Alcohol Abuse Problems Research Articles

Sexual Dysfunction associated with Alcohol Abuse Among Male Adults: A Literature Review

This literature review delves into the significant issue of sexual dysfunction resulting from alcohol abuse among adult males in South Africa. There is a dearth of studies on sexual dysfunction caused by chronic alcohol use. With alcohol consumption being a widespread and culturally ingrained behavior in the region, this study examines the existing body of research to elucidate the complex relationship between alcohol abuse and sexual problems in men. Articles were searched from scientific search engines such as CINAHL Plus (EBSCO), PubMed, Medline, APA Psych and INFO as well as manual searches through Google and Google Scholar search engines. Both quantitative and qualitative studies that showed the sexual dysfunction associated with alcohol abuse among male adults were included. A total of 95 articles were screened, and 8 full-text articles were ultimately included in the review. The review reveals a strong association between alcohol abuse and various forms of sexual dysfunction, including erectile dysfunction, diminished sexual desire, and performance anxiety. The detrimental effects of alcohol on the male sexual functioning are multifaceted, involving physiological, psychological, and socio-cultural factors. This literature review offers a thorough examination of the significant concern of sexual dysfunction arising from alcohol abuse in adult males. It underscores the necessity of acknowledging and addressing the intricate relationship between alcohol use and sexual health to formulate effective prevention and treatment strategies. The study advocates for additional research on the same topic, emphasizing the need to inform healthcare professionals, policymakers, and researchers. The ultimate objective is to enhance the sexual health and overall well-being of men through evidence-based insights and targeted interventions.

Italian Guidelines for the diagnosis and treatment of Fetal Alcohol Spectrum Disorders: prevention and health promotion.

Alcohol consumption during pregnancy poses significant risks to maternal and fetal health, contributing to a range of adverse outcomes collectively known as Fetal Alcohol Spectrum Disorders (FASD). This article reviews evidence-based preventive strategies aimed at mitigating the detrimental effects of prenatal alcohol exposure. Drawing upon literature from various disciplines, interventions are categorized according to their level of prevention: universal, selective, and indicated. Training of personnel and availability of official guidelines are a pre-requisite for effective prevention. Universal prevention strategies include public health campaigns, educational initiatives, and policy interventions aimed at raising awareness about the risks of prenatal alcohol exposure and promoting abstinence during pregnancy. Integrating alcohol screening and brief intervention protocols into routine prenatal care settings can help identify and support women who may be at risk of alcohol use during pregnancy. Consequently, selective and indicated interventions, identifying drinking women, may provide targeted support to pregnant women at risk. Indicated prevention interventions also encompass treatment and rehabilitation strategies for women with a known alcohol abuse problem or who have already had alcohol-exposed pregnancies. Finally, ethical issues related to the stigma associated with alcohol consumption during pregnancy are highlighted, to be considered for an effective mother and child health promotion.

Challenges of social work towards women abusing alcohol. Reflections and observations based on selected results of own research

The article describes the problem of alcohol abuse and alcohol addiction among women. The reflections and observations contained therein are based on the results of own research conducted as part of a research project: “Interdisciplinary activities of selected social services with women abusing alcohol”. As part of the research, interviews were conducted with social workers who meet this group of clients in their daily work. Their statements allow us to understand the difficult situation of an addicted woman, raise awareness about her problems and show the circumstances that are the beginning of a difficult addiction battle.Of course, the social worker works only with a specific group of women struggling with the problem of alcohol abuse and addiction. Many of them are unknown to the environment, and they themselves do not ask for any help. This has to do with the way society perceives women abusing alcohol.

How the NCAA Is Solving Alcohol Abuse on College Campuses Through Marketing Strategies

The National Collegiate Athletic Association is an American college sports league that is popular in the United States and even around the world. It includes many different kinds of sports, and almost all have a high level. Basketball is one of the representative sports in the National Collegiate Athletic Association. There is an annual sports championship that is the most popular in America and is held in March of each year. National Collegiate Athletic Association sports events have a very high degree of attention and a very strong mass base. Not only the basketball is a popular sport in National Collegiate Athletic Association, track and field are also popular. In addition to basketball and track and field, the National Collegiate Athletic Association also includes other sports such as football, baseball and others and they are all concerned and loved by people. Alcohol abuse among college students is a serious public health problem that plagues many American college students. This situation also leads to serious illnesses associated with alcohol for adolescents. More than just disease, the act of drinking alcohol is likely to lead to future alcohol dependence in adolescents. Student athletes have an even more serious alcohol abuse problem. This article mainly studies the National Collegiate Athletic Association's use of different marketing methods to solve the long-standing problem of alcohol abuse by college athletes. Furthermore, through marketing to eliminate the negative impact and make college students pay more attention to the problem of alcohol abuse, so that they can get better athletic performance, academic performance and physical health, and also enable them to effectively avoid criminal problems that may be caused by drinking.

ВЛИЯНИЕ ПОТРЕБЛЕНИЯ АЛКОГОЛЯ НА УРОВНИ БЕЛКОВ СУРФАКТАНТА SP-A И SP-D КРОВИ У МУЖЧИН И ЖЕНЩИН Г. НОВОСИБИРСКА

Introduction. Currently, there are a few experimental data on the effect of alcohol consumption on the surfactant proteins SP-A and SP-D, while these aspects remain unexplored in humans. In view of the high social significance of the problem of alcohol abuse, and also due to the fact that the lungs are one of the "target organs" in excessive alcohol consumption, the study of the effect of alcohol consumption on the levels of surfactant proteins SP-A and SP-D in men and women is undoubtedly topical direction of modern medical science. The aim of the work is to determine the effect of alcohol consumption on the levels of surfactant proteins SP-A and SP-D in men and women in Novosibirsk. Materials and methods. On the basis of the NIITPM-branch of the Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of Sciences, in 2022, 174 people (87 men and 87 women), aged 45 to 69 years, randomly selected from the residents of Novosibirsk, were examined. Alcohol consumption was assessed using the AUDIT questionnaire. The content of surfactant proteins SP-A and SP-D in blood serum was determined by enzyme immunoassay using standard ELISA kits. Statistical analysis used parametric and non-parametric methods of descriptive statistics, correlation analysis was carried out using the Spearman test, and multivariate analysis using binary logistic regression. ROC-analysis was used to assess the diagnostic significance of variables with the determination of sensitivity and specificity. In all procedures of statistical analysis, the critical significance level of the null statistical hypothesis (p) was taken equal to 0.05. Results. In the general sample of men and women aged 45-69 years, it was determined that the usual single dose of alcohol consumed equal to 7-9 alcohol units is inversely associated with SP-A (r=-0.154, p=0.043). Using ROC analysis, it was found that SP-A is a marker (the area under the ROC curve is 71.2%) of alcohol intake in a typical single dose of alcohol consumed equal to 7-9 alcohol units. With an SP-A level of no more than 921 pg / ml, its sensitivity in relation to the determination of alcohol consumption in a typical single dose of 7-9 alcohol units is 68.7%, and the specificity is 87.5%. Using regression analysis, it was determined that the variable "usual single dose of alcohol consumed equal to 7-9 alcohol units" directly affects the presence of SP-A no more than 921 pg / ml (Exp (B) = 13.0; 95% CI = 1, 5; 111.0, p=0.019) regardless of age and male sex. Conclusion. Thus, it has been established that in men and women of Novosibirsk aged 45-69 years, a high single dose of alcohol consumed equal to 7-9 alcohol units is an independent factor that directly affects the presence of SP-A levels in the blood that do not exceed 921 pg/ml .

The influence of problem drinking persons on the quality of life of their surroundings depending on gender and age

IntroductionThe social consequences of alcohol affect not only drinkers, but also the people communicate with him. They are including: mental health, quality of life, health, living conditions and needs in using health system resources.Objectives1,531 people were examined, who belonged to three qualitatively different comparison groups: patients with alcohol addiction (329 people); healthy relatives of patients with alcohol addiction (238 persons) and representatives of the general population (964 persons).Methodsclinical, clinical and psychopathological, methods of quantified scales and mathematical statistics.ResultsThe data obtained indicate that the majority of respondents who caused some harm to the respondents were men. But the level of harm of alcohol abuse of women was significantly higher. Alcohol abuse problems of microsocial environment (substance abuse, employment, financial problems, and health effects) had a more significant effect on depressive disorders in the control group than in the alcohol addiction group and their relatives. Significant correlation of depressive disorders due to the drunkenness of others was associated with fear for children, the possibility of aggression. Depressive disorders in the group relatives of patients with alcohol addiction correlated with aggression towards them with patients with alcohol addiction or persons in a state of alcohol intoxication, discomfort due to being with their relatives in public, at parties, inability to control alcohol use. It was shown that the presence of drinkers in the company of women significantly increases the specific weight of people with depressive disorders among them, while such an effect was not found among male respondents. It has been established that in the case of the presence of drinkers in the environment, the expressiveness of such manifestations of depression as insomnia increases the most in women; weight loss, sexual disorders; suicidal tendencies and feelings of guilt. The influence of presence of drinkers in the environment of children on tfrequency of manifestations of their discomfort is described. It has been confirmed that the most frequent cause of children’s ill health is their drinking parents, as well as other (besides parents and siblings) drinking relatives. It was found that in healthy respondents, the unfavorable features of the behavior of relatives and close drinkers are always directly correlated with indicators of the ill health of children in their environment, while in respondents addicted to alcohol, these correlations have a complex, mosaic nature.ConclusionsThe study found the prevalence of depressive disorders in the microsocial environment of drinkers. A significant decrease in the quality of life was noted primarily in children and women who had drinking relatives with a large number of drunk days.Disclosure of InterestNone Declared

Psychopathology in mothers of children with pathogenic Copy Number Variants

BackgroundCaring for children with pathogenic neurodevelopmental Copy Number Variants (CNVs) (ie, deletions and duplications of genetic material) can place a considerable burden on parents and their quality of life. Our...

Integration of Biblical and Pastoral Approaches in Dealing with Alcohol and Drug Abuse in the Presbyterian Churches of Kenya

Global statistics show persistence of alcohol and drug abuse despite the programmes religious organisations have come up with aimed at mitigating alcohol and drug abuse. This study analyzed the Biblical and pastoral approaches used by Presbyterian Churches (PCEA) in addressing the problem of alcohol and drug abuse. Multistage Cluster sampling technique was used to select three PCEA regions from the five regions. The study had a total sample of 144 respondents who were the Parish ministers. A descriptive survey research design was used to obtain qualitative data. Instrument for data collection was structured interview schedule. Data collected from the Parish ministers was analyzed qualitatively. The study established that the Presbyterian churches integrated both Biblical and pastoral approaches in mitigating alcohol and drug abuse. Majority of the parish ministers indicated that they used sermons as a pastoral intervention for alcohol and drug abuse among the youth in the Presbyterian churches. Other pastoral interventions included pastoral counseling, open discussions on alcohol and drugs and praying for the addicts. Parish ministers also indicated that they used the Bible to warn against the use of alcohol and more specifically its intoxicating effect and this justifies why the church should get involved in the lives of those abusing alcohol and drugs so as to help them get out of the bondage. The Bible commends self-control with regard to alcohol. Parish ministers used Bible verses to explain that the Bible forbids participating for the sake of personal pleasure, in practices that hinder moral judgment or weaken self-control. The findings of this study will help the clergy to address problem of alcohol and drug abuse in the society and particularly among the youth as this segment of the population is vital for church and societal development.

알코올 사용 장애 환자들의 가족력 강도와 음주 특성

Background: It has been shown that alcohol use disorders are common within a particular family. The risk of alcohol use disorders is known to be three to five times higher for a parent than non-parent alcohol. For this reason, many studies to date have examined the family history of alcohol use problems among adolescents or early adults with drinking problems. However, most studies examined only the existence of alcohol family history, and there were no reports of familial density among alcoholics patients. Objective: The purpose of this study was to investigate the familial density of people with alcohol abuse problems and to investigate the differences in the characteristics of alcohol abuse problems according to their familial density. Method: At four community centers in Busan and Gyeongsangnam-do, familial density was investigated for clients using the service. There were 141 subjects in the study, 113 men and 28 women. Result: Of the people with alcohol use problems, familial density had four groups (family history negative, grandparents or siblings only, parent(s) only, parent(s) and grandparents or siblings, parent(s) and grandparents and siblings,). Familial density was significantly associated with frequency of violence, drinking related, AUDIT-K score. Conclusion: There is a difference in familial density among people with alcohol use problems. However, systematic comparison of variety of measures of family history is lacking. and further study is needed. This study investigated familial density in patients with alcohol use disorder. These results will be the evidence for another perspective on the genetic effects and its risks of alcohol use disorder patients.

Treatment Preferences for Pharmacological versus Psychological Interventions among Primary Care Providers in Nepal: Mixed Methods Analysis of a Pilot Cluster Randomized Controlled Trial.

There is increasing evidence supporting the effectiveness of psychological interventions in low- and middle-income countries. However, primary care providers (PCPs) may prefer treating patients with medication. A secondary exploratory analysis of a pilot cluster randomized controlled trial was conducted to evaluate psychological vs. pharmacological treatment preferences among PCPs. Thirty-four health facilities, including 205 PCPs, participated in the study, with PCPs in 17 facilities assigned to a standard version of the mental health Gap Action Programme (mhGAP) training delivered by mental health specialists. PCPs in the other 17 facilities received mhGAP instruction delivered by specialists and people with lived experience of mental illness (PWLE), using a training strategy entitled Reducing Stigma among HealthcAre ProvidErs (RESHAPE). Pre- and post- intervention attitudes were measured through quantitative and qualitative tools. Qualitative interviews with 49 participants revealed that PCPs in both arms endorsed counseling’s benefits and collaboration within the health system to provide counseling. In the RESHAPE arm, PCPs were more likely to increase endorsement of statements such as “depression improves without medication” (F = 9.83, p < 0.001), “not all people with depression must be treated with antidepressants” (χ2 = 17.62, p < 0.001), and “providing counseling to people who have alcohol abuse problems is effective” (χ2 = 26.20, p < 0.001). These mixed-method secondary findings from a pilot trial suggest that in-person participation of PWLE in training PCPs may not only reduce stigma but also increase PCPs’ support of psychological interventions. This requires further investigation in a full-scale trial.

Psychological Distress among Primary Caregivers of Alcoholics

Introduction: Alcoholism is a major threat to the individual as well as the society and the maximum burden of the illness is born in the family. Alcoholism can have a psychological impact on the family involved in care giving, and coping with the alcohol dependent patient. Caregivers play a crucial role in the life of alcoholics. Basically, stress creates an emotional and physical imbalance while caring for a spouse with alcohol abuse problems. Methodology: A descriptive study was conducted using a non probability convenient sampling technique. A total number of 56 study participants who were the caregivers of alcoholics were selected. The data was collected from the study participants at psychiatric unit for 2 weeks. Each study participant took around 15 to 20 minutes to complete the modified self-instructional questionnaires. Average 8 to 9 study participants per day Results: Among caregivers of alcoholics, the majority of them 27(48.2%) had severe level of psychological distress, 23(41.1%) had moderate level of psychological distress, 4(7.1%) had mild level of psychological distress and only 2(3.6%) had no psychological distress. Among 56 caregivers, 26(46.4) of them feel tired for good reason, 31(55.4) of them feel so nervous, 15(26.8) of them feel calm down, 26(46.4) of them feel hopeless, 20(35.7) of them feel restless, 21(31.5) of them feel restless and unable to sit still, 19 (33.9) of them feel depressed, 19(33.9) of them feel that everything was an effort, 17(10.4) of them feel so sad, and 18(32.1) of them feel worthless. Conclusion: The present study assessed the level of psychological distress among primary caregivers of alcoholics in psychiatric unit at PIMS. The study assessed the Level of Psychological Distress among caregivers of alcoholics with their Socio Demographic Variables and by using modified Kessler psychological distress scale. The study reveals that there is statistically high significant association between the level of psychological distress with education and family income per month. Pamphlets were distributing to the all the participants like a psychological distress reduce and maintain the stress management.

Attitudes of Patients and Health Professionals Regarding Screening Algorithms: Qualitative Study.

BackgroundAs a preamble to an attempt to develop a tool that can aid health professionals at hospitals in identifying whether the patient may have an alcohol abuse problem, this study investigates opinions and attitudes among both health professionals and patients about using patient data from electronic health records (EHRs) in an algorithm screening for alcohol problems.ObjectiveThe aim of this study was to investigate the attitudes and opinions of patients and health professionals at hospitals regarding the use of previously collected data in developing and implementing an algorithmic helping tool in EHR for screening inexpedient alcohol habits; in addition, the study aims to analyze how patients would feel about asking and being asked about alcohol by staff, based on a notification in the EHR from such a tool.MethodsUsing semistructured interviews, we interviewed 9 health professionals and 5 patients to explore their opinions and attitudes about an algorithm-based helping tool and about asking and being asked about alcohol usage when being given a reminder from this type of tool. The data were analyzed using an ad hoc method consistent with a close reading and meaning condensing.ResultsThe health professionals were both positive and negative about a helping tool grounded in algorithms. They were optimistic about the potential of such a tool to save some time by providing a quick overview if it was easy to use but, on the negative side, noted that this type of helping tool might take away the professionals’ instinct. The patients were overall positive about the helping tool, stating that they would find this tool beneficial for preventive care. Some of the patients expressed concerns that the information provided by the tool could be misused.ConclusionsWhen developing and implementing an algorithmic helping tool, the following aspects should be considered: (1) making the helping tool as transparent in its recommendations as possible, avoiding black boxing, and ensuring room for professional discretion in clinical decision making; and (2) including and taking into account the attitudes and opinions of patients and health professionals in the design and development process of such an algorithmic helping tool.

Cutaneous manifestations of chronic alcoholism in cases attending rural tertiary cases center: a descriptive cross-sectional study

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Alcoholism is a potentially fatal condition damages skin directly or through organ dysfunction. Studies suggested that dermatological manifestations have also been found to be a marker of alcohol misuse. The aim of the study was to assess the various cutaneous manifestations of alcohol dependence.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This study consisted of 205 cases diagnosed with alcohol dependency attending dermatology department and psychiatry wards, above 18 years of age. A detailed clinical examination and dermatological examination including hair, nails, oral and genital mucosa was performed. Alcoholic liver disease was diagnosed on clinical findings, abdominal sonogram and LFT.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; Among the study cases 50.25% cases had alcoholic liver disease. The severity of alcohol dependence score ranged from 1-60 with Ameena score of 24.68. It was seen that 45.23% (90) of alcoholics were mildly dependent, 41.7% (83) of alcoholics were moderately dependent, and 13.07% (26) were severely dependent on alcohol. Seborrheic dermatitis, urticaria, hyperhidrosis was among the commonly encountered dermatoses.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Cutaneous manifestations are a significant pointer to underlying, perhaps undetected problem of alcohol dependency and an awareness of these signs is imperative to alter a dermatologist to problems of alcohol abuse even in a busy clinic.&lt;/p&gt;

A Study on the Effect of Alcoholism on the Family Members of Alcoholic Patients

Abstract Introduction Alcohol use disorder is commonly known as “alcoholism” but is also known as a family disorder, not because it runs in families but because it tends to impact the family members more than just the individual. Alcoholism is one of the leading causes of marital problems, divorce, domestic violence, child abuse and neglect, and strained relationships between the partners and also between the parent and child. The per capita alcohol consumption has increased from 2.2 L (2005) to 2.7 L (2016) and is expected to increase by another 2.2 L by 2025. According to the World Health Organization, 55% of domestic violence is related to alcohol abuse by the partner. This study aims to identify the impact of alcoholism on the individual’s health as well as the family members depending on the level of alcohol dependence. Materials and Methods A cross-sectional study was conducted among patients admitted in the ward with a history of alcohol intake. AUDIT-C (Alcohol Use Disorders Identification Test–C) questionnaire was used to detect dependence and also a structured questionnaire was used to gather information regarding the financial and psychological well-being of the family from the family member accompanying the person. Other parameters of the patient were also considered such as liver function test, abdomen ultrasonography, and upper gastrointestinal endoscopy, wherever available. Results A total of 100 patients were included in the study; 59 patients were admitted due to various reasons secondary to alcohol intake. A score of &gt;4 was suggestive of alcohol dependence: 73% (73) of the participants had a score of &gt;4; 65% of the participants’ family members gave a positive history of impaired interpersonal relationships; 45% gave a positive history of battering; and 69% had mental health issues such as depression, lack of confidence, inferiority complex, and decreased sleep. Also, 51% (51) gave a positive history of financial contribution by the participant toward the family expenses. Conclusion The study shows that the problems of alcohol abuse have been associated with increased suffering to the family members, which contributes to a high level of interpersonal conflict, domestic violence, financial difficulties, and psychological disturbances, along with increasing the risk of developing comorbidities associated with alcohol abuse by the individual, which further adds to burden of the family.

Wernicke encephalopathy following advanced caecum cancer.

A 26-year-old lactating mother presented with a 3-week history of abdominal pain, constipation, and vomiting. She denied any history of alcohol abuse or other gastrointestinal problems. Contrast-enhanced CT identified a small-bowel obstruction caused by a cecum cancer (Fig. 1A). Therefore, she underwent right hemicolectomy and ileocolic anastomosis. Post-operatively, she gradually developed drowsiness, fainting, and a rapid heart rate at 130 bpm. However, blood tests were all normal.

Nexus BetweenFamily,Drug Abuse &amp; Academic Performance:

The study aims to investigate the role of family such as lack of parental supervision, lack of connection with childrens, multiple mothering and single parent in student’s drug abuse and its effects on their academic performance in District Mardan of Khyber Pakhtunkhwa, Pakistan. The population of the study comprised of 375 students of University of Engineering &amp; Technology Mardan and Abdul Wali Khan University Mardan. Sample size was drawn with the help of Sekaran’s Magic table. Quota sampling technique was used for distribution of sample size among the selected categories of respondents. The Problem- behavior theory presented by Richard Jessor in 1960s for alcohol abuse and other problem behaviors among students is adopted as a theoretical framework for this study. The primary data was collected with the help ofa three point likert scale, close ended structured questionnaire. Data was analyzed and presented at bi-variate levels using Chi-Square test in order to determine relationship between dependent and independent variables. Among the linked factors: drug abusing parents, high socio-economic status of family, broken family structure, multiple mothering in early age, single parents, lack of family supervision, lack of familial support and lack of family interest in children’s decisions were significantly associated with student’s drug abuse and had a harmful effect on their academic performance. Parents should take keen interest in the activities of their children’swhich will be having fruitful outcomes for children’s. Parents should also monitor the routine activities of their children’s which will result in prevention of deviant behaviors among students. Henceforth, close communication among parents and children’s is required to identify and resolve issues pertaining to social life as a result children’s will feel home which will prevent them from drug abuse and other severe negative tendencies.

Пандемия COVID-19 и алкоголь: проблема, выходящая за пределы наркологии и психиатрии

The increase in alcohol use during the COVID-19 pandemic is one of the major global health problems. Alcohol abuse is caused by many causes, including the stress associated with the pandemic. The problem of alcohol abuse is getting worse by the difficult access of patients to medical care, and lockdown, including a restrained sale of alcohol, can lead to numerous cases of severe alcohol withdrawal, alcohol psychosis and suicide. Excessive alcohol consumption reduces the immune system, increases susceptibility to infection, including SARS-CoV-2, and contributes to the severe course of COVID-19, increasing the likelihood of complications and death. It is assumed that alcohol abuse during the pandemic will have long-term adverse consequences in the form of significant deterioration of public health, an increase in the number of patients with alcohol dependence and alcoholic liver disease, and an excessive burden on global health. Experts justify the need to apply special programs to help people with alcohol use disorders during the pandemic and develop a set of preventive measures to prevent the adverse long-term consequences of excessive alcohol use.

Patterns of alcohol consumption in university students: a European study

Abstract Background In Europe, alcohol consumption (AC), especially binge drinking (BD) and behavioural risk factors among students in higher education remain to be investigated. The aim of the study was to assess the evolution of AC, and BD and the behavioural factors associated in university students in four European universities: Chisinau (Ch) in Republic of Moldova, Cluj-Napoca (Cl) in Romania, Miskolc (Ms) in Hungary and Rouen (Ro) in France. Methods In the four countries in 2018, students in higher education completed an anonymous standardized self-questionnaire. The questionnaire collected age, gender (M, W), housing, curricula, smoking, cannabis consumption. Alcohol abuse problems were assessed by ADOSPA test and by AUDIT test.. Frequent BD was determined as a consumption of five or most alcoholic drinks on one occasion at least twice a month. A risk profile of consumers was conducted according to the consumption of alcohol and frequency of BD. Results A total of 3076 students were included, 705 in Ch, 582 in Cl, 534 in Ms and 1255 in Ro. Globally, the sex-ratio was quite similar (M:F=0.45), the mean age was 21.2 (SD = 4.1). In Ro, 83.6% of students consumed alcohol at least 1 per week, 86.4% in Ch, 27.6% in Cl, 43.6% in Ms. The prevalence of frequent BD was 15.9% in Ms and 13.8% in Ro, 11.5% in Ch and 12.6% in Cl. Alcohol hazardous drinking and risk of addiction levels were found in 19.3% of students in Ro, 27.6%, in Ms, 7.4% in Cl and 13,6% in Ch. Regarding patterns of consumption significant difference by gender were found. After multivariate analysis, different risk behaviours were found. Conclusions BD patterns in students were quite similar in the four countries, especially in male students. BD appears as a frequent, whose consequences remain to be investigated. It might be necessary in the future to screen students for potential ED upon entry to the university and also to inform student about the risk of ED and advise them to consult a healthcare professional. Key messages The study showed that alcohol is a central part of students’ lives in France, Hungary, Republic of Moldova and Romania. Specific target populations for public health interventions were identified.

The status of integrated care on the chronic abuse of alcohol response - A cross-sectional study

Abstract Background In 2017, the risk-weighted prevalence of alcohol consumption was the health indicator with a more negative impact on the Institute for Health Metrics and Evaluation Sustainable Development Goals Health Index Value in Portugal. According to data from 2012-14, the Alto Tâmega and Barroso (ATB) had the highest value of Years of potential life lost (YPLL) in North Portugal - 4570,1/10.000 people. Liver chronic disease was the specific cause of death that contributed to the value of YPLL - 465,4/10.000 people. Methods A cross-sectional study was conducted with data from the Northern Health Administration and the General Directorate for Intervention on Addictive Behaviours and Dependencies. We compared the number of patients with chronic alcohol consumption (CAC) in 2018, the leading causes of death between 2012-14, the main morbidity causes according to data from primary healthcare (PHC) physicians in 2018 and the number of patients in specialized treatment team (STT) for alcohol abuse treatment in 2018 in ATB. Results In 2018, 2643 patients of ATB had a diagnosis of CAC; only 178 were followed by an STT. Although CAC had a massive influence on YPLL, this was only the 11º cause of morbidity in ATB according to the data from PHC. The number of women with CAC was stable between 2012 (n = 284) and 2018 (n = 291). In the same period, there was an increase of 52,86% of CAC on men (n = 1523 to n = 2348). Even though 18,4% of YPLL due to chronic liver disease happen in women, only 11,2%of the patients with CAC in the PHC are women. Conclusions There is a need for the improvement of CAC diagnosis in PHC, and the improvement of referral of patients to STT and hospital care. Besides, to reach the SDG3, there is the need to work intensely on SDG 17 (partnership for the goals). The Public Health Unit of ATB is organizing Operation PROMETEU to improve communication, institutional collaboration, and monitoring of the existing health activities that are tackling CAC. Key messages The need to integrate data from different healthcare sources for a better analysis on health problems. The urgent need to tackle the alcohol abuse problem in ATB.

Trends of Hospitalization for Acute Alcohol Intoxication in Slovenian Children and Adolescents with and without Dual Disorder. Implications for a Correct Intervention.

Background: Binge drinking and other forms of ethanol abuse are, when present, a serious problem in preteens and adolescents worldwide. Aim: The present study has analyzed the trend in alcohol-related intoxications requiring the hospitalization of children, adolescents and young adults aged less than 21 years in Slovenia in the 1999–2018 period. Methods: We performed a retrospective study on patients discharged after hospitalizations due to mental and behavioral disorders due to acute alcohol intoxication (MBDAAI) or hospitalizations due to the toxic effects of alcohol (TEA We considered three groups: children (aged 10–14), adolescents (aged 15–19) and young adults (20–21 years old). Hospitalization rates and time trends were analyzed using joinpoint regression to obtain the annually calculated age- and sex-specific rates and the annual percentage of change (APC). Results: Considering a total of 2912 MBDAAI-hospitalizations, 15–19-year-old subjects showed a significantly higher hospitalization rate compared to the immediately younger and older age groups and a significant increase in hospitalization rates in the period 1999–2011, followed by a significant decrease. Considering 1143 TEA-hospitalizations, we observed a continuous decrease in the hospitalization rates for children and young adults and, conversely, a continuous even if less than significant increase for adolescents aged 15–19. Conclusions: Alcohol consumption in Slovenian children and adolescents is a highly important health concern. Special attention to public health problem of severe alcohol abuse requiring hospitalization in children and adolescents is needed, especially with possible crisis of SARS-CoV-2/Covid-19 situation.