To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Chapter 2 lays the foundations for the study and further clarifies its scope. Unhealthy lifestyles are defined here as collective patterns of unhealthy behaviour, based on choices from options available to people according to their life chances. This definition highlights four key dimensions central to the book: the health risks associated with those behaviours, their consumable nature, their voluntary character and, finally, the relevance of social norms and structural factors. The chapter explores the health dimension in greater detail for each of the three categories of products studied here, tobacco, alcohol and unhealthy foods, clarifying the health risks to which consumers are exposed and introducing the central regulatory questions raised by each category.
Chapter 4 provides an historical overview of the content and objectives of the EU’s policy on unhealthy lifestyles. It distinguishes two periods. The first spans from the early days of European integration until the entry into force of the Treaty of Maastricht, in 1993. It is a period of negative integration: unhealthy products are regulated mostly through the prism of the TFEU internal market freedoms. One cannot yet speak of an EU ‘policy’ on the matter, in the sense of a deliberate and coordinated action made in response to the health burden associated with unhealthy lifestyles. This changes post-Maastricht, the second period, with the recognition of a formal competence for the EU in health matters. Unhealthy lifestyles are singled out as one of the key priorities of EU health action and a greater role is given to positive integration, with the adoption of various horizontal legislative instruments. Different approaches emerged for the three categories of products: while the declared goal is to bring tobacco consumption to a near end, alcohol consumption is considered to be a natural part of human life, not to be overly discouraged, with food and nutrition positioned somewhere in between.
Chapter 5 continues the overview through a different analytical lens. It investigates the EU’s toolbox, describing and classifying the regulatory tools used by the EU legislature across the different lifestyles. It identifies four main types of interventions: ban and composition requirements, tax and price measures, rules on advertising and promotion and rules on mandatory and voluntary information. Beyond this systematic description and classification, the chapter serves three aims. First, it confronts the regulatory tools used with the stated objectives of EU lifestyle policy, assessing their adequacy and suggesting possible reforms. Second, it highlights the significant regulatory disparities existing between lifestyle risk factors, critically evaluating the justifications for such differential treatment. Third, it shows how health and internal market objectives are intertwined in EU lifestyle policy, generating legal frictions.
Chapter 2 explores how networks of power both reinforced and blurred social and occupational boundaries for non-Muslims. It examines which professions they were barred from, which they were pushed into, and which they came to dominate. In some instances, demand for goods and services such as music, dance, and alcohol created negotiated spaces where Muslims relied on non-Muslims, illustrating how exclusion and dependence coexisted in ways that unsettled rigid divisions – a dynamic analyzed through the concept of heterotopia. At the same time, although formally restricted from certain trades, non-Muslims were entrusted with sensitive occupations such as banking and currency exchange that required significant trust. Many also became leading merchants or specialized craftsmen, using transnational networks of co-religionists to expand their influence, advocate for greater rights, and secure a stronger position in regional commerce. The chapter introduces some well-established non-Muslim trading firms.
Two functional genetic polymorphisms, ADH1B rs1229984 and ALDH2 rs671, play key roles in ethanol metabolism and are especially prevalent in East Asian populations. The rs1229984 variant accelerates the conversion of ethanol to acetaldehyde, whereas rs671 reduces enzymatic activity for converting acetaldehyde into acetic acid. These variants affect alcohol use disorder risk and have been implicated in various systemic conditions.
Aims
To investigate the broader associations of ADH1B rs1229984 and ALDH2 rs671 with habitual alcohol use in large, unselected populations.
Method
We analysed data from 146 374 Taiwanese adults (aged 20–90 years) enrolled in the Taiwan Biobank.
Results
Both variants showed clear associations with habitual alcohol use. The ADH1B rs1229984 CC genotype was associated with a higher prevalence of drinking, indicating a substantial contribution to alcohol-related behaviour. The ALDH2 rs671 A allele was linked to markedly reduced drinking, reflecting known intolerance among carriers rather than implying a uniformly larger effect than ADH1B. Beyond alcohol use, rs671 showed a protective association with gout, whereas rs1229984 was not significantly associated with chronic diseases after correction.
Conclusions
In this large population sample, both ADH1B rs1229984 and ALDH2 rs671 demonstrate meaningful, genotype-dependent effects on habitual alcohol use. Their combined effects underscore the importance of evaluating gene–gene interactions rather than attributing disproportionate influence to a single locus.
This book examines how European Union (EU) law regulates unhealthy lifestyles, focusing on the consumption of tobacco, alcoholic beverages and foods of poor nutritional quality. The first part of the book clarifies the EU's competences in this field and the content of its policy. It also outlines the main regulatory tools adopted in relation to each of the risk factors covered, such as product bans, labelling requirements or advertising restrictions. The second part of the book explores the fundamental tension between the commodification of these lifestyles and the pursuit of health policy objectives. It addresses two central questions: How does EU law reconcile the goal of creating a market for unhealthy products with that of reducing or eliminating their consumption? And how does EU law balance market uniformity with the diversity and scientific uncertainty inherent in lifestyle practices?
The effect of alcohol consumption on atrial fibrillation risk remains controversial. Evaluating the association of alcohol consumption with atrial fibrillation-related biomarkers may help better understand the relevant mechanistic underpinnings. We studied participants from the PREDIMED-Plus study, a weight-loss randomized trial in metabolically unhealthy adults. N-terminal pro-B-type natriuretic protein, high-sensitivity troponin-T (hsTnT), high-sensitivity C-reactive protein (hsCRP), 3-nitrotyrosine, and procollagen type 1 carboxy-terminal propeptide were measured in serum at baseline and years 3 and 5 of follow-up. We calculated average alcohol consumption in drinks/day (1 drink = 14 grams alcohol) with validated food frequency questionnaires. Using multivariable models we estimated cross-sectional and longitudinal associations of alcohol consumption with log-transformed biomarkers. Among 523 participants (mean age (SD): 65.1 (4.9) years, 40% female), mean alcohol consumption was 1 drink/day. Cross-sectionally, alcohol consumption was not associated with cardiac biomarkers. Longitudinally, compared to non-consumers, heavy drinkers at baseline (≥4 drinks/day) had smaller increases in hsTnT (β: -0.10, 95%CI: -0.20, 0.00) over 5 years. In contrast, those who increased alcohol consumption over follow-up experienced greater increases in hsCRP (β: 0.31, 95%CI: 0.00, 0.63) compared to those whose drinking behavior stayed the same. In this high-risk population, higher baseline alcohol intake was associated with smaller increases in hsTnT over follow-up while increases in alcohol intake over time were associated with higher levels of systemic inflammation. These findings highlight the importance of considering longitudinal changes in average alcohol exposure when evaluating its relationship with cardiometabolic biomarkers.
Alcohol companies are increasingly marketing products with nutrition-related claims to appeal to consumers. There are concerns around the potential of such claims to mislead; however, there is limited research on consumers’ attitudes to claims, why they use them and how they influence product selection. The aim of this study was to explore these issues among Australian consumers.
Design:
Nine online focus groups were conducted with approximately nine individuals per group (n 83). Groups were stratified by age, sex and drinking status. Participants were asked about their alcohol purchasing behaviours and presented with a selection of alcohol products that displayed nutrition-related claims (e.g. zero sugar).
Setting:
Australia.
Participants:
Australian adults who consumed alcohol at least twice per month.
Results:
Three major themes emerged from the data. First, most participants appeared to trust on-pack claims, viewing them as tools for making healthier choices. Claims were cited as being particularly useful when placed on the front of packaging to assist the rapid identification of products perceived as ‘healthier’ options. Second, participants appeared to use claims primarily to identify nutrients or ingredients they wanted to avoid, especially sugar, calories and preservatives. Finally, most participants supported the use of claims, with few raising concerns about them being potentially misleading.
Conclusion:
The results of this study add to growing evidence indicating that nutrition-related claims can mislead consumers about the healthiness of alcoholic beverages. Policymakers should seek to restrict the use of claims while also working to increase awareness of the health risks associated with alcohol consumption.
Alcohol and other drug use (AOD) use tends to hold a privileged position within legal decision-making (Seear, 2020; Flacks, 2023), and the criminal case of R v Taj (2018) was no exception. The defendant, who was – it was agreed by all parties – experiencing paranoia and psychosis, launched a violent attack on a man he suspected of being a terrorist. Mr Taj had been drinking on eve of the incident, and the night before that, but tests on the day found no trace of alcohol in his bloodstream. He was nevertheless unable to plead self-defence on the basis that he honestly believed there was a risk to life and limb because, successive courts argued, he was already at fault for drinking alcohol, which led to the psychotic thoughts. There were some significant and potentially far-reaching claims in the case, including that intoxication-related behaviour does not require the presence of alcohol in the body, and that psychosis can be caused by alcohol alone. This allowed the court to conclude that Mr Taj was wholly responsible for his actions and so could not claim excuse or mitigation.
This chapter provides multiple-choice questions designed to reinforce and expand your knowledge of substance use disorders and impulsive-compulsive disorders, including neurobiology of impulsivity and compulsivity, neurobiology of reward, mechanisms of drugs of abuse, treatments for substance use disorders, and treatments for impulsive-compulsive disorders such as obsessive compulsive disorder (OCD).
Neurodevelopmental models regard impulsivity as a central risk factor for adolescent substance use. However, the practical utility of impulsivity in predicting substance use is complicated by variability among measures that encompass multiple methods and theoretical domains. Prior research has been constrained by cross-sectional designs, small sample sizes, and/or the use of a narrow subset of impulsivity measures.
Method
Leveraging the ABCD dataset (n = 11,868), we identified and replicated correlations among impulsivity measures and assessed their prospective longitudinal and concurrent predictive utility regarding adolescent substance use outcomes before 15 years old. We then used simulation to inform how associations between impulsivity and substance use vary across sampling strategies (population vs. high-risk cohorts) and sample sizes.
Findings
Correlations between questionnaire and behavioral measures of impulsivity were small, and questionnaires significantly outperformed behavioral measures in predicting substance use initiation, largely due to the contribution of the CBCL externalizing scale. Predictions of substance use based on impulsivity were statistically detectable but small according to clinical standards (AUCs 0.6–0.76), exhibiting sensitivity to sample size and base rate of substance use, and thus, poor absolute predictive performance. Large samples (n > 1,000) were needed to achieve adequate power for impulsivity measures to predict substance use initiation.
Conclusion
These results support a significant but small contribution of impulsivity in predicting the onset of early adolescent substance use, indicating that these factors alone are insufficient for clinically deployable prediction. In community samples, large sample sizes are needed for reproducible impulsivity prediction of adolescent substance use.
Chapter 2 turns towards the neighbourhood of Ituura. It introduces my field site in detail by exploring cases of local youth who are said to have been ‘wasted’ by alcoholism. In contrast to those who are said to have ‘given up’ on their futures, other young men are shown to embrace discourses of moral fortitude to sustain their hopes for the future while working for low, piecemeal wages in the informal economy. Such youth claim that one must be ‘bold to make it’. Engaging with anthropological discussion on waithood and hope, the chapter shows how young men cultivate moral fortitude through an ethics of endurance – a hope for hope itself, a way of sustaining belief in their own long-term futures that involves economising practices, prayer, and avoidance of one’s peers who are seen to be a source of temptation and pressure to consume.
The chapter creates the context for the rest of the study by outlining the 2nd and 3rd Ukrainian Fronts’ operations in Europe from August 1944 to May 1945. It also discusses the troops’ undisciplined and criminal conduct, including acts of robberies, assaults, murders, excessive alcohol consumption, and desertion and straggling. It pays particular attention to the issue of rape. The Red Army personnel committed hundreds of thousands of rapes in Romania during the exploitation phase of the Iassi–Kishinev Offensive. The same soldiers behaved with more restraint in “neutral” Bulgaria and “allied” Yugoslavia. In Hungary, the extremely brutal and protracted combat led to an escalation in violence against civilians, which reached its zenith in Austria. The chapter estimates that there were around 150,000 deserters and stragglers, who greatly contributed to the violence against civilians.
Skin picking disorder is characterized by repetitive excoriation of one’s skin. Although skin picking disorder is associated with substance use problems, no previous research has examined the associations of alcohol use on skin picking symptomatology.
Methods
Adults with skin picking disorder (n = 182) were recruited from the general community via an online survey. Participants completed the Alcohol Use Disorders Identification Test (AUDIT) to measure alcohol use and various self-report measures to assess clinical profiles and associated characteristics. We compared variables of interest between those with hazardous alcohol use in the past year (AUDIT ≥8) compared to those with low-risk or no alcohol use in the past year. We also examined the extent to which skin picking disorder symptoms were dimensionally related to AUDIT scores while controlling for confounders.
Results
Of the 182 adults with skin picking disorder, 62 (34.1%) met criteria for hazardous alcohol use. Hazardous drinking was associated with less frequent skin picking but higher overall picking-related severity and impairment, aggression, and rates of comorbid borderline personality disorder, gambling disorder, and compulsive sexual behavior disorder. Skin picking-related impairment predicted the degree of hazardous drinking while controlling for sex.
Conclusions
This study highlights the importance of screening for hazardous alcohol use in people with skin picking disorder. More research is needed to explore the relationship between aggression, hazardous alcohol use, and skin picking, as well as how treatments might best be adapted to treat individuals with this cluster of symptoms.
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.
Chapter 1 focuses on the career of Harlem writer Aubrey Bowser, who began his career editing the uplift literary journal The Rainbow, the official organ of Reverend Frederick A. Cullen’s Salem Methodist Episcopal Church, and who then re-edited some of that material, which, in turn, appeared in the New York Amsterdam News, Norfolk Journal and Guide, and in the Baltimore Afro-American. The printscape of Bowser’s work reveals the pressures that Jazz Age Black journalism placed on writers committed to racial uplift, as well as how Black newspapers bridged tensions between religious, dry, daytime tenets and wet, nighttime indulgence. As the Black press advertised, reported on, and editorialized “uplift” events concurrently with Harlem nightlife, it encouraged readers to mitigate at least some of the ideological divisions by offering a cosmopolitan vision of the New Negro. Within this context, the cultural work of Bowser’s fiction, especially after 1925 when most Black newspapers shifted their stance and saw Prohibition as a failure, assuaged readers that “knowing” wet Harlem did not mean abandoning the church and that attending church did not mean condemning the cabaret.
Sexual minorities have continuously been found to experience poorer mental health compared to the general population, despite promising changes in attitudes and legislation throughout the 21st century in many Western countries. The present study is one of the first to assess group-level changes over time in mental health among sexual minorities compared to their heterosexual counterparts.
Methods
We used four waves of a Finnish population-based survey spanning 16 years (2006–2022) to compare heterosexual and sexual minority adults on depression and anxiety symptoms, alcohol use, and sexual distress.
Results
Sexual minority individuals reported more depression and anxiety symptoms, sexual distress, and alcohol use relative to their heterosexual counterparts at all time points. There were no group differences in the direction or rate of change in group means from 2006 to 2022. Depression and anxiety symptoms showed equally large increases, and alcohol use showed equally large decreases among both heterosexual and sexual minority participants.
Conclusions
Contrary to our expectations based on minority stress theory, differences in mental health between sexual minority and heterosexual individuals persist despite changes in the sociolegal status of sexual minorities during the first two decades of the 21st century. Our findings align with the increasing general trend in anxiety and depression symptoms, which seems to affect the whole population regardless of sexual orientation. We conclude that the effect of legislative societal improvements seems to be small, and the mental health gap between sexual minority and heterosexual adults is likely maintained by factors not included in our study.
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.