The natural history of gambling and drinking problems among casino employees

From an eligible population of 9,943 casino employees, 6,067 volunteered to participate in this study. Of this sample, 1,176 provided data at 3 observation points approximately 12 months apart. Using the South Oaks Gambling Screen (SOGS; H. R. Lesieur & S. B. Blume, 1987) and the CAGE (J. A. Ewing, 1984) questionnaire, the authors prospectively examined the prevalence and patterns of alcohol and gambling problems among those employees. Among the casino employees with gambling and drinking problems, a segment displayed the capacity to diminish those problems even when the difficulties had reached disordered levels. The authors also examined the comorbidity of gambling and drinking as well as the relationships among changes in SOGS scores and CAGE scores and changes in demographic and biological variables. The women were more likely to decrease their problem-drinking scores, but not their gambling scores, when compared with the men. In addition, 2 key variables (i.e., disabling depression and dissatisfaction with one's personal life) emerged as predictors of transitions to healthier levels of disordered gambling. The authors cautiously suggest, in light of the results taken together, that more fluctuation is associated with gambling and drinking problems than previously thought and that the conventional wisdom about disordered gambling as "always progressive" needs reconsideration.     

Concurrent tobacco use and risky drinking in South Africa: Results from the South African National Health and Nutrition Examination Survey

The aim of this study was to examine socio-demographic and psychosocial correlates of concurrent tobacco use and risky drinking. We analysed data from the cross-sectional South African National Health and Nutrition Examination Survey (SANHANES-1) 2011–2012. The sample included 14 764 adolescents and adults aged 15 years and older. They responded to questions on tobacco and alcohol use, psychosocial, and socio-demographic indicators. Results indicate that 9.6% (16.8% among men and 3.5% among women) of South Africans were involved in concurrent tobacco use and risky drinking, 18.2% in current tobacco use only, and 20.3% in risky drinking only. In covariate adjusted analysis, being 25 to 64 years, being male, belonging to the coloured population group, residing in urban areas, having experienced three or more traumatic events, and poor self-rated health were associated with concurrent tobacco use and risky drinking. Findings suggest socio-demographic and health factors are important for public health interventions in addressing concurrent tobacco and alcohol use in South Africa.     

Similarity to prototypical heavy drinkers and non-drinkers predicts AUDIT-C and risky drinking in young adults: prospective study

Objective: The aim of the present study was to explore whether constructs within the Prototype Willingness Model (PWM) predicted risky drinking as measured by AUDIT-C, drinking harms and unplanned drunkenness in a sample of UK young adults. Previous studies exploring the PWM often do not use validated measures of alcohol consumption, and the outcomes of risky drinking are underexplored. Design: An online prospective study design with 4 week follow-up was employed and 385 young adults completed the study (M age?=?21.76, SD?=?3.39, 69.6% female; 85.2% students). Main outcome measures: Intentions to get drunk, AUDIT-C, drinking harms experienced in the last 4 weeks, and unplanned drunkenness in the last 4 weeks. Results: Heavy and non-drinker prototype similarity predicted AUDIT-C, drinking harms and unplanned drunkenness when controlling for past behaviour and reasoned action pathway constructs. Intentions and willingness both mediated the relationship between prototype perceptions and AUDIT-C. Conclusion: This study supports the use of the PWM in the prediction of AUDIT-C, drinking harms and unplanned drinking in a UK sample. Prototype perceptions influenced behaviour via both reasoned and reactive cognitions. Targeting similarity to heavy and non-drinker prototypes should be the focus of future interventions in this population.     

A randomized motivational enhancement prevention group reduces drinking and alcohol consequences in first-year college women.

Alcohol consumption among college students has become an increasing problem that requires attention from college administrators, staff, and researchers. Despite the physiological differences between men and women, college women are drinking at increasingly risky rates, placing them at increased risk for negative consequences. The current study tested a group motivational enhancement approach to the prevention of heavy drinking among 1st-year college women. Using a randomized design, the authors assigned participants either to a group that received a single-session motivational enhancement intervention to reduce risky drinking that focused partly on women's specific reasons for drinking (n = 126) or to an assessment-only control group (n = 94). Results indicated that, relative to the control group participants, intervention participants drank fewer drinks per week, drank fewer drinks at peak consumption events, and had fewer alcohol-related consequences over a 10-week follow-up. Further, the intervention, which targeted women's reasons for drinking, was more effective in reducing consumption for participants with high social and enhancement motivations for drinking.     

Individual differences in distancing responses to women on a photo choice task

A heterogeneous sample of adult women and men responded to a Photo Choice Task (PCT) in which they were asked to make 24 choices between two persons for a hypothetical interaction; eight of the choices were between a woman and a man. Participants also responded to a measure of adherence to Sex Role Stereotypes and to a measure of Adversarial Sexual Beliefs. On the eight choices between a woman and a man on the PCT, men over 30 and younger than 30 chose women below chance level. Women over 30 made other-gender and same-gender choices that did not differ from chance, but the women under 30 chose women over men reliably more than chance. Small but significant positive correlations were found among the scores on the PCT and the belief measures; for the total sample, the greater the choice of men over women for hypothetical interactions, the greater the agreement with sex role stereotypes and with adversarial sexual beliefs. An examination of mean differences in belief scores among groups of persons whose PCT scores (choice of men over women) were low, medium, and high revealed that men who were more likely to turn away from women in hypothetical situations were also more likely to adhere to stereotyped beliefs about sex roles and to view relationships between women and men as adversarial. This same pattern of individual differences was found among women but, for women, only the relationship between PCT scores and sex role stereotyping was significant.     

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.     

Homeless men and women: Commonalities and a service gender gap

Gender differences among homeless persons on a host of variables were examined. A stratified random sample of 248 homeless persons staying in shelters in St. Louis provided data for the study. More similarities than differences between men and women were found. However, men tended to be homeless for longer periods and were more likely than women to sleep on the streets. Men were also more likely than women to have a drinking problem and to have been convicted of a crime. Men were less likely than women to ever have been married and to be caring for dependent children. The most striking gender differences occurred on service utilization variables; women were much more likely than men to have received social services. Comparison of our data with previous studies and potential explanations for the gender gap in service utilization are offered.     

Alcohol Use,Problem Drinking and Health Risk Factors Among South African Youths

The aim of this study was to assess the prevalence and associated factors of problem drinking among South African youth (18–24 years). A cross-sectional population-based household survey was conducted using a multi-stage stratified cluster sampling approach. The total sample included 3123 participants (age range 18–24 years, 45.4% women) from four of nine provinces in South Africa. Results indicate that current alcohol was relatively more common among male (40.7%) than female youths (21.3%). Similarly, hazardous or harmful drinking was more prevalent among males (24.3%) than among women (12.9%). In multivariable analyses among men and women high on sexually permissiveness had hazardous or harmful alcohol use. Lifestyle including high peer pressure, and spending more nights away in a week were associated with hazardous or harmful alcohol use.     

Sociodemographic factors,religiosity, academic performance,and substance use among first-year university students in South Africa

The purpose of this study was to identify the relationships among sociodemographic variables, family background, religiosity, course of study, academic performance, and substance use. The sample included 799 first-year students in the age range of 16 to 49 years (M age 20.1 yr., SD = 3.2) chosen at random from the University of the North in South Africa. A Model Core Questionnaire from the WHO on Substance use was administered. Analysis indicated that women smoked tobacco or cannabis and drank less than men, while women took more stimulants and other opiate type drugs than men. Low scores on religiosity was a predictor for past-month tobacco use alcohol use, binge drinking, cannabis use, and having a drinking or drug problem now. Being a member of a Protestant denominational church or a Roman Catholic was a predictor for past-month tobacco and alcohol use. A family history of drinking or drug problems and being a social science or humanities student were predictive for a current alcohol or drug problem. Economic status, education of parents. living arrangement. and rural-urban differences were not associated with substance use. Findings have implications for prevention programmes.     

Self-reported Diabetes Prevalence and Risk factors in South Africa: Results from the World Health Survey

Using the data from the South African World Health Survey (WHS), the current study aims to assess the self-reported prevalence of diabetes and associated risk factors by socio-economic characteristics in South Africa. A population-based survey of 2314 participants (1116 men and 1236 women) was conducted in South Africa in 2003. Results indicate an overall self-reported diabetes prevalence of 9.1%, 7.1% for men and 10.8% for women. In terms of diabetes risk factors, high rates of overweight or obesity (58.4%), physical inactivity (55.2%), less than 5 servings of fruits and vegetables in a day (69.3%), and medium or high stress levels (63.3%) were found; 18.4% were smoking daily and 7.3% were risky drinkers. Univariate regression analyses found that from the six different risk factors none apart from having high stress were associated with the occurrence of diabetes. Greater age was associated with obesity and inversely associated with insufficient consumption of fruits and vegetables. Daily smoking and being physically inactive were inversely associated with risky drinking. Low socioeconomic background was associated with unhealthy diet, physical inactivity and stress.     

Cursing as a Form of Risk-Taking

The research investigated the relationships among cursing, risk-taking (i.e., drinking, smoking, using illegal drugs, and engaging in risky sexual behavior), and personality variables that have been shown to be related to risk-taking (i.e., sensation-seeking and Big-Five personality factors). In a study with 360 participants, the results showed that for both men and women, those who took more risks in daily life also reported cursing more than others. Men and women who scored higher on disinhibition and experience-seeking reported taking more risks and cursing more than others. Men and women who scored higher in conscientiousness reported taking fewer risks and reported cursing less than others. The results of a multiple regression analyses showed that frequency of curse word usage was predicted by disinhibition and risk-taking, and cursing behavior was predicted by disinhibition, risk-taking, and emotional stability. Overall men reported taking more risks and cursing more often than women; however, in the multiple regression analyses, participant sex was not among the significant predictors. Theoretical implications and directions for future research are discussed.     

Cultural Beliefs About Social Influence Strategies of Mexican Immigrant Women and Their Heterosexual Partners

The present study examined cultural beliefsregarding the use of influence strategies inheterosexual relationships of 40 Mexican immigrantcouples in stable relationships. Although over 75% ofparticipants had completed seven or more years of education,men were more likely to have completed high school thanwomen. Over half the sample (55%) reported familyincomes of $300 or less per week; 23% reported incomes in excess of $400 a week. During a structuredinterview respondents were asked to indicate their levelof agreement on a 4-point Likert scale with 24statements about influence tactics used by women and men in heterosexual relationships. Culturalconsensus analyses revealed a common cultural modelshared by the sample about which strategies men andwomen use to influence their partners. Results suggest that influence strategies are believed similarfor men and women. Direct and indirect strategies areperceived as used by both partners; bilateral strategiesare believed more likely to be used than unilateral strategies. These findings suggest that Mexicanimmigrant women in stable partnerships endorse normsthat support the use of relatively equivalent power inpartner relationships. The use of positive Mexican cultural norms to promote health protectivebehaviors such as condom use and other less risky sexualbehaviors is discussed.     

Response burden,reliability, and validity of the CAGE,Short MAST,and AUDIT alcohol screening measures

We administered the CAGE, the Short MAST, and the AUDIT to 832 clients at drinking driver treatment programs in Southern California. Correlations among the alcohol screening measures ranged from 0.62 (CAGE and AUDIT) to 0.70 (CAGE and Short MAST). As expected, response time for the CAGE was quicker than for the Short MAST and the AUDIT, but the internal consistency reliability of the CAGE was the lowest and the standard error of measurement largest. Moreover, greater support was found for the relative validity of the Short MAST and AUDIT than the CAGE. The CAGE provides a substantial amount of information quickly, but more reliable and valid information can be obtained with the short MAST or AUDIT measures, which require an additional 1-2 min to administer.     

University students' support for heterosexual women with AIDS

Support for a woman heterosexual AIDS victim was examined among 237 university students, 54% female and 54% upper division, with a mean age of 23.7 yr. A questionnaire containing one of four scenarios (AIDS resulting from unsafe sex, unsafe drug use, sex with an unfaithful husband, or a blood transfusion) measured support by people's willingness to sign or circulate a petition supporting the victim's right to attend college classes. A five-way mixed-design analysis of variance showed that victims who took risks received less support, that respondents were more willing to sign than to circulate a petition, and, while men did not discriminate among the four scenarios, women were most likely to offer support to "innocent" victims who contracted AIDS without sexual behavior. In addition, respondents who knew someone with AIDS were more likely to sign the petition. AIDS, particularly when contracted through risky behavior, is a disease with social ramifications beyond its threat to public health.     

Gender and the relationship between perceived fairness of pay or promotion and job satisfaction.

Brockner and Adsit (1986) found that satisfaction with an exchange relationship was more strongly related to perceptions of equity among men than women. Kahn (1972) reported that men were more likely than women to distribute outcomes to individuals in direct proportion to their input. We evaluated potential gender differences among 12,979 personnel in 30 different organizational systems in (a) correlations between fairness and job satisfaction scores and (b) standardized group differences in the perceived amounts of pay and promotion fairness and expressed levels of facet and global job satisfaction. The fairness-satisfaction relationship was not higher for men, and there were no practical differences in fairness perceptions and job satisfaction between men and women.     

The Hispanic Americans Baseline Alcohol Survey (HABLAS): Acculturation, Birthplace and Alcohol-Related Social Problems Across Hispanic National Groups

OBJECTIVE: To examine the association between acculturation, birthplace, and alcohol-related social problems across Hispanic national groups. METHOD: 5,224 Hispanic adults (18+ years) were interviewed using a multistage cluster sample design in Miami, New York, Philadelphia, Houston, and Los Angeles. RESULTS: Multivariate analysis shows no association between acculturation and problems among men or women. Birthplace is a risk factor for social problems among both genders. Among men, Mexican Americans, Puerto Ricans, and South/Central Americans are more likely to report social problems than Cuban Americans. Other risk factors for men are unemployment, a higher volume of drinking, and a higher frequency of binge drinking. Among women, Mexican American origin and binge drinking are also risk factors for reporting problems. CONCLUSIONS: U.S.-born Hispanics may experience stress and other detrimental effects to health because of their minority status, which may increase the likelihood of more drinking and the development of alcohol-related problems.     

Change and Stability in Active and Passive Social Influence Dynamics during Natural Drinking Events: A Longitudinal Measurement-Burst Study

We examined the link between social norms and active social influences occurring during natural social drinking contexts. Across 4 yearly measurement-bursts, college students (N = 523) reported daily for 30-day periods on drinking norms, drinking offers, how many drinks they accepted, and personal drinking levels during social drinking events. In contexts where drinking norms were higher, students were more likely to both receive and comply with drinking offers. These acute social influences were highly stable throughout college, but affected men and women differently across time: Women received more drinking offers than men, especially at the beginning of college and when norms were higher, but men complied with more drinking offers per occasion. These effects were not attributable to between-person differences in social drinking motives or drinking levels, nor to within-person patterns of situation-selection. The present work suggests that context-specific drinking norms catalyze active social influence attempts, and further promote compliance drinking.     

Alcohol involvement in hospital-admitted nonfatal suicide acts

We analyzed alcohol involvement in 84,005 medically identified live discharges for self-inflicted intentional injuries (typically suicide acts) from hospitals in 20 U.S. states in 1997. Alcohol was involved in 27% of the discharges. Evidence of alcohol was significantly more prevalent in men than women, but generally men drink more than women. Blacks had the highest alcohol involvement in their suicide acts relative to their drinking patterns. Overall, alcohol involvement rose and subsequently fell with age, with involvement above 30% for ages 30-55. Lowering the minimum legal drinking age to 18 from 21 could potentially raise alcohol-involved suicide hospitalizations among youth by an estimated 27%.     

Relations among weight control behaviors and eating attitudes, social physique anxiety, and fruit and vegetable consumption in Turkish adolescents

This study examined the relationship among dieting, eating attitudes, social physique anxiety, and fruit and vegetable consumption among Turkish adolescents. Abnormal eating behavior (EAT-26 > or =20) was found in 32.8% of the total sample; this included 26.4% of the males and 38.7% of the females. Weight-control and weight-related behaviors are associated with high fruit and vegetable consumption in adolescents. Dieting was significantly associated with types of consumption in female adolescents. In addition, EAT-26 scores were significantly positively correlated with high fruit and vegetable consumption, but this association was not observed in SPAS scores among adolescents. Adolescents who engage in dieting behaviors seem to consume more fruit and vegetables than do other adolescents. Female adolescents may be more likely to display abnormal eating attitudes and dieting behaviors than do males. Although some weight-control behaviors may be risky, adolescents who were practicing dieting behaviors engaged in the positive dietary behavior of consuming more servings of fruit and vegetables than did non-dieters.