Abdallah, Arbi Ben

Bradford, Susan

Cottler, Linda B

Satyanarayana, Veena A

Digital Commons@Becker

Washington University School of MedicineDigital Commons@BeckerPosters 2009: Translating Basic Science Findings to GuidePrevention Efforts2009Characteristics of seriously heavy binge drinkingwomen: A community based study from St. LouisVeena A. SatyanarayanaWashington University School of Medicine in St. LouisSusan BradfordWashington University School of Medicine in St. LouisArbi Ben AbdallahWashington University School of Medicine in St. LouisLinda B. CottlerWashington University School of Medicine in St. LouisFollow this and additional works at: http://digitalcommons.wustl.edu/guzeposter2009Part of the Medicine and Health Sciences CommonsThis Poster is brought to you for free and open access by the 2009: Translating Basic Science Findings to Guide Prevention Efforts at DigitalCommons@Becker. It has been accepted for inclusion in Posters by an authorized administrator of Digital Commons@Becker. For more information,please contact engeszer@wustl.edu.Recommended CitationSatyanarayana, Veena A.; Bradford, Susan; Abdallah, Arbi Ben; and Cottler, Linda B., "Characteristics of seriously heavy binge drinkingwomen: A community based study from St. Louis" (2009). Posters. Paper 27 Samuel B. Guze Symposium on Alcoholism.http://digitalcommons.wustl.edu/guzeposter2009/27AcknowledgementsMethodsVeena A. Satyanarayana PhD, Susan Bradford BSEd, Arbi Ben Abdallah DES, Linda B. Cottler PhD, MPH, Washington University School of Medicine, Epidemiology and Prevention Research Group, St. Louis, MO, USACharacteristics of Seriously Heavy Binge Drinking Women: A Community Based Study from St. LouisSampleAbstractBackground: Binge drinking is an important public healthproblem in the United States, and is associated with co-morbid psychiatric disorders and HIV risk behaviors.Methods: The data for this study come from a NIAAA fundedtwo arm intervention study to reduce HIV risk behaviorsamong female heavy drinkers. Eligible women [18+ years old,sexually active 12 months prior to study and screenedpositive on the AUDIT (score=4+)] were recruited from streetoutreach and HealthStreet. Participants (N=348) wereassessed on the Computerized Substance Abuse Module (C-SAM), Washington University Risk Behavior Assessment forWomen (WU-RBA-W), the Computerized Diagnostic InterviewSchedule (C-DIS), Alcohol Expectancy Questionnaire (AEQ)and Drinking related Internal-External Locus of Control Scale(DRIE). Seriously heavy binge drinking was assessed by:“Have you more than once drunk more than 20 drinks in oneday—that would be about a fifth of liquor, or 3 bottles of wine,or as much as 3 six-packs of beer?”.Results: Results indicated that over one-third of the sample(N=134; 39%) reported seriously heavy binge drinking intheir lifetime. Binge drinking women were less likely to beAfrican American (X2 =11.05***). They were more likely tohave a positive arrest history (X2=11.54***) and to considerthemselves homeless (X2=4.16*), compared to non-bingedrinking women. Binge drinking women were more likely tomeet lifetime criteria for alcohol abuse and/or dependence(X2=26.38***), cannabis abuse and/or dependence(X2=7.74**), and amphetamine abuse and/or dependence(X2=6.42**). While binge drinking women were more likely totrade sex (X2=10.32***) and not always use condoms(X2=5.52*), they did perceive that they had risky sex(X2=7.24**) and alcohol behaviors (X2=6.53**) that neededto be changed. In addition, women with binge drinking hadhigher rates of psychopathology: Post Traumatic StressDisorder (X2=10.91***), Major Depressive Disorder(X2=4.30*) Antisocial Personality Disorder (X2=24.26***) andConduct Disorder (X2=28.53***). They also reported lesscontrol over their drinking behavior (t=2.16*) and moreundesirable alcohol related expectancies (t=3.59***),compared to non-binge drinking women. These findingsindicate that women with binge drinking have a constellationof risk factors. The results therefore, have implications fordeveloping community based preventive interventions forthese women.This analysis explored demographic factors, DSM-IVlifetime substance abuse/dependence, HIV risk behaviorsand DSM-IV lifetime psychiatric disorders among womenwho endorsed seriously heavy binge drinking.Aim• NIAAA AA12111, Sister to Sister Study: Peer Intervention to ReduceHIV in Female Heavy Drinkers (Linda B. Cottler, PhD, MPH, PI)• Fogarty International Center ICOHRTA Training Program inBehavioral Disorders (Grant No. TW05811-08; VA Satyanarayana,Fellow; LB Cottler, PI)Demographic DataSubstance Abuse/ Dependence: DSM-IV LifetimeHIV Risk Factors* Assessed on C-SAM† ‘Seriously heavy binge drinkers’ and ‘binge drinkers’ will be used interchangeablyPsychopathology: DSM-IV LifetimeControl over Drinking Alcohol ExpectancyMultivariate Logistic RegressionConclusions• Over one-third of the sample (39%) reported seriouslyheavy binge drinking in their lifetime• Demographics: Binge Drinking women were less likely tobe African American. They were more likely to have apositive arrest history and to consider themselveshomeless• Substance Abuse/Dependence: Binge drinkers were morelikely than non-binge drinkers to meet DSM-IV criteria forlifetime Alcohol abuse/dependence, Cannabisabuse/dependence, and Amphetamine abuse/dependence• HIV Risk Behaviors: While binge drinking women weremore likely to trade sex and not always use condoms,they did perceive that they had risky sex and alcoholbehaviors that needed to be changed• Psychopathology: Binge drinkers compared to non-bingedrinkers were also more likely to meet DSM-IV criteria forlifetime Post Traumatic Stress Disorder, Major DepressiveDisorder, Antisocial Personality Disorder and ConductDisorder• Control over drinking and Alcohol Expectancies: Bingedrinking women reported less control over their drinkingbehavior and worse alcohol related expectancies thannon-binge drinking women• The Multivariate Logistic Regression Model confirmed thatnon-African American women who reported a positivearrest history, met DSM-IV criteria for lifetime ConductDisorder, Post Traumatic Stress Disorder, Alcohol abuse/dependence or Amphetamine abuse/ dependence weresignificantly more likely to develop binge drinking• These findings indicate that binge drinking women have aa host of other risk factors: drug use, HIV and mentalhealth related risk factors• The study results have implications for identifying bingedrinking women in the community and designing cost-effective alcohol and HIV preventive interventions thatalso address other risk factors: abuse and dependence todifferent drugs and co-morbid mental health problemsRange: 48-240; Higher AEQ scores indicate undesirable alcohol expectanciesRange: 0-10; Higher DRIE scores indicate greater control over drinking behavior

Characteristics of seriously heavy binge drinking women: A community based study from St. Louis

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Characteristics of seriously heavy binge drinking women: A community based study from St. Louis

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