Alcohol and the Community: A Systems Approach to Prevention by Harold D. Holder

By Harold D. Holder

An individual's determination to take advantage of alcohol and the frequency, volume, and occasions of use are the results of a mixture of organic and social components. ingesting is not just a private selection, but in addition a question of customized and social habit, and is motivated through entry and fiscal components together with degrees of disposable source of revenue and value of alcoholic drinks. till prevention efforts stop to concentration narrowly at the person and start to undertake broader neighborhood views on alcohol difficulties and methods to minimize them, those efforts will fail. the writer demanding situations the present implicit versions utilized in alcohol challenge prevention and demonstrates an ecological point of view of the neighborhood as a posh adaptive procedure composed of interacting subsystems. this crucial quantity represents a brand new and brilliant method of the prevention of alcohol dependence and alcohol-related difficulties.

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Extra resources for Alcohol and the Community: A Systems Approach to Prevention

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The Consumption Subsystem both stimulates (provides input to) and receives input from other subsystems. The consumption of alcohol creates demand for alcohol as a retail product and thus stimulates the Retail Sales Subsystem. In turn, the Retail Sales Subsystem creates the opportunity for marketing and purchase of alcohol, thus stimulating consumption. Patterns of drinking influence patterns of drinking and driving, thus providing input to the Legal Sanctions Subsystem. Injuries and death caused by drinking and driving, together with other alcohol-involved chronic and acute health and safety problems in the community, provide input to the Social, Economic, and Health Consequences Subsystem, such as demand for emergency and inpatient hospital treatment and health services.

Community drinking patterns can thus be described in terms of the distinctive drinking patterns of each age and gender group. , the proportion of older or younger people in the community changes as a result of migration, births, or deaths), the overall community pattern (and level) of drinking can change. Cahalan & Cisin (1968) and Cahalan & Room (1972) found clear empirical evidence of differences in US drinking patterns by age and gender groups, as well as by education, income, religion, and geographical region.

3) The frequency of drinking nearly every day is about the same across age groups, but the frequency of heavy drinking increases after 40, while its incidence decreases. (4) The frequency of having five or more drinks at least once per week decreases with age. (5) Decreases with age occur in the frequency and incidence of becoming intoxicated at least once per year, self-reported alcohol problems, and social complications associated with drinking. Treno, Parker & Holder (1993) examined the relationship between changes in the age structure of the US and subsequent changes in per capita ethanol consumption from 1950 to 1987.

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