Search results

The purpose of this paper is to give an overview of the scientific evidence for reduced drinking in alcohol use disorders. While the aim of alcohol use disorders (AUD) treatment usually focuses on abstinence, only a minority of individuals with AUD enter treatment. Lack of alternative treatment goals, including reduced drinking instead of abstinence, have been identified as a potential barrier for treatment entry. Epidemiological and treatment outcome studies reveal that a large proportion of individuals with AUD are able to substantially reduce their alcohol intake for a prolonged duration of time.

A narrative review of the literature on prevalence rates and health effects as well as evidence-based approaches fostering reduced drinking in individuals with AUD is presented.

Reduced drinking is associated with improvements in both morbidity and mortality. Research has identified evidence-based psychosocial and pharmacological treatment approaches; however, implementation is still scarce.

Target groups for interventions fostering drinking reduction instead of abstinence are defined and desiderata for further research are outlined.

At the present time there is a general dissatisfaction among both theoreticians and practitioners with the disease model of alcoholism. It is often felt that it has served its usefulness. This can be witnessed in the literature in the increased questioning of the central components of the alcohol addiction model. Such dissatisfaction is not new but the present unease has resulted in the creation of new models of problem drinking. New theories of alcoholism have been expressly fashioned to replace outmoded ideas.

The risk associated with heavy episodic drinking in young people has caused concern among public health professionals. The purpose of this paper is to investigate the gender differences in the perception of risk in alcohol consumption behaviour for better targeting of messages.

This qualitative descriptive study examines the narratives of 28 young people’s experience of a “night out” framed as the Alcohol Consumption Journey to examine the ways young men and women experience context-specific risks for alcohol use.

The young people perceived participation in the Alcohol Consumption Journey involved risk to their personal safety. Both young men and young women described their alcohol consumption as controlled and perceived the risks as external inevitabilities linked to the public drinking establishments. However, they displayed noticeable gender-based differences in the perception and management of risk in diverse contexts of the Alcohol Consumption Journey. Young women drink in close friendship groups and have a collective view of risk and constructed group strategies to minimise it. Comparatively, the young men’s drinking group is more changeable and adopted a more individualistic approach to managing risk. Both groups exhibited prosocial tendencies to protect themselves and their friends when socialising together.

The concept of “edgework” is effective in providing an explanatory framework for understanding young people’s ritualised Alcohol Consumption Journey and to illustrate the context-specific risks associated with alcohol use.

Stress damages us and our performance. It is a real part of most manager's experience and can be said to occur when significant demands exceed perceived management responsibilities and routines. Stress can be the essence of working life, and certainly need not always be damaging to us. But when it becomes excessive, it is something unwanted.

The purpose of this paper is to investigate how clients – five years after completing treatment interventions endorsing abstinence – view abstinence and the role of Alcoholics Anonymous (AA) in their recovery process.

Interviews with 40 clients were conducted shortly after them finishing treatment and five years later. All the interviewees had attended treatment programmes based on the 12-step philosophy, and they all described abstinence as crucial to their recovery process in an initial interview.

At follow-up, the majority remained abstinent. For many, attending AA meetings was still important – some described attending as a routine, whereas others stressed that the meetings were crucial for remaining abstinent. For those who reported controlled drinking (CD), this was described either as a natural step in their recovery process or as associated with worries and self-doubts.

The results suggest the importance of offering interventions with various treatment goals and that clients choosing CD as part of their sustained recovery would benefit from support in this process, both from peers and professionals.

There are heterogeneous views on the possibilities of CD after recovery from substance use disorder both in research and in treatment systems. This study on client views on abstinence versus CD after treatment advocating total abstinence can contribute with perspectives on this ongoing discussion.

Shows that adolescent drinking varies considerably between the ages of 12 and 17, with 14 and 15‐year‐olds marking a key group whose members are keen to test their limits with alcohol and drink to intoxication but who do not necessarily enjoy the process of drinking. They dislike the taste of alcohol and the amount which needs to be drunk to reach intoxication. Designer drinks have particular characteristics that meet the needs of this group by minimizing the costs and maximizing the effects of drinking. The brand image of designer drinks matches the perceptions and expectations of 14 and 15‐year‐old drinkers, while 16 and 17‐year‐olds view these drinks as “immature”. Furthermore, consumption of these drinks is linked to heavier drinking. Concludes that these results have implications for health promotion at an individual and environmental level, with a need to educate young people about the hazards of designer drinks, address the semiotic implications of designer drinks and lobby against these drinks.

The purpose of this paper is to explore the meso-level social forces that influence moderate drinking in young women’s friendship groups through the application of social capital theory.

A qualitative inquiry was undertaken utilising peer-paired and small focus groups to explore young women’s drinking choices within their existing friendship groups. Guided by emic and etic perspectives, friendship groups were analysed to inform archetypical representations that illustrate group-level social capital exchanges.

The approach led to identifying four social capital and drinking archetypes. These archetypes indicate social capital-led “influencers” and “followers” and highlight the displays of capital practised by young women in alcohol consumption contexts.

The social marketing insight drawn from this study of young women’s drinking behaviours will inform social marketers on future strategic directions about how they can use alternative methods to segment the social market of young female drinkers and develop value propositions that will motivate them towards adopting or maintaining moderate drinking practices.

This study contributes to social marketing theory by demonstrating the worth of social capital theory as an alternative lens for social marketers to apply in explorations of group influences that shape behaviour. The research findings in the paper demonstrate how deeper theorisation provides rich insight into the meso-level, complex behavioural influence which effect young women’s alcohol consumption.

This study aims to explore the barriers that prevent students from moderating their drinking by comparing attitudes towards moderation in a wet (New Zealand) and dry (Vietnam) drinking culture and examines whether these barriers can be understood by applying an ecological framework.

A qualitative survey involving a written vignette was conducted with a sample of 226 and 277 undergraduates from New Zealand and Vietnam, respectively. Data were analysed using qualitative content analysis.

The analysis reveals that students perceive several barriers to moderate drinking at the intrapersonal level (e.g. positive attitude towards drinking), interpersonal level (e.g. peer pressure) and environmental level (e.g. socialising activities), suggesting that an ecological framework is useful for understanding drinking cultures. The response variations between the two countries provide novel insights into cultural differences in students’ perceptions, with external factors being more important and influential in the wet culture and internal influences being of more concern in the dry culture.

The findings highlight that students in the wet drinking culture do not take personal responsibility for their drinking and suggest that social marketing should move beyond individualistic approaches and towards the disruption of drinking cultures/practices, in pursuit of a healthier drinking culture.

This study provides novel insights into the barriers and facilitators of moderating drinking. Further, the findings demonstrate the value of a holistic ecological framework for understanding student drinking cultures. The comparison between two diverse cultures revealed how insights from one culture can help to understand deep-seated practices and meanings in another.

Social marketing has been applied to alcohol education, changing adolescents’ knowledge, attitudes and intentions toward binge drinking for the better. However, there remains limited research in the social marketing literature examining multi-stream models considering social-contextual factors and individual differences in the applied context of adolescent drinking.

A multi-group structural equation model approach was applied to analyze cross-sectional self-report data from 2,234 (mean age = 15.3 years, 48.7 per cent female) Australian adolescents. Based on the theory of planned behavior, the role of attitudes, subjective norms and perceived behavioral control in adolescents’ binge drinking intentions were examined. Potential moderating effects of peer and parent drinking behaviors and drinking status were tested.

The model explained 47.3 per cent variance in intentions for drinkers and 31.6 per cent for non-drinkers. Subjective norms were more strongly related to intentions than attitudes. Peer and parent behavior modified those associations, and drinking status further moderated interaction effects. Under conditions of favorable norms and attitudes, family and friends’ behavior fuels adolescents’ binge drinking intentions. Conversely, exposure to modeling of non-drinking peers and parents can bolster negative binge drinking beliefs.

Social marketing programs seeking to change adolescent drinking culture should include peers and parents whose drinking behavior modified associations between attitudes, norms and intentions to binge drink.

This study investigated how social-contextual factors (midstream) and drinking status influence relationships between adolescents’ attitudes, norms and perceived behavioral control (downstream factors) and their intentions to binge drink. These moderating effects have not previously been examined within the theory of planned behavior framework, and limited previous research has examined multi-stream models.