Comparing alcohol consumption in central and eastern Europe to other European countries

Popova, Svetlana; Rehm, Jürgen; Patra, Jayadeep; Zatoński, Witold

doi:10.1093/alcalc/agl124

Cited by 291 publications

(250 citation statements)

References 33 publications

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“…In Eastern Europe, countries of the former Soviet Union have some of the highest alcohol consumption prevalence rates (Pomerleau et al, 2008;Popova et al, 2007). Most studies report much heavier and more prevalent alcohol consumption in men compared with women.…”

Section: Discussionmentioning

confidence: 99%

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

Bakhireva¹,

Wilsnack²,

Kristjanson³

et al. 2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Maternal alcohol consumption during pregnancy and fetal alcohol spectrum disorders (FASDs) represent a signifi cant public health problem. The infl uence of the male partner's alcohol consumption patterns and the quality of the partner's intimate relationship might be important factors to consider in the design of successful FASD prevention programs. Method: As part of the Collaborative Initiative on Fetal Alcohol Spectrum Disorders, 166 pregnant women in two regions in Ukraine participated in an in-person interview at an average gestational age of 18-19 weeks. Subjects were classifi ed cross-sectionally as abstainers/light drinkers (n = 80), defi ned as low or no consumption of alcohol in the periconceptional period and none in the most recent 2 weeks of pregnancy; discontinuers (n = 43), defi ned as moderate to heavy alcohol use in the periconceptional period but none during the most recent 2 weeks of pregnancy; or continuing drinkers (n = 43), defi ned as continued moderate to heavy alcohol use within the most recent 2 weeks of pregnancy. Women also reported on their partner's drinking behavior and on the quality of their intimate relationship. Results: Heavy paternal drinking was signifi cantly associated with both continuing maternal drinking in the most recent 2 weeks (adjusted odds ratio [OR] = 34.1; 95% CI [5.9, 195.8]) and being a risky drinker only around conception (adjusted OR = 27.0; 95% CI [5.0, 147.7]). In addition, women who consumed alcohol during pregnancy had lower mean scores for satisfaction with partners' relationship and ability to discuss problems (p < .05) compared with light drinkers/abstainers. Conclusions: This study suggests that development of partner-based interventions, as opposed to those solely focused on maternal drinking, might be warranted as a strategy to prevent FASD. (J. Stud. Alcohol Drugs, 72, 536-544, 2011)

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Section: Discussionmentioning

confidence: 99%

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

Bakhireva¹,

Wilsnack²,

Kristjanson³

et al. 2011

J. Stud. Alcohol Drugs

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“…Responses to the question 'On average, do 5 you have more than four alcoholic drinks a day?' provide a dichotomous indicator of heavy drinking (Popova et al, 2007). Body mass index was calculated from self-reported responses to questions on height and weight.…”

Section: Health Measuresmentioning

confidence: 99%

How financial strain affects health: Evidence from the Dutch National Bank Household Survey

Prentice

McKillop

French

2017

Social Science & Medicine

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The mechanisms by which financial strain affects health are not well understood. In this paper, we conduct a longitudinal mediation analysis of the Dutch National Bank 5Household Survey. To quantify the relative importance of biological and nonbiological pathways from financial strain to health, we consider smoking, heavy drinking and being overweight as plausible behavioural responses to financial strain but find that only 4.9% of the response of self-reported health to financial strain is mediated by these behaviours. Further analysis indicates that although financial strain increases 10 impulsivity this has little effect on unhealthy behaviours. Economic stresses therefore appear to be distinct from other forms of stress in the relatively minor influence of nonbiological pathways to ill-health.

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“…Participants also benefited from significantly improved mental health (e.g., reduced depression and anxiety). These gains are salient in a country where alcohol consumption is among the highest in Europe [65] and where LGBT individuals face pervasive stigma deleterious to mental health. [3] Further, alcohol use and mental health difficulties are associated with sexual risk, forming a syndemic (i.e., synergistic epidemic) that threatens the health of YGBM.…”

Section: Discussionmentioning

confidence: 99%

An mHealth Intervention to Improve Young Gay and Bisexual Men’s Sexual, Behavioral, and Mental Health in a Structurally Stigmatizing National Context (Preprint)

Leluţiu-Weinberger¹,

Manu²,

Ionescu³

et al. 2017

Preprint

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Background: Young gay and bisexual men (YGBM) in Eastern European countries like Romania face high stigma and discrimination, including in healthcare. Increasing HIV transmission is a concern given inadequate prevention, travel to high-prevalence countries, and popularity of sexual networking technologies. Objective: An efficacious mobile health (mHealth) HIV-prevention intervention created in the United States was adapted and pilot-tested in Romania to reduce YGBM's HIV risk. Methods:After an intervention formative phase, 43 YGBM (M age = 23.2, SD=3.6) who reported condomless sex with a male partner and at least five days of heavy drinking in the past three months were enrolled and completed up to eight 60-minute counseling sessions based on motivational interviewing and cognitive behavioral skills training with trained counselors. Prepost intervention assessments of sexual (e.g., HIV-risk behavior), behavioral (e.g., alcohol use), and mental health (e.g., depression) outcomes were conducted to evaluate intervention impact. Results:From baseline to follow-up, participants reported significant: 1) increases in HIV-related knowledge (M=4.6 vs. M=4.8, P < 0.001) and recent HIV testing (M=2.8 vs. M=3.3, P < 0.05);2) reductions in heavy alcohol consumption (M=12.8 vs. M=6.9, P < 0.01), and 3) increases in self-efficacy of condom use (M=3.3 vs. M=4.0, P < 0.01). Participants also reported significant reductions in depression symptoms (M=1.5 vs. M=1.0, P < 0.01). Conclusions: This first mHealth HIV risk-reduction pilot intervention for YGBM in EasternEurope indicated preliminary efficacy and strong acceptability and feasibility. This mobile prevention tool lends itself to broad dissemination pending future efficacy testing, especially in contexts where stigma keeps GBM out of reach of affirmative health interventions.

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Comparing alcohol consumption in central and eastern Europe to other European countries

Cited by 291 publications

References 33 publications

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

Paternal Drinking, Intimate Relationship Quality, and Alcohol Consumption in Pregnant Ukrainian Women

How financial strain affects health: Evidence from the Dutch National Bank Household Survey

An mHealth Intervention to Improve Young Gay and Bisexual Men’s Sexual, Behavioral, and Mental Health in a Structurally Stigmatizing National Context (Preprint)

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