Alcohol Use in Three Different Inner Cities in South Africa: AUDIT-C and CAGE

The aim of the present study was to describe the frequency of risky drinking among a general urban population survey (n=1379) in South Africa with the help of (Alcohol Use Disorders Identification Test) AUDIT-C scores, CAGE (Cut down, Annoyed, Guilty, Eye-opener) scores and compare the scores with calculated risky drinking in terms of weekly alcohol consumption or heavy episodic drinking. Results indicate 44.4% for men and 25.4% for women as hazardous or harmful drinkers and using the CAGE 44.7% (55% among men and 35.5% among women). AUDIT-C and CAGE cases were more likely to be women than men and were also more likely among Coloureds and Whites than Black Africans and Indians or Asians. This study showed a greater sensitivity of AUDIT to CAGE.     

Hazardous Alcohol Use among Persons Living with Human Immunodeficiency Virus Infection in the Eastern Cape,South Africa

The study assessed the prevalence of hazardous alcohol use among people living with HIV (PLHIV) and its correlates with socio-economic characteristics, disease variables and ART adherence in South Africa. The sample included 607 PLHIV (males =475, females =132; age range =18–61), sampled by all districts in the Eastern Cape. Participants were recruited through a health facility in the community through key informants or a support group. Results indicate that male PLHIV were more often than female PLHIV “past month” (18.9% vs. 6.1%) and hazardous alcohol drinkers (6.1% vs. 2.7%); using a cut-off score of 8 and more on the Alcohol Use Disorders Identification Test (AUDIT). Not having a disability grant for HIV/AIDS and the disability grant terminated were both related to past month alcohol use, while having the “disability grant stopped” was also related with hazardous or harmful drinking. Not having an AIDS diagnosis and not being on ART were both associated with past month alcohol use and hazardous or harmful drinking. CD4 counts and non-adherence to ART were both not significantly related with alcohol use status. Brief health provider initiated alcohol interventions for PLHIV should be promoted, with emphasis on targeting men.     

A cross-cultural investigation of college student alcohol consumption: a classification tree analysis

In this cross-cultural study, the authors attempted to identify high-risk subgroups for alcohol consumption among college students. American and Greek students (N = 132) answered questions about alcohol consumption, religious beliefs, attitudes toward drinking, advertisement influences, parental monitoring, and drinking consequences. Heavy drinkers in the American group were younger and less religious than were infrequent drinkers. In the Greek group, heavy drinkers tended to deny the negative results of drinking alcohol and use a permissive attitude to justify it, whereas infrequent drinkers were more likely to be monitored by their parents. These results suggest that parental monitoring and an emphasis on informing students about the negative effects of alcohol on their health and social and academic lives may be effective methods of reducing alcohol consumption. Classification tree analysis revealed that student attitudes toward drinking were important in the classification of American and Greek drinkers, indicating that this is a powerful predictor of alcohol consumption regardless of ethnic background.     

High school drinking and its consequences

The present study surveyed 930 high school students regarding self-reported alcohol use, their perceptions of parents and peers, and the negative consequences of drinking. Two-fifths of males and one-fifth of females reported frequent problem (binge) drinking. Problem drinkers reported more negative consequences associated with drinking. In addition, problem drinkers reported greater susceptibility to peer pressure, perceived their peers as drinking more, and reported less parental monitoring and more use of alcohol by parents. The results demonstrate the importance of both parent and peer variables in adolescent substance use and highlight the negative consequences of drinking reported by high school students.     

Predictors of moderated drinking in a primarily alcohol-dependent sample of men who have sex with men

Understanding for whom moderated drinking is a viable, achievable, and sustainable goal among those with a range of alcohol use disorders (AUD) remains an important public health question. Despite common acceptance as severe risk factors, there is little empirical evidence to conclude whether co-occurring mental health disorders or drug dependence contribute to an individual's inability to successfully moderate his drinking. Utilizing secondary data analysis, the purpose of this study was to identify predictors of moderation among both treatment-seeking and non-treatment-seeking, primarily alcohol-dependent, problem-drinking men who have sex with men (MSM), with an emphasis on the high risk factors psychiatric comorbidity and drug dependence. Problem drinkers (N = 187) were assessed, provided feedback about their drinking, given the option to receive brief AUD treatment or change their drinking on their own, and then followed for 15 months. Findings revealed that neither psychiatric comorbidity or drug dependence predicted ability to achieve moderation when controlling for alcohol dependence severity. Those who were younger, more highly educated, and had more mild alcohol dependence were more likely to achieve moderated drinking. Impact of treatment on predictors is explored. Limitations of this study and arenas for future research are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Lost in the Sauce: The Effects of Alcohol on Mind Wandering

ABSTRACT— Alcohol consumption alters consciousness in ways that make drinking both alluring and hazardous. Recent advances in the study of consciousness using a mind-wandering paradigm permit a rigorous examination of the effects of alcohol on experiential consciousness and metaconsciousness. Fifty-four male social drinkers consumed alcohol (0.82 g/kg) or a placebo beverage and then performed a mind-wandering reading task. This task indexed both self-caught and probe-caught zone-outs to distinguish between mind wandering inside and outside of awareness. Compared with participants who drank the placebo, those who drank alcohol were significantly more likely to report that they were zoning out when probed. After this increase in mind wandering was accounted for, alcohol also lowered the probability of catching oneself zoning out. The results suggest that alcohol increases mind wandering while simultaneously reducing the likelihood of noticing one's mind wandering. Findings are discussed with regard to theories of alcohol and theories of consciousness.     

Sexual Hookups and Alcohol Consumption Among African American and Caucasian College Students: A Pilot Study

This study investigated college students’ sexual hooking up and its associations with alcohol consumption for men and women; furthermore, potential differences related to ethnicity were investigated. Students at a midsized southeastern university who identified as Caucasian or African American (N = 227) completed a survey assessing sexual behavior, demographics, and alcohol consumption. Heavy drinking was associated with ever hooking up, number of hookup partners, hookup frequency, and level of sexual contact during hooking up for Caucasian students, but not for their African American peers. Among Caucasians, moderate drinking men reported more intense sexual contact during hookups than their female peers who were moderate drinkers; sexual contact levels were more similar for men and women who were either nondrinkers or heavy drinkers. Limitations and strengths are discussed, as are ideas for future studies on hooking up and for educational efforts to protect against potentially negative outcomes of hooking up.     

Approach and avoidance coping responses among older problem and nonproblem drinkers

The Coping Responses Inventory (CRI) was used to study coping among older problem and nonproblem drinkers. The CRI organizes coping efforts according to their focus (approach or avoidance) and method (cognitive or behavioral). Compared with nonproblem drinkers, older problem drinkers were more likely to use cognitive and behavioral avoidance responses to manage life stressors. Problem drinkers who experienced more negative life events and more severe stressors used both more approach and more avoidance coping. Those who had more financial and social resources relied more on approach and less on avoidance coping. Problem drinkers who relied more on avoidance coping tended to have more drinking problems and to report more depression and physical symptoms and less self-confidence. Positive reappraisal was associated with less depression and more self-confidence.     

Alcohol Expectancies and Workplace Drinking1

The relationship between alcohol expectancies and work-related drinking was investigated in a survey of 984 employees from a large unionized manufacturing plant. Respondents were asked about their drinking at work, just prior to work, and in other contexts. Alcohol expectancies were measured by asking how likely or unlikely it was that work-related drinking would lead to 13 personal consequences. The items for this scale were derived from ethnographic interviews and observations in the plant and from a review of the workplace literature. Exploratory factor analysis indicated that the expectancy items formed two scales representing positive and negative consequences. These scales predicted work-related drinking in a simultaneous equations path analysis, even when general drinking practices and background variables were controlled. The analysis also indicated that workers who were younger, Caucasian, hourly, on evening or night shifts, and frequent or heavy drinkers outside of work may be at risk for work-related drinking because of their alcohol expectancies.     

Prevalence of alcohol use by rural primary care outpatients in South Africa

In a primary care outpatient sample of 600 rural South Africans 37.4% of men and 10.7% of women were identified as hazardous drinkers, and 9.2% of men and 0.3% of women met criteria for probable alcohol dependence or harmful drinking as defined by AUDIT. Logistic multiple regression identified men and being single, divorced, or widowed as predictors for hazardous and harmful drinking.     

A comparison of alcoholics whose drinking is totally uncontrolled and those whose drinking is mainly controlled

The analysis of drinking patterns of 77 married male alcoholics for the period of 12 months immediately following their intake into a treatment trial suggested the importance of a variable which has been neglected in the literature on alcohol dependence. Although only 3 had returned to a pattern of drinking which was, by their own and by their wives' accounts, totally controlled, there were wide individual differences amongst the remainder in the uniformity with which drinking was uncontrolled. Two extreme groups were identified: in 22 cases patients and their wives were agreed that drinking had been totally uncontrolled; in 14 cases patients and wives were agreed that drinking had been mainly controlled. There were no differences between these two groups in the amount of abstinence reported but there were major differences in other respects. Mainly controlled drinkers were more likely to think that they had no drinking problem or that their problem was of very recent origin, reported significantly fewer symptoms, were much less likely to be institutionalized during the 12 month period, were less likely to think of themselves as alcoholics and were less likely to express a preference for abstinence as a target. The hypothesis is suggested that this drinking pattern variable may serve as a differential predictor of successful outcome following abstinence-oriented or controlled drinking-oriented treatment.     

Age-based differences in treatment outcome among alcohol-dependent women

The literature suggests that women are at higher risk for negative consequences from alcohol use than men and that these risks are compounded by age. The current study investigated how alcohol-dependent women from different age groups might differ in terms of baseline functioning and treatment response. The sample consisted of 181 participants drawn from two randomized clinical trials of cognitive-behavioral treatments for alcohol-dependent women. Demographic and psychopathology data were obtained at baseline using the SCID (Structured Clinical Interview for DSM disorders) I for Axis I disorders and the SCID II or Personality Disorders Questionnaire for Axis II disorders. Social networks data were collected using the Important People and Activities Interview. Drinking data were collected at baseline and follow-up using the Timeline Follow Back Interview. ANOVAs revealed that older women had better psychosocial functioning in terms of being better educated and reporting fewer Axis I disorders. Also, older women had more supportive social networks in terms of more people, a smaller percentage of heavy drinkers, and a nondrinking spouse. Older women reported a less severe lifetime substance use history with a later age of first drink, later onset of alcohol use disorders, fewer lifetime abuse/dependence items, and less drug use. However, they reported drinking more frequently and more heavily over the 90 days prior to treatment. Finally, older women were more compliant with treatment and responded better by reducing drinking frequency and percentage of heavy drinking days. Suggestions to enhance treatment efficacy for younger women are made as well as suggestions for future research. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Abstinence or control: The outcome for excessive drinkers two years after consultation

This report presents the two-year follow-up results for a sample of married male alcoholics who had been the subjects of a controlled treatment trial. Cumulative relapse curves for the two-year period were found to be similar in form to those which Hunt and Matarazzo (1970) have drawn for drug addicts, alcoholics and smokers. Outcome at 12 and 24 months were compared: changes from good to bad outcome, or vice versa, were rare. The degree of hardship reported by wives remained predictive of outcome two years later. Not all drinking reported at two years was uncontrolled. Of 26 men with a good outcome. 11 were agreed by husband and wife to be abstaining, and 10 were agreed to be controlling their drinking. Most of the latter had not shown lengthy periods of abstinence prior to resuming drinking. Controlled drinkers reported fewer symptoms at intake (morning drinking, shakes, secret drinking, hallucinations etc.), were more likely to have been sub-diagnosed as Alpha alcoholics (psychologically dependent), and were more likely to have been only briefly counselled. Abstainers reported more symptoms at intake, were more likely to be sub-diagnosed as Gamma alcoholics (physically dependent), and were more likely to have been intensively treated. These results suggest an interaction between degree of dependence, type of treatment, and goal of treatment. If confirmed by future research this would have strong implications for the planning of comprehensive alcoholism treatment services.     

The role of older brothers in younger brothers' drug use viewed in the context of parent and peer influences

The purpose of this study was to examine the impact of an older brother's drug use on his younger brother's drug use viewed in the context of parent and peer influences. The sample consisted of 278 White, middle-class male college students and their oldest brothers, who were given questionnaires assessing drug behavior. Results indicated that older brother, parental, and peer drug use each had an independent impact on younger brother's use. The degree of influence varied, with drug modeling by peers and older brothers having a stronger association with younger brother drug use than did parental drug modeling. Further, the older brother's advocacy of drugs was associated with his younger brother's use even if the older brother did not serve as a drug model. Similarly, older brother drug modeling was of importance even if he did not advocate use. Finally, interactive results suggested that older brothers who did not use drugs could offset the negative effects of parental drug risks on younger brother use. Also, younger brothers were least likely to use drugs if both older brothers and peers served as models for nonuse.     

Children's alcohol cognitions prior to drinking onset: discrepant patterns from implicit and explicit measures

Prior to drinking onset, children report stronger negative versus positive beliefs on self-report alcohol expectancy questionnaires, with some attenuation of this negativity as they transition into adolescence. Traditional alcohol expectancy assessments, however, capture endorsement of deliberative propositions about drinking outcomes. Measurement of implicit alcohol associations may elucidate automatic evaluations, clarifying the role of nondeliberative cognition in the initiation of alcohol use among youth. Few studies have assessed implicit alcohol cognition among children and younger adolescents, with inconsistent findings regarding the nature of these automatic associations within and between age groups. Eighty-nine 3rd and 4th graders and 91 7th and 8th graders completed an alcohol expectancy measure and two unipolar alcohol Implicit Association Tests (IAT) measuring positive and negative alcohol associations independently. On the explicit measure older compared with younger participants rated positive drinking outcomes as more likely and negative outcomes as less likely. Older compared with younger students were also more neutral/moderate in their evaluations of positive drinking outcomes. On the IATs, scores for the full sample indicated negative alcohol associations, and Negative IAT scores were higher for older compared with younger participants. However, the valence of implicit alcohol associations was qualified by the order of explicit versus implicit assessment; for those who completed the IATs prior to the explicit expectancy measure, alcohol associations were positive. Findings replicate and extend prior research conducted with preonset youth. Implications regarding the role of automatic and controlled processes in drinking onset and directions for future work on children's alcohol cognition are discussed.     

Effects of depressed mood on drinking refusal self-efficacy: examining the specificity of drinking contexts

College students with elevated depressive symptoms are more likely to engage in risky drinking and experience alcohol-related negative consequences. Efforts to understand the association between depressed mood and alcohol use have begun to identify the role of cognitive-motivational processes. Drinking refusal self-efficacy is one such process that influences the decision to drink, but its relationship with depressed mood remains unclear. The current study sought to clarify the role of these processes using a depressed mood induction procedure in a sample of college student drinkers. Eighty-six students were randomized to a depressed or neutral mood induction and completed assessments of drinking refusal self-efficacy. Depressed mood significantly decreased self-efficacy in high-risk drinking contexts related to depression, whereas ratings of other high-risk contexts were unaffected. These findings suggest that the association between hazardous drinking and depressed mood may be due in part to the direct influence of mood state on one's self-efficacy to resist drinking in relevant contexts.     

Attitudes,knowledge, and use of alcohol in university students

This paper investigated attitudes towards alcohol, knowledge of alcohol, parents drinking behaviour, reasons for drinking and television viewing habits varied in relation to actual drinking behaviour. A sample of 106 University students completed a questionnaire which enabled their classification as non, light, medium and heavy drinkers on the basis of their self-reported consumption levels. Results revealed 9% to be non-drinkers, 22% to be light, 38% to be moderate and 31% to be heavy. They also showed that alcohol drinking habits differed significantly with age, sex, smoking habits and in particular with parents drinking habits. Alcohol drinking habits also differed significantly with knowledge of alcohol, heavier drinkers being found to have a better overall knowledge, but reasons for drinking and attitudes towards drinking did not show any overall difference between the drinking habit categories. Finally, there was no indication that television viewing independently contributed to alcohol beliefs, knowledge, attitudes or habits. The results are discussed in terms of future research implications.     

Transitioning into and out of large-effect drinking in young adulthood

As individuals age beyond the college years into young adulthood, many exhibit a tendency to moderate or "mature out of" alcohol involvement. The current study classified effect-drinking statuses in young adults and examined transitions among statuses using latent transition analysis, a latent variable state-sequential model for longitudinal data. At 3 occasions over 7 years (Years 1, 4, and 7), 443 men (47%) and women (mean age of both at baseline = 18.5 years; 51% with family history of alcoholism) responded to 3 past-30-day items assessing drinking and subjective effects of drinking: whether the respondent drank alcohol, felt high, and felt drunk. Latent statuses included abstainers (14% at Year 1), limited-effect drinkers (8%), moderate-effect drinkers (23%), and large-effect drinkers (54%). Respondents with family history of alcoholism were less likely to transition out of large-effect drinking than those without family history. Men exhibited more severe initial effect-drinking statuses and lower transition probabilities into less severe effect-drinking statuses than women.     

Effects of Depressed Mood on Drinking Refusal Self-Efficacy: Examining the Specificity of Drinking Contexts

College students with elevated depressive symptoms are more likely to engage in risky drinking and experience alcohol-related negative consequences. Efforts to understand the association between depressed mood and alcohol use have begun to identify the role of cognitive-motivational processes. Drinking refusal self-efficacy is one such process that influences the decision to drink, but its relationship with depressed mood remains unclear. The current study sought to clarify the role of these processes using a depressed mood induction procedure in a sample of college student drinkers. Eighty-six students were randomized to a depressed or neutral mood induction and completed assessments of drinking refusal self-efficacy. Depressed mood significantly decreased self-efficacy in high-risk drinking contexts related to depression, whereas ratings of other high-risk contexts were unaffected. These findings suggest that the association between hazardous drinking and depressed mood may be due in part to the direct influence of mood state on one's self-efficacy to resist drinking in relevant contexts.     

Alcohol‐aggression expectancies and dispositional aggression moderate the relationship between alcohol consumption and alcohol‐related violence

Alcohol consumption increases aggression, but only in some drinkers. This study examines how expectancies for alcohol‐induced aggression and dispositional aggression moderate the link between alcohol consumption and alcohol‐related violence, building on previous studies that have employed limited measures of alcohol‐related violence and included few women. A sample of 212 men and women reported their alcohol consumption, alcohol‐aggression expectancies, dispositional aggression, and incidents of alcohol‐related aggressive acts. Alcohol‐aggression expectancies and quantity of alcohol consumed interacted to predict alcohol‐related aggression. Alcohol‐aggression expectancies covaried with alcohol‐related aggressive acts, particularly in heavier drinkers. Dispositional aggression also correlated with alcohol‐related aggression among heavier drinkers. These results help identify that alcohol might increase aggression only among heavy drinkers who expect alcohol to increase aggression or who are dispositionally aggressive. Aggr. Behav. 32:517–527, 2006. © 2006 Wiley‐Liss, Inc.