What if Americans drank less? The potential effect on the prevalence of alcohol abuse and dependence.

Archer, Loran; Grant, Bridget F.; Dawson, Deborah A.

doi:10.2105/ajph.85.1.61

Cited by 27 publications

(9 citation statements)

References 19 publications

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“…An estimated 107,800 alcohol-related deaths occur each year [25]. These include, but are not restricted to, deaths from traffic crashes, various cancers, accidental deaths, suicides, and homicides.…”

Section: Alcohol Usementioning

confidence: 99%

Lifestyle factors and stroke risk: Exercise, alcohol, diet, obesity, smoking, drug use, and stress

Boden‐Albala¹,

Sacco²

2000

Curr Atheroscler Rep

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Various lifestyle factors have been associated with increasing the risk of stroke. These include lack of exercise, alcohol, diet, obesity, smoking, drug use, and stress. Guidelines endorsed by the Centers for Disease Control and Prevention and the National Institutes of Health recommend that Americans should exercise for at least 30 minutes of moderately intense physical activity on most, and preferably all, days of the week. Recent epidemiologic studies have shown a U-shaped curve for alcohol consumption and coronary heart disease mortality, with low-to-moderate alcohol consumption associated with lower overall mortality. High daily dietary intake of fat is associated with obesity and may act as an independent risk factor or may affect other stroke risk factors such as hypertension, diabetes, hyperlipidemia, and cardiac disease. Homocysteine is another important dietary component associated with stroke risk, while other dietary stroke risk factors are thought to be mediated through the daily intake of several vitamins and antioxidants. Smoking, especially current smoking, is a crucial and extremely modifiable independent determinant of stroke. Despite the obstacles to the modification of lifestyle factors, health professionals should be encouraged to continue to identify such factors and help improve our ability to prevent stroke.

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Section: Alcohol Usementioning

confidence: 99%

Lifestyle factors and stroke risk: Exercise, alcohol, diet, obesity, smoking, drug use, and stress

Boden‐Albala¹,

Sacco²

2000

Curr Atheroscler Rep

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“…Using data from the 1988 national Health Interview Survey (NHIS), a populationbased study of more than 40,000 US adults, Archer and Grant found that 54% reported current consumption. Nine percent met criteria for abuse or dependence, and 24 % reported hazardous drinking (Archer, 1995).…”

Section: Problem Drinkingmentioning

confidence: 99%

Evidence-Based Care Models for Recognizing and Treating Alcohol Problems in Primary Care Settings: Part I

Watkins¹,

Pincus²,

Tanielian³

2001

PsycEXTRA Dataset

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The RAND unrestricted draft series is intended to transmit preliminary results of RAND research. Unrestricted drafts have not been formally reviewed or edited. The views and conclusions expressed are tentative. A draft should not be cited or quoted without permission of the author, unless the preface grants such permission. 026 RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications and drafts do not necessarily reflect the opinions or policies of its research sponsors. PREFACEAlcohol-related problems are a significant public health concern in the United States. Effective treatments exist for the entire spectrum of alcohol related problems; however, fewer than half of those who need treatment actually receive it. This report discusses how a chronic disease management model can be adapted to improve the detection, treatment, and management of patients with alcohol related problems in primary care settings. The report was prepared to summarize and highlight the relevant literature and discuss issues for consideration in building and implementing a chronic care model for alcohol problems in primary care settings. The report provides only a framework. Further work is needed to develop and collect the necessary tools and resources to implement the model and to determine is feasibility and potential impact.In preparing this report, the authors solicited specific advice and feedback from an expert panel via a listserv. Panel members included representatives from family medicine, internal medicine, psychiatry, and nursing. The panel also included perspectives from managed care clinical directors, alcohol specialists, public sector clinical administrators, and the research community. This report should be of interest to policy makers, primary care providers, clinical directors and administrators, alcohol specialists, and researchers.The work presented in this report was performed under a subcontract to RAND from Harold Alan Pincus, M.D., for his contract from the Office of Managed Care, Center for Substance Abuse Treatment at the Substance Abuse and Mental Health Services Administration. We are also grateful to Bruce Rollman and Amy Kilburn for sharing information from their work on the RWJ National Program "Depression in Primary Care: Linking Clinical and System Strategies." Also, we thank Mary Vaiana, Director of Communications for RAND Health, for her wisdom and talent in refining the presentation of this report.Finally, we acknowledge the on-going support and guidance of the CSAT Project Officers, Mady Chalk and Jacqueline Lloyd. In particular, we thank them for providing many resources and documents needed in preparing the report and for their comments and insight throughout its development. INTRODUCTIONAlcohol-related problems are a significant public health concern in the United States. Alcohol dependence, abuse, and problem drinking increase morbidity and mortality (McGinnis, 1993), and raise economic, social and health care costs (Institute ...

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“…Alcohol is con sumed by millions of Americans annually. About 13 million US adult alcohol users meet standard diagnostic criteria for alcohol abuse or dependence [18], and there are an esti mated 107,800 alcohol-related deaths [19]. The economic cost of alcohol abuse and de pendence is estimated at about S 100 billion.…”

Section: Frequency Of M Odifiable R Isk Factorsmentioning

confidence: 99%

Stroke Prevention: Windows of Opportunity and Failed Expectations?

Gorelick¹

1997

Neuroepidemiology

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What if Americans drank less? The potential effect on the prevalence of alcohol abuse and dependence.

Cited by 27 publications

References 19 publications

Lifestyle factors and stroke risk: Exercise, alcohol, diet, obesity, smoking, drug use, and stress

Lifestyle factors and stroke risk: Exercise, alcohol, diet, obesity, smoking, drug use, and stress

Evidence-Based Care Models for Recognizing and Treating Alcohol Problems in Primary Care Settings: Part I

Stroke Prevention: Windows of Opportunity and Failed Expectations?

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