This study uses a basket-based choice experiment with 2,010 U.S. adults to analyze alcohol and cannabis preferences in social settings following cannabis legalization. Through descriptive statistics and multivariate logistic modeling, we highlight the heterogeneous preferences consumers have for alcohol and cannabis products. Specifically, we demonstrate that a substantial portion of the survey respondents prefer to consume these substances together in social settings, while others view them as independent markets. Regression analysis then reveals that males and younger consumers are most likely to bundle these substances, while personality traits also correlate with expected simultaneous substance use. These results offer valuable insights to improve public health policy and messaging on the potential short- and long-term risks associated with cosubstance use.

This study investigated how alcohol intoxication and negative mood affect decision-making in the Iowa Gambling Task (IGT) in a high-risk sample of adults who regularly drink alcohol. Using a 2×2 between-subjects design (N=160), we experimentally manipulated alcohol intoxication (target BrAC=.06% vs. .00%) and mood (negative vs. neutral) and employed computational modeling to identify underlying mechanisms. Results showed that alcohol intoxication impaired IGT performance, with intoxicated participants selecting fewer cards from advantageous decks (estimate=−8.12, 95% CI=[−12.83, −3.23]). Evidence for an effect of negative mood was moderate but inconclusive (estimate=−4.82, 95% CI=[−9.66, 0.02]). Computational modeling revealed that both alcohol (estimate=.13, 95% CI=[.05, .21]) and negative mood (estimate=.12, 95% CI=[.04, .20]) increased reward learning rates without affecting punishment learning rates. No interaction effects were observed. These findings suggest that impaired decision-making during alcohol intoxication and negative mood states stems from heightened sensitivity to immediate rewards rather than diminished sensitivity to punishments but these effects do not appear to be additive, providing novel insights into the computational mechanisms underlying alcohol-related decision-making deficits.

This paper examines the life trajectories, social contexts and living conditions of women of uncertain status in post-slavery, colonial-era Tabora, with a focus on those involved in the production and consumption of beer. It thereby searches insights into the aftermath of slavery in this region, particularly for women. It reflects on the persistent social unease surrounding slavery and its aftermath, and on the way it shapes and limits sources, arguing that a focus on post-slavery is nevertheless productive. Set in context, brewers’ life stories provide a vivid illustration of a competitive urban environment, the chances for self-emancipation that it offered, and the concomitant challenges and dangers. They thereby also enable fresh insight into the social history of alcohol and of urban women in colonial Africa. We find evidence of more successful brewing careers than existing studies would predict, but also of very stark vulnerability and persistent quests for safety in family networks. This spread of outcomes highlights the contingent nature of emancipation and the endlessly varied ways in which social constraints and personal motivations combined in individual lives.

Until a few years ago, moderate alcohol consumption was thought to have (mild) beneficial effects on health. However, some recent studies have suggested that “there is no safe level” of alcohol intake. Consequently, public health institutions have responded by advising against any level of alcohol use and suggesting governments a number of policies to reduce overall alcohol consumption. Nonetheless, medical studies suffer from a variety of intrinsic limitations that could undermine the reliability of their findings, especially when focusing on low-intake levels. On the one hand, we show that the literature on alcohol consumption may suffer from publication bias; such a problem is known to be present in the scientific literature in general. On the other hand, we discuss other potential sources of bias, which are inevitable due to the infeasibility of randomized controlled trials. We assess a sample of articles for the presence of omitted variable bias, miscalculation of alcohol intake, use of linear in place of non-linear models, lack of validation of Mendelian randomization assumptions, and other possible weaknesses. We conclude that the claim that “there is no safe level” of alcohol intake is not sufficiently supported based on our current scientific knowledge.

This article re-examines archaic and classical treatment of beer drinking to argue, contra Nelson, that beer in archaic and classical Greek texts is not primarily feminine nor does it necessarily feminize its drinkers. Rather, a review of sympotic lyric, historiography, ethnography and Athenian drama demonstrates that beer is primarily an ethnic marker with no inherent gendered connotations. At the same time, in contexts where definitions of Greek masculinity are being constructed, beer can gain gendered connotations which enhance the ethnic otherness of the beverage and contribute to the definition of the Greek man. Any gendered implications of beer, furthermore, come not from the beverage itself but from the method of consumption, of sucking through a tube of sorts rather than sipping from a cup. This article thus argues that beer in the Archaic and Classical periods marks non-Greek status first and foremost and only secondarily effeminizes drinkers through associations with oral sex in contexts where ideas of masculinity are in play.

Alcohol misuse among women has risen compared to men. Women experience barriers to engaging in patient-centered comparative effectiveness research (CER) that, in turn, limits the evidence base for addressing alcohol misuse in this population. In this manuscript, we describe WomenWise, a community-partnered project and outline how we co-developed community focused CER training curriculum and collaboratively planned future partnered learning sessions (PLSs) with Community Advisory Board (CAB) feedback. Through this approach we aim to empower women to contribute to future patient-centered CER and enhance the stakeholder capacity for future patient-centered research.

During the first half of the nineteenth century, Mid-Atlantic States expanded guardianship to include habitual drunkards. Legislators in Pennsylvania, New York, and New Jersey empowered courts to put habitual drunkards under guardianship, a legal status that stripped them of their rights to own property, enter into contracts, make wills, and, in some states, even vote. Amid the dramatic nineteenth-century expansion of male suffrage, the habitual drunkard signified a masculine failure of self-government that disqualified propertied men from the privileges of full citizenship. The struggle to define habitual drunkenness, detect the habitual drunkard, and put him under guardianship transformed the courtroom into an arena for contesting the thresholds of compulsion, policing respectable manhood, and drawing the borders of full citizenship in the nineteenth-century United States.

Alcohol consumption among university students poses significant public health challenges, especially in the Association of Southeast Asian Nations (ASEAN) region, where limited research exists. This review aims to synthesize evidence on sociodemographic factors associated with alcohol consumption among university students in ASEAN countries, assess the study quality and identify research gaps. A systematic search across nine databases was conducted in May 2024, using Population, Intervention, Comparator, Outcome, Study Design and Timeframe to define the inclusion criteria. Studies were assessed for quality and risk of bias using the AXIS tool. Data on sociodemographic factors were extracted, and random-effects meta-analyses were performed for frequently reported factors. Heterogeneity was measured using Cochran’s Q-test and I-squared statistic, and small-study bias was tested using funnel plots and Egger’s test. Fifteen cross-sectional studies involving 35,527 participants met the inclusion criteria. Gender, age and parental alcohol consumption were the most commonly studied factors. Male students had three times the odds of consuming alcohol compared to female students, a result robust to sensitivity analysis. Parental alcohol use and older age were also significantly and positively associated with alcohol consumption, with minimal heterogeneity. Most studies were of high quality, although variability in study design and geographic representation limited the generalizability of the findings. Sociodemographic factors such as gender, age and parental alcohol consumption influence alcohol use among ASEAN college students. However, cross-sectional design and limited country representation highlight the need for further robust research to inform policy and interventions.

Alcohol use disorder is a global public health concern and national policies are often implemented to help control alcohol consumption and related consequences. Increasingly, many countries are resorting to transient (short-term) alcohol policies which are implemented for a restricted period of time as an action plan for particular events or health-related issues. The COVID-19 pandemic emphasised the need for rapid decision-making and short-term fast-acting policies. This paper discusses contexts in which these transient policies are used and highlights the need for impact measurement and global exchange of experiences. This is particularly important to avoid gaps that the global alcohol industry could utilise to expand its influence and market.

This article traces the history of the repression of palm wine and alcohol (sodabi) in Dahomey, now Benin, with varying degrees of intensity, from the nineteenth-century kingdom of Abomey to postcolonial Dahomey. In parallel with the repression, this article also looks at the history of palm alcohol production. Dahomeans learned to distil wine from French peasants during the First World War, and were driven into sodabi production by French economic policies during the Great Depression. Using court sources, this article describes the social organisation, gender division, and economic rationale of sodabi production, as well as the occasions on which it was drunk. Ultimately, it argues that the repression of sodabi made it more difficult for peasants to improve their living conditions.

An increasing number of older adults require residential care. Concurrently, older adults’ alcohol use is increasing. This review explored the perspectives of all relevant stakeholders on older adults’ alcohol use within residential care settings, through a systematic review and thematic synthesis of qualitative studies. Eight databases were searched for qualitative studies focusing on older adults’ alcohol consumption (defined as aged ≥ 50) within residential care settings, sampling any involved stakeholders, published up until January 2024. Quality appraisal utilised the Critical Appraisal Skills Programme checklist and included 15 studies of mainly moderate quality across seven high-income countries, reporting data from a range of stakeholders and representing varied older adults’ alcohol histories. Three themes were identified: alcohol use by older adults is socially acceptable and purposeful in residential care settings; alcohol helps in the pursuit of an ‘ideal’ outcome; and decision-making around older adults’ alcohol use varies depending on the involvement, knowledge, skills and beliefs of the participating stakeholders, who also vary. Reports of problematic alcohol use were rare and older adults in residential care settings should be supported to exercise their own choice in determining their alcohol use. However, residential care settings face particular challenges in managing the alcohol intake of older adults with limited mental capacity and alcohol dependency; owing to a lack of guidance, front-line staff make subjective decisions. Future research should develop guidance that involves all relevant stakeholders, including family members. Limitations include lack of generalisability to low- and middle-income countries and limited availability of raw data.

Using the dual-pathway framework (Beach et al., 2022a), we tested a Neuro-immune Network (NIN) hypothesis: i.e., that chronically elevated inflammatory processes may have delayed (i.e., incubation) effects on young adult substance use, leading to negative health outcomes. In a sample of 449 participants in the Family and Community Health Study who were followed from age 10 to age 29, we examined a non-self-report index of young adult elevated alcohol consumption (EAC). By controlling self-reported substance use at the transition to adulthood, we were able to isolate a significant delayed (incubation) effect from childhood exposure to danger to EAC (β = −.157, p = .006), which contributed to significantly worse aging outomes. Indirect effects from danger to aging outcomes via EAC were: GrimAge (IE = .010, [.002, .024]), Cardiac Risk (IE = −.004, [−.011, −.001]), DunedinPACE (IE = .002, [.000, .008]). In exploratory analyses we examined potential sex differences in effects, showing slightly stronger incubation effects for men and slightly stronger effects of EAC on aging outcomes for women. Results support the NIN hypothesis that incubation of immune pathway effects contributes to elevated alcohol consumption in young adulthood, resulting in accelerated aging and elevated cardiac risk outcomes via health behavior.

We develop a method to assess population knowledge about any given topic. We define, and rationalize, types of beliefs that form the ‘knowledge spectrum’. Using a sample of over 7000 UK residents, we estimate these beliefs with respect to three topics: an animal-based diet, alcohol consumption and immigration. We construct an information-campaign effectiveness index (ICEI) that predicts the success of an information campaign. Information resistance is greatest for animal-based diets, and the ICEI is highest for immigration. We test the predictive power of our ICEI by simulating information campaigns, which produces supportive evidence. Our method can be used by any government or company that wants to explore the success of an information campaign.