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

By Harold D. Holder

ISBN-10: 0511526784

ISBN-13: 9780511526787

ISBN-10: 052103504X

ISBN-13: 9780521035040

ISBN-10: 0521591872

ISBN-13: 9780521591874

An individual's selection to exploit alcohol and the frequency, volume, and events of use are the results of a mixture of organic and social elements. consuming is not just a private selection, but additionally a question of customized and social habit, and is prompted via entry and fiscal elements together with degrees of disposable source of revenue and price of alcoholic drinks. until eventually prevention efforts stop to concentration narrowly at the person and start to undertake broader neighborhood views on alcohol difficulties and techniques to minimize them, those efforts will fail. the writer demanding situations the present implicit versions utilized in alcohol challenge prevention and demonstrates an ecological standpoint of the neighborhood as a fancy adaptive procedure composed of interacting subsystems. this crucial quantity represents a brand new and good method of the prevention of alcohol dependence and alcohol-related difficulties.

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

Sample text

When consumption develops this way, the individuals will gradually become lognormally distributed. While arguing against Ledermann's particular statistical assumptions, Skog (1985) elaborated on the proposition of a unimodal distribution, asserting that a population's aggregate consumption changes tend to be reflected at all consumption levels and can be tracked as the mean (average) per capita consumption of absolute ethanol. Skog contends that mean consumption has a sociocultural content far beyond its algebraic definition as the arithmetic mean of individual consumption levels.

The Social Norms Subsystem reflects the concerns of the community about alcohol problems. For example, an increase in drinking and driving problems (themselves the result of patterns of drinking and driving influenced by the Social Norms Subsystem) can result in increased community concern. Increased community concern about drinking and driving (or at least the attention of a specific interest group, such as Mothers Against Drunk Driving) can, in turn, produce pressure (input to the Legal Sanctions Subsystem) to increase police surveillance and attention to enforcement of the laws against 26 Community system of alcohol use and problems driving under the influence of alcohol (DUI), or to increase the frequency of DUI convictions and the severity of punishment in the court system.

The historical increase in per capita consumption in the US is attributed not to an increase in the proportion of drinkers (as in Europe), but to an increase in the average consumption per drinker. Although the US is near the world median in per-capita alcohol consumption, consumption per drinker is probably about the highest in the world (Room, 1983). The aggregate consumption distribution 39 The aggregate consumption distribution The French epidemiologist Ledermann (1964) was the first to empirically demonstrate a continuous unimodal (one-peak) distribution of alcohol consumption.

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


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