Alcoholics Project

8/10/2019 Alcoholics Project

1/41

+

Chemical Dependence:Alcoholics


2/41

+Introduction

Substance abusers. Substance abuserscome in many forms. These formsinclude alcohol, marijuana, cigarettes,prescription pain relievers,hallucinogens, inhalants, stimulants,cocaine, heroine, methamphetaminesand other types of drugs. Substance

abuse occurs when a person becomeseither mentally or physically addicted toa drug, then proceeds to consumeamounts that are harmful to themselves.

Abuse also occurs when someone usesa drug in a way other than intended andprescribed.

We have chosen to focus on alcoholspecifically out of this group ofsubstances because abusers of alcoholrank as the highest incidents of abuseamongst all other drugs.


3/41

+States the current population

demographics

Above chart shows what drug adolescentsage 12-17 used for the firsttime on an

average day during 2010 and 2011 in theUS


4/41

+States the current population

demographics

Above chart shows number of adolescents between the ages

of 12-17 that used particular substances on an average day.


5/41

+Continued

Moving forward in time to thepresent and changing thedemographic to adults and strictlyalcoholism.

Nearly 15 million people areaffected by alcohol abuse or

dependency.

The state with highest rate ofalcohol abuse is Wisconsin, at11.32% of the population.

State with fewest heavy drinkers

is a tie between West Virginia andUtah, at 2.8% of population.

Roughly 6% of all college studentsare considered alcohol dependentand 31% met the criteria foralcohol abuse.


6/41

+


7/41

+Effect on Public Health

The background of alcoholism canstem from many different rootcauses. Many drink socially, in orderto bond with peers. Some peopledrink with the sole intent to alter their

mental status due to depression orother disorders. Unfortunately, bothof these reasons to consume alcoholcan lead to the abuse anddependence of it as well. Besides itsharmful effects on the human body,

alcohol abuse has severeconsequences on public health ingeneral. Alcoholism is associatedwith drinking and driving, suicide,sexual assault, and high-risk sex.


8/41

+Cultural

Recent advances in alcohol research continueto build our understanding of alcoholconsumption and related consequences forU.S. ethnic minority groups.

National surveys show variations acrossethnicities in drinking, alcohol use disorders,

alcohol problems, and treatment use.

Higher rates of high-risk drinking among ethnicminorities are reported for Native Americans ,although within-ethnic group differences (e.g.,gender, age-group, and other subpopulations)also are evident for ethnicities.

Whites and Native Americans have a greaterrisk for alcohol use disorders relative to otherethnic groups


9/41

+Continued

National surveys show differences in alcoholconsumption across ethnic groups, includingpatterns of drinking associated with greater riskfor the adverse effects of alcohol (e.g., bingedrinking, defined as five or more drinks on thesame occasion).

According to past-30-day estimates of drinkingprovided by the 2007 National Survey on DrugUse and Health (NSDUH) (SAMHSA 2008c), anyalcohol use in adults (i.e., ages 18 or older) ismost prevalent for Native Americans (59.8percent), lowest for Asian Americans (38.0percent), Hispanics (46.3 percent), and Blacks(43.8 percent).

Native Americans have the highest prevalence(12.1 percent) of heavy drinking (i.e., five ormore drinks on the same occasion for 5 or moreof the past 30 days; followed by Hispanics (6.1percent).

A larger percentage of Native Americans (29.6

percent) also are binge drinkers.


10/41

+History pertaining to population

Initiation into excessive substance use may

occur during periods of rapid social change,often among cultural groups who have hadlittle exposure to a drug and have notdeveloped protective normative behavior.Loss of a healthy ethnic or cultural identity,may occur among native populations whose

cultures have been devastated by theextensive and sudden influx of outsideinfluence.

Because of its low availability, few NorthAmerican Indians had any exposure to alcohol

before the arrival of whites. On the westernfrontier, potent distilled alcoholic beveragesbecame widely available, and the only modelNative Americans had was the drunkencomportment of the frontiers . Native

American elders believe that many substance

abuse problems are related to the loss oftraditional culture


11/41

+Continued

The high prevalence of alcohol use and its

consequences among American Indians may beattributed to a number of factors, including theinfluence of the European colonists who firstmade large amounts of alcohol avail-able toIndians, as well as current social and culturalfactors.

Before European colonization, the native

population of the territory that would eventuallybecome the United States was relatively naveto alcohols effects. Some tribes produced weakbeers or other fermented beverages, but thesewere generally used only for ceremonialpurposes.

The distillation of more potent and thus moreabusable forms of alcohol was unknown. Whenvarious European colonists suddenly made largeamounts of distilled spirits and wine available to

American Indians, the tribes had little time todevelop social, legal, or moral guidelines toregulate alcohol use History may have thereforesown the seeds for the prevalence of alcohol

abuse in North American indigenouspopulations.


12/41

+Continued.

Early demand, with no regulation and strongencouragement, may have contributed to atradition of heavy alcohol use passed down fromgeneration to generation, which has led to thecurrent high level of alcohol-related problems.

The socioeconomic picture for many tribes isbleak. Unemployment rates are high, schoolcompletion rates are low, and basic supportsystems are underdeveloped.

Those conditions place a great deal of stress on

the family and other socialization structures withinIndian communities. As a result, the basicdevelop-mental needs of Indian children often gounmet. To the extent that this type of social stresspredisposes a population to alcohol abuse,

American Indian communities are highly

susceptible


13/41

+Psychosocial

Alcohol abuse poses great dangers to analcoholic's physical, mental, emotional, social

and spiritual health. Alcoholism often causessevere social consequences on a person'slife as well. Being drunk or hung over at workfrequently results in termination from a job,leaving a person and her dependents insevere financial trouble. Domestic violence,marital conflict, legal problems and isolationfrom friends and family are also common

results of alcohol abuse, Being drunk alsoaffects your judgment and may lead to you:

Having unprotected sex, or unwanted sex.This could lead to unplanned pregnancy orSTIs

Feeling bad about yourself and embarrassedby your actions

Losing friends or loved ones as a result ofyour behavior

Losing money that you need for other thingsafter reckless spending on alcohol

Drinking alcohol also increases the likelihoodof acting in a violent way.


14/41

+Income Level


15/41

+The rich out-drink the poor by 27.4percent.

"Those who can afford alcoholoften look upon it as a luxurygood and thus buy more of it,

This may be why researchconducted by the Centers forDisease Control shows that45.2 percent of adults fromhouseholds whose incomesare below the poverty linereport having consumed atleast one alcoholic beverage inthe last 30 days, compared to72.6 percent of adults whosehousehold incomes are atleast four times the povertylevel.


16/41

+Educational Level

The more income people have, the more

educated they are and the higher theirsocial status or class, the more likely theyare to drink alcoholic beverages. They arealso more likely to drink if they live in certaincountries or regions.

College graduates are nearly twice as likelyto drink as are people who didn't finish highschool.

Rates of alcohol use increase with levels ofeducation, as 68.4 percent of collegegraduates and 35 percent of adults whodidn't finish high school describethemselves as "current drinkers." Otherstudies consistently show higher drinkingrates among the college-educated, forwhom "drinking good wine and cocktails is asocial thing, "and it's part of the business

meetings and social networking that theircareers often depend on." Many peoplelearn to drink at college, where campus life"definitely promotes a culture of 'drink andbe wild.'"


17/41

+


18/41

+Occupational: Top 5 Jobs that willturn you into an Alcoholics


19/41

+ National Institute for OccupationalSafety and Health (NIOSH)

5. Cooks are 1.77 times more likelyto die from alcoholism than average

NIOSH recorded 352 deaths linkedto alcoholism among 13,470 whitemale deaths. Category includescooks and executive short orders.

4. Painters are 1.85 times morelikely to die from alcoholism thanaverage

NIOSH recorded 926 deaths linked toalcoholism among 40,571 white maledeaths. Category includes painters,construction and maintenance.


20/41

+ National Institute for OccupationalSafety and Health (NIOSH)

3) Roofers are 1.87 times morelikely to die from alcoholism thanaverage.

NIOSH recorded 286 deathslinked to alcoholism among 8,490white male deaths.

2) Shoe machine operators are

2.00 times more likely to diefrom alcoholism than average

NIOSH recorded 43 deathslinked to alcoholism among2,921 white male deaths.


21/41

+1. Bartenders are 2.33 times morelikely to die from alcoholism thanaverage

NIOSH recorded 294 deaths linked to alcoholism among 8,361

white male deaths.


22/41

+Video


23/41

+Alcoholism and Public Health

88,000 deaths

1.2 million emergency room visits

$223.5 billioncost of excessive alcohol consumption in a year

Women Men

Had at least one drink 59.6% 71.8

Have never drank 22.5% 11.6%

Percentage of binge drinkers 28.8% 43.1%

Amount of drinks consumed in a day

1 drink 48.2% 28.7%

2 drinks 29.9 29.0%

3 or more drinks 21.9% 42.3%


24/41

+Health Concerns related to

Alcoholism

Interruption of communicationpathways in brain

Direct damage to the functionand structure of the heart

Increased stress placed onliver

Toxins produced by pancreas

Weakened immune system

Higher Susceptibility tocancers


25/41

+Effects Alcohol on the Human Body

Short Term

Unintentional Injury

Violence

Risky Behavior

Alcohol Poisoning

Long Term

Neurologic Disorders

Cardiovascular Disease

Psychosocial Issues

Cancers and Liver dysfunction

Gastrointestinal problems


26/41

+Risk Factors

Regular Drinking

Age

Family History of excessivedrinking

Depression or pre-existingmental illness

Socioeconomic status

Dual dependence onmedication or illegal drugs


27/41

+Primary Prevention

Provide information andspread awareness

Building skills and

developing strategies incommunity settings

Exposure to healthieralternatives


28/41

+Secondary Prevention

Many types of screening toolsimplemented

CAGE

T-ACE AUDIT (Alcohol Use Disorders

Identification Test)


29/41

+Tertiary Prevention

Lifestyle changes andtreatment plan

Counseling or medication

Alcoholics Anonymous

Residential TreatmentPrograms/Rehabilitation

Facility


30/41

+Role of pub nurse

Provide essential input to interdisciplinary programs thatmonitor, anticipate, and respond to public health problems

Work with communities or specific population groups withinthe community to develop public policy and targeted healthpromotion and disease prevention activities


31/41

+Role

Evaluate health trends and risk factors of population

Participate in assessing and evaluating health care servicesto ensure that people are informed of programs


32/41

+Core functions of PH


33/41

+Core function Applied

Research for newinsights and innovativesolutions toenvironmental healthproblems

Zoning Density

AdvertisementsReduction

Open social dialog withpublic

Active solicitingpartners on the streets


34/41

+Three local agencies/facilities

Glendale Adventist Alcohol & Drug Services (GAADS)

is committed to providing appropriate medical servicesfor those undergoing detoxification.

Ideally, the initial assessment takes place at GAADS,where withdrawal risk is gauged through carefulobservation, obtaining vital signs, and eliciting anaccurate alcohol and drug history.

Acute detoxification is provided on a medical unit at

Glendale Adventist Medical Center. The nursing staff isspecially trained to understand the signs, symptomsand behavior of withdrawal along with practicalmedication protocols for the treatment of alcohol, opiateand benzodiazepine withdrawal syndromes. Largedoses of medication may be indicated upon admissionto assure that the patient's vital signs remain within

normal limits, followed by tapering down the dose.

Sub-acute detoxification is used to finish a medicationprotocol begun in acute care, or as an option for directadmission. Sub-acute care includes a full timeregistered nurse, physician presence and supervision,and patient observation rounds every 20 minutes.


35/41

+Continued

Alcoholics Anonymous

is a fellowship of men and women who sharetheir experience, strength and hope with eachother that they may solve their common problemand help others to recover from alcoholism. Theonly requirement for membership is the desire to

stop drinking. There are no dues or fees for AAmembership; we are self supporting through ourown contributions. AA is not allied with any sect,denomination, politics, organization orinstitution; does not wish to engage in anycontroversy, neither endorses nor opposes any

causes. Our primary purpose is to stay soberand help other alcoholics to achieve sobriety.


36/41

+Continued

Promises West Los Angeles Opportunities to integrate real world

experiences into drug rehab treatmentthrough local outings and activities

Personalized treatment plans

Comprehensive addiction treatmentdelivered by a team of experienced,credentialed professionals, many ofwhom are in recovery themselves

Superior staff-client ratio Commitment to the highest standards of

privacy and confidentiality Gourmet, chef-prepared meals

Family program designed to help lovedones heal from addiction Extensive alumni services and continuing

care resources


37/41

+Lacking Services Within Alcoholic community

Guidance on the culture of drinking

More drug dependence clinicmultimedia

Advertising to parents to talk


38/41

+lack of service app

Clinic

Ads

Other efforts


39/41

+Resources Alcohol's Effects on the Body. (n.d.). National Institute on Alcohol Abuse and Alcoholism

(NIAAA). Retrieved from http://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body

Alcoholism. (2012, August 9). Mayo Clinic. Retrieved fromhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=all

Beckerman , M. (2010). Drinking Statistics by Income - Chart of Drinking Habits vs Income- Esquire. Retrieved 2013, from http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210

Drinking Statistics. (n.d.). National Institute on Alcohol Abuse and Alcoholism (NIAAA).Retrieved from http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statistics

Fact Sheets- Alcohol Use and Health. (2013, December 26). Centers for Disease Controland Prevention. Retrieved from http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm

Giang, B., & Lubin, G. (2011). The 17 Jobs Where You're Most Likely To Become AnAlcoholic - Business Insider. Retrieved from http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1
http://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.businessinsider.com/most-alcoholic-jobs-2011-10?op=1http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htmhttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/drinking-statisticshttp://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.esquire.com/blogs/food-for-men/drinking-statistics-by-income-080210http://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.mayoclinic.org/diseases-conditions/alcoholism/basics/definition/CON-20020866?p=1&DSECTION=allhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-bodyhttp://www.niaaa.nih.gov/alcohol-health/alcohols-effects-body


40/41

+Resources

Module-Preventing Alcohol Abuse and Dependence. (2009, March 1). National Institute on Alcohol Abuse andAlcoholism. Retrieved from http://pubs.niaaa.nih.gov/publications/Social/Module3Prevention/mODULE3.HTML

Newport, F. (2010). U.S. Drinking Rate Edges Up Slightly to 25-Year High. Retrieved 2013, fromhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspx

NIH (2003). National Institute on Alcohol Abuse and Alcoholism. Retrieved from:

http://pubs.niaaa.nih.gov/publications/aa59.htm

PubMed (2013).Alcohol abuse and dependence among U.S. college students. Retrieved from:http://www.ncbi.nlm.nih.gov/pubmed/12086126

Rufus, A. (2010). Drinking Stats: Who Drinks the Most Alcohol? - The Daily Beast. Retrieved fromhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.html

SANHSA. (2010, April 20). Underage drinking prevention begins with a conversation. Retrieved from

http://www.samhsa.gov/samhsanewsletter/Volume_18_Number_2/UnderageDrinking.aspx

Screening Test. (n.d.). National Institute on Alcohol Abuse and Alcoholism. Retrieved fromhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htm
http://pubs.niaaa.nih.gov/publications/Social/Module3Prevention/mODULE3.HTMLhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://pubs.niaaa.nih.gov/publications/aa59.htmhttp://www.ncbi.nlm.nih.gov/pubmed/12086126http://www.ncbi.nlm.nih.gov/pubmed/12086126http://www.ncbi.nlm.nih.gov/pubmed/12086126http://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.samhsa.gov/samhsanewsletter/Volume_18_Number_2/UnderageDrinking.aspxhttp://www.samhsa.gov/samhsanewsletter/Volume_18_Number_2/UnderageDrinking.aspxhttp://www.samhsa.gov/samhsanewsletter/Volume_18_Number_2/UnderageDrinking.aspxhttp://www.samhsa.gov/samhsanewsletter/Volume_18_Number_2/UnderageDrinking.aspxhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://pubs.niaaa.nih.gov/publications/arh28-2/78-79.htmhttp://www.samhsa.gov/samhsanewsletter/Volume_18_Number_2/UnderageDrinking.aspxhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.thedailybeast.com/articles/2010/12/29/drinking-stats-who-drinks-the-most-alcohol.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/12086126http://pubs.niaaa.nih.gov/publications/aa59.htmhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://www.gallup.com/poll/141656/Drinking-Rate-Edges-Slightly-Year-High.aspxhttp://pubs.niaaa.nih.gov/publications/Social/Module3Prevention/mODULE3.HTML


41/41

+

THEEND

Documents

Alcoholics Project