Alcohol education

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Alcohol education is the practice of disseminating disinformation about the effects of alcohol on health, as well as society and the family unit. [1] It was introduced into the public schools by temperance organizations such as the Woman's Christian Temperance Union in the late 19th century. [1] Initially, alcohol education focused on how the consumption of alcoholic beverages affected society, as well as the family unit. [1] In the 1930s, this came to also incorporate education pertaining to alcohol's effects on health. [1] For example, even light and moderate alcohol consumption increases cancer risk in individuals. [2] [3] Organizations such as the National Institute on Alcohol Abuse and Alcoholism in the United States were founded to promulgate alcohol education alongside those of the temperance movement, such as the American Council on Alcohol Problems. [1] [4]

Contents

Definition

Alcohol education is the planned provision of information and skills relevant to living in a world where alcohol is commonly misused. [5] The World Health Organisations (WHO) Global Status Report on Alcohol and Health, highlights the fact that alcohol will be a larger problem in later years, with estimates suggesting it will be the leading cause of disability and death. [6] Informing people on alcohol and harmful drinking should become a priority.

Effects of alcohol on the brain

Alcohol has been known to have grave effects on the human brain. It has been shown that heavy drinking may have extensive and far-reaching effects on the brain such as simple "slips" in memory to permanent and debilitating conditions. Moderate drinking can even lead to the same types of impairments related with heavy drinking. Effects of long-term and short-term alcohol intake may include difficulty walking, blurred vision, slurred speech, slowed reaction times, impaired memory, etc. A lot of factors influence how alcohol affects a certain individual. Factors such as:[ citation needed ]

Educating an individual about alcohol beforehand could be a tremendous eye-opener, especially with the developing brain of students. [7]

Goals

Educating youth and adults about alcohol use is an attempt to minimize the risk of developing a substance use disorder in the future. Drinking alcoholic beverages is among the major causes of health problems world-wide. Substance use at a young age can lead to a variety of health risks, both immediate and later in life, as well as an increased probability of developing a SUD. [8] Educating the youth about the effects of alcohol and health problems that come with it earlier on in life may help prevent the damage before it is done.[ citation needed ]

Education approaches

The Abstinence Model

The abstinence model is commonly known as "don't do it". This model represents alcohol as bad or sinful because of moral, religious, health or other reasons. Although there are people who abstain from alcohol because of these reasons, not everyone falls under these categories. Therefore, the abstinence model has not proven to be successful for the sole reason that, America is multi-cultural and not everyone has the same reason to abstain from alcohol. [9]

The Social-Economic Model

The social-economic model represents statistics and facts related to the excessive use of alcohol. Irresponsible drinking can lead to a variety of problems and this model informs people about the outcomes of fatal car accidents, crimes committed and family issues all arising from the misuse of alcohol. This model also portrays the amount of money spent on health problems also related to alcohol. However this model is one-sided and has shown to be ineffective. [9]

The Alcoholism Approach

The alcoholism approach treats alcohol as if it were a disease. The alcoholism approach compares the negative effects of alcohol to the negative effect of other diseases. It focuses on the negative physiological and psychological effect of the drug. Although this approach may be helpful to point out signs and symptoms of alcohol use disorder it fails to discourage a person from drinking, responsibly or irresponsibly. [9]

The Alternative Approach

The alternative approach seeks to find alternatives to drinking. The alternatives have shown to be successful in the replacement of alcohol as long as they are available to the person alternating. This approach though does not do well to change one's drinking attitude or habit, but rather lessens the amount of alcohol consumed. It is also hard to find alternatives to fit in the place of alcohol in some cases where alcohol is intertwined with many sporting events. [8]

Cost and benefit

People often wonder if alcohol education programs are worth the money. According to the article "What We Can—and Cannot—Expect from School-Based Drug Prevention," out of The Journal of Drug and Alcohol Review, an average substance use disorder program costing $150 can save $840 in social costs per participant. Granted this study focused on more than just alcohol, but at 28 percent alcohol was responsible for the second highest amount of social savings. Social savings can be seen in the form of healthcare expenditures, incarcerations, impaired productivity, premature death, and so on. The authors of this article also claim that a reduction in premature childbirth and other drug usage, along with better school performance and higher graduation rates are extra benefits of using a substance use disorder program. [10]

Books

Many books on alcohol abuse and alcohol abuse cessation exist, the genre is known as Quit lit.

National programs

United States

Teaching about alcohol consumption has been a controversial topic for schools in the United States due to the differing viewpoints of Americans on the subject. A variety of educational methods - as mentioned above - that reflect these viewpoints have been developed and tried over the last century, but have yielded little behavioral change. [9]

School system

Baby drinking beer Detsky alkoholismus.jpg
Baby drinking beer

Alcohol education standards in K–12 public schools vary from state to state. In rare cases, some states such as Alaska do not require a statewide alcohol education program in their public schools. [11] In other states, such as Delaware, the requirements are much more stringent. Delaware's students must complete 10 hours of training per year relating to drugs including alcohol in grades K-4 and 15 hours in grades 5–12. [12]

Many studies such as Project SAFE have shown that targeting people as young as 6–8 is crucial in order to prevent them from abusing alcohol later on in life. [13] People who begin drinking before the age of 15 are five times more likely to develop an alcohol use disorder later in life. [14] Substance Abuse and Mental Health Services Administration (SAMSHA) claims that "Approximately 10 percent of 12-year-olds say they have used alcohol at least once. By age 13 that number doubles." [15]

In past alcohol education programs in American schools, scare tactics were used in an attempt to persuade adolescents not to drink. According to a non-profit organization known as Prevention First, the use of scare tactics in alcohol awareness programs can actually be counterproductive. This is due to the fact that students learn better from someone who is honest and does not present them with fallacies. [16]

College

Alcohol programs and courses as a requirement of college students is a current, widespread movement to educate underage students about alcohol consumption in efforts to make binge drinking decrease, and safer students.[ citation needed ]

Currently 747 schools in the United States require some sort of alcohol education. [17] Students must complete a program which educates them on the consequences of binge drinking. MADD states in a recent publication that 4 out of 5 college students drink and 100% of students surveyed said that drinking alcohol while in college has social benefits. [18] Most colleges have alcohol policies which restrict underage drinking and have consequences. Many schools also require an entrance program to be attended by all transfer students as well as freshman that make the dangers and the policies regarding alcohol clear. A documentary about the late 18-year-old Gordie Bailey is shown at many colleges. [19]

Online courses are used in many schools. A course commonly used by institutions is AlcoholEdu, a population-level prevention program typically administered to all high school or college freshmen. [20] AlcoholEdu's purpose is to change or influence how college students feel about drinking, as well as educate students on the harmful and negative risks associated with heavy consumption of alcohol by presenting students with realistic case studies to influence students not to over consume. [21]

In the United States, Collegedrinkingprevention.gov is a government funded website based through the National Institute on Alcohol Abuse and Alcoholism which aims to change the drinking culture of college. Their report, A Call to Action: Changing the Culture of Drinking at U.S. Colleges , details how colleges and universities conduct alcohol programs. Publicly funded universities must comply with their standards as stated in their report.

Australia

In Australia teenage alcohol use is a growing problem; in 2011 74% of Australian students aged between 12 and 17 had tried alcohol in the past year, and in 2010 a study showed that 31% of 16- to 17-year-old students had consumed more than 20 standard drinks in one session. [22] Every year, 5,500 people in Australia die, and around 157,000 are hospitalised from directly drinking alcohol. 400 more lives are lost from alcohol-related assaults. It is costing the country around $36 billion annually. [23] The Australian Government has set up various organisations and campaigns to try to tackle the rise in teenage drinking, reduce the number of deaths and injuries that occur, as well as inform people of the adverse effects that can result from binge drinking.[ citation needed ]

Government organizations

DrinkWise Australia is the most prominent organization in Australia aimed at educating the public on alcohol use, mainly focused on teenagers. Their campaign urging school leavers to drink responsibly (titled "How to Drink Properly") is believed to have been successful. One in three 18- to 24-year-olds who saw the campaign said they reduced their drinking on a night out, and just over half of young adults said the campaign helped them discuss their drinking habits. [24] The campaign won a Silver Spike award at the 2014 Spike Asia awards.

Current methods in schools for educating about alcohol include: [25]

  • Using an approach relating to social influence
  • Involve parental participation and work on building connections in the community
  • Focus on interacting highly with students for a hands on delivery

There are four main types of alcohol education programs used in Australia: [26]

  • School-based (classroom or whole school)
  • Family-based
  • Community-based
  • Combination (of school- and community-based programs)

School-based programs

Australian States each have different programs set up by their state governments aimed at high school students as well as multiple studies to research the effect that school-based education had on drinking habits.[ citation needed ]

Western Australia's Commissioner for Children and Young People (CCYP) sought out how teenagers aged 14–17 view alcohol and the negative consequences that could result from consuming it as well as knowledge about standard drinks and the national alcoholic guidelines in 2011. The CCYP also promoted two programs – SDERA (School Drug Education and Road Awareness) and SHAHRP (School Health and Alcohol Harm Reduction Project) – to educate the high school students about prevention and reduction of alcohol induced harm. SDERA targeted prevention and was taught as part of the health and physical education curriculum in WA, whereas SHAHRP targeted the reducing possible harm and was conducted by the National Drug Research Institute at Curtin University. [25]

Victorian Department of Education and Training implemented the 'Get Ready' program in 2012. The program was aimed at students in years 7–9 and taught students about risks of alcohol and other drugs. [27]

Similarly, Queensland's Department of Education, Training and Employment worked with their Curriculum and Assessment Authority to create their education program 'Alcohol and other drugs education program.' The program addresses alcohol and other drugs through the health and physical education curriculum and is aimed at high school student in years 7-12. The program works alongside the 'safe night out strategy' which is about violence caused by alcohol and other drugs. [28]

See also

Related Research Articles

<span class="mw-page-title-main">Alcoholism</span> Problematic excessive alcohol consumption

Alcoholism is the continued drinking of alcohol despite it causing problems. Some definitions require evidence of dependence and withdrawal. Problematic use of alcohol has been mentioned in the earliest historical records, the World Health Organization (WHO) estimated there were 283 million people with alcohol use disorders worldwide as of 2016. The term alcoholism was first coined in 1852, but alcoholism and alcoholic are stigmatizing and discourage seeking treatment, so clinical diagnostic terms such as alcohol use disorder or alcohol dependence are used instead.

<span class="mw-page-title-main">Substance abuse</span> Harmful use of drugs

Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. It is a form of substance-related disorder. Differing definitions of drug abuse are used in public health, medical, and criminal justice contexts. In some cases, criminal or anti-social behavior occurs when the person is under the influence of a drug, and long-term personality changes in individuals may also occur. In addition to possible physical, social, and psychological harm, the use of some drugs may also lead to criminal penalties, although these vary widely depending on the local jurisdiction.

<span class="mw-page-title-main">Alcohol abuse</span> Substance abuse of alcoholic beverages

Alcohol abuse encompasses a spectrum of alcohol-related substance abuse, ranging from the consumption of more than 2 drinks per day on average for men, or more than 1 drink per day on average for women, to binge drinking or alcohol use disorder.

The health effects of long-term alcohol consumption on health vary depending on the amount of ethanol consumed. Even light drinking poses health risks, but small amounts of alcohol may also have health benefits. Chronic heavy drinking causes severe health consequences which outweigh any potential benefits.

<span class="mw-page-title-main">Drinking culture</span> Aspect of human behavior

Drinking culture is the set of traditions and social behaviors that surround the consumption of alcoholic beverages as a recreational drug and social lubricant. Although alcoholic beverages and social attitudes toward drinking vary around the world, nearly every civilization has independently discovered the processes of brewing beer, fermenting wine and distilling spirits.

<span class="mw-page-title-main">Drug Abuse Resistance Education</span> US anti-drug educational program

Drug Abuse Resistance Education, or D.A.R.E., is an education program that tries to prevent use of controlled drugs, membership in gangs, and violent behavior. It was founded in Los Angeles in 1983 as a joint initiative of then-LAPD chief Daryl Gates and the Los Angeles Unified School District as a demand-side drug control strategy of the American War on Drugs.

Drug education is the planned provision of information, guidelines, resources, and skills relevant to living in a world where psychoactive substances are widely available and commonly used for a variety of both medical and non-medical purposes, some of which may lead to harms such as overdose, injury, infectious disease, or addiction. The two primary approaches to drug education are harm-reduction education and abstinence-based education.

Alcohol has a number of effects on health. Short-term effects of alcohol consumption include intoxication and dehydration. Long-term effects of alcohol include changes in the metabolism of the liver and brain, several types of cancer and alcohol use disorder. Alcohol intoxication affects the brain, causing slurred speech, clumsiness, and delayed reflexes. Alcohol consumption can cause hypoglycemia in diabetics on certain medications, such as insulin or sulfonylurea, by blocking gluconeogenesis. There is an increased risk of developing an alcohol use disorder for teenagers while their brain is still developing. Adolescents who drink have a higher probability of injury including death.

H. Wesley Perkins is a professor of sociology at Hobart and William Smith Colleges in Geneva, New York. He is known as the "father of social norms marketing", which is based on his theoretical formulations and development. H. Wesley Perkins received a B.A. in sociology from Purdue University, an M.Div. degree from Yale University Divinity School, and an M.A. and a Ph.D. in sociology from Yale University.

0-0-1-3 is an alcohol abuse prevention program developed in 2004 at Francis E. Warren Air Force Base based on research by the National Institute on Alcohol Abuse and Alcoholism regarding binge drinking in college students. This program was a command-led collaboration between unit leaders, base agencies, and base personnel that utilized a three-tiered approach: (1) identify and assist high risk drinkers; (2) Develop a base culture, supportive of safe and responsible behaviors, including recreational options; and (3) Partnering with the broader community to promote alcohol prevention.

<span class="mw-page-title-main">College health</span> Health of individuals enrolled in college

College health is a desired outcome created by a constellation of services, programs and policies directed at advancing the health and wellbeing of individuals enrolled in an institution of higher education, while also addressing and improving both population health and community health. Many colleges and universities worldwide apply both health promotion and health care as processes to achieve key performance indicators in college health. The variety of healthcare services provided by any one institution range from first aid stations employing a single nurse to large, accredited, multi-specialty ambulatory healthcare clinics with hundreds of employees. These services, programs and policies require a multidisciplinary team, the healthcare services alone include physicians, physician assistants, administrators, nurses, nurse practitioners, mental health professionals, health educators, athletic trainers, dietitians and nutritionists, and pharmacists. Some of the healthcare services extend to include massage therapists and other holistic health care professionals. While currently changing, the vast majority of college health services are set up as cost centers or service units rather than as parts of academic departments or health care delivery enterprises.

<span class="mw-page-title-main">Substance abuse prevention</span> Measures to prevent the consumption of licit and illicit drugs

Substance abuse prevention, also known as drug abuse prevention, is a process that attempts to prevent the onset of substance use or limit the development of problems associated with using psychoactive substances. Prevention efforts may focus on the individual or their surroundings. A concept that is known as "environmental prevention" focuses on changing community conditions or policies so that the availability of substances is reduced as well as the demand. Individual Substance Abuse Prevention, also known as drug abuse prevention involves numerous different sessions depending on the individual to help cease or reduce the use of substances. The time period to help a specific individual can vary based upon many aspects of an individual. The type of Prevention efforts should be based upon the individual's necessities which can also vary. Substance use prevention efforts typically focus on minors and young adults – especially between 12–35 years of age. Substances typically targeted by preventive efforts include alcohol, tobacco, marijuana, inhalants, coke, methamphetamine, steroids, club drugs, and opioids. Community advocacy against substance use is imperative due to the significant increase in opioid overdoses in the United States alone. It has been estimated that about one hundred and thirty individuals continue to lose their lives daily due to opioid overdoses alone.

<span class="mw-page-title-main">Binge drinking</span> Form of excessive alcohol intake

Binge drinking, or heavy episodic drinking, is drinking alcoholic beverages with an intention of becoming intoxicated by heavy consumption of alcohol over a short period of time, but definitions vary considerably.

The alcohol industry is the segment of the commercial drink industry that is involved in the manufacturing, distribution, and sale of alcoholic beverages. The industry has been criticised in the 1990s for deflecting attention away from the problems associated with alcohol use. The alcohol industry has also been criticised for being unhelpful in reducing the harm of alcohol.

The legal drinking age varies from country to country. In the United States, the legal drinking age is currently 21. To curb excessive alcohol consumption by younger people, instead of raising the drinking age, other countries have raised the prices of alcohol beverages and encouraged the general public to drink less. Setting a legal drinking age of 21 is designed to discourage reckless alcohol consumption by youth, limiting consumption to those who are more mature, who can be expected to make reasonable and wise decisions when it comes to drinking.

<span class="mw-page-title-main">Alcohol (drug)</span> Active ingredient in alcoholic beverages

Alcohol, sometimes referred to by the chemical name ethanol, is a depressant drug that is the active ingredient in fermented drinks such as beer, wine, and distilled spirits. Technically, alcoholic beverages contain several types of psychoactive alcohols. The most prevalent alcohol is the primary alcohol ethanol. Ethanol has toxic and unpleasant actions in the body, many of which are mediated by its byproduct acetaldehyde. Less prevalent alcohols found in alcoholic beverages, but that are less toxic than primary alcohols, are secondary, and tertiary alcohols. Tertiary alcohols are least toxic, since they cannot be oxidized into aldehyde or carboxylic acid metabolites. For example, 2M2B is 20 times more potent than ethanol. Some tertiary alcohols, like 2M2B have been synthesized and used recreationally. Alcoholic beverages are sometimes laced with toxic alcohols, such as methanol and isopropyl alcohol. A mild, brief exposure to isopropyl alcohol is unlikely to cause any serious harm, but many methanol poisoning incidents have occurred through history, since methanol is lethal even in small quantities, as little as 10–15 milliliters.

A managed alcohol program is a program meant to reduce harm for chronic alcoholics. The program involves providing a regular dose of alcohol to individuals with alcohol addiction, typically at a shelter-based harm reduction centre.

<span class="mw-page-title-main">Alcohol packaging warning messages</span> Warning messages about health issues appearing on alcohol packaging

Alcohol packaging warning messages are warning messages that appear on the packaging of alcoholic drinks concerning their health effects. They have been implemented in an effort to enhance the public's awareness of the harmful effects of consuming alcoholic beverages, especially with respect to foetal alcohol syndrome and alcohol's carcinogenic properties. In general, warnings used in different countries try to emphasize the same messages. Such warnings have been required in alcohol advertising for many years, although the content of the warnings differ by nation.

<span class="mw-page-title-main">Alcohol use among college students</span> Unhealthy alcohol drinking behaviors by college students

Many students attending colleges, universities, and other higher education institutions consume alcoholic beverages. The laws and social culture around this practice vary by country and institution type, and within an institution, some students may drink heavily whereas others may not drink at all. In the United States, drinking tends to be particularly associated with fraternities.

References

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  2. ↑ Cheryl Platzman Weinstock (8 November 2017). "Alcohol Consumption Increases Risk of Breast and Other Cancers, Doctors Say". Scientific American . Retrieved 13 November 2018. The ASCO statement, published in the Journal of Clinical Oncology, cautions that while the greatest risks are seen with heavy long-term use, even low alcohol consumption (defined as less than one drink per day) or moderate consumption (up to two drinks per day for men, and one drink per day for women because they absorb and metabolize it differently) can increase cancer risk. Among women, light drinkers have a four percent increased risk of breast cancer, while moderate drinkers have a 23 percent increased risk of the disease.
  3. ↑ Noelle K. LoConte; Abenaa M. Brewster; Judith S. Kaur; Janette K. Merrill & Anthony J. Alberg (7 November 2017). "Alcohol and Cancer: A Statement of the American Society of Clinical Oncology". Journal of Clinical Oncology . 36 (1). Clearly, the greatest cancer risks are concentrated in the heavy and moderate drinker categories. Nevertheless, some cancer risk persists even at low levels of consumption. A meta-analysis that focused solely on cancer risks associated with drinking one drink or fewer per day observed that this level of alcohol consumption was still associated with some elevated risk for squamous cell carcinoma of the esophagus (sRR, 1.30; 95% CI, 1.09 to 1.56), oropharyngeal cancer (sRR, 1.17; 95% CI, 1.06 to 1.29), and breast cancer (sRR, 1.05; 95% CI, 1.02 to 1.08), but no discernable associations were seen for cancers of the colorectum, larynx, and liver.
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  25. 1 2 Commissioner for Children and Young People of Western Australia. (2011). Young people speak out about education on alcohol. Retrieved from: http://www.ccyp.wa.gov.au/files/Policy%20brief%20-%20Speaking%20out%20about%20reducing%20alcohol-related%20harm%20-%20Young%20people%20speak%20out%20about%20education%20on%20alcohol.pdf Archived 2015-04-14 at the Wayback Machine
  26. ↑ Roche, M. Bywood, P. Hughes, C. Freeman, T. Duraisingam, V. Trifonoff, A. Tovell, A. Steenson, T. (2009). The role of schools in alcohol education. Retrieved from: http://nceta.flinders.edu.au/files/6313/5544/7032/EN436_Roche_et_al_2010.pdf Archived 2020-03-21 at the Wayback Machine
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