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Alcoholism Sourcebook, Third Edition PDF

621 Pages·2010·7.23 MB·English
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Health Reference Series _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ___________________________________________T___h___i__r___d___ _E____d___i__t_i__o___n____________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ___________A____________l______c__________o__________h___________o__________l_______i______s_________m_________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________S_______O________U________R_______C________E________B________O________O________K__________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ________________________________________________________(cid:78)_____________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Basic Consumer Health Information about Alcohol _________________________________________________________________________________________________________________ ___ __________U___s__e__,_ _A__b___u__s__e__,_ _a___n__d___ _A__d___d__i_c__t__i_o__n___,_ _I_n___c__l_u___d__i_n___g__ _F__a___c__t_s__ _a__b__o___u__t_ __t_h__e__ _________ _____________________________________________________________________________________________________________________ _________P___h__y__s__i_c__a__l__ _C__o__n___s_e__q___u__e__n___c_e__s__ _o__f__ _A__l_c__o__h__o___l_ _A__b__u___s__e__,_ _S__u__c__h__ _a___s__ _B__r__a__i__n__ ________ _____________________________________________________________________________________________________________________ Changes and Problems with Cognitive Functioning, _____________________________________________________________________________________________________________________ ____________C___i_r__r__h__o__s__i_s__ _a__n___d__ _O___t_h___e__r__ _L__i_v__e__r__ _D___i_s__e__a__s__e__s__,_ _C__a___r__d__i_o___v__a__s__c__u__l_a___r_ ___________ _____________________________________________________________________________________________________________________ ______________D___i_s__e__a___s_e__,__ _P__a__n___c__r__e__a__t_i__t_i__s_,_ _a___n__d___ _A__l__c_o___h__o__l_i__c__ _N___e__u__r__o__p__a___t_h___y_,__ _ ___________ _____________________________________________________________________________________________________________________ _______________a__n___d__ _t__h__e__ _E__f_f_e___c_t__s_ _o__f__ _A__l_c__o__h__o___l_ _o__n__ __R__e__p__r__o__d___u__c__t_i__v__e__ _H___e__a__l_t_h___ _ _ _ __________ _____________________________________________________________________________________________________________________ and Fetal Development, Mental Health Problems _____________________________________________________________________________________________________________________ __________________A__s__s__o__c__i_a___t_e__d___ _w___i_t__h__ _A__l__c_o___h__o__l_ __A__b__u___s_e__,__ _a__n___d__ _A___l_c__o__h__o___l_’_s__________________ _____________________________________________________________________________________________________________________ _________________________I__m___p__a___c__t_ _o__n___ _F__a__m____i_l_i__e__s__,_ _W___o__r__k__p__l__a__c__e__s__,_ _a___n__d___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____________________________________________________________________________________________________________________ the Community _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ____________A___l_o__n___g__ _w___i_t__h__ _I__n__f_o__r__m____a__t__i_o__n___ _a__b___o__u__t__ _U__n___d__e___r_a___g__e__ _D___r__i_n___k__i__n__g__,_ ___________ _____________________________________________________________________________________________________________________ ________________A__l__c__o__h__o__l__ _T__r_e___a__t_m____e__n__t__ _a__n___d__ _R___e__c__o__v__e__r__y__,_ _a___ _G___l_o__s__s_a___r__y__ _o__f__ ______________ _____________________________________________________________________________________________________________________ __________________R___e__l_a___t_e__d___ _T_e___r_m____s__,_ _a__n___d__ _D___i__r__e__c_t__o__r__i_e__s__ _o__f__ _R__e__s__o__u___r__c__e__s_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____________________________________________________________________________________________________________________ for More Information _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ __________________________________________________E___d__i__t_e__d__ __b__y__ _________________________________________________ Joyce Brennfleck Shannon __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ 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__________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________________________________(cid:78)______________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________A_________l____c_______o_________h________o________l_____i_____s______m___________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ _______________________________________S______O_______U______R_______C______E______B______O_______O______K__________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ___________________________________________________________T__h__i__r__d__ _E__d___i_t__i_o__n_________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________________________________(cid:78)______________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ 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__________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ (c) 2011 Omnigraphics, Inc. All Rights Reserved. __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ _______________________________________H____e___a___l__t__h____ _R____e___f__e___r___e___n____c__e____ _S____e___r__i__e___s_____________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ___________________________________________________________T__h__i_r__d___ _E__d___i_t_i__o__n_________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________A_________l____c_______o________h_________o________l_____i_____s______m___________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ _______________________________________S______O______U_______R______C______E______B_______O______O_______K__________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________________________________(cid:78)______________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ Basic Consumer Health Information about Alcohol Use, __________________________________________________________________________________________________________________________________________ _______________________________A__b__u__s_e_,_ _a__n__d__ A__d__d__i_c__t_i_o_n__,_ _I_n__c_l_u__d__i_n__g_ _F__a_c__t_s_ _a__b__o_u__t_ _t_h__e_ _P__h__y_s__i_c_a__l_ ___________________________ __________________________________________________________________________________________________________________________________________ ______________________________C__o_n__s_e__q__u__e_n__c_e__s_ _o__f_ A__l_c__o_h__o__l_ _A_b__u__s_e__, _S__u__c_h__ _a_s__ _B_r__a__i_n_ _C__h__a__n__g_e__s_ _a__n_d__ __________________________ __________________________________________________________________________________________________________________________________________ _______________________________P_r__o_b__l_e_m___s_ _w___i_t_h__ C__o__g__n_i_t_i__v_e__ F__u__n__c_t_i_o__n__i_n__g_,_ _C__i_r_r_h__o__s_i_s_ _a__n__d__ _O__t_h__e_r__ __________________________ ______________________________L__i_v__e_r_ _D___i_s_e_a__s_e__s_,_ _C__a__r_d__i_o__v_a__s_c__u__l_a__r_ _D__i_s__e_a__s_e__, _P__a__n__c_r_e__a__t_i_t_i_s_,_ _a__n__d__ __________________________ __________________________________________________________________________________________________________________________________________ ______________________________A__l_c_o__h_o__l_i_c_ _N__e_u__r_o__p__a__t_h_y__, _a__n__d__ t_h__e_ _E__f_f_e_c_t_s__ o__f_ _A_l_c__o_h__o__l_ o__n__ _R_e__p_r__o_d__u__c_-___________________________ __________________________________________________________________________________________________________________________________________ ______________________________t_i_v__e_ _H__e_a__l_t_h__ _a__n_d__ _F__e_t_a__l_ _D__e_v__e_l_o__p_m___e__n_t_,_ _M___e_n__t_a__l_ H___e_a__l_t_h__ P__r_o__b__l_e_m___s_ __________________________ __________________________________________________________________________________________________________________________________________ Associated with Alcohol Abuse, and Alcohol’s Impact on __________________________________________________________________________________________________________________________________________ __________________________________________F_a__m___i_l_i_e_s_,_ _W__o__r_k__p__l_a__c_e_s__,_ a__n__d__ _t_h__e_ _C__o__m__m___u__n__i_t_y_______________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ___________________________________A__l_o__n__g_ _w__i_t__h_ _I_n__f_o__r_m___a__t_i_o__n__ _a_b__o__u__t_ _U__n__d__e_r__a__g_e__ D___r_i_n__k__i_n__g_,_ _______________________________ __________________________________________________________________________________________________________________________________________ ______________________________________A__l_c_o__h__o__l _T__r_e__a_t__m__e__n__t_ _a__n_d__ _R__e__c_o__v_e__r_y__,_ a__ _G__l_o__s_s__a__r_y__ o__f_ __________________________________ ______________________________________R_e__l_a__t_e_d__ _T__e_r_m___s_,_ _a__n__d__ _D__i_r_e__c_t_o__r_i__e_s_ _o__f_ _R__e_s_o__u__r_c__e_s__ f_o__r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _______________ __________________________________________________________________________________________________________________________________________ __________________________________________________________M___o__r_e_ _I_n__f_o__r_m___a__t_i_o__n________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ (cid:78) __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ _________________________________________________________________E_d__i_t_e__d__ b__y______________________________________________________________ __________________________________________________________________________________________________________________________________________ ___________________________________________________J_o__y__c_e__ _B__r_e__n__n__fl__e__c__k__ S__h__a__n__n__o__n_________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ ____________________________________________________P_._O__. _B_o__x_ _3_1_-_1_6_4__0_, _D__e_t_r_o_i_t_, _M___I_ 4__8_2_3_1_________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________ __________________________________________(_c_)_ _2_0__1_1_ _O__m__n__ig__r_a_p_h__ic__s_,_ I_n_c__. _A__ll_ _R_i_g_h__t_s_ R__e__s_e_r_v__e_d_.__________________________________________ Bibliographic Note Because this page cannot legibly accommodate all the copyright notices, the Bibliographic Note portion of the Preface constitutes an extension of the copyright notice. Edited by Joyce Brennfleck Shannon Health Reference Series Karen Bellenir, Managing Editor David A. Cooke, MD, FACP, Medical Consultant Elizabeth Collins, Research and Permissions Coordinator Cherry Edwards, Permissions Assistant EdIndex, Services for Publishers, Indexers * * * Omnigraphics, Inc. Matthew P. Barbour, Senior Vice President Kevin M. Hayes, Operations Manager * * * Peter E. Ruffner, Publisher Copyright © 2010 Omnigraphics, Inc. ISBN 978-0-7808-1141-6 Library of Congress Cataloging-in-Publication Data Alcoholism sourcebook : basic consumer health information about alcohol use, abuse, and addiction, including facts about the physical consequences of alcohol abuse, such as brain changes and problems with cognitive functioning, cirrhosis and other liver diseases, cardiovascular disease, pancreatitis, and alcoholic neuropathy, and the effects of alcohol on reproductive health and fetal development, mental health problems associated with alcohol abuse, and alcohol's impact on families, workplaces, and the community; along with information about underage drinking, alcohol treatment and recovery, a glossary of related terms, and directories of resources for more information 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(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:3)(cid:21)(cid:19)(cid:20)(cid:19)(cid:19)(cid:22)(cid:20)(cid:27)(cid:23)(cid:22) Electronic or mechanical reproduction, including photography, recording, or any other infor- mation storage and retrieval system for the purpose of resale is strictly prohibited without permission in writing from the publisher. The information in this publication was compiled from the sources cited and from other sources considered reliable. While every possible effort has been made to ensure reliability, the publisher will not assume liability for damages caused by inaccuracies in the data, and makes no warranty, express or implied, on the accuracy of the information contained herein. This book is printed on acid-free paper meeting the ANSI Z39.48 Standard. The infinity symbol that appears above indicates that the paper in this book meets that standard. Printed in the United States (c) 2011 Omnigraphics, Inc. All Rights Reserved. Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 15,000 topics and the volumes in which they are covered. Preface............................................................................................xv Part I: Understanding Alcohol Use, Abuse, and Dependence Chapter 1—When Can Alcohol Be Used Safely? ..........................3 Section 1.1—Drinking Alcohol: Low Risk Versus High Risk..........................................4 Section 1.2—Alcohol Dietary Guidelines for Americans....................................9 Section 1.3—Prevalence of Alcohol Use in the United States.......................12 Chapter 2—Ethnicity, Culture, and Alcohol................................17 Chapter 3—Binge Drinking..........................................................23 Chapter 4—Facts about Alcoholism.............................................27 Section 4.1—What Does Alcoholism Look Like?.......................................28 Section 4.2—Questions and Answers about Alcoholism............................30 Section 4.3—Researchers Identify Alcoholism Subtypes......................33 v (c) 2011 Omnigraphics, Inc. All Rights Reserved. Chapter 5—Alcohol-Related Problems: Are You at Risk? ..........37 Section 5.1—Risk Factors for Alcohol-Related Problems across the Lifespan.........................38 Section 5.2—Alcohol and Women’s Health Issues..................................42 Section 5.3—Men’s Health Risks from Excessive Alcohol Use ...................49 Section 5.4—Alcohol Use in Older People...........53 Section 5.5—Stress and the Abuse of Alcohol and Other Substances......................................55 Chapter 6—Understanding the Development of an Addiction..........................................................59 Section 6.1—How Do Addictions Develop?..........60 Section 6.2—The Science Behind Addiction........63 Section 6.3—Frequently Asked Questions about Addiction...............................66 Chapter 7—The Genetics of Alcoholism......................................69 Section 7.1—Genes and Addiction.......................70 Section 7.2—Is There a Genetic Link between Alcoholism and Other Drug Use Disorders?............72 Section 7.3—Alcohol Metabolism Is Controlled by Genetic Factors...............................77 Part II: The Problem of Underage Drinking Chapter 8—Underage Drinking in America: Scope of the Problem................................................85 Chapter 9—Current Drinking Patterns among Underage Drinkers...................................................93 Section 9.1—Quantity and Frequency of Alcohol Use among Underage Drinkers..........................................94 Section 9.2—Where Do Youth Obtain and Consume Alcohol?....................95 vi (c) 2011 Omnigraphics, Inc. All Rights Reserved. Chapter 10—Does Advertising Play a Role in Underage Drinking?................................................................99 Section 10.1—Advertising Regulations for Alcoholic Beverages ...........100 Section 10.2—Youth Exposure to Alcohol Advertising...............................102 Section 10.3—How to Identify, Analyze, and Evaluate Media Messages...................................104 Chapter 11—How Alcohol Affects Development.......................107 Section 11.1—Developmental Perspective on Underage Alcohol Use.........108 Section 11.2—Alcohol Use and Adolescent Development.............................111 Chapter 12—Factors That Place Teens at Risk for Alcohol-Related Problems....................................115 Section 12.1—Adolescents at Risk for Substance Use Disorders...................................116 Section 12.2—Paternal Alcohol Use Increases Substance Use among Adolescents............120 Section 12.3—Alcohol, Energy Drinks, and Youth: A Dangerous Mix............................................122 Chapter 13—Alcohol Use on College Campuses.......................129 Section 13.1—Drinking on Campus: Scope of the Problem................130 Section 13.2—Campus Safety Issue: Violence and Alcohol Use ...........................................133 Section 13.3—Sexual Violence and Alcohol Use on Campus.........................135 Section 13.4—Academic Performance and Alcohol Use........................138 Section 13.5—What Policy-Makers Need to Know about College Drinking....................................139 vii (c) 2011 Omnigraphics, Inc. All Rights Reserved. Chapter 14—Family Guide to Underage Drinking Prevention.............................................................141 Section 14.1—Parental Involvement in Alcohol Use Prevention........142 Section 14.2—Talk to Your Child about Alcohol......................................144 Section 14.3—Family-Based Prevention among Teens with Genetic Risk Factors for Substance Abuse........................................148 Chapter 15—Efforts to Prevent and Reduce Alcohol Problems in Adolescents.......................................151 Section 15.1—School Interventions to Prevent Alcohol Abuse.............152 Section 15.2—Comprehensive Principles for Interventions Aimed at Underage Alcohol Use..............154 Section 15.3—Alcohol Use Prevention and Intervention in Underage Populations..............156 Section 15.4—Adolescent Exposure to Substance Use Prevention Messages ..................................158 Chapter 16—Community-Based Alcohol Abuse Prevention.............................................................163 Section 16.1—Strategies for Local Alcohol-Related Policies and Practices............................164 Section 16.2—Town Hall Meetings Mobilize Communities to Prevent and Reduce Underage Alcohol Use..............166 Section 16.3—Communities That Care (CTC): An Evidence-Based Substance-Use Prevention System......................................168 Chapter 17—The Minimum Legal Drinking Age (MLDA) Law.........................................................171 viii (c) 2011 Omnigraphics, Inc. All Rights Reserved. Part III: The Physical Effects and Consequences of Alcohol Abuse Chapter 18—Blood Alcohol Concentration (BAC).....................177 Section 18.1—BAC and Alcohol Impairment...............................178 Section 18.2—Alcohol Poisoning.....................183 Chapter 19—Alcohol Hangover..................................................185 Chapter 20—Alcohol Changes the Brain...................................191 Section 20.1—Alcohol Tolerance and Withdrawal...............................192 Section 20.2—Drinking and Cognitive Function....................................194 Section 20.3—Adolescent Brain Is Vulnerable to Alcohol Exposure...................................197 Section 20.4—Wernicke-Korsakoff Syndrome (Alcoholic Encephalopathy).......................199 Chapter 21—Alcohol-Induced Liver Disease.............................203 Section 21.1—Overview and Progression of Liver Disease........................204 Section 21.2—Cirrhosis...................................209 Section 21.3—Fatty Liver................................213 Section 21.4—Alcohol and Hepatitis C...........216 Section 21.5—Nutrition Therapy in Alcoholic Liver Disease............218 Chapter 22—Alcohol and Cardiovascular Disease ...................221 Section 22.1—Alcohol, Wine, and Cardiovascular Disease............222 Section 22.2—Blood Pressure and Alcohol......................................226 Section 22.3—Cardiomyopathy ......................227 Chapter 23—Alcoholic Neuropathy...........................................231 Chapter 24—Alcoholic Lung Disease.........................................237 ix (c) 2011 Omnigraphics, Inc. All Rights Reserved. Chapter 25—Alcohol Abuse Affects Bone Health......................241 Section 25.1—The Link between Alcohol and Osteoporosis......................242 Section 25.2—Excessive Alcohol Intake Is a Risk Factor for Osteonecrosis....245 Chapter 26—Other Organs at Risk from Alcohol Abuse..........249 Section 26.1—Alcohol and the Gastro- intestinal Tract.........................250 Section 26.2—Alcoholism: A Common Cause of Pancreatitis...............255 Section 26.3—Alcohol and Kidney Function....258 Chapter 27—How Alcohol Interacts with Other Diseases and Disorders........................................265 Section 27.1—Influence of Alcohol and Gen- der on Immune Response.........266 Section 27.2—Alcohol Use Increases Like- lihood of Acquiring Sexually Transmitted Diseases (STDs)...269 Section 27.3—Human Immunodeficiency Virus (HIV) and Alcohol Use...271 Section 27.4—Alcohol Increases Cancer Risks..........................................273 Section 27.5—Alcohol and Hypoglycemia in Diabetics...............................276 Section 27.6—Alcohol and Sleep Difficulties ...............................279 Chapter 28—Use with Caution: Alcohol and Medications........281 Section 28.1—Harmful Interactions: Mixing Alcohol with Medicines............282 Section 28.2—Alcohol Abuse Makes Prescrip- tion Drug Abuse More Likely....284 Part IV: The Effects of Alcohol on Reproductive and Fetal Health Chapter 29—Alcohol and the Reproductive System.................289 Chapter 30—Alcohol Use among Pregnant Women and Recent Mothers.....................................................295 x (c) 2011 Omnigraphics, Inc. All Rights Reserved.

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