1. Healthy Drinking A Chapter Study Chapter 36 Healthy Drinking A Chapter Study By Shelley Sprague & Brenda Dunbar

2. Question… It is time to elect the world leader, and yours is the deciding vote. Here are the facts about the three leading candidates…

3.  Candidate A: He associates with crooked politicians, and consults with astrologers. He's had two mistresses. He also chain smokes and drinks up to ten Martinis a day.  Candidate B: He was ejected from office twice, sleeps until noon, used opium in college and drinks a large amount of whisky every evening.  Candidate C: He is a decorated war hero. He's a vegetarian, doesn't smoke, drinks an occasional beer and hasn't had any extra-marital affairs. Which of these candidates would be your choice? Which of these candidates would be your choice?

4. Here are your Candidates Candidate A  is Franklin D Roosevelt Candidate B  is Winston Churchill Candidate C  is Adolph Hitler.

5. Drinking   Why do people drink?   What are the impacts?   What are the benefits?   Healthy Lifestyle Program   Communication Product   Questions?

6. Why do People Drink?   Have fun, Celebrate   Take a break from academics/work   Relieve boredom   Learn alcohol limits   Social lubricant aka “liquid courage”   Peer influence   Relieve stress, solve problems

7. Facts & Statistics   32% of female & 47% of male college students engage in high-risk drinking   One third of college students meet the criteria for a diagnosis of alcohol abuse   One in 17 are alcohol dependent (Dodd, Glassman et al. 2010)

8. More Facts/Statistics…   A Rise in the number of 12-18year old youth with alcohol problems in the last 10 years (Bulletin Wire, 2011)   1 in every 4 kids/teens live with someone who is an alcoholic (Hunt, 2011)

9. Emotional/Cognitive Impacts: Drinking Anxiety Disorders DepressionSchizophrenia Bi-Polar Disorders

10. Impacts of Alcohol on Families Children in a family with an alcoholic… - - May be mentally affected: depression, anxiety, rage, shame, fear - - Deal with strange behaviour - - suffer weird punishments - - live with painful memories - - May act out in school or start to drink themselves

11. Characteristics of Alcoholic Families Share similar concerns - - Money problems - - Trouble with the law - - Loud & violent - - Façade (Hunt 2011)

12. Social Impacts Excessive Drinking can lead to…   Disorderly behaviour   Embarrassing behaviour   Risky sexual behaviour   Poor school attendance and achievement   Violence   Trouble with the law (Rothwell, Segrott, 2011)

13. Physical Impacts Moderate Drinking   Increased risk of breast cancer in women   May also cause a small rise in strokes caused by bleeding in to the brain (Zuger, 2002) Heavy Drinking Raises risk of…   High Blood pressure   Heart Failure   Many forms of cancer May cause…   Diabetes   Pancreatic failure   Liver failure   Severe dementia

14. More Physical Impacts…   Unintentional Injuries   Children in a family with an alcoholic may be physically hurt   They might have headaches all the time or have trouble sleeping (Hunt, 2011)

15. Benefits of Drinking “A meal without wine is like a day without sunshine”. (Anthelme Brillat-Savarin in 1825)   Drinking wine, beer or spirits in moderation is actually good for you!   Wine consumption is on the rise   Drinking alcohol has medicinal purposes   Linked to good health   Is an important part of religion and culture

16. Some Facts…   People have enjoyed wine and beer for thousands of years.   Beer is older then wine and may have been made by accident.   Alcohol in excess is a problem in society. Studies have shown that in moderation it does have health benefits.

17. Social Benefits The French Paradox   The French have a diet high in fat.   They have a low incidence of heart disease   Studies show that when alcohol is moderately consumed, there is a 25%-45% reduce in risk of Coronary Artery Disease. - Some think it could be because the French eat and drink sociably, with friends and family.   Not healthy to drink alone

18. Physical Benefits Medical study…   Review of 25 studies, 350 000 people and 1.8 million people   Years of follow up   Drank all different types of alcohol Results…   Pointed to a lower risk of Coronary Heart Disease   Reduced risk of a new diagnosis of CAD by 29%

19. A large study in the U.S. with male physicians drinking moderately showed reduced Angina and Heart attack.

20. The largest population study was from 1978-1991.   Included 128 934 California residents.   3 931 were hospitalized for CAD. Results…   Drinking alcohol reversed the effects of CAD   Risk was 50% less with 1-2 drinks per day than non drinkers.

21. Study: Zutphen (Netherlands) American Heart Association’s Cardiovascular Disease Epidemiology and Prevention conference Conclusions…   1-2 glasses of alcohol per day (especially wine) led to 36% lower chance of all causes of death   36% lower risk of Cardiovascular disease death   Wine drinkers lived 2 years longer than those drinking beer or liquor.   People who drink moderately live 1.6 years longer than non drinkers   Having 1-3 drinks a day reduces risks of developing diabetes by 33-56%

22.   Drinking 1-6 drinks a week also showed lower risk of dementia.   1 drink a day has been associated with 20% reduced risk of hip fracture compared to non-drinkers   Wine seems to help women who have CAD and helps regulate heart beat intervals.   It is predicted the survival rate increases when these women drink wine   Moderate wine drinking lowers risk of congestive heart failure

23.   Levels of “good cholesterol” rise when drinking.   Anti-inflammatory effects arise when drinking wine-it comes from a compound found in grape skins.   This compound (Resveratrol) may provide stroke protection and inhibit growth of breast cancer cells

24. Other Physical Benefits…   Alcohol consumers weigh less than non drinkers   Heavier drinking is positively related to less obesity (Hellerstaedt et al., 1990)   Protection from infectious diseases: Concentrations of alcohol above 15% inactivates most vegetative organisms.   Strong Bones: moderate alcohol intake may help to prevent Osteoporosis

25. Emotional Benefits   Relieves stress   Alcohol provides opportunity to have fun and celebrate at events like birthdays, Christmas etc.   Confidence is increased- “Liquid courage”   Relieves boredom   “Feels Good”

26. Spiritual Benefits Some religions use alcohol for symbols   Catholics use wine as a symbol of Jesus’ blood

27. Kids, Adults Together (KAT)   School-based Alcohol Misuse Prevention Program   Started in 2008 in South East Wales   Target Audience: Children 9-11yrs, Parents/families

28. Objectives   To have children & parents openly discuss alcohol & related issues at home   Reduce number of young people who drink too much (Rothwell & Segrott 2011)

29. KAT: Classroom Component Students…   Learned effects & consequences of alcohol use   Incorporated literacy, art & design, & research skills   Prepared skits for family fun evening to raise awareness of alcohol issues   Reflected on their attitude/values related to alcohol use and how it impacts family & community

30. KAT: Family Fun Evening   Activities for parents & children   Short skits   Goody Bag- DVD   Class work Displayed

31.   Program addresses both parental involvement and family communication by focusing on the connections between the kids and parents. Is KAT Effective?

32. KAT Results & Impacts Parents/Family   High participation   Gained new knowledge   Demonstrated awareness   Reflected on other related issues (Rothwell & Segrott 2011) Students   Keen to show of their knowledge to parents   Parents learned from children   Gained knowledge from own research in class

33. Observations   Some parents may be at a point where they want to make a change in their drinking habits. (contemplation or preparation stage)  Influence of drinking alcohol in front of children  Influence of child on grandfather

34.   All Participants enjoyed Family Fun Evening - “Interesting, non-judgmental and informative.”   Children thought class activities were fun and a nice change from usual class work (Rothwell & Segrott 2011) KAT Feedback

35. Communication Product   This product is a short skit meant to be entertaining and informative at the same time!   Meant for young adults aged 19-25 Purpose   To deter young adults from being dimwitted beer drinkers like the icons in this skit.   To outline the benefits of healthy drinking in moderation using humour geared towards the audience

36. You will Learn… - - Drinking in moderation has been proven to be healthy for you - - Smoking is bad for you - - Drinking relieves stress and calms you down and puts you in a better mood - - Drinking reduces risk of Coronary Heart Disease

37. Conclusions Negative effects of alcohol impact multiple aspects of health: physical, emotional, cognitive, and social Studies have demonstrated negative impacts on…   Family& friends   Academics   Mental health   Physical health

38. Conclusions   Despite the drinking issues in society, studies show huge benefits in drinking alcohol moderately…especially for Cardiovascular Health.   Wine can especially contribute to a healthy lifestyle and has great health benefits   The benefits are lost when consuming higher amounts of alcohol. Lets toast…to drinking moderately!

39. Questions?