Public Health Mini-Guides: Alcohol Misuse. Public Health and Health Promotion Series PDF
Preview Public Health Mini-Guides: Alcohol Misuse. Public Health and Health Promotion Series
Public Health Mini-Guide Alcohol Misuse About the authors KenBarrieisaseniorlecturerinAlcoholandDrugStudiesintheSchoolofSocial SciencesattheUniversityoftheWestofScotland,wherehehasworkedfor30years. HeistheprogrammeleaderfortheMSc/PostgraduateProgrammeinAlcoholand DrugStudies.Hismaininterestsaretreatmentinterventionsandservicesforproblem drinkersanddrugusersaswellaspublicpolicyinterventionsasmeansofreducing harm.Hehasconductedcommissionedresearchonsubstanceuseissuesandservice designforpublicbodies.Heiscurrentlyinvestigatingthelinksbetweenpovertyand problemsubstanceuse.HismostrecentbookisAlcohol(2012).Heisamemberofthe SocietyfortheStudyofAddiction. AngelaScrivenisReaderinHealthPromotionatBrunelUniversityinLondon, UK.Shehasbeenteachingandresearchinginthefieldofhealthpromotionformore than30yearsandhaspublishedwidely,includingauthoring,editingorco-editingthe followingbooks:HealthPromotionAlliances:TheoryandPractice(1998),Health Promotion:ProfessionalPerspectives(1996,2001),PromotingHealth:GlobalPerspectives (2005),HealthPromotingPractice:TheContributionofNursesandAlliedHealth Professionals(2005),PublicHealth:SocialContextandAction(2007),PromotingHealth: APracticalGuide(2010),HealthPromotionforHealthPractitioners(2010),andHealth PromotionSettings:PrinciplesandPractice.Herresearchcentresontherelationship betweenhealthpromotionpolicyandpracticewithinspecificcontexts.Sheisa memberoftheInternationalUnionofHealthPromotionandEducation(IUHPE),is PresidentElectoftheInstituteofHealthPromotionandEducation(IHPE),andisa FellowoftheRoyalSocietyforPublicHealth(RSPH). ForElsevier ContentStrategist:MairiMcCubbin ContentDevelopmentSpecialist:BarbaraSimmons ProjectManager:UmaraniNatarajan Designer/DesignDirection:MilesHitchen Public Health Mini-Guide Alcohol Misuse Ken Barrie SeniorLecturerinAlcoholandDrugStudies,SchoolofSocialSciences, UniversityoftheWestofScotland,Paisley,Scotland Angela Scriven ReaderinHealthPromotion,BrunelUniversity,London,UK Serieseditor: Angela Scriven Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2014 About the authors KenBarrieisaseniorlecturerinAlcoholandDrugStudiesintheSchoolofSocial SciencesattheUniversityoftheWestofScotland,wherehehasworkedfor30years. HeistheprogrammeleaderfortheMSc/PostgraduateProgrammeinAlcoholand DrugStudies.Hismaininterestsaretreatmentinterventionsandservicesforproblem drinkersanddrugusersaswellaspublicpolicyinterventionsasmeansofreducing harm.Hehasconductedcommissionedresearchonsubstanceuseissuesandservice designforpublicbodies.Heiscurrentlyinvestigatingthelinksbetweenpovertyand problemsubstanceuse.HismostrecentbookisAlcohol(2012).Heisamemberofthe SocietyfortheStudyofAddiction. AngelaScrivenisReaderinHealthPromotionatBrunelUniversityinLondon, UK.Shehasbeenteachingandresearchinginthefieldofhealthpromotionformore than30yearsandhaspublishedwidely,includingauthoring,editingorco-editingthe followingbooks:HealthPromotionAlliances:TheoryandPractice(1998),Health Promotion:ProfessionalPerspectives(1996,2001),PromotingHealth:GlobalPerspectives (2005),HealthPromotingPractice:TheContributionofNursesandAlliedHealth Professionals(2005),PublicHealth:SocialContextandAction(2007),PromotingHealth: APracticalGuide(2010),HealthPromotionforHealthPractitioners(2010),andHealth PromotionSettings:PrinciplesandPractice.Herresearchcentresontherelationship betweenhealthpromotionpolicyandpracticewithinspecificcontexts.Sheisa memberoftheInternationalUnionofHealthPromotionandEducation(IUHPE),is PresidentElectoftheInstituteofHealthPromotionandEducation(IHPE),andisa FellowoftheRoyalSocietyforPublicHealth(RSPH). ForElsevier ContentStrategist:MairiMcCubbin ContentDevelopmentSpecialist:BarbaraSimmons ProjectManager:UmaraniNatarajan Designer/DesignDirection:MilesHitchen ©2014ElsevierLtd.Allrightsreserved. Nopartofthispublicationmaybereproducedortransmittedinanyformorbyanymeans,electronicor mechanical,includingphotocopying,recording,oranyinformationstorageandretrievalsystem,without permissioninwritingfromthepublisher.Detailsonhowtoseekpermission,furtherinformationaboutthe Publisher’spermissionspoliciesandourarrangementswithorganizationssuchastheCopyrightClearance CenterandtheCopyrightLicensingAgency,canbefoundatourwebsite:www.elsevier.com/permissions. ThisbookandtheindividualcontributionscontainedinitareprotectedundercopyrightbythePublisher (otherthanasmaybenotedherein). ISBN9780702046384 BritishLibraryCataloguinginPublicationData AcataloguerecordforthisbookisavailablefromtheBritishLibrary LibraryofCongressCataloginginPublicationData AcatalogrecordforthisbookisavailablefromtheLibraryofCongress Notices Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchandexperiencebroadenour understanding,changesinresearchmethods,professionalpractices,ormedicaltreatmentmaybecome necessary. Practitionersandresearchersmustalwaysrelyontheirownexperienceandknowledgeinevaluatingand usinganyinformation,methods,compounds,orexperimentsdescribedherein.Inusingsuchinformation ormethodstheyshouldbemindfuloftheirownsafetyandthesafetyofothers,includingpartiesforwhomthey haveaprofessionalresponsibility. Withrespecttoanydrugorpharmaceuticalproductsidentified,readersareadvisedtocheckthemost currentinformationprovided(i)onproceduresfeaturedor(ii)bythemanufacturerofeachproducttobe administered,toverifytherecommendeddoseorformula,themethodanddurationofadministration,and contraindications.Itistheresponsibilityofpractitioners,relyingontheirownexperienceandknowledge oftheirpatients,tomakediagnoses,todeterminedosagesandthebesttreatmentforeachindividualpatient, andtotakeallappropriatesafetyprecautions. Tothefullestextentofthelaw,neitherthePublishernortheauthors,contributors,oreditors,assumeany liabilityforanyinjuryand/ordamagetopersonsorpropertyasamatterofproductsliability,negligenceor otherwise,orfromanyuseoroperationofanymethods,products,instructions,orideascontainedinthe materialherein. The Publisher's policy is to use paper manufactured from sustainable forests PrintedinChina ForNancy TitlesinthePublicHealthMini-Guideseries: Obesity NickTownsend,AngelaScriven ISBN9780702046346 AlcoholMisuse KenBarrie,AngelaScriven ISBN9780702046384 Diabetes(forthcoming) JosieEvans,AngelaScriven ISBN9780702046377 Series preface IntheForewordtoitsstrategyforpublichealthinEngland,theHealthyLives, HealthyPeopleWhitePaper(TheStationeryOffice,2010),theUKgovernment highlightedsomeofthepublichealthchallengesfacingthoseworkingtoimprove publichealth:‘BritainisnowthemostobesenationinEurope.Wehaveamong theworstratesofsexuallytransmittedinfectionsrecorded,arelativelylargepopulation ofproblemdrugusersandrisinglevelsofharmfromalcohol.Smokingalone claimsover80,000livesineveryyear.Expertsestimatethattacklingpoormental healthcouldreduceouroveralldiseaseburdenbynearlyaquarter.Healthinequalities betweenrichandpoorhavebeengettingprogressivelyworse’.Thepublichealthtargets areclear,bothintheWhitePaperandinOurHealthandWellbeingToday (DepartmentofHealth,2010),whichwaspublishedtoaccompanytheWhitePaper. Thetargetsincludepoliciesformentalhealth,tobaccocontrol,obesity,sexualhealth, andoverallhealth. TheproposalsandprioritiesidentifiedintheWhitePaperapplytoEngland,but theyareofequalconcernintheDevolvedAdministrationsandglobally,asevidenced inWorldHealthOrganization(WHO)reports(www.who.int/whr/en/index.html). ThePublicHealthMini-Guidesseriescoverssomeofthekeyhealthtargetsidentifiedby theUKgovernmentandWHO.TheMini-Guideshighlight,inaconcise,easily accessiblemanner,whattheproblemsareandtherangeofpotentialsolutionsavailable tothoseprofessionalswhohavearesponsibilitytopromotehealth. WhatthePublicHealthMini-Guidesprovide TheMini-Guidesarewrittentoprovideup-to-date,evidence-basedinformationina convenientpocket-sizedformatonarangeofcurrentkeypublichealthtopics.They supporttheworkofhealthandsocialcarepractitionersandstudentsoncoursesrelated topublichealthandhealthpromotion.Eachvolumeprovidesanobjectiveand balancedintroductiontoanoverviewoftheepidemiological,scientific,andother factorsrelatingtopublichealth.TheMini-Guidesarestructuredtoprovideeasyaccess toinformation.Thefirstchapterscoverbackgroundinformationneededtoquickly understandtheissue,includingepidemiology,demography,andphysiology.Thelater chaptersexploreexamplesofpublichealthactiontoaddresstheissue,coveringhealth Seriespreface promotioninterventionsandlegislativeandothermeasures.TheMini-Guidesare designedtobeessentialreferencetextsforstudents,practitioners,andresearcherswho haveaprofessionalinterestinpublichealthandhealthpromotion. Uxbridge AngelaScriven References DepartmentofHealth,2010.OurHealthandWellbeingToday.DepartmentofHealth,London. TheStationeryOffice,2010.HealthyLives,HealthyPeople.WhitePaper. x Preface AlcoholistheUK’sfavouritepsychoactivesubstance,andtheproduction,saleand consumptionofalcoholicbeveragesisamajorelementoftheUKeconomy.Alcohol useiscentraltomostethnic,social,andculturalgroupsintheUK.Theimpactof alcoholonhealth,morbidityandmortalityandthesocialfabric(family,crimeand employment)issignificantbothatanindividualandapopulationlevel.Asalcoholhas becomecheaperandmoreavailable,associatedproblemshaveincreased.Globally,a largeproportionofdiseaseisattributedtoalcoholconsumption,andalcoholplacesa burdennotonlyontheindividualbutalsoonsocietyasawhole.Itisamajorpublic healthchallengeonaglobalscale. Thisminiguidepresentskeythemesrelatingtothischallenge,includingthemeans ofmeasuringalcoholuseandrelatedproblems,themostrecentprevalenceandtrends, thehealthandsocialconsequences,andcausesofalcoholmisuse,alongwith approachestoreducealcoholproblemsatanindividualandapopulationlevel. Chapter1coverstheprevalenceofalcoholuseanddrinkingpatternsintermsof regional,ethnic,social,andgenderdifferencesintheUK.Theeffectsofalcohol, includingculturalinfluencesonconduct,areoutlined.Definitionsofriskandsafer drinkinglimitsareconsidered.Chapter2exploresthehealthandsocialconsequences ofdrinking.Theroleofalcoholinoffendingisevaluated.Healthinequalityand deprivationareconsideredasdriversofalcohol-relatedproblems.Chapter3examines recoveryfromalcoholdependence,withandwithouttreatmentinterventions. Evidence-basedpsychosocialandpharmacologicalinterventionsaredescribed,asisthe importanceofthetherapeuticalliance. Chapter4focusesontwoimportantsocialnetworks:thefamilyandtheworkplace. Theimpactonbothisconsidered,andthepotentialforboththefamilyandworkplace toinfluencerecoveryandpreventionisexplored.Chapter5emphasizesthree importantpublichealththemes:thepriceofalcohol(includingminimumunit pricing),controlofthedrinkingenvironment,andalcoholeducation.Oppositionto controlsonalcoholbyvestedinterestsisappraised.Chapter6considerstheevidence forreducingalcoholconsumptionandrelatedproblemsamonghazardousandharmful drinkersthroughcontactwithnonalcoholspecialistservicesusingscreeningtechniques andalcoholbriefinterventions.Obstaclestoprogress,particularlyinrelationto professionaleducationandattitudes,areexplored.
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