Categories of alcohol consumers and the criteria for classification
Keywords:
alcoholism/epidemiology, alcohol drinking, diagnosis, public health, Colombia.
Abstract
Introduction. The consequences of alcohol intake can be public health problems. A well-constructed classification system of alcohol consumers will assist in designing strategies for mitigation and control of alcohol-induced behaviors.Objective. A categorization of alcohol consumers was developed based on a set of consumer-associated variables.
Material and methods. A set of 1,199 subjects between 18 and 60 years old was selected and each subject classified in three categories of alcohol intake: type A, intake desirable; type B, excessive consumption without related problems; and type C, problematic consumption or dependence. Using multinomial logistic regression model, the decisive variables of each category were fixed.
Results. Subject with positive expectations associated with consumption such as “increase in expressivity and the sexuality” have 1.6 (95% CI; 1.0 - 2.5) times greater probability to be placed in the C category that those without those expectations. For relationships associated with “inhibition and feelings of power”, this risk even greater- 2.2 (95%CI; 1.1- 4.3). Age is in an inverse relationship and a protective factor to be classified type B or C. Men have a greater probability than women to be classes in B or C; this probability is the same as subjects who indicate having moderate pleasure or a rise in pleasure induced by the alcoholic drinks.
Discussion. The results can be translated into programs for interventions at the population level directed to groups of higher risk, such as scholars and preteens, and with a gender focus. The personality element on which to focus the intervention is that of self-esteem. This is an element built from a behavioral-cognitive perspective within the context of the social and cultural learning process.
Downloads
Download data is not yet available.
References
1. Miller TR, Levy DT, Spicer RS, Taylor DM. Societal costs of underage drinking. J Stud Alcohol. 2006;67: 519-28.
2. Konnopka A, König HH. Direct and indirect costs attributable to alcohol consumption in Germany. Pharmacoeconomics. 2007;25:605-18.
3. Stranges S, Wu T, Dorn JM, Freudenheim JL, Muti P, Farinaro E, et al. Relationship of alcohol drinking pattern to risk of hypertension a population-based study. Hypertension. 2004;44:813-9.
4. Uekermann J, Daum I. Social cognition in alcoholism: a link to prefrontal cortex dysfunction? Addiction. 2008;103:726-35.
5. Room R, Mäkelä K. Typologies of the cultural position of drinking. J Stud Alcohol. 2000;61:475-83.
6. Lesch OM, Kefer J, Lentner S, Mader R, Marx B, Musalek M, et al. Diagnosis of chronic alcoholism-classificatory problems. Psychopathology. 1990;23:88-96.
7. Dobson R. Government must get tough on alcohol misuse, public health experts warn. BMJ. 2008;336:1266-7.
8. Herrán OF, Ardila MF. Consumo de alcohol, riesgo de alcoholismo y alcoholismo en Bucaramanga, Colombia, 2002-2003. Colombia Med. 2005;36:158-67.
9. Herrán OF, Ardila MF. Validity and reproducibility of two semi-quantitative alcohol frequency questionnaires for Colombian population. Public Health Nutr. 2006;9:763-70.
10. Herrán OF, Ardila MF. Validez interna y reproducibilidad de la prueba CAGE en Bucaramanga, Colombia. Biomédica. 2005;25:231-41.
11. Herrán OF, Ardila MF, Barba DM. Consumo problemático de alcohol en Bucaramanga, Colombia: diseño y validación de una prueba. Biomédica. 2008;28:25-37.
12. Brown SA, Goldman MS, Inn A, Anderson LR. Expections of reinforcement from alcohol their domain and relation to drinking patterns. J Consult Clin Psychol. 1980;48:419-26.
13. Goldman MS, Del Boca FK, Darles J. Alcohol expectancy theory: The application of cognitive neuroscience. En: Leonard KE, Blane HT, editors. Psychological theories of drinking and alcoholism. Second edition. New York: Guilford Press; 1999. p. 203-46.
14. Ardila MF, Herrán OF. Expectativas en el consumo de alcohol en Bucaramanga, Colombia. Rev Med Chil. 2008;136:73-82.
15. Penick EC, Powell BJ, Nickel EJ, Read MR, Gabrielli WF, Liskow BI. Examination of Cloninger’s type I and type II alcoholism with a sample of men alcoholics in treatment. Alcohol Clin Exp Res. 1990;14:623-9.
16. Farren CK, Dinan TG. Alcoholism and typology: findings in an Irish private hospital population. J Stud Alcohol. 1996;57:249-52.
17. Colder CR, Chassin L. The psychosocial characteristics of alcohol users versus problem users: data from a study of adolescents at risk. Dev Psychopathol. 1999;11:321-48.
18. Arif AA, Rohrer JE. Patterns of alcohol drinking and its association with obesity: data from the Third National Health and Nutrition Examination Survey, 1988-1994. BMC Public Health. 2005;5:126.
19. Rouillier P, Boutron-Ruault MC, Bertrais S, Arnault N, Daudin JJ, Bacro JN, et al. Drinking patterns in French adult men-a cluster analysis of alcoholic beverages and relationship with lifestyle. Eur J Nutr. 2004;43:69-76.
20. Carrasco AM. Consumo de alcohol y estilos de vida: una tipología de los adolescentes españoles. Revista de Psicología Social. 2004;19:51-79.
21. Colder CR, Chassin L. The psychosocial characteristics of alcohol users versus problem users: data from a study of adolescents at risk. Dev Psychopathol. 1999;11:321-48.
22. Norman G, Streiner D. Bioestadística. Barcelona: Editorial Mosby; 1996. p. 129-48.
23. Tavella NM. Análisis de los ítems en la construcción de instrumentos psicométricos. México D.F.: Editorial Trillas; 1978. p. 75.
24. Herrán OF, Ardila MF. Validez factorial del cuestionario de expectativas hacia el consumo de alcohol (AEQ-III), en adultos de Bucaramanga, Colombia. Rev Med Chil. 2007;135:488-95.
25. Wall AM, Thrussell C, Lalonde RN. Do alcohol expectancies become intoxicated outcomes? A test of social-learning theory in a naturalistic bar setting. Addictive Behav. 2003;28:1271-83.
26. González J. Alcohol. Tipos de intervención en el consumo de riesgo. Fecha de consulta: 20 de agosto de 2008. Disponible en:http://www.seslap.com/seslap/html/pubBiblio/revista/n_8/n8Art2.pdf
27. Greenland S. Modeling and variable selection in epidemiologic analysis. Am J Public Health. 1989;79:340-9.
28. Hosmer DW, Lemeshow S. Applied logistic regression. Second edition. New York: John Wiley & Sons, Inc.; 2000.
29. Long JS. Regression models for categorical and limited dependent variables. London: SAGE Publications; 1997. p. 148-86.
30. Centro para el Control de las Enfermedades. EpiInfo, versión 6.04d. Epidemiología en ordenadores. Atlanta, Georgia: Centro para el Control de las Enfermedades; 2001.
31. Eltinge JL, Sribney WM. Estimation of means, totals, ratios, and proportions for survey data. Stata Technical Bulletins. 1996;6:213-35.
32. Levy SP, Lemeshow S. Sampling of populations: Methods and applications. Third edition. New York: Jhon Wiley & Sons; 1999. p. 365-90.
33. StataCorp. Stata Statistical Software: Release 10.1 Collegue Station, TX: StataCorp LP; 2008.
34. Goldberg LR. The development of markers for the Big-five factor structure. Psychol Assess. 1992:4;26-42.
35. Sher KJ, Trull TJ, Bartholow BD, Vieth A. Personality and alcoholism: issues, methods, and etiological processes. En: Leonard KE, Blane HT, editors. Psychological theories of drinking and alcoholism. Second edition. New York: Guilford Press; 1999. p. 54-105.
36. Penick EC, Powell BJ, Nickel EJ, Read MR, Gabrielli WF, Liskow BI. Examination of Cloninger’s type I and type II alcoholism with a sample of men alcoholics in treatment. Alcohol Clin Exp Res. 1990;14:623-9.
37. Kilty KM. Drinking styles of adolescents and young adults. J Stud Alcohol. 1990;51:556-64.
38. Fan AZ, Russell M, Stranges S, Dorn J, Trevisan M. Association of lifetime alcohol drinking trajectories with cardiometabolic risk. J Clin Endocrinol Metab. 2008;93:154-61.
39. Pelucchi C, Gallus S, Garavello W, Bosetti C, La Vecchia C. Alcohol and tobacco use, and cancer risk for upper aerodigestive tract and liver. Eur J Cancer Prev. 2008;17:340-4.
40. Mora J, Natera G. Expectativas, consumo de alcohol y problemas asociados en estudiantes universitarios de la ciudad de México. Salud Pública Mex. 2001;43:89-96.
41. Wild LG, Flisher AJ, Bhana A, Lombard C. Associations among adolescent risk behaviours and self-esteem in six domains. J Child Psychol Psychiatry. 2004;45:1454-67.
42. Medina-Mora ME, Borges G, Villatoro J. The measurement of drinking patterns and consequences in Mexico. J Subst Abuse. 2000;12:183-96.
43. Wild LG, Flisher AJ, Bhana A, Lombard C. Substance abuse, suicidality, and self-esteem in South African adolescents. J Drug Educ. 2004;34:1-17.
2. Konnopka A, König HH. Direct and indirect costs attributable to alcohol consumption in Germany. Pharmacoeconomics. 2007;25:605-18.
3. Stranges S, Wu T, Dorn JM, Freudenheim JL, Muti P, Farinaro E, et al. Relationship of alcohol drinking pattern to risk of hypertension a population-based study. Hypertension. 2004;44:813-9.
4. Uekermann J, Daum I. Social cognition in alcoholism: a link to prefrontal cortex dysfunction? Addiction. 2008;103:726-35.
5. Room R, Mäkelä K. Typologies of the cultural position of drinking. J Stud Alcohol. 2000;61:475-83.
6. Lesch OM, Kefer J, Lentner S, Mader R, Marx B, Musalek M, et al. Diagnosis of chronic alcoholism-classificatory problems. Psychopathology. 1990;23:88-96.
7. Dobson R. Government must get tough on alcohol misuse, public health experts warn. BMJ. 2008;336:1266-7.
8. Herrán OF, Ardila MF. Consumo de alcohol, riesgo de alcoholismo y alcoholismo en Bucaramanga, Colombia, 2002-2003. Colombia Med. 2005;36:158-67.
9. Herrán OF, Ardila MF. Validity and reproducibility of two semi-quantitative alcohol frequency questionnaires for Colombian population. Public Health Nutr. 2006;9:763-70.
10. Herrán OF, Ardila MF. Validez interna y reproducibilidad de la prueba CAGE en Bucaramanga, Colombia. Biomédica. 2005;25:231-41.
11. Herrán OF, Ardila MF, Barba DM. Consumo problemático de alcohol en Bucaramanga, Colombia: diseño y validación de una prueba. Biomédica. 2008;28:25-37.
12. Brown SA, Goldman MS, Inn A, Anderson LR. Expections of reinforcement from alcohol their domain and relation to drinking patterns. J Consult Clin Psychol. 1980;48:419-26.
13. Goldman MS, Del Boca FK, Darles J. Alcohol expectancy theory: The application of cognitive neuroscience. En: Leonard KE, Blane HT, editors. Psychological theories of drinking and alcoholism. Second edition. New York: Guilford Press; 1999. p. 203-46.
14. Ardila MF, Herrán OF. Expectativas en el consumo de alcohol en Bucaramanga, Colombia. Rev Med Chil. 2008;136:73-82.
15. Penick EC, Powell BJ, Nickel EJ, Read MR, Gabrielli WF, Liskow BI. Examination of Cloninger’s type I and type II alcoholism with a sample of men alcoholics in treatment. Alcohol Clin Exp Res. 1990;14:623-9.
16. Farren CK, Dinan TG. Alcoholism and typology: findings in an Irish private hospital population. J Stud Alcohol. 1996;57:249-52.
17. Colder CR, Chassin L. The psychosocial characteristics of alcohol users versus problem users: data from a study of adolescents at risk. Dev Psychopathol. 1999;11:321-48.
18. Arif AA, Rohrer JE. Patterns of alcohol drinking and its association with obesity: data from the Third National Health and Nutrition Examination Survey, 1988-1994. BMC Public Health. 2005;5:126.
19. Rouillier P, Boutron-Ruault MC, Bertrais S, Arnault N, Daudin JJ, Bacro JN, et al. Drinking patterns in French adult men-a cluster analysis of alcoholic beverages and relationship with lifestyle. Eur J Nutr. 2004;43:69-76.
20. Carrasco AM. Consumo de alcohol y estilos de vida: una tipología de los adolescentes españoles. Revista de Psicología Social. 2004;19:51-79.
21. Colder CR, Chassin L. The psychosocial characteristics of alcohol users versus problem users: data from a study of adolescents at risk. Dev Psychopathol. 1999;11:321-48.
22. Norman G, Streiner D. Bioestadística. Barcelona: Editorial Mosby; 1996. p. 129-48.
23. Tavella NM. Análisis de los ítems en la construcción de instrumentos psicométricos. México D.F.: Editorial Trillas; 1978. p. 75.
24. Herrán OF, Ardila MF. Validez factorial del cuestionario de expectativas hacia el consumo de alcohol (AEQ-III), en adultos de Bucaramanga, Colombia. Rev Med Chil. 2007;135:488-95.
25. Wall AM, Thrussell C, Lalonde RN. Do alcohol expectancies become intoxicated outcomes? A test of social-learning theory in a naturalistic bar setting. Addictive Behav. 2003;28:1271-83.
26. González J. Alcohol. Tipos de intervención en el consumo de riesgo. Fecha de consulta: 20 de agosto de 2008. Disponible en:http://www.seslap.com/seslap/html/pubBiblio/revista/n_8/n8Art2.pdf
27. Greenland S. Modeling and variable selection in epidemiologic analysis. Am J Public Health. 1989;79:340-9.
28. Hosmer DW, Lemeshow S. Applied logistic regression. Second edition. New York: John Wiley & Sons, Inc.; 2000.
29. Long JS. Regression models for categorical and limited dependent variables. London: SAGE Publications; 1997. p. 148-86.
30. Centro para el Control de las Enfermedades. EpiInfo, versión 6.04d. Epidemiología en ordenadores. Atlanta, Georgia: Centro para el Control de las Enfermedades; 2001.
31. Eltinge JL, Sribney WM. Estimation of means, totals, ratios, and proportions for survey data. Stata Technical Bulletins. 1996;6:213-35.
32. Levy SP, Lemeshow S. Sampling of populations: Methods and applications. Third edition. New York: Jhon Wiley & Sons; 1999. p. 365-90.
33. StataCorp. Stata Statistical Software: Release 10.1 Collegue Station, TX: StataCorp LP; 2008.
34. Goldberg LR. The development of markers for the Big-five factor structure. Psychol Assess. 1992:4;26-42.
35. Sher KJ, Trull TJ, Bartholow BD, Vieth A. Personality and alcoholism: issues, methods, and etiological processes. En: Leonard KE, Blane HT, editors. Psychological theories of drinking and alcoholism. Second edition. New York: Guilford Press; 1999. p. 54-105.
36. Penick EC, Powell BJ, Nickel EJ, Read MR, Gabrielli WF, Liskow BI. Examination of Cloninger’s type I and type II alcoholism with a sample of men alcoholics in treatment. Alcohol Clin Exp Res. 1990;14:623-9.
37. Kilty KM. Drinking styles of adolescents and young adults. J Stud Alcohol. 1990;51:556-64.
38. Fan AZ, Russell M, Stranges S, Dorn J, Trevisan M. Association of lifetime alcohol drinking trajectories with cardiometabolic risk. J Clin Endocrinol Metab. 2008;93:154-61.
39. Pelucchi C, Gallus S, Garavello W, Bosetti C, La Vecchia C. Alcohol and tobacco use, and cancer risk for upper aerodigestive tract and liver. Eur J Cancer Prev. 2008;17:340-4.
40. Mora J, Natera G. Expectativas, consumo de alcohol y problemas asociados en estudiantes universitarios de la ciudad de México. Salud Pública Mex. 2001;43:89-96.
41. Wild LG, Flisher AJ, Bhana A, Lombard C. Associations among adolescent risk behaviours and self-esteem in six domains. J Child Psychol Psychiatry. 2004;45:1454-67.
42. Medina-Mora ME, Borges G, Villatoro J. The measurement of drinking patterns and consequences in Mexico. J Subst Abuse. 2000;12:183-96.
43. Wild LG, Flisher AJ, Bhana A, Lombard C. Substance abuse, suicidality, and self-esteem in South African adolescents. J Drug Educ. 2004;34:1-17.
How to Cite
1.
Herrán OF, Ardila MF. Categories of alcohol consumers and the criteria for classification. biomedica [Internet]. 2009 Dec. 1 [cited 2024 May 16];29(4):635-46. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/141
Some similar items:
- Jorge Andrés Potosí, Yina Marcela Gutiérrez, Fabiola Eugenia González, The relevance of clinical and epidemiological correlation in the early diagnosis of histoplasmosis: report of two clinical cases in Popayán, Colombia , Biomedica: Vol. 43 No. Sp. 1 (2023): Agosto, Micología médica
- Juan Carlos Quintero, Andrés Felipe Londoño, Francisco J. Díaz, Piedad Agudelo-Flórez, Margarita Arboleda, Juan David Rodas, Ecoepidemiology of rickettsial infection in rodents, ectoparasites and humans in northeastern Antioquia, Colombia , Biomedica: Vol. 33 (2013): Suplemento 1, Fiebres hemorrágicas
- Jefferson Antonio Buendía, Attitudes, knowledge and beliefs of patient about anti-hypertensive drugs , Biomedica: Vol. 32 No. 4 (2012)
- Adriana Maldonado-Franco, Luis F. Giraldo-Cadavid, Eduardo Tuta-Quintero, Alirio R. Bastidas, Angélica Moreno-Giraldo , Daniel A. Botero-Rosas, Development of a web application to evaluate spirometry metrics and clinical variables to support COPD diagnosis in primary care , Biomedica: Vol. 44 No. Sp. 1 (2024): Publicación anticipada, Enfermedades crónicas no transmisibles
- Alberto Tobón, Danger signs in the malaria patient , Biomedica: Vol. 29 No. 2 (2009)
- Erika Santamaría, Olga Lucía Cabrera, Yaneth Zipa, Cristina Ferro, Martha Liliana Ahumada, Raúl Hernando Pardo, Preliminary evaluation of the Culicoides biting nuisance (Diptera: Ceratopogonidae) in the province of Boyacá, Colombia , Biomedica: Vol. 28 No. 4 (2008)
- Helena Luisa Brochero, Martha L. Quiñones, Challenges of the medical entomology for the surveillance in public health in Colombia: reflections on the state of malaria , Biomedica: Vol. 28 No. 1 (2008)
- Oscar Fernando Herrán, María F. Ardila, Diana M. Barba, Test for assessing levels of alcohol consumption in Bucaramanga, Colombia: design and validation. , Biomedica: Vol. 28 No. 1 (2008)
- Carlos Humberto Torres, Marcela E. Varona, Angélica Lancheros, Rosa Isabel Patiño, Helena Groot, DNA damage assessment and biological monitoring of occupational exposure to organic solvents, 2006 , Biomedica: Vol. 28 No. 1 (2008)
- Yolanda Lucía López, Claudia González, Berta Natalia Gallego, Ana Lida Moreno, Stewardship of public health surveillance in the health system in Colombia: a cases study , Biomedica: Vol. 29 No. 4 (2009)
Published
2009-12-01
Issue
Section
Original articles
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
