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EN
Each driver should drive according to the actual road traffic rules of the country in which he is currently located. The law systems of various states of Europe allow an increased maximal blood alcohol level of driver. As the fact that no small number of road accidents is caused because of the influence of alcohol on the driver, it is necessary to focus the attention of the society on this issue. The paper deals with the influence of alcohol on the reaction time of the driver. The effect of alcohol on driver behaviour has been studied. The reaction time of several drivers from a selected group of people was measured. At first (before alcohol drinking) the physical and mental condition of the drivers was assessed, using a series of question. Subsequently, the measurements were carried out with a sober driver. After this initial measurement the driver began to drink alcohol and after 20 minutes the level of alcohol in driver´s breath was determined by certificated equipment. It followed by starting the vehicle at a speed of approximately 50 km/h and stopping the vehicle in front of the simulated barrier. During the tests of the stopping distance, the mean fully developed deceleration was explored as the supporting variables. As the most important variable was the driver´s reaction time. It was researched by using of the video-analysing from two synchronized cameras. One camera was placed on the windscreen to monitor the situation in front of the vehicle, the other one monitored the movement of the driver´s feet. The aim of this paper is to focus on the fact that there is a dependence between the amount of consumed alcohol and the driver´s reaction time, which significantly affects the road safety. The reaction time of the driver directly influences to the stopping distance thus it is resolute for stopping the vehicle before a barrier.
3
Content available remote Sexual Coercion Risk and Women’s Sport Participation
92%
EN
Sexual coercion affects approximately 58% of college-age females. Victims of sexual coercion often share similar characteristics, such as lower self-esteem, lower assertiveness, higher depressive symptoms, higher alcohol use, increased number of sexual partners, more romantic relationships, prior victimization, and relationship insecurity. Female athletes, on the other hand, have in common such protective factors as higher self-esteem, higher assertiveness, lower alcohol use, and fewer sexual partners. These, then, are assumed to guard against sexual coercion. The purpose of this study was to determine if female athletes were at a lower risk for sexual coercion and whether differences existed in levels of assertiveness, sexual assertiveness, self-esteem, sexual esteem, alcohol use, and the number of sexual partners. Participants included 174 college females (aged 19.94 ± 1.87 years). Participants were identified as an athlete if they reported a history of at least three years of athl iation etic involvement and described themselves as either a high school athlete or having participated in competitive sports (n=125). From among all the participants, 49 were classified as non-athletes. Data demonstrated no differences in either forced or coerced sexual contact history. Athletes and nonathletes differed neither in global nor sexual self-esteem, nor did they differ in global or sexual assertiveness. There was a significant difference across the groups in alcohol use: athletes scored higher on the AUDIT than non-athletes. The number of years of sport involvement positively correlated with the level of alcohol use. Athletes and non-athletes reported similar numbers of sexual partners. The findings of this study imply that athletics may indirectly place females at risk for sexual coercion through an assocwith higher alcohol use.
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2013
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tom 57
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nr 1
5-11
EN
Sexual coercion affects approximately 58% of college-age females. Victims of sexual coercion often share similar characteristics, such as lower self-esteem, lower assertiveness, higher depressive symptoms, higher alcohol use, increased number of sexual partners, more romantic relationships, prior victimization, and relationship insecurity. Female athletes, on the other hand, have in common such protective factors as higher self-esteem, higher assertiveness, lower alcohol use, and fewer sexual partners. These, then, are assumed to guard against sexual coercion. The purpose of this study was to determine if female athletes were at a lower risk for sexual coercion and whether differences existed in levels of assertiveness, sexual assertiveness, self-esteem, sexual esteem, alcohol use, and the number of sexual partners. Participants included 174 college females (aged 19.94 ± 1.87 years). Participants were identified as an athlete if they reported a history of at least three years of athl iation etic involvement and described themselves as either a high school athlete or having participated in competitive sports (n=125). From among all the participants, 49 were classified as non-athletes. Data demonstrated no differences in either forced or coerced sexual contact history. Athletes and nonathletes differed neither in global nor sexual self-esteem, nor did they differ in global or sexual assertiveness. There was a significant difference across the groups in alcohol use: athletes scored higher on the AUDIT than non-athletes. The number of years of sport involvement positively correlated with the level of alcohol use. Athletes and non-athletes reported similar numbers of sexual partners. The findings of this study imply that athletics may indirectly place females at risk for sexual coercion through an assocwith higher alcohol use.
EN
The vast majority of studies focusing on alcohol consumption among university students are based on US and Canadian samples and employ a quantitative approach. Universities from the US and Canada also have a longer tradition in implementing alcohol policies. The alcohol policies at universities in Slovakia are mostly non-systematic and often not implemented in practice. The objective of this study was to explore Slovak university students’ experiences towards alcohol policy on their campuses using a qualitative approach. Eight focus group discussions were conducted among university students (n=64; 38 female; 2011; Slovakia). The key questions were (1) “Is there a policy concerning alcohol on your campus and what are the consequences of not complying with it?”, and (2) “How should an on-campus alcohol policy be developed and what should it include?” The students knew of few, if any, rules concerning alcohol. Student participation was considered important in policy development and implementation. Slovak universities should be more active in forming alcohol policies. A preventative policy which actively involves students was emphasized as optimal.
8
Content available remote Rodičia v prevencii rizikového správania sa dospievajúcich
81%
EN
During the early adolescence period the parental behaviour belongsto one of the most important factors that may help to avoid adolescent risk behaviour. Among the most prevalent forms of risk behaviour in early adolescence are smoking and alcohol consumption. The first aim of this study is to explore discrepancies between parental and adolescent perceptions of several factors related to risk behaviour. The second aim of the study is to explore relationship between parental behaviour (as perceived by adolescents) and adolescents smoking and alcohol consumption. Research sample consisted of 580 adolescents (mean age 12.51, SD=0.59; 51.1% girls), 217 mothers and 150 fathers. In all studied all variables but spending free time, showed, significant differences between the perception of adolescents and their mothers /fathers were found with an exception of parental companionship. Results of logistic regression show that the most important factor that is associated with probability of smoking and drinking in early adolescence is perceived parental approval of such behaviour. It seems to be, that regardless of the way how parents try to prevent adolescents risk behaviour, the most important is to show clear and consistent disapproval of such behaviour. Our results may be applied also for teachers and significant others that are in contact with adolescents.
SK
V období ranej adolescencie patria rodičia a ich správanie k významným faktorom, ktoré môžu napomôcť predchádzaniu rizikovému správaniu dospievajúcich. K najčastejším formám rizikového správania v tomto období patrí fajčenie a konzumácia alkoholu. Prvým cieľom štúdie je sledovať rozdiely v percepcii s rizikovým správaním súvisiacich faktorov medzi adolescentmi a ich matkami/ otcami. Druhým cieľom je sledovať vzťah medzi premennými súvisiacimi so správaním rodičov (percipované adolescentom) a fajčením a užívaním alkoholu u dospievajúcich. Výskumnú vzorku tvorilo 580 dospievajúcich (priemerný vek 12,51; SD = 0,59; 51,1 % dievčat), 217 matiek a 150 otcov. Vo všetkých sledovaných premenných, s výnimkou trávenia spoločného času, boli identifikované významné rozdiely medzi percepciou dospievajúcich a rodičov. Výsledky logistickej regresie ukazujú, že najvýznamnejším faktorom súvisiacim s pravdepodobnosťou fajčenia a pitia alkoholu je percipované schvaľovanie takéhoto správania zo strany rodičov. Zdá sa, že bez ohľadu na to, akým spôsobom sa rodičia snažia ovplyvňovať rizikové správanie dospievajúcich, najdôležitejšie je zabezpečiť, aby adolescenti skutočne vnímali postoj rodičov voči alkoholu/cigaretám ako nesúhlasný. Získané výsledky by mohli byť aplikovateľné aj pre učiteľov a iných významných dospelých, ktorí sú v pravidelnom kontakte s dospievajúcimi.
EN
Introduction: Excessive alcohol consumption and smoking increase the risk of hypertension and the incidence of cardiovascular disease. Nurses have a unique opportunity to help patients who smoke and consume alcohol at a risky level, not requiring a specialist, which may contribute to a reduction in blood pressure (BP), as well as providing more health benefits. The aim of the study was to evaluate the knowledge of nurses on how to assess the consumption of alcohol and smoking and their effect on BP. Material and methods: The study included 1,108 participants (W-1,089, M-19, aged 21-60, 0-37 years of work experience). The study was conducted in 2007-2009 using the diagnostic survey method and achievement tests. Results: Alcohol assessment methods were correctly indicated by 13.4% of respondents, while the correct interpretation of a standard unit of alcohol was made by 35.8% of respondents. The Fagerström Test was known only to 13.2% of respondents. The effects of alcohol and smoking on BP values were known to most subjects. The youngest participants, nursing graduates, were significantly more likely to have made the correct indication. Conclusions: Overall, knowledge of how to assess alcohol consumption and smoking allowing minimal intervention to take place in the group of nurses studied was relatively low. Significantly more correct indications were made by the youngest respondents, those who were not married and nursing graduates. It seems reasonable to popularize methods for identifying the risk of hypertension associated with alcohol consumption and cigarette smoking in postgraduate nursing education.
EN
The Problem Statement             The main goals of the alcohol consumption surveys, repeatedly carried out Poland, are to describe the changes in the drinking subcultures of different segments of the population, to monitor the emergence of new drinking practices and the discontinuance of old ones, and to record the evolution of attitudes toward alcohol. In order to facilitate the analysis of these and related phenomena, similar instruments were used and applied in a consistent manner in several of the consecutive surveys. Any substantial change in the formulation of the questions asked or in the manner they are presented to the respondents (e.g. a mailed questionnaire versus a personal interview), raises a number of problems regarding the interpretation of the results obtained. Should the changes observed be treated as reflecting the transformations of the processes studied, or should they be attributed to alterations in the way the respondents were approached? On the other hand, repeated use of the same questionnaire applied in exactly the same manner does not seem to be an attractive proposition, since new problems and interests emerge and new survey research methods are being developed. In the Polish alcohol consumption surveys an attempt has been made to find a balance between securing continuity and introducing change. However, sometimes changes have to be made irrespectively of the researcher’s wishes. They may stem from resources constraints forcing the researcher to adopt a cheaper or less time consuming method of conducting a survey, or from some other reasons. In the case of the Polish alcohol consumption surveys such an external change occurred recently in relation to the sample design. Nine surveys have been conducted in Poland since 1961. Five of these surveys have utilized quota samples, while in four, random samples were employed. However, the studies based on random samples, for the most part, are not representative of the majority of Polish research on drinking practices. Instead, three of the four surveys based on random samples are unique in that they were  devoted to an examination of the following issues: meaning attached by the general public to the notion of abstinence; estimation of the content and influence exercised by the antialcohol propaganda; and the effectiveness of the appeals by the Roman Catholic church to abstain from drinking alcoholic beverages during the month of August in the last 3 years. The studies based on quota samples are much more representative of Polish surveys on drinking practices. In these studies, the primary focus has been on the description and nature of drinking occasions. For example, this was the focus in the pioneering surveys by A. Swiecicki carried out in 1961 and 1962, in J. K. Falewicz’s survey of 1968, and in the Polish Alcohol Consumption Surveys of 1980 and 1985. In all of these surveys the same way of measuring alcohol consumption was adopted and their results were analyzed according to the same methodology. The data collection was done by the Center for Public Opinion Survey and Program Studies of the State Committee for Radio and TV in Warsaw for all the surveys. However, in recent years, this Center has been increasingly using random samples of the population in its research, first restricting and more recently abandoning completely the use of quota samples. From now on, the new Polish alcohol consumption surveys will be conducted on random samples only. While the shift to the use of random samples of the population represents a methodological step forward, it raises some important questions. Perhaps most important is whether results from these new surveys will be comparable with results from former surveys? The study reported in this paper is aimed at providing an answer to this question. In the case of a random sample, at least initially, every object in the population has to have an equal probability of being drawn, and at least the first step in the sampling procedure has to be taken randomly. In a quota sample, on the other hand, the usual procedure is that the interviewer has to interview a specified number of subjects with predetermined characteristics (e.g. men; 20‒29 years old; having primary educaiion only; etc.) How the interviewer finds these persons is left to his ingenuity, and even if he does not select them by applying any krown criteria, he is not drawing his part of the sample randomly. If all the interviewers follow exactly the instructions in selecting interviewees, the distribution of the characteristics of the quota sample should be the same as in the general population. It is hoped, but only hoped, that it will secure the representativeness of the sample. To what extent is this hope fulfilled cannot be determined.                                                    The Sample   In September 1985 the data for the second Polish Alcohol Consumption Survey were collected on a quota sample (QS). Four weeks later, in October 1985, some items from the questionnaire used in that survey were added to a routinely  conducted public opinion poll carried out on a random sample (RS). The sizes of the samples were 1808 and 882, respectively. In both cases the field work was done by the Center for Public Opinion Survey. The samples were comparable to one another in terms of the respondents’ occupation, sex, level of education, and proportion of people living in urban and rural areas. However, both samples differed from the general population with respect to age. In the QS, persons aged 60 and older were underrepresented (by about 12%), while those aged 40‒59 were overrepresented (again by about 12%). Within the RS, those aged l6‒19 were underrepresented (by about 6%). The former discrepancy must have originated from the interviewers’ not foliowing closely enough the instructions given to them as to the age of persons they had to interview. The latter discrepancy stemmed from the sampling procedure; the RS was derived from the 1984 election lists, which covered the population of 18 years old and over. One year later, in 1985, these lists included only persons aged 19 and older. The differences in the age structure in the QS, RS, and in the general population are of some significance for estimations of tne coverage rate and for comparability of the samples, and thus will be further discussed later on in the paper.   Frequenct and Quantity   In the Polish Alcohol Consumption Surveys, as in previous Polish research, the level of consumption has been estimated by means of the last occasion approach. In order to make such estimates a number of assumptions have to be accepted. They are related to the typicality of the occasion described by the respondent in terms of kind of occasion, amount of alcohol consumed, etc. Additionally, some assumptions regarding the frequency of drinking also have to be accepted. These requirements may seem unrealistically far going. However, two points have to be considered. Firstly, the more typical an occasion of drinking is ‒ the more likely, it is to be reported to the interviewer. Secondly, in epidemiological research the interest is on categories or types of respondents and not on a single individual; in groups of respondents, unconventional occasions tend, at least in part, to annul their impact on the means and other measures describing the drinking modalities. The variables used in the Polish Alcohol Consumption Surveys to establish the drinking patterns were: kind of beverage, quantity consumed, and frequency of drinking. There were no differences between the QS and the RS in respect to the frequency of drinking wine purchased in stores as well as home made fruit wine. However, there were some differences in the case of spirit and beer. In the RS, two categories of spirit drinkers could be recognized more distinctly than in the QS; infrequent (i.e. drinking spirits less often than once a month), and very frequent (i.e. several times a week). The former category consisted of 45,5 per cent (QS) and 48,1 per cent (RS), respectively, and the latter of 21,3 per cent (QS) and 30,0 per cent (RS). In the case of beer consumers, there were significantly more infrequent drinkers in the RS than in the QS (48,6 and 34,9 per cent, respectively), and fewer very frequent drinkers (38,5 and 32,5 per cent, respictively). Significantly higher quantities consumed on one occasion were reported in the QS than in the RS, irrespectively of beverage. This would suggest that the interviewers collecting data for the QS tended, possibly without even realizing it, to select prospective respondents from among persons consuming more alcohol than average.   The Beverages   One of the consequences of the above differences in regard to the frequency of drinking and quantities of alcohol consumed is the overestimation of the concentration of consumption in research based on QSs. The concentration of consumption is traditionally used to refer to the size of proportion of consumers who drink about half of all alcohol consumed. According to an estimate derived from the RS in 1985 in Poland, half of spirits were consumed by about 10 per cent of drinkers (rather than by 7 per cent as indicated by the QS), and of wine purchased ‒ by 8 per cent of drinkers (rather than by 7 per cent); in the case of drinkers of home made wine (5 per cent), and of beer (10 per cent) the estimates of concentration of consumption proved to be the same in the QS and in the RS. The shrinking of the coverage rate was another consequence of the overestimation of the quantities of alcohol consumed of the frequency of drinking of some alcoholic beverages. The comparison of the amount of alcoholic beverages sold during 1985 in the country with the amount accounted for by the surveys, reveals the following picture:                                                          QS                                      RS spirits                                           50,6 per cent                     47,8 per cent wine purchased                          49,3 per cent                     25,8 per cent beer                                              81,5 per cent                     45,2 per cent   Total                                              55,9 per cent                     48,1 per cent   The substantial differences in the coverage rate are noticed only in relations to wine and beer, e.g. to the beverages of lesser importance considering the Polish drinking patterns. The absence of substantial differences between the RS and the QS in relation to spirits stemmed from the fact that the overestimation of the amount drunk on one occasion was partly compensated for by the underestimation of the size of the category of the very frequent drinkers. As far as the better and wine drinkers were concerned no such compensation was present. The data on the sale of alcoholic beverages indicate that in that in 1985 about 68 per cent of all alcohol purchased in Poland was spirits. Of the total amount of alcohol consumed, the QS indicated that spirits accounted for 62 per cent, while the RS indicated that spirits accounted for 74 per cent. The first estimate was too low, the other too high, each by 6 per cent. As could be expected from the low coverage rate of wine, in the research based on the RS, the place of wine in the structure of beverages consumed was underestimated (9 per cent instead of 15 per cent of all alcohol consumed). The place occupied by beer was estimated correctly by the RS (18 per cent). The modest contribution of beer and wine to the total amount of alcohol consumed should be attributed mainly to the drinking habits prevailing in Poland, but also partly to the unmet demand for beer and for wine, in particular for imported grape wine. The analysis of the data from the QS showed that drinking one kind of alcoholic beverage raised the likelihood of drinking another kind of alcoholic beverage. This was true with regard to every beverage type and all these relationships were statistically significant. The data from the RS corroborated fully the above results. In the case of persons who consumed two kinds of alcoholic beverages, a further question could be asked, viz. do persons who drink greater quantity of one beverage also tend to drink more of the other one. This was the case in respect to all of beverages both in the QS in the RS.   Consumption Level   In order to estimate the respondents’ level of alcohol consumption all beverages consumed had to be recounted according to their content of alcohol, and added up. The distribution of the respondents according to the level of their consumption revealed some important differences between the estimates derived from the QS and RS. First of all, according to the RS, there were significantly more teetolers in the general population (23 per cent) than according to the QS (16, 1 per cent). This is partly due to the underrepresentation persons aged 60 and older in the QS. Relatively more persons in this age group are non-drinkers than in the lower age brackets. The other reason for this discrepancy in the estimate of the size of the fraction of non-drinkers is the already mentioned tendency of the interviewers to select as prospective respondents drinkers rather than abstainers while collecting data for the QS. The other difference between the RS and QS relates to the proportion of persons drinking substantial amounts of alcohol. On the whole, the RS indicates that it is smaller than the QS does. The extrapolation of the results obtained in the RS on the adult population in the country leads to the following conclusion. In 1985 there were about 2,1 million persons who annually consumed more than 16 liters of pure alcohol in Poland. They were consuming at least one half a litter bottle of vodka in every ten days. Among them nearly 1,5 million consumed at least 24 liters of pure alcohol annually, i.e. at least one bottle of vodka per six days. This group of drinkers represented only 5 per cent of the adult population, but consumed nearly 40 per cent of all alcohol in the country. It was stated before that only about half of the total amount of alcohol consumed was accounted for by the survey based on the RS. The most important reason for the underreporting seems to be, apart from forgetting and concealing, the underrepresentation of heavy drinkers in the sample. Because of this, it is likely that the group of drinkers who consume at least 24 liters of pure alcohol annually is considerably more numerous, and that they probably drink even a greater proportion of all alcohol consumed in the country.   Drinkers, Abstainers, Teetolaters   Who is a teetotaler seems self-evident and not requiring special consideration only as long, however, as the responds from the general population are not asked what their understanding of the term is. In one of the recent Polish general pop lation surveys this question was addressed and some surprising results were obtained. Although 69 per cent of the respondents considered a teetotaler somebody who has not been drinking any beverages containing alcohol, there were also persons having other opinions in this matter. As many as l5 per cent described a teetotaler as a person who drinks small quantities of alcohol, infrequently, a few times a year only, and further 2 per cent described a teetotaler as a person who does not drink vodka. In order to avoid this issue, in the questionnaire applied both the QS and to the RS, a question was asked whether the respondent had been drinking any alcoholic beverages during the last 12 months preceding the interview. Those who responded in the negative are considered to be teetotalers. Those who have not been drinking a particular beverage are called abstainers, i.e. abstaining refers only to not drinking a particular beverage. This means, that according to this definition abstainers include persons who drink as well as those who do not. Consequently, all teetotalers are abstainers, but among the latter there also drinkers (of some beverages). According to the terminology adopted here only drinkers who consume all kinds of alcoholic beverages listed in the questionnaire can not be called abstainers. The beverage consumed by most Poles is vodka. According to the RS only 28 per cent of the respondents abstained from drinking vodka (12 per cent of men and 42 per cent of women). In this respect the differences between the QS and the RS were not significant. In the case of all other beverages the RS produced significantly higher estimates of the fraction of abstainers than the QS. According to the RS, 65 per cent of respondents do not drink beer (46 per cent of men and 82 per cent of women), 68 per cent do not drink wine purchased (46 per cent of men and 71 per cent of women), and 78 per cent do not drink home made wine (75 per cent of men and 81 per cent of women). The QS and the RS are in concordance on a number of points. Firstly, on the degree of popularity of the various alcoholic beverages. Judging from the size of the fraction of abstainers, spirits is the most widely consumed beverage, followed by beer, wine purchased, and home made wine. Secondly, there are consistently more drinkers among men than among women; only in the case of home made wine is the difference in the size of the fraction of drinkers among men and women not significant. Thirdly, more than half of women drink spirits, i. e. many more than any other alcoholic beverage. It contradicts the belief, widely held in Poland, that vodka is a man’s and wine a woman’s beverage. Fourthly, abstaining from any beverage is equally spread in rural as in urban areas. It illustrates the process of unification of behaviour patterns in Poland, or as it is sometimes formulated – of the urbanization of rural culture, and ruralization of the urban life styles. The size of the fraction of abstainers is, irrespective of the beverage, closely related to the age of the respondents. The older the respondent – starting from the 20–29 age group – the larger the fraction of abstainers. Drinking is also related to the level of education attained. In the case of spirits, wine purchased, and home made wine, the higher the respondents educational attainment the greater the fraction of drinkers. It corresponds to the observation made in a number of countries, according to which the higher the social status – the smaller the fraction of abstainers, the grater the frequency of drinking, and the smaller the amount consumed on one occasion. The above relationship do not apply to beer, which in Poland seems to be a beverage consumed primarily by blue–collar workers. The QS and the RS show the same pattern of results between drinking and living in rural versus urban communities as found for age and level of education of the respondent. Finally, the teetotalers differ markedly from the drinkers. Here again the results of the QS and RS are in harmony. There are significantly more teetotalers among women than among men, and in the age group 40 years old and over (in particular – among those 60 years old and over). There are also more teetotalers among less educated than more educated, and among unqualified blue–collar workers and peasants than among qualified blue–collar workers and white–collar employees.   Concluding Remarks   There has been a prospective change in the sampling method used in Polish alcohol consumption surveys. This called into question the feasibility of long term trend analysis of the drinking habits prevailing in Poland. In order to dispel the arising doubts, the present inquiry has been carried out comparing the results of the new sampling method (primarily relying on the use of random samples) with the prior method which utilized quota samples. In this project, the same questions relating to drinking practices were put to two groups of respondents. One consisted of a quota sample (QS; n =1808), and the other of a random sample (RS; n = 882) of the adult population. The comparison of results from the two samples leads to the following two observations. Firstly, the numerical values of various parameters characterizing drinking practices, such as the overall consumption level and that of particular beverages, or that of quantities imbibed on one occasion, etc., differ in the QS and the RS. In a number of instances these differences are statistically significant. The results based on the RS suggest a somewhat lower level of alcohol consumption than the ones based on the QS, and shift the coverage rate slightly below 50 per cent. Secondly, the QS and the RS generated very similar pictures of drinking patterns prevailing in Poland, in terms of the kinds of beverages consumed, interrelationship between the various beverages consumed, concentration of consumption, and social traits of people drinking more and drinking less alcohol. The general conclusion emerging from the research project described here can be formulated as follows. The QS provided a fairly true picture of the drinking practices in Poland, however, in order to establish the long term trends in these practices, it is necessary to take into account the corrections stemming from the estimates derived from the RS.
11
Content available Spożycie napojów alkoholowych w Polsce w 1985 r.
70%
EN
The Surveys  Since 1961, nine alcohol consumption surveys were carried out on the national level in Poland. The interests of their authors, the contents of questionnaires, and the ways of conducting the surveys varied, but most of them exhibited some common features. First of all, the respondents were met personally by the interviewers who filled up the questionnaires during the interview. Most of the surveys were based on quota samples of adult population, but in some also youngsters aged over 15 or 16 were included into the sample. The last occasion approach prevailed in the surveys; in one of them only, the respondents were asked to describe their last three drinking occasions. In some surveys, the respondents were also requested to estimate the frequency of their drinking of spirits during the last three months. In the present paper, some findings of the fifth and seventh surveys are analysed. The two surveys were carried out in 1980 and 1985, respectively. The estimate of frequency of drinking spirits derived from answers to the questions related to drinking during the last three months and to those about the last drinking occasion proved to differ markedly in exceptional cases only. However, as expected, the last occasion approach produced somewhat higher estimates of consumption level than that based on the respondent’s appraisal of the frequency of his or her own drinking during the last three months. The coverage rate was similar in both surveys: 47 per cent in 1980 and 56 per cent in 1985, and its level is in accordance with the findings obtained in surveys carried out in other countries. The Questions The questionnaires of both surveys included several questions related to positive and negative experiences the respondents had had as a result of their drinking. The proper part of the questionnaire used in the 1980 survey was of an experimental character. Its main aim was to collect data on the issue neglected in the Polish literature, i.e. on rewards resulting from drinking alcohol. In the literature in question, much attention had been paid to the detrimental consequences of drinking as if they were the only ones. The assumption that drinking has also some positive value for alcohol consumers seemed plausible: why would they otherwise drink at all? The questions asked were not intended to reveal what really happened to the persons who consume alcohol, but rather to get some insight in to the way they perceived occurrences which they rightly or mistakenly attribute to their drinking of alcohol. What seemed interesting were also the spheres of life in which alcohol played a positive as opposed to a negative role. As that part of the questionnaire was of an exploratory nature only, the respondents were asked about events in which alcohol helped them somehow or caused them getting into trouble, whenever that occurred. In the questionnaire of the 1985 survey, more attention was paid to the wording of those questions. Firstly, the respondents were asked about occurrences which had happened during the last twelve months preceding the interview. That was the time limit introduced in order to separate drinkers from non-drinkers, and in that case also to distinguish the “current” from the past events. Secondly, in the case of a good as well as bad experience, the types of occurrences in question were both of a trivial character and of such a nature that they could be related to a single drinking occasion. Thirdly, in reration to some spheres of life questions, about both positive and negative consequences were asked. Some of the questions included in the 1980 and 1985 questionnaires were formulated the way adopted in the Scandinavian Drinking Survey of 1979 which was carried out in Finland, Iceland, Norway, and Sweden. Similar questions were also asked in Finnish surveys conducted in 1968, 1976, and 1984. The Polish, the Scandinavian, and the  Finnish surveys, were carried out at different times, in different manners, and on differently drawn sampres. Therefore, it would be impossible to compare, their findings directly. However, it seems interesting to point to some most striking discrepancies between them as a point of departure for theorizing on possible differences in the role played by alcohol in social life in Poland and in the Scandinavian countries. The Findings The main findings of the inquiry qan be summarized as follows: As could be expected, asking about events which might have occurred at any time in the respondents’ life has led to a higher proportion of positive answers as compared to asking about events that occurred during the last twelve months. In the Polish surveys, this could be noticed in the case of sorting out probrems related to people close to the respondent (49.7 and 21.7 per cent, respectivery), of taking a more, optimistic view of life (40.8 and 18.7 per cent, respectively) and in several other questions, while in the case of the Finnish surveys, in relation to being picked up by the police for being drunk (8.5–10.9 and 3.5 per cent, respectively). This observation is fairly obvious and has been mentioned here only to support confidence in the findings obtained. The questions included in the questionnaire of the 1980 Polish survey were formulated in a manner that was not too well suited for comparisons between the positive and negative experiences stemming from drinking. However, they provided some clues for supposing that good experiences occur more often than bad ones. The evidence provided by the answers in the l985 survey clearly supports this assumption. First of all, the prevalence of an experience is related to its type. The most common ones were: being more resolute in company, and spending more money than one otherwise would (it happened to 36.2 and 34.9 per cent of drinkers, respectively, during the last twelve months). It shows that positive as well as negative experiences related to drinking may be quite common. Most revealing are the answers to questions that pertain to similar types of events. There were four times more drinkers who felt that because of alcohol they were more resolute in company than those who acted as spoil-sports in company because of their drinking (36.2 as opposed to 8.3 per cent, respectively); three times more respondents who sorter out problems connected with their job with the help of alcohol than those who had some trouble at work because of their drinking (23.8 as opposed to 6.7 per cent, respectively); distinctly more sorted out problems related to people close to them than spoiled their relations with such persons (21.7 as opposed to 14.8 per cent, respectively); and finally, many more respondents took an optimistic rather than a pessimistic view of life because of drinking (18.7 as opposed to 10.4 per cent, respectively), It shows definitely that positive consequences of their own drinking are noticed by far more persons than the negative ones. The above findings concern the distribution of answers obtained from all drinkers in the sample. However, they do not preclude the contents of individual respondents’ answers. Are there two separate groups of drinkers: one consisting of those who have positive experiences with drinking, and another one, distinctly smaller, made up of those who have negative experiences related to the use of alcohol? Or is there one group only: the same people have good and bad experiences with drinking, the good ones prevailing in most cases? None of these alternatives appeared to be fully substantiated by the findings of the 1985 survey. First of all, more than two in five of the drinkers reported none of the good experiences listed, and more than one in two – none of the bad experiences. Thus there is a third (or a second) group of respondents drinking alcohol, viz. those who have neither positive nor negative experiences with it. Hence the possible concurrence of good and bad experiences related to drinking may be found in about a half of the drinkers only. All types of good and bad experiences were positively correlated with all types of bad experience listed in the questionnaire (X2 = from 87.8 to 274.3; df = 4; p < T = from 0.17 to 0.32). This points clearly to the second of the above alternatives, viz. to the view that those were predominantly the same persons who admitted having had both good and bad experiences related to drinking. Formulating this observation differently, one might say that having some good experience with drinking enhances the likelihood of having also bad experience with alcohol, and vice versa. In order to proceed further in this analysis, two indices were calculated. Both of them are related to variety and not quantity of experiences, as the questionnaire of the 1985 survey did not contain questions about how often the separate types of experiences listed had occurred. To form the index of good experiences, the number of “yes” answers was calculated, and accordingly the respondents received scores from 0 (no “yes” answers) to 7 (“yes” answers to all types of experiences quoted). The index of bad experiences was formed similarly. The mean score was 1.65 for positive experiences and 1.12 for the negative ones which shows once more that the incidence of the first kind of experiences prevailed over the other one. As it has already been mentioned, quite a number of respondents gave no “yes” answers at all. On the other end of the scale, there were relatively few persons who gave five or more “yes” answers; in the case of good experiences, there were 11 per cent of such persons, and in the case of bad ones – 5 per cent only. The close relationship between having good as well as bad exaperiences is demonstrated by the mean scores of index of good experiences related to drinking calculated for every level of the index of bad experiences, and vice versa. The picture shown by those scores is quite clear: the higher the number of positive types of experiences related to the use of alcohol, the higher also the number of negative experiences stemming from drinking. The same is also true for negative experiences: the greater their number, the more numerous also positive experiences. In conclusion it can simply be said that the drinkers who believe that alcohol drinking is rewarding are generally also aware of some unpleasant consequences which follow its use, and vice versa. A closer look at the scores of both indices revealed that on every level of the index of positive experiences, the number of those experiences exceeded markedly that of the negative ones (the only exception found is in the case of no positive experience). A partly similar picture emerges while looking at the consecutive levels of negative experiences: in the lower part of the scale, mean numbers of positive experiences surpass those of negative ones; only in the case of those respendents who reported four or more types of negative experiences, the numbers of positive experiences were smaller. Finally, the question arises how could this concurrence of good and bad experiences be explained. Or, to take a different approach, what, if anything, distinguishes the respondents who admit having many types of positive and negative experiences from those who do not happen to have them at all or who have a few only. The answer is again surprisingly simple. What seems to determine the number of experiences related to drinking is the level of alcohol consumption. In the case of the Polish drinking habits, this means practically the level of consumption of spirits. The greater the number of types of negative or positive experiences, the higher the consumption level of alcohol (spirits). In persons who reported no good or bad experiences related to drinking, mean alcohol consumption was less than a half of the average. With a rise in the number of types of positive and negative experiences stemming from drinking, the amount of alcohol consumed is also rising steeply to a level more than twice as high as the average for all drinkers. It has also to be stressed that the conusumption level associated with the same number of types of negative experiences related to drinking is higher than in the case of positive ones. Looking at this relationship at the background of the level of consumption, it can be stated that e.g. those who drunk ten to eleven litres of spirits yearly have had one type of bad and two types of good experiences related to the use of alcohol; those who drunk seventeen to twenty litres had two to three types of bad and three–four types of good experiences; and those who drunk about twenty-five litres of spirits yearly had four types of bad and five types of good experiences stemming from alcohol. The predominance of positive experiences is present all the time; however, it tends to get smaller with the increase in consumption level. The description of respondents who tended to have more good and bad experiences related to drinking corresponds strictly to that of those who are drinking more than others. Over-represented are among them: men, middle-aged, having primary education only or unfinnished secondary school, having, blue-collar jobs, describing themselves as nonbelievers or non-practising believers, having disputes and arguments with their families, with neighbours, friends, colleagues and superiors at work, having often the feeling of not enjoying the esteem they deserve. Conclusions For most Poles who drink alcohol, drinking does not seem to be associated with any particular experiences of a positive or negative value. They do not drink much, do it occasionally, probably mostly for social reasons. For those who drink more than the average and, in particular, for those who drink heavily, alcohol consumption tends to be associated with some good or bad experiences which they relate to their use of alcohol. The more they drink, the more experiences of both kinds they have. However, experiences of a rewarding nature prevail over consequences that are annoying or unpleasant. While looking at similar Scandinavian surveys, some striking differences in the incidence of types of occurrences related to drinking can be noticed. In Poland, alcohol seems to serve much more often than in the Scandinavian countries as a means of sorting out problems the drinking person has with people close to him, and in particular, in sorting out his or her problems at work. On the other hand, as far as the use of alcohol for acquiring some psychological effects is concerned (such as improving the mood, better expressing one’s feelings, or saying something one regrets afterwards), the Poles do not seem to differ much from the Scandinavians, particularly from those who are ress successful in this sphere. The Poles seem to have also more health problems related to drinking, even in comparison to those Scandinavians who drink mostly spirits, like the Icelanders.
EN
Objectives The aim of this study was to investigate the prevalence of obesity, alcoholic beverage consumption, unhealthy alcohol use and sudden sleep onset at the wheel among Italian truck drivers. In addition to prevalence rates, this study also aimed at investigating potential predictors for sudden-onset sleepiness and obesity. Material and Methods A sample of truck drivers was extracted from the database of the High Risk Professional Driver Study. Data concerning demographics, anthropometry, medical information and working conditions were collected using anonymous questionnaires. Logistic regression analyses were performed to assess the association of the reported body mass index (BMI), alcohol consumption and sudden sleep onset with working conditions and general lifestyle factors. Results Three hundred and thirty-five questionnaires were collected. According to their BMI, 45% of the participants were overweight and 21.4% of them were obese. Twenty-four point two percent declared they drank alcoholic beverages during working hours or work breaks and 21.3% of the drivers had an Alcohol Use Disorders Identyfication Test Consumption (AUDIT C) score ≥ 5 (the threshold value for unhealthy alcohol use). Forty-one point six percent of the interviewees experienced one episode of sudden sleep onset at the wheel per month (5.5% per week and 0.9% daily). Predictive factors for obesity were: length of service (odds ratio (OR) = 1.09, confidence interval (95% CI): 1.04–1.15, p < 0.001) and the AUDIT C total score (OR = 1.34, 95% CI: 1.08–1.66, p = 0.008). Predictive factors for sudden-onset sleepiness at the wheel were: age > 55 years old (OR = 5.22, 95% CI: 1.29–21.1, p = 0.020), driving more than 50 000 km per year (OR = 2.89, 95% CI: 1.37–6.11, p = 0.006) and the Chalder Fatigue Questionnaire (CFQ) score > 11 (adjusted OR = 2.97, 95% CI: 1.22–7.21, p = 0.016). Conclusions This study strongly emphasizes the need for intervention in order to reduce and prevent important risk factors for the sake of road safety and truck drivers’ health.
EN
Objectives Social distancing and remote learning as one of the ways to fight against COVID-19 pandemic have affected universities and changed the lifestyle of many students. Psychoactive substances use was one of the way to deal with the anxiety caused by these new settings. Studies published so far have not provided a clear answer on whether COVID-19 leads to changes in the structure of alcohol consumption among medical students. The presented study attempted to answer this question based on the data available from the POLLEK study. Material and Methods The study group included 3 separate groups of medical students (recruited in the following academic years: 2019/2020, 2020/2021, and 2021/2022) with a total number of 899 students. To assess the characteristics of alcohol consumption the authors used a Polish version of the Alcohol Use Disorder Identification Test (AUDIT). Results Students surveyed during the lockdown lived in the family home much more often, reported good health, and declared consumption of a smaller number of alcoholic beverages. Their AUDIT scores were statistically significantly (p = 0.04) lower compared to the group surveyed before the pandemic (5 vs. 6, respectively). There were no significant differences in the AUDIT results between other study periods. Conclusions Lockdown due to COVID-19 pandemic might be associated with a decrease in alcohol intake among medical students. This may be due to a different place of residence of students, a family home rather than a dormitory. However, the debate on this topic seems to be still open.
EN
Diagnosis of lung cancer (LC) has been fraught with difficulty and by the time of definitive diagnosis, most patients are in later stages of the disease. Epidemiological studies have demonstrated that lifestyle behaviors play an etiological role in LC risk; however data in the literature on this topic often appears inconclusive or require further study. Understanding of the mechanisms operating between lifestyle patterns and their impact on LC is important for the disease’s prevention and treatment. The purpose of this study was to review the current evidence on the role of diet, body mass index (BMI), physical activity, smoking, alcohol consumption, and sex hormone use in LC development based on meta-analyses, systematic reviews and previously published epidemiologic studies. Regarded as the foremost cause of LC, evidence from studies have indicated that tobacco smoking causes LC. Additionally, exposure to outdoor air pollution and/or occupational-related exposures increase LC risk. Further, frequent consumption of red meat, processed meat increases adenocarcinoma and squamous cell carcinoma. Inverse associations between the disease risk and BMI ≥25 kg/m2, higher level of physical activity, and fruit and vegetable consumption with a high frequency were reported. Future studies are warranted to validate the association between histologic subtypes of LC and lifestyle patterns.
EN
Introduction: It is still uncertain if having at least moderate physical fitness is a necessary and sufficient condition for lowering the risk of death. The aforementioned statement constituted the basis for undertaking the study concerning the effect of particular health-related behaviours on the likelihood of survival in subjects with a moderate and high physical fitness. Materials and Methods: The study sample, i.e. 204 men aged 30-59 years living in Łódź, Poland, was selected within the CINDI WHO Programme and examined over the years 1980-1990 and 2003-2004. In each subject approximate values of one week energy expenditures associated with performing physical exercise of at least moderate intensity (> 1000 kcal/week) were estimated. Physical efficiency in the study group was evaluated basing on the results of the submaximal effort test. Information about selected socio-demographic characteristics, consumption of alcohol, cigarette smoking and diet was gathered. The vital status of the examined sample was checked in 2009. The Cox proportional hazards regression model was used to identify factors which influence the survival of examined population. Results: The probability of death was more than fourfold higher in the case of individuals who eat "beef or pork meat", as compared to those who consumed these products rarely or never. On the other hand, the subjects who declared regular consumption of yellow cheese had nearly fourfold lower death probability. Current smoking was found to be a significant negative risk factor while moderate consumption of beer a protective one. The level of physical fitness ($\text{V}_\text{O2max}$) did not significantly influence mortality. Conclusions: The results of the performed analyses indicate negative effect associated with consumption of beef/pork meat and smoking. Furthermore, the data pertaining to the consumption of yellow cheese as a potent protective factor for men's health requires further verification. The possibility that it is some lifestyle proxy rather than a causal factor can not be excluded.
EN
Introduction: The article presents a selected part of an analysis of health- and lifestyle-related determinants of the longevity of male residents of the city of Łódź. The WHO strategy for the European region assumes that the term ‘lifestyle' refers to the way of life based on the association between conditions of life understood in a broad sense and individual patterns of behaviour determined by socio-cultural factors and individual features. On this basis, the aim of this study is to identify the multiple statistical relationships on the mortality of men living in Łódź, particularly the influence of the following variables on the probability of survival: age, subjective health assessment, nutritional habits, alcohol consumption and tobacco smoking. Materials and Methods: The study sample (1004 respondents) was selected, and the study was carried out, based on the standards of the CINDI WHO Programme. The investigations included socio-demographic data, health status, lifestyle and anthropometric measurements. Results: From the results of the first- study performed in Poland of the longevity of men with identified risk factors of cardiovascular diseases, it has been found that: 1) Tobacco smoking has a negative influence on male longevity; 2) Alcohol consumed in moderate amounts favours male longevity; 3) The level of physical activity observed among the studied men was too low to affect longevity; 4) A diet rich in fish and consumption of yellow cheese are positive predictors of longevity, while additional use of table salt at meals and consumption of sweets (cakes) are negative ones. Conclusions: Risky lifestyles and a reluctance to abandon them are responsible for a shorter lifespan among men in Poland. Reducing this difference between women and men is a real challenge for public health professionals and preventive medicine specialists.
EN
The aim of article is to study the dissemination of behavioral risk factors among the Ukrainian adolescents. Methods. Sociological and mathematic methods. Results. According to WHO Ukraine occupies 7th place in the world on the level of dissemination of tobacco smoking among adult population and 3rd place in Europe on the dissemination of tobacco smoking among adolescents. In the period since 1999 to 2014 three series of international surveys (ESPAD, GYTS, HBSC) were carried out in Ukraine. The surveys contained the questions on smoking. All interviews were conducted among children of different school age. The European region was the leader in distribution of cigarette smoking (19,2 %), followed by Americas (14,4 %) and Western Pacific regions (13,4 %). The lowest levels of cigarette smoking have been identified in the Southeast (5,9 %) and the Mediterranean (4,9 %) regions of WHO. The positive tendency of reducing of tobacco smoking among groups of population of different age is shown. However, key indicators are too high: 48,5 % of students had ever tried to smoke cigarettes, 28,8 % of respondents initiated smoking before age ten; 3,7 % always have or feel like having a cigarette first thing in the morning; besides cigarettes, cigars, cigarillos, mini-cigars become more popular among the adolescents smokers (to 7,2 %), shiha (waterpipes) – 8,0 %; over one in five students live in homes where others smoke, number of students smoked at their homes increased more than twice as large (from 5,7 % to 12,1 %, p≤0,01); 55,3 % of never smokers are likely to initiate smoking next year. In addition to tobacco, alcohol is the second common habit among today’s adolescents. According to the Institute for Social and Forensic Psychiatry and Toxicology, Ministry of Health of Ukraine 22,0 % of schoolchildren and students drink alcohol on a daily basis or several times a week. Conclusion. The high prevalence of smoking and alcohol consumption among adolescents in Ukraine requires the development and introduction of new effective preventive measures aimed at the formation of health-behavior of young people. It is important to start preventive measures in advance of the onset of risk behavior.
PL
Wokół alkoholu od wielu lat pojawiają się liczne dyskusje naukowe. Z jednej strony bowiem istnieje wiele przekonywujących danych o jego korzystnym wpływie modyfikującym istotne czynniki ryzyka choroby niedokrwiennej serca (ChNS). Z drugiej strony problemy – nie tylko medyczne – związane z nadużywaniem alkoholu wywołują duży sceptycyzm w interpretacji opinii dotyczących jego przewlekłej konsumpcji.
EN
Numerous scientific discussions on the subject of alcohol can be observed. On the one hand, there are many convincing data on its favourable influence modifying the important risk factor of ischaemic heart disease (IHD). On the other hand, the problems, not only medical, related to its abuse evoke great scepticism in the interpretation of opinions concerning alcohol consumption.
20
Content available remote Społeczno-kulturowe czynniki lojalności konsumentów alkoholu
70%
PL
W niniejszym artykule zagadnienie lojalności związanej z szeroko rozumianą konsumpcją alkoholu osadzone jest w perspektywie marketingu społecznego. Celem artykułu jest eksploracja zachowań i postaw lojalności konsumentów wobec alkoholu przez pryzmat czynników społeczno-kulturowych, takich jak: etnocentryzm, patriotyzm, lokalność i nostalgia. Lojalność konsumenta wobec alkoholu w kontekście społecznym powstaje jako symboliczna reprezentacja i wzajemność postawy lojalności tego konsumenta wobec konkretnej grupy osób. Wiąże się to ze specyfiką symbolicznej konsumpcji alkoholu w kulturze Polskiej. Lojalność konsumentów alkoholu powstająca pod wpływem każdego z analizowanych czynników społeczno-kulturowych ma odmienny charakter. Głębsze zrozumienie mechanizmów powstawania lojalności konsumentów wobec różnych obiektów związanych z alkoholem umożliwia podejmowanie bardziej adekwatnych działań kampanii marketingu społecznego skierowanych przeciw nadmiernej i szkodliwej konsumpcji alkoholu.
EN
The loyalty issue related to widely understood alcohol consumption presented in the paper is embedded within the social marketing perspective. The goal of the paper is exploration consumers loyalty attitudes and behaviours towards alcohol in the light of social and cultural factors such as: ethnocentrism, patriotism, locality and nostalgia. Consumer loyalty towards alcohol in the social context appears as symbolic representation and reciprocity of the loyalty attitude of that consumer towards particular group of people. It is related to the specificity of the symbolic consumption of the alcohol in the Polish culture. Alcohol consumers loyalty, which appears under influence of each of the analyzed social and cultural factors is different in its nature. Deeper understanding of the mechanisms of appearing of consumers loyalty towards different objects related to the alcohol, enables making more adequate actions of social marketing campaigns directed against excessive and harmful alcohol consumption.
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