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Transcript of Prepared by: Andrew Owusu Ph.D. © 2011 Cengage Higher Education An Invitation to Health Chapter 12:...
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Prepared by: Andrew Owusu Ph.D.
© 2011 Cengage Higher Education
An Invitation to Health
Chapter 12: Alcohol Use, Misuse, and Abuse
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Chapter 12 Objectives
Define a standard drink.
Describe symptoms of alcohol poisoning and state what you should do if someone exhibits any of the symptoms.
Describe the impact of alcohol misuse among college students, and define binge drinking.
List the effects of alcohol on the body systems.
Evaluate your drinking habits and list any health risks you are taking.
Define alcohol abuse, dependence, and alcoholism, and list their symptoms.
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Who Should Not Drink?
Anyone younger than 21.
Anyone who plans to drive, operate motorized equipment or engage in other activities that require
alertness and skill.
Women who are pregnant or trying to become pregnant.
Individuals taking certain over-the-counter or prescription medications.
People with medical conditions that can be made worse by alcohol.
Recovering alcoholics.
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Why People Drink
Inherited susceptibilityChildhood traumas
DepressionRelationship issues
Psychological factorsSelf-medication
Social easeRole modelsAdvertising
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Drinking on Campus
No accessParental pressure
Peer pressureUnderage
CostsReligious reasonsUnpleasant taste
Why Students Don’t Drink
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Drinking on Campus
Why Students Drink
Social norms Party schools Living arrangements Celebrations Participation in sports Parental approval First-year transition Positive expectations Coping
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High-Risk Drinking on Campus Binge Drinking
Men: 5 or more alcoholic drinks at a single sitting.
Women: 4 or more alcoholic drinks at a single sitting.
Predrinking Consuming alcoholic beverages
before going out to bars or parties.
Underage Drinking
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Why Do Students Binge Drink?
Recreational drinking
at a young age
Low price ofalcohol
Parental acceptanceof drinking Peer pressure
and drinking games
Residing with binge drinkers
Easy access toalcohol
Binge DrinkingMen: 5+ alcoholic drinks
Women: 4+ alcoholic drinks
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Consequences of Drinking
Atypical behavior
Academic problems
Risky sexual behavior
Sexual assault
Unintentional injury
Consequences beyond college
Illness and death
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How to Prevent Drunk Driving
Designate a driver. Never get behind the
wheel if you have had two or more drinks within two hours.
Never let intoxicated friends drive home.
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Changing Drinking Patterns on Campus
Social norms
Motivational enhancement
Freshman education
E-interventions
Alcohol policies
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Understanding Alcohol
Ethyl Alcohol/Ethanol The intoxicating agent in alcoholic beverages.
Proof The alcoholic strength of a distilled spirit, expressed
as twice the percentage of alcohol present.
Blood-Alcohol Concentration (BAC) The amount of alcohol in the blood, expressed as a
percentage.
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How Many Standard Drinks Are You Drinking?
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Understanding Blood Alcohol Concentrations (BAC)
BAC Levels 0.08 percentThe legal limit.
The BAC that a 150-pound man would have after consuming about three mixed drinks within an hour.
0.20 percent the individual may pass out.
0.30 percent the individual may go into coma.
0.40 percent the individual may die.
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Alcohol Impairment Chart
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Alcohol Impairment Chart
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Factors Affecting An Individual’s BAC
How much and how quickly you drinkWhat you’re drinking
Your sizeYour gender
Your ageYour race
Other drugsFamily history of alcoholism
EatingExpectations
Physical tolerance
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Alcohol Intoxication
Signs: Slurred speech, poor
coordination, unsteady gait, abnormal eye movements, impaired attention or memory, stupor, or coma.
Medical Risks: Falls, hypothermia in cold
climates, and increased risk of infections.
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Alcohol Poisoning
Signs: Mental confusion, stupor, coma,
vomiting, seizures, slow breathing, irregular breathing, and hypothermia.
Potential Complications: Cardiac arrest, permanent brain
damage, or death.
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The Impact Of AlcoholSome Interesting Facts
Alcohol in a typical drink reaches the bloodstream in 15 minutes and rises to peak concentration in about 1 hour.
Alcohol only leaves the body after metabolism by the liver.
Alcohol is a diuretic, a drug that speeds up the elimination of fluid from the body.
Alcohol lowers body temperature.
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The Effects of Alcohol Abuse On
The Body
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Race and Gender
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Alcohol and Race
African-American Community
Native AmericanCommunity
Hispanic Community
Asian-AmericanCommunity
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Defining Alcohol ProblemsAlcohol Abuse
Continued use of alcohol despite awareness of social, occupational, psychological, or physical problems related to its useUse of alcohol in dangerous ways or situations, such as before driving.
Alcohol DependenceDevelopment of a strong craving for alcohol due to the pleasurable feelings or relief of stress or anxiety produced by drinking.
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Defining Alcohol Problems
Alcoholism A chronic, progressive, potentially fatal
disease characterized by impaired control of drinking, a preoccupation with alcohol, continued use of alcohol despite adverse consequences, and distorted thinking, most notably denial.
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What Causes Alcohol Dependence and Abuse?
Genetics
Stress and traumatic
experiences
Parental alcoholism
Drug abuse
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Medical Complications of Alcohol Abuse and Dependence
Liver DiseaseCardiovascular
DiseaseCancer
VitaminDeficiencies
DigestiveProblems
Accidents &Injuries
Higher Mortality
Brain Damage
Normal Liver Cirrhosis
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Alcoholism Treatments
Detoxification Delirium tremens (DTs)
Medications Antianxiety and antidepressive drugs Disulfiram (Antabuse)
Inpatient and Residential Treatment Outpatient Treatment
Behavioral interventions Moderation training 12 step self-help programs Harm reduction therapy
Recovery
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If Someone Close to You Drinks Too Much
Try to remain calm, unemotional, and factually honest in speaking about the drinker’s behavior.
Discuss the situation with someone you trust.
Never cover up or make excuses for the drinker, or shield him or her from the consequences of drinking.
Refuse to ride with the drinker if he or she is driving while intoxicated.
Encourage new interests and participate in leisure-time activities that the drinker enjoys.
Try to accept setbacks and relapses calmly.
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Responsible Drinking
Set a limit on the number of drinks consumed. When you’re mixing a drink, measure the
alcohol. Alternate nonalcoholic and alcoholic drinks. Drink slowly. Eat before and while drinking. Develop alternatives to drinking. Avoid tasks requiring skilled reactions during or
after drinking. Don’t encourage or reinforce others’
irresponsible behavior.