the success of the Sobriety movement. First, the Band chief and his wife were able to use effectively the powers of the Band Office to impose economic sanctions on drinkers. Second, as community leaders they were able to solicit the aid of powerful outside agencies, namely the R.C.M.P. and the Ministry of Human Resources, to support them in their efforts. Third, the personal resources of the two leaders - their courage, strength and determination -were crucial to the movement's survival during its early years. The success of the Sobriety movement can not be understood simply by looking at the leaders' actions. The social and cultural context within which they operated must also be considered. Three underlying and fundamentally important factors are identified: the pre-existence of a strong sense of community within the Alkali Lake village, the inherent readiness of the Alkali Lake people for new leadership and social change, and the use by the Band chief of a leadership tradition that permitted the application of strict punishment as a means of social control. / Arts, Faculty of / Anthropology, Department of / Graduate

Extensive documentation exists which firmly establishes the high use rates and disastrous consequences of alcohol consumption by university students. Use rates for this population have been linked to attitudes toward alcohol consumption, especially alcohol expectancies. Research to date on alcohol expectancies has shown differences in expectancies among various groups. However much of this research has been conducted without a theoretical basis, accomplishing little in explaining how beliefs and drinking behavior are related. The investigation was designed to explore the relationships among and between early recollections and alcohol expectancies and to explore how the contents of early recollections function in relation to expectancies in terms of alcohol consumption patterns among three groups of college males (student-athletes, fraternity men, and independents). The content of individuals' early recollections was analyzed and compared to expectancies and consumption rates for each of the three groups. The study addressed seven hypotheses regarding alcohol consumption rate comparisons, comparisons of consequences experienced as a result of alcohol consumption, comparisons of alcohol expectancies, and comparisons of reported content of early recollections. Multiple regression analysis was utilized to test the extent to which select early recollections and alcohol expectancy scores contributed to the explained variance in alcohol consumption patterns.

Alcohol use disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes. We developed a multidisciplinary model to manage AUDs among TB patients in Tomsk, Russia. First, we assessed current standards of care through stakeholder meetings and ethnographic work. The Alcohol Use Disorders Identification Test (AUDIT) was incorporated into routine assessment of all patients starting TB treatment. We established treatment algorithms based on AUDIT scores. We then hired specialists and addressed licensing requirements to provide on-site addictions care. Our experience offers a successful model in the management of co-occurring AUDs among patients with chronic medical problems.

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The purpose of this study was to explore relationships between pregnant teens' use of alcohol before and during pregnancy and several personal and social variables, including the wantedness of the pregnancy, support of the pregnancy by significant others, pregnant teens' reasons for drinking, the context of their drinking, and the use of alcohol by significant others. This information is needed to plan and evaluate effective prenatal education and intervention programs related to the use of alcohol during pregnancy. Such programs are important in light of increasing numbers of pregnant teens, the number of female adolescent drinkers, and findings about the effects of moderate and binge drinking on fetal development. Subjects consisted of 14 to 19 year old patients of the High-Risk Ob/Gyn Clinic at Roanoke Memorial Hospitals. These patients were predominantly low income urban and suburban teens, with some referrals from areas outside Roanoke City and County. Subjects responded anonymously to a written questionnaire. One-fourth of the subjects were classified as drinkers according to their binge drinking before and during pregnancy. Higher percentages of drinkers than abstainers were white, married, had been pregnant at least once in the past, and intended to become pregnant. Proportionately fewer drinkers indicated religious preferences or attended church services on a regular basis. Drinkers were more likely to smoke and smoked more than abstainers. Personal effects reasons for drinking, consumption in settings where adults were not present, and weekly consumption by peers and boyfriends/husbands were reported by significantly higher percentages of drinkers than nondrinkers. Wantedness and support of significant others were significantly related. Knowledge of the potential harm that all types of alcoholic beverages pose to fetal development was reported by over 70% of the sample. Key sources of knowledge about alcohol and fetal risk were subjects' mothers, pamphlets or books, school health class, the RMH Clinic and television. Boyfriends were also a key source of information for drinkers. Implications of these findings for clinical and educational practice are discussed. / Ed. D.