Eating Disorders Across the Life Span

SUMMARY

Eating disorders have traditionally been considered afflictions of adolescents and young women. Recent evidence, however, suggests that eating disorders often occur across the life span. Although the incidence of these disorders among mid-life and older women appears to be on the rise, it is not clear if this reflects a true increase in prevalence, better recognition among clinicians, or both. This paper presents an overview of the etiology and treatment of eating disorders, with particular emphasis on developmental factors impacting older women. Recommendations for the treatment of eating disorders among older women are offered. An emerging clinical literature suggests various lines of research that are needed to explore the development and treatment of eating disorders in older women.     

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.     

关于未成年人抽烟喝酒问题的现状、原因及对策

近年来,未成年人抽烟喝酒呈现出场合的公开性、程度的严重性和趋势的上升性等特点,造成这种现象的原因有主观方面也有客观方面.要控制和劝说未成年人戒掉烟酒,需要我们加大吸烟喝酒有害健康的宣传力度,开展丰富多彩的活动,政府要出台"无法界定顾客年龄时购买烟酒需出示身份证"的配套规定,家庭和学校应严格管理,媒体要负起社会责任.     

Romantic relationships,college student alcohol use,and negative consequences of drinking

This study examined whether being in a romantic relationship is associated with undergraduates’ alcohol use and negative consequences of drinking. Alcohol use was operationalized to include amount and frequency of drinking, binge drinking, and drunkenness. Negative consequences included: having a hangover, missing a class, getting behind in school work, doing something that was later regretted, forgetting where the student was or what they did, having unplanned sex, and getting hurt or injured. Data came from an online survey distributed to Midwestern undergraduate students (N = 572), with analyses conducted separately for men and women. Results indicated that being in a committed relationship generally served as a protective factor against drunkenness, but did not reduce frequency of drinking or binge drinking. Whereas romantically committed men were only less likely to report doing something that was later regretted, women in romantic relationships were less likely to experience all negative consequences of drinking considered here.     

Improving water service to the urban poor through delegated management: Lessons from the city of Kisumu,Kenya

Partnerships like the delegated management model (DMM), in which a utility delegates management of infrastructure and service delivery to slum residents, are being promoted to improve services to the urban slums in sub‐Saharan Africa. However, there is little empirical evidence of the benefits that DMM offers beneficiaries and its potential limitations. This study, conducted in 2013, compared water service in two slums in the city of Kisumu in Kenya where DMM has been implemented with another where it has not been implemented. Results showed that DMM had lowered the cost of water compared to water kiosks in neighbourhoods in which DMM had not been implemented. The study findings contribute toward an evidence base for stakeholders and regulators who see an opportunity in the integration of DMM into local drinking water provision solutions in urban slums.     

Application of a QMRA Framework to Inform Selection of Drinking Water Interventions in the Developing Context

The aim of this study was to develop a modified quantitative microbial risk assessment (QMRA) framework that could be applied as a decision support tool to choose between alternative drinking water interventions in the developing context. The impact of different household water treatment (HWT) interventions on the overall incidence of diarrheal disease and disability adjusted life years (DALYs) was estimated, without relying on source water pathogen concentration as the starting point for the analysis. A framework was developed and a software tool constructed and then implemented for an illustrative case study for Nepal based on published scientific data. Coagulation combined with free chlorine disinfection provided the greatest estimated health gains in the short term; however, when long‐term compliance was incorporated into the calculations, the preferred intervention was porous ceramic filtration. The model demonstrates how the QMRA framework can be used to integrate evidence from different studies to inform management decisions, and in particular to prioritize the next best intervention with respect to estimated reduction in diarrheal incidence. This study only considered HWT interventions; it is recognized that a systematic consideration of sanitation, recreation, and drinking water pathways is important for effective management of waterborne transmission of pathogens, and the approach could be expanded to consider the broader water‐related context.     

Drinking Game Participation Among Undergraduate Students Attending National Alcohol Screening Day

Abstract

Objectives, Participants, Methods: Drinking game participation has increased in popularity among college students and is associated with increased alcohol consumption and alcohol-related problems. The current study investigated drinking game participation among 133 undergraduates attending National Alcohol Screening Day (NASD) in April of 2007. Results: A large percentage of the sample reported lifetime (77%) and recent (52%) drinking game participation. Males were more likely to report recent participation and reported higher levels of consumption while playing drinking games. Drinking game participants were more likely to experience a range of alcohol-related problems, and the relationship between drinking game participation and alcohol-related problems was mediated by weekly alcohol consumption. Conclusions: These results suggest that drinking game participation is a risk factor for elevated levels of alcohol consumption and alcohol-related problems. Programs should be developed to educate students about the risks of drinking game participation, and prevention programs like NASD should address drinking games.     

Binge Drinking Among Undergraduate College Students in the United States: Implications for Other Substance Use

Abstract

The authors examined the relationship between binge drinking and other substance use among US college students, using nationally representative data from the 1995 National College Health Risk Behavior Survey implemented by the Centers for Disease Control and Prevention. Compared with nonbinge drinkers, current binge drinkers were significantly more likely to report “ever” using and current use of cigarettes, marijuana, cocaine, and other illegal drugs. The researchers also found that the more often students binge drank, the more likely they were to have ever used cigarettes, marijuana, cocaine, and other drugs, and the more likely they were to report current use of cigarettes and marijuana. Those who design programs to prevent binge drinking and use of other substances should take into account the reality that many students use more than one substance and that the more frequently students report binge drinking, the more likely they are to be using other substances as well.     

Pregaming: An Exploratory Study of Strategic Drinking by College Students in Pennsylvania

Abstract

Objectives: This exploratory study examined pre-event drinking, or pregaming, by US college students. Participants: 112 undergraduates from 10 Pennsylvania colleges participated. Method: A focus group, including a written questionnaire, was conducted at each institution. Results: Only 35.7% of the participants had not pregamed during the last 2 weeks. Pregamers consumed an average of 4.9 (SD = 3.1) drinks during their most recent session. Gender, class year, and other demographic variables did not predict pregaming. Heavier drinkers, and those stating that the average student pregamed 3+ times in the last 2 weeks, were more likely to report pregaming in the last 2 weeks. How much students drink when pregaming is influenced by how much they expect to drink later on. Conclusion: Pregaming presents a growing challenge for campus officials. Additional research is needed on the nature of the problem and which combination of prevention strategies might best address this behavior.     

Wage and Non-Wage Compensation Among Young Alcoholic and Heavy Drinking Women: A Preliminary Analysis

The association between drinking and selected job characteristics among women aged 24 to 31 is examined. Using the 1989 NLSY, women are classified as alcohol abusers or dependent based on DSM-III-R criteria or as heavy drinkers based on reported frequency of six or more drinks. Heavy drinking is negatively associated with wage and non-wage compensation. These effects diminish when human capital measures are controlled. Current alcoholism and current and past heavy drinking are strongly negatively associated with years of schooling. The association between alcoholism and job compensation and characteristics is not as strong as that seen for heavy drinking. It is not known if this is a consequence of errors in identifying alcoholic women in population-based surveys.