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A new government report finds 7.5 million children in the United States—10.5 percent—live with a parent who has experienced an alcohol use disorder in the past year.

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), 6.1 million of these children live with two parents, one or both of whom have experienced an alcohol use disorder in the past year.

The other 1.4 million children live in a single-parent home, with a parent who has had an alcohol use disorder in the same time period, Reuters reports. Of these children, 1.1 million lived in households headed by a female.
The report was released in conjunction with Children of Alcoholics Week, February 12-18, 2012.
(Source: Join Together, 02/16/12)
Comment: This is one of the biggest alcohol related tragedies.

Heavy ethanol intake is associated with an increased risk of prostate cancer (PCa) among low-risk men with at least one prior negative prostate biopsy, investigators reported here at the annual Genitourinary Cancers Symposium. It also is associated with an elevated risk for high-grade PCa.

The findings emerged from a study of data from 6,729 men who had at least one on-study bipsy while participating in the REDUCE (Reduction by Dutasteride of Prostate Cancer Events) trial. Of these, 49% were moderate drinkers and 26% were heavy drinkers.

The researchers, led by Lionel L. Bañez, MD, of Duke University Medical Center in Durham, N.C., found that as ethanol intake increased, so did the risk for PCa overall and for high-grade disease. Dutasteride decreased overall PCa risk significantly by 27% and ethanol intake did not interfere with the risk-reducing effect of dutasteride.

Compared with non-drinkers, heavy drinkers had a 21% greater risk of PCa overall and a 34% greater risk of high-grade PCa (Gleason score of 7 or higher) (Source: Alcohol Reports, 02/12/12)

A new study provides clues about the brain mechanisms that drive people to abuse alcohol. The study found a link between how good people feel after they drink, and the amount of endorphins—proteins with opiate-like effects—released in their brain.

Similar findings have been seen in animal studies, but this is the first time they have been observed in humans, according to a news release by the University of California, San Francisco, where the research was conducted. “This is something that we’ve speculated about for 30 years, based on animal studies, but haven’t observed in humans until now,” said lead author Jennifer Mitchell, PhD. “It provides the first direct evidence of how alcohol makes people feel good.”

Researchers studied 15 volunteers; 13 were heavy social drinkers and 12 were not. Women were considered heavy social drinkers if they consumed 10 to 16 drinks a week, while men in that category had 14 to 20 drinks weekly, CNN reports. Women who were not heavy social drinkers had fewer than five drinks a week, while the men had fewer than seven drinks. …
(Source: Join Together, 01/13/12)
Medical News Today, 01/13/12

The Centers for Disease Control and Prevention (CDC) say 38 million American adults are binge drinkers, and most of them are ages 18 to 34. In a new report, the CDC says that while binge drinking is more common among young adults, those age 65 and older who binge drink do so more often—an average of five to six times a month. …

Binge drinking is responsible for more than half of the 80,000 alcohol-related deaths each year in the United States, and accounts for about three-fourths of the more than $200 billion in costs from alcohol abuse, according to the CDC.

“Binge drinking causes a wide range of health, social and economic problems and this report confirms the problem is really widespread,” CDC Director Thomas R. Frieden, M.D., M.P.H. said in a news release. “We need to work together to implement proven measures to reduce binge drinking at national, state and community levels.”

The CDC found binge drinking is more common among people with household incomes of $75,000 or more. However, binge drinkers with household incomes of less than $25,000 have the largest number of drinks per sitting—an average of eight to nine drinks.
(Source: Join Together, 01/11/12)
Comment: In one of the online comments is pointed out that this result shows that not only the alcoholics are the problem who cause the alcohol related harm to society. That is what the alcohol industry wants to make us believe.
From Full report (pdf):
Implications for Public Health Practice: More widespread implementation of Community Guide–recommended interventions (e.g., measures controlling access to alcohol and increasing prices) could reduce the frequency, intensity, and ultimately the prevalence of binge drinking, as well as the health and social costs related to it.

An article in the Bulletin of the World Health Organization raises concerns regarding conflict of interest in a partnership where SABMiller, the world’s second largest brewer by sales volume, receive funding from the Global Fund for a HIV/AIDS prevention project in drinking establishements in South Africa.
„No conflict of interest“ replies the Global Fund.
The recent issue of Bulletin of the World Health Organization carries a round table section: „Global Fund collusion with liquor giant is a clear conflict of interest. The First article is by Richard Matzopoulos, Charles DH Parry, Joanne Corrigall, Jonny Myers, Sue Goldstein and Leslie London. They describe how the Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund) has recently included SABMiller as a recipient of funding for an education intervention aimed at minimizing alcohol-related harm, including HIV prevention, among men in drinking establishments.The authors think Global Fund support for this initiative is cause for concern.

The article discusses whether men in drinking establishments are the best target group for the intervention, whether a drinking establishment is the best location, and whether the educational intervention itself is effective. Their experience is that the liquor industry is inclined to support alcohol interventions that will not affect drinking rates at a population level. These interventions allow the industry to simultaneously fulfil social and legal obligations to address the harmful use of alcohol while ensuring that sales and profits are maintained.

Providing funding for a highly profitable industry that could afford to fund its own interventions also reduces the funds available for less well-resourced organizations.

Ask the authors: „Do we take it that the problem of “corporate capture” has now spread to one of the largest health funders in the world?“ …
(Source: Alcohol Reports, 01/08/12) add-recources.org, 01/05/12
Comment: At least the industry accepted the role of alcohol regarding HIV.

Warning labels aimed at pregnant women will be added to all alcohol products in New Zealand and Australia.

The Australian and New Zealand Ministerial Council on Food Regulation agreed to introduce labelling telling of the risks of drinking alcohol during pregnancy at a Melbourne meeting last week in response to the recommendations of the independent Food Policy and Labelling Review.
The labelling will be regulated in two year’s time. …
(Source: Alcohol Reports, News, 12/20/11) nzherald.co.nz, 12/16/11

Research that claims lifting the price of alcohol will not curb binge drinking has been denounced by a leading alcohol health promotion group.

The research, from Australia’s Griffith University, found there was no significant change to the number of occasions people engaged in binge drinking when the price of liquor rose.

However, price rises did increase the number of days people went alcohol-free, while the the number of days people consumed between one and four drinks (non-binge drinking) also fell.

But Alcohol Healthwatch director Rebecca Williams said overall research had shown that price was one of the best tools available to reduce overall consumption and harm.

„Price is probably the sharpest tool in the shed as a mechanism for affecting harm. The overall research is very, very clear that it does target the things we need to target, which is the early drinking in young people, and the heavy drinking.“

The Law Commission recommendations on alcohol reform included a 50 per cent increase in excise tax, which would increase the price of alcohol by about 10 per cent on average.

The Griffith University research analysed household surveys of almost 80,000 people and asked them how their behaviour would change with a 1 per cent increase in the price of alcohol.

„There may be a need to broaden the net and better identify what policies can and cannot do and investigate alternatives to price increases,“ researcher Joshua Byrnes said.

Source: Alcohol Reports, 12/20/11) stuff.co.nz, 12/18/11

Comment: No wonder they didn’t find a significant change when asking about an increase of 1 per cent. Even a 10% increase could be too little.

Scientific Opinion of the Science Group of the European Alcohol and Health Forum

From the Foreword: The enormous burden of individual harm (often to those around the problem drinker as well as the drinker themselves) and aggregated lost productivity that are highlighted in the report should make it clear to all that inactivity is not an option and complacency will cost lives. We owe it to the populations we serve to use every opportunity that is founded in sound evidence to preserve and improve health and this report should lay the foundations of applying this to the workplace. But the workplace cannot be taken in isolation: just as work affects health and wellbeing beyond the workplace, so do many factors outside work, such as the price, availability and marketing of alcohol, or access to social programs and general healthcare reflect back on the health of the workforce. The Science Group believes that the European Commission across its various directorates has the potential to be a vital catalyst for good practice in this two-way process.
Professor Ian Gilmore
Chair, Science Group
From the Summary:
Impact of alcohol on the workplace and productivity
Globally, alcohol is the world’s number one risk factor for ill-health and premature death amongst the 25-59 year old age group, the core of the working age population. It is unsurprising, therefore that lost productivity costs feature as the dominant element in social costs studies arising from the harm done by alcohol (contributing to one half or more of the
total social costs). Becoming unemployed worsens alcohol-related harm, and heavy drinking, itself, leads to unemployment. Alcohol is a significant risk factor for absenteeism and presenteeism at work, largely in a dose response manner, with a relationship between societal and individual level of alcohol consumption and sickness absence. Although some studies have reported a positive impact of alcohol consumption on earnings, a proxy measure of productivity, a meta-analysis of relevant studies suggested that the relationship was an artefact. Often forgotten is the impact of drinkers on the productivity of people other than the drinker. An Australian study found this to be comparable in cost size as the lost
productivity costs of the drinkers themselves. The work place itself also impacts on alcoholrelated harm. Certain occupations (in particular bar staff and sea workers) are at particular risk, and, in general, stressful working environments increase the risk of alcohol-related harm.
(Source: Alcohol Reports, 12/18/11) ec.europa.eu, Sept. 2011
Comment: This report should be taken into account by all industrial leaders and governments. Especially interesting the part about the role of abstainers. It’s the same „artefact“ as we see in studies on alcohol and health.

The health and social care provider Turning Point has said alcohol misuse within families is an escalating concern in its new report „Bottling it up: the next generation“. It says early screening and identification of families is needed urgently to prevent the ‘inter-generational cycle’ of alcohol misuse which blights the lives of children and undermines their life chances.

Up to 2.6 million children live with parents who drink at „hazardous“ levels and around 700,000 children are thought to live with dependent drinkers. As picked up in the Daily Express, pressure put on women to be „supermums“ was felt to be increasing alcohol use as a coping mechanism. Turning Point said more than 5,000 people who used their alcohol treatment services last year were parents.

The report says children of parents who misuse alcohol are more at risk of depression, anxiety and increased anger. Turning Point also highlighted JRF research which found that children who see their parents drunk are twice as likely to get drunk themselves. Children living with drinking parents are also more likely to experiment at an early age with alcohol and drugs, increasing the risk of their own later life substance problems.

In the report Turning Point call on the Government to place a duty on Local Authorities to develop strategies that take into account the harms to family life and children’s development. They also advocate the development of services which are more family focused and home-based, better liaison between adult and children’s services, and more information available to help affected children. … (Source: Alcohol Policy UK, 12/15/11)

81 per cent of African women report themselves to be non-drinkers, says data from the World Health Surveys. This is an important fact to take into account in planning of alcohol prevention strategies and policies.

In the latest round of the WHO World Health Surveys 40.739 women from 20 African countries were interviewed also about their alcohol drinking habits. Close to 34.000 reported lifetime abstinence from alcohol. This is 81 % of the respondents in the survey. The proportion of current alcohol drinkers ranged from 1% in Malawi to 20% in Burkina Faso.

Four researchers – Priscilla Martinez, Jo Røislien, Nirmala Naidoo and Thomas Clausen – have analyzed the data from the WHO survey and presented their results in an article published in BioMed Central. They point to the fact that “Alcohol use is an important factor in any woman’s health risk profile. Harmful patterns of alcohol consumption are strongly associated with increased morbidity and mortality”.

Read the full article here.

The conclusions of the article are: “A variety of drinking patterns are present among African women with lifetime abstention the most common. Countries with hazardous consumption patterns require serious attention to mitigate alcohol-related harm. Some similarities in factors related to alcohol use can be identified between different African countries, although these are limited and highlight the contextual diversity of female drinking in Africa”.

The researchers comment their findings by writing that the current situation with low prevalence of alcohol use among women represents an opportunity to establish and promote healthy drinking habits among the vast majority of African women. This would serve the public health of African countries far into the future.

At the same time the researchers sound a warning bell related to female drinking: “This effort would be particularly relevant and timely given the current expansion of the alcohol industry in Africa. Women are a large portion of the population available for recruitment into regular drinking and will also benefit from improved economic situations, creating a ‘perfect storm’ for an increase in alcohol use and related harm. Such circumstances and increases in hazardous drinking among women have already been observed in Brazil and India”.
(Source: Dag Endal on add-resources.org, 12/05/11)