Prevention of Alcohol Abuse

519 Pages·1984·12.07 MB·English

by  Ted D. Nirenberg

Prevention of
Alcohol Abuse
Prevention of
Alcohol Abuse
Edited by
Peter M. Miller
Sea Pines Behavioral Institute
Hilton Head Island, South Carolina
and
Ted D. Nirenberg
Veterans Administration Medical Center, and
Brown University
Providence, Rhode Island
Plenum Press • New York and London
Library of Congress Cataloging in Publication Data
Main entry under title:
Prevention of alcohol abuse.
Includes bibliographies and index.
1. Alcoholism-Prevention-Addresses, essays, lectures. I. Miller, Peter Michael,
1942- . II. Nirenberg, Ted D., 1952- . [DNLM: 1. Alcoholism-Prevention
and control. WM 274 P944)
HV5047.P73 1983 362.2'927 83-19203
ISBN-13: 978-1-4612-9656-0 e-ISBN-13: 978-1-4613-2657-1
001: 10.1007/978-1-4613-2657-1
© 1984 Plenum Press, New York
Softcover reprint of the hardcover 1st edition 1984
A Division of Plenum Publishing Corporation
233 Spring Street, New York, N.Y. 10013
All rights reserved
No part of this book may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopying, microfilming,
recording, or otherwise, without written permission from the Publisher
Contributors
AMECHI ANUMONYE, Department of Psychiatry, Lagos University
Teaching Hospital, Lagos, Nigeria
HOWARD T. BLANE, Minimizing Alcohol Problems Project, School of
Education, University of Pittsburgh, Pittsburgh, Pennsylvania
BARBARA BRAUCHT, Department of Psychology, University of Denver,
Denver, Colorado
G. NICHOLAS BRAUCHT, Department of Psychology, University of
Denver, Denver, Colorado
C. CAMPILLO-SERRANO, Epidemiological and Social Sciences Department,
Instituto Mexicano De Psiquiatria, Antiquo Camino A Xochimilco 101,
Mexico
TONY CELLUCCI, Department of Psychology, North Carolina Wesleyan
College, Rocky Mount, North Carolina
DONALD W. GOODWIN, Department of Psychiatry, University of Kansas
School of Medicine, Kansas City, Kansas
K. GUNNAR GOTESTAM, The University of Trondheim, Ostmarka
Hospital, Trondheim, Norway
THOMAS C. HARFORD, National Institute on Alcohol Abuse and
Alcoholism, Rockville, Maryland
v
vi Contributors
LINDA E. HEWITT, Department of Psychology, University of Pittsburgh,
Pittsburgh, Pennsylvania
RAYMOND J. HODGSON, Whitchurch Hospital, Whitchurch, Cardiff,
Wales
SHUll IDA, Department of Pharmacology, Kyoto Prefectural University of
Medicine, Kawaramachi-Hirokoji, Kamikyo-Ku, Kyoto, Japan
LT. COL. JOHN E. KILLEEN, United States Army, Office of Drug and
Alcohol Abuse Prevention, Department of Defense, The Pentagon,
Washington, D.C.
FELIX KLAlNER, Addiction Research Foundation and University of
Toronto, 33 Russell Street, Toronto, Canada
DAVID P. KRAFT, Mental Health Division, University Health Services,
University of Massachusetts, Amherst, Massachusetts
KINYA KURIYAMA, Department of Pharmacology, Kyoto Prefectural
University of Medicine, Kawaramachi-Hirokoji, Kamikyo-Ku, Kyoto,
Japan
STEPHEN R. MANSKE, University of Waterloo, Waterloo, Ontario, Canada
BARBARA S. MCCRADY, Butler Hospital and Brown University,
Providence, Rhode Island
M. E. MEDINA-MORA, Epidemiological and Social Science Department,
Instituto Mexicano de Psiquiatria, Antiquo Camino A Xochimilco 101,
Mexico
PETER M. MILLER, Sea Pines Behavioral Institute, Sea Pines Plantation,
Hilton Head Island, South Carolina
WILLIAM R. MILLER, Department of Psychology, The University of New
Mexico, Albuquerque, New Mexico
PETER E. NATHAN, Rutgers, The State University, New Brunswick, New
Jersey
TED D. NIRENBERG, Alcohol Dependence Treatment Program, Veterans
Administration Medical Center, Providence, Rhode Island and Section of
Contributors vii
Psychiatry and Human Behavior, Brown University, Providence, Rhode
Island
NORA E. NOEL, Butler Hospital, Providence, Rhode Island
SEITARO OHKUMA, Department of Pharmacology, Kyoto Prefectural
University of Medicine, Kawaramachi-Hirokoji, Kamikyo-Ku, Kyoto,
Japan
ANDREA PAGE, University of Waterloo, Waterloo, Ontario, Canada
DOUGLAS A. PARKER, Department of Sociology, California State
University, Long Beach, California
OLA R6sTUM, Blue Cross Alcoholism Treatment Center, Trondheim,
Norway
RONALD P. SCHLEGEL, University of Waterloo, Waterloo, Ontario, Canada
REGINALD G. SMART, Addiction Research Foundation, 33 Russell Street,
Toronto, Ontario, Canada
LINDA C. SOBELL, Addiction Research Foundation and University of
Toronto, 33 Russell Street, Toronto, Ontario, Canada
MARK B. SOB ELL, Addiction Research Foundation and University of
Toronto, 33 Russell Street, Toronto, Ontario, Canada
I. A. SYTINSKY, Research Group of Neurochemical Basis of Alcoholism,
A. A. Ukhtomsky Institute of Physiology, Leningrad University,
Leningrad, U.S.S.R.
VIJOY K. VARMA, Department of Psychiatry, Postgraduate Institute of
Medical Evaluation and Research, Chandigarh, India
Preface
The abuse of alcohol presents a major health problem throughout the
world. Until recently both clinical and research efforts have been geared
toward treatment and rehabilitation of alcoholism. With the growing num
ber of problem drinkers entering treatment, the need for a better under
standing of the prevention of alcohol abuse has become increasingly evi
dent. Although still in its infancy, the field of alcoholism prevention is
growing at a rapid rate. Increasing numbers of behavioral scientists through
out the world are conducting or planning prevention projects. Policy plan
ners, school administrators, military agencies, community groups, state and
local alcoholism agencies, and industries are initiating alcohol abuse preven
tion programs with fervor. Legislators at all levels of government are also
developing a keen interest in legislation aimed at reducing the extent of
problem drinking.
This book represents one of the first systematic attempts to compile a
comprehensive text on the prevention of alcohol abuse. Many of the con
tributors to Prevention 0/ Alcohol Abuse have international reputations that
strengthen their understanding of the complex nature of prevention. By
providing a critical review of the current knowledge about prevention, the
text will serve to stimulate and lay the groundwork for further prevention
efforts.
We thank all of the chapter authors for their excellent contributions. It
is through their efforts that the field will thrive. Our appreciation also is
expressed to Leonard Pace, formerly of Plenum Press, for his encourage
ment and helpful comments in the development of the text.
PETER M. MILLER
TED D. NIRENBERG
ix
Contents
HISTORY AND ISSUES OF ALCOHOL ABUSE PREVENTION
CHAPTER 1. HISTORY AND OVERVIEW OF THE PREVENTION OF
ALCOHOL ABUSE ................................. 3
Ted D. Nirenberg and Peter M. Miller
Prevention versus Treatment ................... 4
Resistance to Prevention ....................... 5
What is Prevention? ........................... 6
The Targets of Prevention ..................... 7
History of Alcohol Abuse Prevention ........... 7
Models of Prevention ......................... 8
References .................................. 13
CHAPTER 2. THE PREVENTION OF ALCOHOL PROBLEMS:
CONCEPTUAL AND METHODOLOGICAL ISSUES ....... 15
Tony Cellucci
Secondary Prevention Programs ............... 18
Legal Regulation and Public Control Measures .. 28
Alcohol Education ........................... 34
The Developmental Context of Alcohol Abuse .. 40
Summary ................................... 45
References .................................. 46
CHAPTER 3. TARGET POPULATIONS FOR ALCOHOL ABUSE
PREVENTION .................................... 55
Nora E. Noel and Barbara S. McCrady
XI
xii Contents
Identifying Special Populations and Needed
Prevention Efforts ......................... 57
Guidelines for Ideal Prevention Programs ....... 65
Existing Prevention Programs ................. 84
Restraints on Developing Ideal Programs for
Special Populations . . . . . . . . . . . . . . . . . . . . . . . .. 90
Conclusions ................................. 92
References .................................. 93
PREDICTORS OF PROBLEM DRINKING
CHAPTER 4. BIOLOGICAL PREDICTORS OF PROBLEM DRINKING 97
Donald W. Goodwin
Familial Susceptibility to Alcoholism .......... 97
Biological Concomitants of Alcoholism ........ 1lO
References ................................. 116
CHAPTER 5. SITUATIONAL FACTORS IN DRINKING: A
DEVELOPMENTAL PERSPECTIVE ON DRINKING
CONTEXTS ..................................... 119
Thomas C. Harford
Environmental Influences in Adolescent
Drinking ................................ 121
Developmental Trends in Adolescent Drinking
Contexts ................................ 124
Environmental Influences in Adolescent Drinking
Contexts ................................ 132
Situational Factors in Adolescent Drinking
Contexts ................................ 139
Developmental Trends in College Drinking
Contexts ................................ 144
Situational Factors in Adult Drinking Contexts . 151
Summary and Conclusions ................... 152
References ................................. 154
APPROACHES TO PREVENTION
CHAPTER 6A. ALCOHOL CONTROL POLICY IN CANADA ........ 161
Reginald G. Smart
Contents xiii
CHAPTER 6B. ALCOHOL CONTROL POLICY IN ENGLAND AND
WALES ...................................... 169
Raymond j. Hodgson
CHAPTER 6C. ALCOHOL CONTROL POLICY IN INDIA ........ '" 185
V ljOY K. Varma
CHAPTER 6D. ALCOHOL CONTROL POLICY IN JAPAN .......... 199
Kinya Kuriyama, Shuji Ida, and Seitaro Ohkuma
CHAPTER 6E. ALCOHOL CONTROL POLICIES IN MEXICO. . . . . . .. 205
M. E. Medina-Mora and C. Campillo-Serrano
CHAPTER 6F. ALCOHOL CONTROL POLICY IN THE NORDIC
COUNTRIES (DENMARK, FINLAND, NORWAY,
SWEDEN, icELAND) ........................... 213
K. Gunnar Gatestam and Ola Rastum
CHAPTER 6G. ALCOHOL CONTROL POLICY IN NIGERIA ........ 227
Amechi Anumonye
CHAPTER 6H. ALCOHOL CONTROL POLICY IN THE UNITED
STATES ...................................... 235
Douglas A. Parker
CHAPTER 61. ALCOHOL CONTROL POLICY IN THE USSR 245
I. A. Sytinsky
CHAPTER 7. PREVENTION OF PROBLEM DRINKING AMONG
YOUTH: EVALUATION OF EDUCATIONAL
STRATEGIES .................................... 253
G. Nicholas Braucht and Barbara Braucht
Educational Strategies ....................... 253
General Problem and Caveat ................. 255
Goals and Approaches ...................... 256
Empirical Evaluations of Educational Programs . 261
Guidelines for Future Evaluation Research ..... 268
References ................................. 272
CHAPTER 8. PREVENTION THROUGH MASS MEDIA
COMMUNICATION .............................. 281
Linda E. Hewitt and Howard T. Blane
General Mass Communication Effects 282
Program Characteristics of Alcohol-Related Mass
Media Campaigns ......................... 289