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The relationship between alcohol consumption and alcohol-related violence has been firmly established in a wide array of studies concerning various forms of violence including intimate partner violence, domestic violence as well as sexual assault. One factor which has been highlighted as having a moderating effect on the relationship between alcohol consumption and alcohol-related aggression is the specific aggression-related alcohol expectancies concerning the effects of alcohol consumption on aggressive behaviour. In light of the prevalence of alcohol-related violence in South African communities it becomes important to examine the specific factors that moderate the relationship between alcohol consumption and alcohol-related aggression and violence. The aim of this study was to examine aggressionrelated alcohol expectancies as a moderating factor in the relationship between alcohol consumption and alcohol-related aggression and to examine the possible influence of exposure to community alcohol-related aggression in the formulation of aggression-related alcohol expectancies. The main objectives of this were to examine aggression-related alcohol expectancies as well as exposure to community alcohol-related aggression as domains for intervention to prevent alcohol-related violence. The focus is on establishing alternative areas for intervention aimed at the reduction of alcohol-related violence, specifically domestic violence and sexual assault, in South African communities. The sample was gathered through non-probability sampling methods and consisted of 262 undergraduate students from psychology courses. The study is a quantitative study employing a cross-sectional survey design. A significant relationship was found between alcohol consumption and alcoholrelated aggression with aggression-related alcohol expectancies moderating this relationship,leading to higher alcohol-related aggression. Exposure to community alcohol-related aggression did not predict aggression-related alcohol expectancies. / Magister Psychologiae - MPsych

This research is a prospective, descriptive survey of adult pedestrian injuries in Cape Town. It profiles 'at risk' pedestrians and describes their injuries, injury severity and outcome. The role which alcohol plays in these collisions is threaded through the thesis. Since no study of this nature has been done in South Africa, it provides baseline data on the epidemiology, alcohol-relatedness, clinical presentation and prevention of adult pedestrian collisions in the metropole. Data were collected prospectively on all injured pedestrians who presented consecutively, within six hours of being injured, to the Trauma Unit of Groote Schuur Hospital over a nine week period in 1993. Data were also gathered retrospectively from the state mortuary on all pedestrians who died before reaching hospital during the same time period. A total of 227 patients were included in the study. Data gathered included demographics, physiological response to injury, anatomical nature and severity of injuries as well as progress and outcome. Injuries were assessed and scored using the Abbreviated Injury Score (1990 revision) and the New Injury Severity Score. Alcohol consumption was assessed using four measures, viz. self-evaluation, clinical assessment, breath alcohol analysis and blood alcohol concentration (SAC). Data were analysed using SAS version 6. The study recorded a very high incidence of alcohol intoxication among injured pedestrians in Cape Town. This is highly suggestive of a causal link. One hundred and forty-one patients (62.1%) were found to have positive BACs; more than 40% had BACs in excess of 0.20 g/100ml. SAC positive pedestrians were found to have more severe injuries, to require longer hospitalisation periods and to need more complex management. They consequently cost more to treat than their sober counterparts. The comparison between the four methods of alcohol assessment revealed that self-evaluation and clinical assessment were poor screening tools. Breath alcohol analysis, using a Lion Alcolmeter S-D2, had a high degree of accuracy when compared to the SAC, which remains the 'gold standard'. It is therefore recommended that all traffic trauma patients be subjected to breath analysis. The study also generated recommendations for the prevention of pedestrian collisions. These address pre-crash, crash and post-crash factors. Control of drunken driving and walking, as well as road safety education, particularly to pedestrians, are key issues. However, there remains a need for improved road engineering and better monitoring of the roadworthiness of vehicles. This thesis highlights the severity of alcohol-related pedestrian injuries and the importance of preventative strategies.

Mindfulness is a cognitive attribute that is associated with better health and well-being. Fibromyalgia is a neurosensory disorder primarily characterized by chronic pain and comorbid depression, leading to an increased risk for alcohol-related problems. Empirical literature confirms mindfulness has beneficial associations with chronic pain, depression, alcohol-related problems, and fibromyalgia. Mindfulness may lead to better health and well-being by facilitating self-monitoring, objective reperceiving, and purposeful changing of health-related behaviors. It was hypothesized that higher levels of mindfulness would be related to lower levels of chronic pain and depressive symptoms, and, in turn, to fewer alcohol-related problems among individuals with fibromyalgia. Cross-sectional data was collected from 287 participants, and statistically analyzed using parallel mediation models. Hypotheses were only partially supported; mindfulness had an inverse relationship with alcohol-related problems, as hypothesized, although the relationship was not mediated by chronic pain or depressive symptoms.

Bakgrund: Alkoholkonsumtionen i Sverige har ökat de senaste tio åren, vilket leder till att allt fler människor riskerar att få sjukdomar och skador till följd av sitt alkoholbruk. Sjuksköterskan har ansvar för att främja hälsa och förebygga sjukdom. För att möta patienten på ett gott sätt måste sjuksköterskan värna om värdighet, samt visa förståelse. Syfte: Att ur ett sjuksköterskeperspektiv beskriva faktorer som påverkar mötet mellan sjuksköterskan och patienter med alkoholproblematik. Metod: En litteraturstudie baserad på elva vetenskapliga artiklar. Resultat: Arbetet med patienter med alkoholproblematik väcker många tankar och känslor hos sjuksköterskan. Tankar finns om att det är personens eget fel och att patienten inte vill ha hjälp, men även om vad som ligger bakom missbruket. Det finns en känsla av kunskapsbrist som leder till osäkerhet hos sjuksköterskan. Många sjuksköterskor låter bli att prata om alkohol med sina patienter på grund av att de tror att patienterna ska bli upprörda. Diskussion: För att skapa förutsättningar för ett bra möte är det viktigt att sjuksköterskan är medveten om sin förförståels, samt reflekterar över sina tankar, känslor och handlingar i mötet med patienter med alkoholproblematik. / Background: In Sweden, the consumption of alcohol has increased during the last ten years and this in turn has lead to an increased risk of alcohol related diseases and injuries. Nurses have a responsibility to promote health and prevent diseases. In order to meet patients in a good way, nurses must be understanding and maintain the patient’s dignity. Aim: To describe – from a nurse’s perspective – factors that affect the interaction between the nurse and patients with alcohol related problems. Method: A literature review based on eleven scientific articles. Result: Working with patients with alcohol related problems raises a lot of thoughts and feelings among nurses. For instance, thoughts on blame and how patients refuse help, but also thoughts on what is causing alcohol abuse. There is a feeling that lack of knowledge leads to insecurity among some nurses. Many nurses refrain from discussing alcohol with their patients since they believe the patients might be offended. Discussion: In order to create conditions for good interaction, it is important for the nurse to be aware of her preconceptions and to reflect over thoughts and feelings that appear in the interaction with patients with alcohol related problems.

This thesis analyzes aggregated county-level data of fatal alcohol related traffic crashes where a driver was killed in the state of Texas during 1996 to 2005. Alcohol has constantly threatened drivers and passengers alike and continues to be a major cause of fatal crashes in Texas. Specifically, this paper targets those drivers that were killed while driving under the influence (0.01 BAC). With an increase in manageable data and the ease of availability of aggregated crash records, accident analysis can provide a closer look into trends such as spatial-temporal patterns, clustering and correlations to various factors. Furthermore, Geographic Information Systems (GIS) have enabled researchers to more efficiently interpret and study a large amount of datasets using techniques that were previously difficult or inaccessible in applications related to traffic safety and transportation. Loose-coupling of GIS with other spatial analysis programs and/or statistical software packages can now provide important results that in turn relate vital information which can be used towards understanding and potentially alleviating problems in the transportation domain. The following sections concluded that aggregated datasets at the county level are currently incomplete and do not provide the level of detail necessary to formulate a solid conclusion regarding relationships between the chosen factors and the crash dataset. Though this research was successful in mapping spatial variations and clusters, linking variables such as age, gender, location and population to the aggregated crash dataset requires more detailed information about the crash than was available. However, the objectives were successful in representing spatial-temporal patterns across the study period for all designated variables. This was an important step and solid contribution towards the representation of large datasets and their impact on policy, traffic safety, and transportation geography.

Children with alcohol-related neurodevelopmental disorder or attention deficit/hyperactivity disorder differ on neuropsychological tasks and measures of eye movement control. M.Sc. Thesis, Queen’s University, Kingston, Ontario, Canada, January 2010. Background: Alcohol-related neurodevelopmental disorder (ARND) accounts for the majority of diagnoses associated with prenatal alcohol exposure. Unfortunately, ARND frequently poses a significant clinical challenge as these patients lack the visible physical characteristics associated with alcohol teratogenicity. Moreover, the cognitive and behavioural disabilities are complex and overlap with those of attention deficit/hyperactivity disorder (ADHD). Furthermore, co-morbid ADHD is prevalent in children with prenatal alcohol exposure. While early and accurate diagnosis provides the best prognosis for those affected, there is a lack of tools for differential diagnosis between these two disorders. The goal of this study was to test the hypothesis that children with ARND exhibit different performance from children with ADHD on computer-based neuropsychological tests and eye movement tasks. Methods: Our study group was composed of 42 children with ARND and 31 children with ADHD aged 8-15 years, male and female. Children completed four tasks selected from the Cambridge Neuropsychological Test Automated Battery (CANTAB®) that provided measures of attention, planning, strategy and spatial working memory. Subjects also performed pro- and anti-saccade tasks, and eye movements were recorded using a mobile eye-tracking system. Results: Children with ARND demonstrated elevated decision times on a visual matching test of attention and longer response times on a task of spatial working memory, although the two groups had similar errors scores. Also, compared to children with ADHD, children with ARND had greater anticipatory errors in both the pro- and anti-saccade tasks. Conclusion: This study demonstrates that there are measurable differences in executive function and eye movement control between children with ARND or ADHD. Greater deficits in visuospatial processing in ARND may underlie these differences. These findings demonstrate that the neurobehavioural phenotypes of children with ARND or ADHD have distinct features, which may be accounted for by differences in the patterns of brain injury underlying these two disorders. / Thesis (Master, Neuroscience Studies) -- Queen's University, 2010-01-15 15:15:47.738

Much of the literature on the determinants of health, including alcohol consumption, has focussed on differences in individual socio-economic status as a primary risk factor. However, it has been shown that variation in health between places can be attributed to both the characteristics of the people who live in those places (composition) and also to the characteristics of the places where people live (context). From the 1990s, there has been considerable interest in the role of neighbourhoods, specifically whether their social and physical characteristics are important in explaining inequalities in health. The main aim of this thesis is to determine the influence of ‘place’ effects on alcohol-related behaviour and health and social outcomes in New Zealand. To achieve this, data was obtained for hospitalisation and mortality directly related to alcohol consumption. Age standardised rates of alcohol related hospitalisation and mortality were calculated for different census areas units over time. Secondly, a database of all alcohol outlets including type and category was obtained from the Liquor Licensing Authority and geocoded for all meshblocks in New Zealand. Using ArcGIS road network functionality, least cost distance to nearest alcohol outlets was calculated. In addition, two buffers (800 and 3000 metres) were created around the population weighted centroids of each meshblock. Statistical analysis was undertaken to examine the distribution of alcohol outlets in areas of differing socio-economic status. Thirdly, binary logistic regression was used to examine the relationship between various access measures developed and individual alcohol related behaviour from the New Zealand Health Survey (2006/07). Lastly, Ordinary Least Squares regression was used to establish the association between the density of alcohol outlets and crime, and alcohol related hospitalisation. The results reveal there is increasing geographic inequality of both hospitalisation and mortality between the most and the least deprived areas in New Zealand. Secondly, the results consistently show there is inequity in the availability of alcohol outlets; there are clear social patterns in the distribution of alcohol outlets with disproportionately high numbers in more socially deprived neighbourhoods. Thirdly, at the national level, after controlling for potential confounding factors, there was no association between either hazardous or frequent consumption of alcohol and access to alcohol outlets. However, there was an association for particular sub-populations in regards to hazardous and frequent consumption and access to alcohol outlets. Fourthly, although the explained variance was often quite low in outcome models for crime and hospitalisation, nevertheless most of the variance for crime was predicted by the density of alcohol outlets. A number of important theoretical and policy implications flow from this study. Alcohol outlets are modifiable structures in the environments that are amenable to policy interventions at a community and national level. Interventions could concentrate on three aspects to reduce excess consumption; zoning ordinances, reducing alcohol outlets in deprived areas and increased alcohol taxation. Starting with the first proposed intervention, zoning ordinances provide communities and local governments with the opportunity to regulate outlet numbers and locations as well as their trading hours. This intervention has the potential to reduce opportunities for obtaining alcohol. Secondly, a reduction in the number of alcohol outlets is likely to reduce consumption and consequently improve health and social outcomes. Finally, higher alcohol prices via increased taxation is likely to be a deterrent to excess consumption and related health outcomes. Three priority areas are identified and recommended for future research. Studies using a mixture of both qualitative and quantitative methods, to better understand the association between local purchases of alcohol, consumption and proximity to alcohol outlets would be beneficial. In addition, the use of qualitative methods to examine the influence of social capital and cohesion, culture and norms on alcohol consumption in areas with higher densities of, and better access to alcohol outlets, is imperative. Lastly, longitudinal studies are also recommended to investigate increases or decreases in the number of alcohol outlets over time and the impact of such changes on the consumption patterns of different sub-populations.

Thesis (doctoral)--Lund University, 1998. / Added t.p. with thesis statement inserted.

Thesis (doctoral)--Lund University, 1998. / Added t.p. with thesis statement inserted.