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Women and alcohol

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Comprehensive Therapy

Abstract

Primary care providers are uniquely positioned to educate women about alcohol use and misuse. Early identification and intervention can significantly limit the adverse consequences of alcohol abuse. Physicians must recognize the risk factors, presentation, and treatment issues relevant to women.

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References

  1. Grant BF, Stinson FS, Dawson DA, et al. Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the national epidemiologic survey on alcohol and related conditions. Arch Gen Psychiatr 2004;61(8):807–816.

    Article  PubMed  Google Scholar 

  2. Randall CL, Roberts JS, Del Boca FK, et al. Telescoping of landmark events associated with drinking: a gender comparison. J Stud Alcohol 1999;60(2):252–260.

    PubMed  CAS  Google Scholar 

  3. Frezza M, DiPadova C, Pozzato G, et al. High blood alcohol levels in women: the role of decreased gastric alcohol dehydrogenase activity and first-pass metabolism. N Engl J Med 1990;322(2):95–99.

    Article  PubMed  CAS  Google Scholar 

  4. Thun MJ, Peto R, Lopez AD, et al. Alcohol consumption and mortality among middle-aged and elderly U.S. adults. N Engl J Med 1997;337(24):1705–1714.

    Article  PubMed  CAS  Google Scholar 

  5. Fuchs CS, Stampfer MJ, Colditz GA, et al. Alcohol consumption and mortality among women. N Engl J Med 1995;332(19): 1245–1250.

    Article  PubMed  CAS  Google Scholar 

  6. Becker U, Deis A, Sorensen TIA, et al. Prediction of risk of liver disease by alcohol intake, sex, and age: a prospective population study. Hepatology 1996;23(5):1025–1029.

    Article  PubMed  CAS  Google Scholar 

  7. Kamper-Jorgensen M, Gronbaek M, Tolstrup J, Becker U. Alcohol and cirrhosis: dose-response or threshold effect? J Hepatol 2004; 41(1):25–30.

    Article  PubMed  CAS  Google Scholar 

  8. Solomon CG, Hu FB, Stampfer MJ, et al. Moderate alcohol consumption and risk of coronary heart disease among women with type 2 diabetes mellitus. Circulation 2000;102(5):494–499.

    PubMed  CAS  Google Scholar 

  9. Rimm EB, Williams P, Fosher K, Criqui M, Stampfer MJ. Moderate alcohol intake and the lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors. BMJ 1999; 319(7224):1523–1528.

    PubMed  CAS  Google Scholar 

  10. Klatsky AL, Armstrong MA, Friedman GD. Red wine, white wine, liquor, beer, and risk for coronary artery disease hospitalization. Am J Cardiol 1997;80(4):416–420.

    Article  PubMed  CAS  Google Scholar 

  11. Witteman JCM, Willett WC, Stampfer MJ, et al. Relation of moderate alcohol consumption and risk of systemic hypertension in women. Am J Cardiol 1990;65(9):633–637.

    Article  PubMed  CAS  Google Scholar 

  12. Thadhani R, Camargo CA Jr, Stampfer MJ, Curhan GC, Willett WC, Rimm EB. Prospective study of moderate alcohol consumption and risk of hypertension in young women. Arch Intern Med 2002; 162(5):569–574.

    Article  PubMed  Google Scholar 

  13. Urbano-Marquez A, Estruch R, Fernandez-Sola J, et al. The greater risk of alcoholic cardiomyopathy and myopathy in women compared with men. JAMA 1995;274(2):149–154.

    Article  PubMed  CAS  Google Scholar 

  14. Stampfer MJ, Colditz GA, Willett WC, et al A prospective study of moderate alcohol consumption and the risk of cornary disease and stroke in women. N Engl J Med 1988;319(5):267–273.

    Article  PubMed  CAS  Google Scholar 

  15. Hamajima N, Hirose K, Tajima K, et al. Alcohol tobacco and breast cancer: collaborative reanalysis of individual data from 53 epidemiologic studies, including 58,515 women with breast cancer and 96,057 women without the disease Br J Cancer 2002;87(11):1234–1245.

    Article  PubMed  CAS  Google Scholar 

  16. Petri AL, Tjonneland A, Gamborg M, et al Alcohol intake, type of beverage, and risk of breast cancer in pre- and postmenopausal women. Alcohol Clin Exp Res 2004;28(7):1084–1090.

    Article  PubMed  Google Scholar 

  17. Hernandez-Avila M, Colditz GA, Stampfer MJ, et al. Caffeine, moderate alcohol intake, and risk of fractures of the hip and forearm in middle-aged women. Am J Clin Nutr 1991;54:157–163.

    PubMed  CAS  Google Scholar 

  18. Ganry O, Baudoin C, Fardellone P. Effect of alcohol intake on bone mineral density in elderly women: the EPIDOS study. Am J Epidemiol 2000;151(8):773–780.

    PubMed  CAS  Google Scholar 

  19. Regier DA, Farmer ME, Rae DS, et al. Comorbidity of mental disorders with alcohol and other drug abuse. JAMA 1990;264(19): 2511–2518.

    Article  PubMed  CAS  Google Scholar 

  20. Gomberg ESL. Suicide risk among women with alcohol problems. Am J Publ Health 1989;79(10):1363–1365.

    Article  CAS  Google Scholar 

  21. Lilenfeld LR, Kaye WH. The link between alcoholism and eating disorders. Alchol Health Res World 1996;20(2):94–99.

    Google Scholar 

  22. Melnick DM, Maio RF, Blow FC, et al Prevalence of domestic violence and associated factors among women on a trauma service. J Trauma Inj Infect Crit Care 2002;53(1):33–37.

    Article  Google Scholar 

  23. Rivara FP, Mueller BA, Somes G, et al. Alcohol and illicit drug abuse and the risk of violent death in the home. JAMA 1997;278(7):569–575.

    Article  PubMed  CAS  Google Scholar 

  24. Peters TJ, Millward LM, Foster J. Quality of life in alcohol misuse: comparison of men and women. Arch Wom Ment Health 2003;6(4):239–243.

    Article  CAS  Google Scholar 

  25. Ebrahim SH, Luman ET, Floyd RL, et al. Alcohol consumption by pregnant women in the United States during 1988–1995. Obstet Gynecol 1998;92(2):187–192.

    Article  PubMed  CAS  Google Scholar 

  26. Nevin AC, Parshuram C, Nulman I, Koren G, Einarson A. A survey of physicians knowledge regarding awareness of maternal alcohol use and the diagnosis of FAS. BMC Fam Pract 2002;3(1):18–26.

    Article  Google Scholar 

  27. Johnson LD, O'Mallet PM and Bachman JG, Monitoring the future: national results on adolescent drug use. Overview of key findings, 2002. NIH Pub. No. 03-5374. National Institute on Drug Abuse (NIDA) Bethesda, MD, 2003.

    Google Scholar 

  28. Grant BF, Dawson DA. Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: results from the national longitudinal alcohol epidemiologic survey. J Subst Abuse 1997;9:103–110.

    Article  PubMed  CAS  Google Scholar 

  29. Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G. Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Arch Pediatr Adoles Med 2002;156(6):607–614.

    Google Scholar 

  30. Knight JR, Sherritt L, Harris SK, Gates EC, Chang G. Validity of brief alcohol screening test among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcohol Clin Exp Res 2003; 27(1):67–73.

    PubMed  Google Scholar 

  31. National Institute on Alcohol Abuse and Alcoholism (NIAAA). Alcohol and minorities: an update. Alcohol Alert No. 55, NIAAA, Rockville, MD, 2002.

    Google Scholar 

  32. National Health Interview Survey, 1997–2000. National Center for Health Statistics. Centers for Disease Control and Prevention (CDC).

  33. Herd D. The influence of religious affiliation on sociocultural predictors of drinking among black and white Americans. Subst Use Misuse 1996;31:35–63.

    PubMed  CAS  Google Scholar 

  34. Chi I, Lubben JE, Kitano HHL. Differences in drinking behavior among three Asian-American groups. J Stud Alcohol 1989;50: 15–23.

    PubMed  CAS  Google Scholar 

  35. Gilbert MJ, Collins RL. Ethnic variation in women's and men's drinking. In: Gender and Alcohol. (Wilsnack RW, Wilsnack SC, eds.). Rutgers Center of Alcohol Studies. New Brunswick, NJ, 1997, 357–378.

    Google Scholar 

  36. Nielsen AL. Examining drinking patterns and problems among Hispanic groups: results from a national survey. J Stud Alcohol 2000;61(2):301–310.

    PubMed  CAS  Google Scholar 

  37. Wilsnack S. Patterns and trends in women's drinking: recent findings and some implications for prevention. In: Women and Alcohol: Issues for Prevention Research. (Howard JM, Martin SE, Mail PD, et al., eds.). NIH Pub. No. 96-3817. National Institutes of Health, Bethesda, MD, 1996, 19–63.

    Google Scholar 

  38. Hughes TL. Lesbians' drinking patterns: beyond the data Subst Use Misuse 2003;38(11–13):1739–1758.

    Article  PubMed  Google Scholar 

  39. Valanis BG, Bowen DJ, Bassford T, Whitlock E, Charney P, Carter R. Sexual orientation and health—comparisons in the women's health initiative sample. Arch Fam Med 2000;9:843–853.

    Article  PubMed  CAS  Google Scholar 

  40. Adams WL, Barry KL, Fleming MF. Screening for problem drinking in older primary care patients. JAMA 1996;276(24):1964–1967.

    Article  PubMed  CAS  Google Scholar 

  41. Graham K, Schmidt G. Alcohol use and psychosocial well-being among older adults. J Stud Alcohol 1999;60(3):345–351.

    PubMed  CAS  Google Scholar 

  42. Ensrud KE, Nevitt MC, Yunis C, et al. Correlates of impaired function in older women. J Am Geriatr Soc 1994;42(5):281–289.

    Google Scholar 

  43. Stenbacka M, Jansson B, Leifman A, Romelsjo A. Association between use of sedatives or hypnotics, alcohol consumption or other risk factors and a single injurious fall or multiple injurious falls: a longitudinal general population study. Alcohol 2002;28(1):9–16.

    Article  PubMed  Google Scholar 

  44. Leroi I, Sheppard JM, Lyketsos CG. Cognitive function after 11.5 years of alcohol use: relation to alcohol use. Am J Epidemiol 2002; 156(8):747–752.

    Article  PubMed  Google Scholar 

  45. Buchsbaum DG, Buchanan RG, Poses RM, Schnoll SH, Lawton MJ. Physician detection of drinking problems in patients attending a general medicine practice. J Gen Intern Med 1992;7(5):517–521.

    Article  PubMed  CAS  Google Scholar 

  46. Arndt S, Schultz SK, Turvey C, Petersen A. Screening for alcoholism in the primary case setting: are we talking to the right people? J Fam Pract 2002;51(1):41–46.

    PubMed  Google Scholar 

  47. Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA 1989;252:1905–1907.

    Article  Google Scholar 

  48. Chang G. Alcohol-screening instruments for pregnant women. Alcohol Res Health 2001;25:204–209.

    PubMed  CAS  Google Scholar 

  49. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction 1993;88: 791–804.

    Article  PubMed  CAS  Google Scholar 

  50. Bradley KA, Boyd-Wickizer J, Powell SH, Burman ML. Alcohol screening questionnaires in women: a critical review. JAMA 1998; 280(2):166–171.

    Article  PubMed  CAS  Google Scholar 

  51. Blow FC, Brower KJ, Schulenberg JE, Demo-Dananberg LM, Young JP, Beresford TP. The Michigan Alcoholism Screening Test —Geriatric Version (MAST-G): A new elderly-specific screening instrument. Alcohol Clin Exp Res 1992;16:372.

    Google Scholar 

  52. USPSTF Recommendation Statement. Am Fam Physician 2004; 70(2):353–358.

    Google Scholar 

  53. Fleming MF, Barry KL, Manwell LB, Johnson K, London R. Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices. JAMA 1997;277(13):1039–1045.

    Article  PubMed  CAS  Google Scholar 

  54. Blow FC, Barry KL. Older patients with at-risk and problem drinking patterns: New developments in brief intervention. J Geriatr Psychiatry Neurol 2000;13(3):115–123.

    PubMed  CAS  Google Scholar 

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Correspondence to Kelly A. McGarry MD.

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The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article. The authors also do not discuss the use of off-label products, which includes unlabeled, unapproved, or investigative products or devices.

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McGarry, K.A., Cry, M.G. Women and alcohol. Compr Ther 31, 83–93 (2005). https://doi.org/10.1385/COMP:31:1:083

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  • DOI: https://doi.org/10.1385/COMP:31:1:083

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