Nondrinker Mortality Risk in the United States

The literature has shown that people who do not drink alcohol are at greater risk for death than light to moderate drinkers, yet the reasons for this remain largely unexplained. We examine whether variation in people’s reasons for nondrinking explains the increased mortality. Our data come from the 1988–2006 National Health Interview Survey Linked Mortality File (N = 41,076 individuals age 21 and above, of whom 10,421 died over the follow-up period). The results indicate that nondrinkers include several different groups that have unique mortality risks. Among abstainers and light drinkers the risk of mortality is the same as light drinkers for a subgroup who report that they do not drink because of their family upbringing, and moral/religious reasons. In contrast, the risk of mortality is higher than light drinkers for former drinkers who cite health problems or who report problematic drinking behaviors. Our findings address a notable gap in the literature and may inform social policies to reduce or prevent alcohol abuse, increase health, and lengthen life.     

Contextual Interventions for Controlling Alcohol Drinking

The dynamics of an alcohol drinking population are subject to environment-specific control programs. The stochastic model is developed that includes populations of light, moderate, and heavy drinkers, interacting in two contrasting risk-level drinking environments. For colleges with serious drinking problems, the times to disappearance of serious drinkers show that environment-dependent control programs have lasting efficacy when they are implemented according to the risk level of the environments and not by simply focusing on heavy drinking.     

Age of Onset of Alcohol Consumption and Subsequent Negative Health Outcomes in Gay and Bisexual Men Who Have Sex With Men

ABSTRACT

The correlation between current alcohol use and sexual risk behaviors among men who have sex with men (MSM) is well documented, but little is known about age of drinking onset and current risks among this population. Data from a 2008 Internet survey of 8,452 MSM in the United States were used to assess factors associated with age of onset of alcohol use. In a multivariable model, drinking onset before age 15 was significantly associated with a higher number of lifetime male anal sex partners and being behaviorally bisexual in the past 12 months. Men who reported depressive symptoms in the past two weeks or who screened positive for alcohol abuse in the past 60 days were more likely to have early age of drinking onset. Findings suggest the need for targeting younger adolescents for alcohol screening, particularly sexual minority youth, to prevent risk behaviors in adulthood.     

Religiosity as a Protective Factor against Heavy Episodic Drinking (HED) in Heterosexual,Bisexual, Gay,and Lesbian Young Adults

Although religiosity has been shown to be associated with positive outcomes in studies of general population samples, few studies have considered the potential differential effect of religiosity on those who are consolidating gay, lesbian, or bisexual (GLB) identities. Logistic regression analyses using a sample of 13,038 emerging adults from the National Longitudinal Survey of Adolescent Health (Add Health) revealed main effects for religiosity and a significant religiosity × sexual identity interaction in women. Specifically, religiosity was protective against alcohol use and heavy episodic drinking (HED) in heterosexual women, but not lesbian women. In bisexual women, higher religiosity increased the odds of alcohol use and HED. Among men, religiosity was protective, with no differential effects based on sexual identity. Prevention efforts should consider that individual religiosity may be a risk, rather than protective factor for some young adults.     

“Risky Business”

Over the last few decades the number of women becoming pregnant later on in life has markedly increased. Medical experts have raised concerns about the increase in the number of women having babies later, owing to evidence that suggests that advancing maternal age is associated with both a decline in fertility and an increase in health risks to both mother and baby. In recognition of these risks, experts have warned that women should aim to have their children between the ages of twenty and thirty-five. As a consequence, women giving birth past the age of thirty-five have typically been positioned as “older mothers.” In this paper we used a social constructionist thematic analysis in order to analyse how “older mothers” are represented in newspaper articles in the British press. We examined how the topics of “choice” and “risk” are handled in discussions of delayed motherhood, and found that the media position women as wholly responsible for choosing the timing of pregnancy and, as a consequence, as accountable for the associated risks. Moreover, we noted that newspapers also constructed a “right” time for women to become pregnant. As such, we discuss the implications for the ability of women to make real choices surrounding the timing of pregnancy.     

Living Productively with Arthritis

Anhritis is the most commonly experienced chronic disease among older women. As such, it is essential for professionals to understand the disease process, treatment options, physiological and psychosocial implications as well as how to assist older arthrictic women in developing and implementing strategies for productive living. The disease process, treatment options, physiological and psychosocial implications are presented. The importance of patient education is stressed in addition to mechanisms for assisting older women in coping with pain, preventing or combating learned helplessness, minimizing functional limitations, addressing issues of sexual functioning, complying with medical regimen, and enhancing social supports. Managing stress and dealing with feelings are also discussed.     

Posttraumatic stress disorder and older women

This article examines the literature related to the identification and treatment of post traumatic stress disorder in older women. From this review, several key findings emerge. Consistent in the research literature is the fact that American women are more at risk for PTSD than are men as a result of the high frequency of sexual and domestic physical abuse that women experience. Studies on older women and PTSD indicate that older women are underdiagnosed and are more typically perceived as suffering from depression, anxiety or poor physical health. It was found consistently that older women who present with age-related stressors may not be asked about earlier trauma history or it may not be understood within the context of trauma related variables. In several research studies, trauma history was often not identified either as a result of current assessment practice or because women from certain age cohorts did not disclose trauma-related data to health professionals. Key researchers emphasize the necessity of clinicians, staff and medical personnel to attend to the historical variables present in trauma histories of older women. Researchers underscore the importance of understanding the impact of early and repeated trauma, especially interpersonal trauma, on the physical health and social functioning of older women- even though a significant amount of time may have elapsed since exposure. These findings indicate that further study of PTSD in older women is warranted. The paper concludes with a discussion of assessment and treatment options.     

Women's frequency of alcohol consumption prior to pregnancy and at their pregnancy-booking visit 2001–2006: A cohort study

BackgroundWith evidence of offspring harms and concern for younger women's drinking behaviours, this study uses a hospital cohort to trend the use and changes in women's reported alcohol consumption.AimsTo examine (i) the trend of women's reported alcohol consumption over time, (ii) whether any increases in the frequency of alcohol consumption prior to a pregnancy are accompanied by increases in the frequency of alcohol consumption in pregnancy and (iii) the characteristics of women consuming alcohol at these times.MethodsMidwives collected routine data on 19,699 women between 2001 and 2006. Data on women's alcohol use prior to pregnancy and at their pregnancy-booking visit were analysed using a non-parametric test for trend and with bivariate and multivariate tests adjusting for possible confounders.FindingsThe proportion of women reporting at-least weekly alcohol use prior to pregnancy was 25.4% and 5.9% at their pregnancy-booking visit. A significant linear increase over time (p < 0.001) was found in the rate of women aged 20 years and older reporting at-least weekly alcohol use prior to pregnancy. Tertiary-educated women were more likely to consume alcohol at-least weekly prior to pregnancy. Women aged less than 20 years were less likely to report at-least weekly alcohol use at both time points. Having more children and Asian ethnicity were associated with a lower risk of at-least weekly alcohol use at these times.ConclusionThe majority of women reduce their alcohol consumption once they learn they are pregnant, with some evidence this trend may have increased in recent years.     

Drinking,Smoking, and Morality: Do ‘Drinkers and Smokers’ Constitute a Stigmatised Stereotype or a Real TB Risk Factor in the Time of HIV/AIDS?

This paper follows up an unexpected finding from a community survey that identified drinking and smoking as the most important tuberculosis (TB) risk factor, far ahead of ones commonly associated with TB such as poverty, overcrowded living conditions, and HIV-positive status. It reports perceptions of drinking and smoking from a three-phased study of the stigma associated with TB, consisting of a qualitative pilot study using focus-group discussions (2006), a larger-scale community survey (2007), and follow-up group discussions (2009). The community attitude survey was conducted with a sample of 1,020 adults living in a low-income township in the Eastern Cape Province, South Africa. The study found that the moral and the biomedical understanding of TB risk are intertwined. In the community survey, perceptions of drinking and smoking as TB risk were predicted by fear of contracting TB and being a self-reported born-again Christian. In the follow-up study, heavy drinking and smoking in shebeens (unlicensed township liquor outlets) was associated with a risky lifestyle that can spread both TB and HIV. The paper discusses the similarities and differences in the roles of church and shebeen in providing social support to township dwellers to cope with problems of daily life. It is tentatively concluded that the stereotypical shebeen ‘drinkers and smokers’, alternatively pitied and maligned by moral society, might serve as the scapegoat that deflects pollution from the ‘new’ TB linked to the AIDS epidemic.     

Testosterone,alcohol, and civil and rough conflict resolution strategies in lesbian couples

The present study investigated the relations among testosterone level, acute alcohol consumption, and the use of violent (Rough) or non-violent (Civil) conflict resolution strategies in lesbian couples. The participants were 54 lesbian campers at a women's campground or spectators at a gay pride celebration who each provided a saliva sample for testosterone assay and completed a questionnaire. On the questionnaire, participants indicated whether they used Civil or Rough tactics to deal with domestic discord, and whether or not their use of these tactics varied with their use of alcohol. High testosterone women used Rough tactics equally when drinking as when not drinking, while low testosterone women used Rough tactics far more often when drinking than when not drinking. Alcohol appears to release violent tenden- cies in low testosterone women, who are characteristically restrained under sober conditions, but has little effect on high testosterone women.     

Posttraumatic Stress Disorder and Older Women

SUMMARY

This article examines the literature related to the identification and treatment of posttraumatic stress disorder in older women. From this review, several key findings emerge. Consistent in the research literature is the fact that American women are more at risk for PTSD than are men as a result of the high frequency of sexual and domestic physical abuse that women experience. Studies on older women and PTSD indicate that older women are under-diagnosed and are more typically perceived as suffering from depression, anxiety or poor physical health. It was found consistently that older women who present with age-related stressors may not be asked about earlier trauma history or it may not be understood within the context of trauma-related variables. In several research studies, trauma history was often not identified either as a result of current assessment practice or because women from certain age cohorts did not disclose trauma-related data to health professionals. Key researchers emphasize the necessity of clinicians, staff and medical personnel to attend to the historical variables present in trauma histories of older women. Researchers underscore the importance of understanding the impact of early and repeated trauma, especially interpersonal trauma, on the physical health and social functioning of older women–even though a significant amount of time may have elapsed since exposure. These findings indicate that further study of PTSD in older women is warranted. The paper concludes with a discussion of assessment and treatment options.     

Women, non-governmental organizations, and deforestation: a cross-national study

There have been several cross-national studies published in the world polity theoretical tradition that find a strong correlation between nations with high levels of environmental nongovernmental organizations (NGOs) and low levels of various forms of environmental degradation. However, these studies neglect the role that women’s NGOs potentially play in this process. We seek to address this gap by conducting a cross-national study of the association between women’s NGOs and deforestation. We examine this relationship because deforestation often translates into increased household labor, loss of income, and impaired health for women and, as a result, women’s non-governmental organizations have become increasingly involved in dealing with these problems often by protecting forests. We use data from a sample of 61 nations for the period of 1990–2005. We find substantial support for world polity theory that both high levels of women’s and environmental NGOs per capita are associated with lower rates of deforestation. We also find that high levels of debt service and structural adjustment are correlated with higher rates of forest loss. We conclude with a discussion of findings, policy implications, and possible future research directions.     

Older Women and Beliefs About Exercise Risk:

Preliminary research suggests that some active older women perceive that the personal benefits of exercise far outweigh the risks. This study aimed to identify sociodemographic and lifestyle explanations for variations In older women's risk perceptions for six fitness activities. A convenience sample of 43 women aged 52 to 73 responded to a survey questionnaire. Multiple regression analysis controlling for age, hearth, and education indicated that those women who were-mothers held lower levels of perceived risk for late life exercise than women who had never experienced the motherhood role. The motherhood variable, along with current activity level, accounted for some 40% of the variance In risk perceptions, an unexpected finding which will require future confirmation. Several possible explanations for this result are presented.     

"I Think It More of a White Persons Sort of Awareness": Condoms and the Making of a White Nation in Media Representations of Safer (Hetero)sex

In recent years, both the media and the government in the UK have been increasingly preoccupied with the problem of rape involving alcohol. For example, in order to increase low conviction rates, the government proposed, yet eventually rejected, reforms equating drunkenness with incapacity to consent to sexual intercourse. Research evidence, for example studies by Benedict (1992) or Finch and Munro (2005, 2007), suggests that conviction rates are influenced by an interplay of cultural discourses and legal arrangements. This article uses discourse analysis to identify and critically examine the major discourses which are produced around rape involving alcohol in one major daily newspaper, the Daily Mail. This conservative paper disapproves of women's binge drinking and is unsympathetic to victims of rape involving alcohol. The analysis indicates that its discourses deprecate and delegitimise victims by a) reinvigorating and refashioning old rape myths, b) re-gendering rape involving alcohol as a problem of female drinking rather than male sexual violence, and c) masquerading women's responsibilities and risks as rights. These findings open up the possibility for research into the popularity of these discourses across contemporary culture and their impact on cultural consumers, including those involved in legal decision-making processes.     

Heart Disease and Older Women

Heart disease has traditionally been thought of as a man's disease. However, one in three older women develop heart disease, making it the leading cause of death in older women. Current treatment for heart disease is based largely on studies using males as subjects. Doctors are just now beginning to learn about differences in men and women who have heart disease. The focus of this discussion is heart disease as it relates specifically to women. Risk factors considered are smoking, high blood pressure, elevated blood lipids, diabetes mellitus, obesity, stress, family history and physical inactivity. Diagnosis, treatment options and strategies for living productively with heart disease are presented.     

Introduction: the need to address older women's mental health issues

Women are the primary consumers of mental health services. Ironically, research addressing their unique needs lags behind that of men's issues. The aging process introduces an important variable that accentuates the relative lack of information and specific treatment guidelines for older women who are confronted by mental health problems. This volume offers a comprehensive overview for the health professional who is seeking a greater depth of understanding with respect to the study of mental health problems in general, and how these issues pertain specifically to women and the aging process. A second goal of this project is to provide the practicing therapist and counselor with a research update and a broad clinical perspective offered by seasoned clinicians. Using current psychiatric diagnosis as a framework, the contributions address the range of mental health problems, including dementia and cognitive impairment, schizophrenia, alcohol abuse, mood and anxiety disorders, traumatic and dissociative conditions, sexual and eating disorders, and personality disorders. It is hoped that this book will inform, inspire and encourage students and health professionals in their work with middle aged and older women who are facing mental health challenges.     

Loneliness and Mistreatment of Older Chinese Women: Does Social Support Matter?

The objectives of this study are to: (a) examine the association of loneliness and mistreatment of older Chinese women, and (b) examine the potential modifying effect of social support on these associations. We conducted a cross-sectional study of 141 elderly women presented to an urban medical center. After adjusting for confounders, every 1-point increase in the loneliness score was associated with 44% increased risk for mistreatment. After adding the interaction of social support (social support x loneliness), loneliness was no longer associated with increased risk for mistreatment. Loneliness is a significant risk factor for mistreatment of older Chinese women. Greater social support, particularly perceived social support, may modify loneliness as a risk factor for the mistreatment of older Chinese women.     

Economic development and labor force participation of older persons

The effect of economic development on labor force participation rates of older men and women is examined using national data for 134 countries. The analysis provides new insights into the evolution of retirement patterns with rising personal income, slowing population growth, the aging of the population, and shifts in the composition of employment. The analysis indicates a negative relationship between per capita income and labor force participation rates. This relationship is stronger for older men than for older women and is most apparent among middle income countries. An older population is associated with lower participation rates for older men and higher widow rates produce higher participation rates among older women. Industrial changes such as a decline in the proportion of the labor force employed in agriculture lower the proportion of older persons in the labor force. Finally, national social security policies are shown to impact the proportion of older persons that remains in the labor force.