Read This Before You Order Your Next Drink

Six weeks ago, I had one of the worst days of my life. I had just gotten back from a fantastic anniversary trip with my husband the day before. My parents had been strangely insistent that I call them the day after we got back. It’s not unusual for me to call them after a trip to let them know we made it back safe and share some of the high points with them. But this time they seemed a lot more persistent than normal. When I did call on that pretty spring Sunday, my mom cut me off in the middle of me enthusiastically describing a park we had visited on our trip. “We have to tell you something,” She said, “I have breast cancer”, and just like that, every ounce of oxygen left my body. It took me weeks to start to begin to wrap my head around it. In those weeks, I did the one thing everyone tells you not to do. I looked my mom’s cancer up on the internet. I dug through articles, papers, statistics, and survival rates. Looking for an answer to the question we’ll likely never be able to answer, why my mom?

Imagine my shock one day in class to learn that after all my weeks of research, I came across something new. Alcohol has been linked to breast cancer. In all of my hours of research, I had read nothing suggesting that alcohol could be a risk factor for breast cancer. Now, my mother has never been much of a drinker not even in her younger, more explorative years, so it’s likely not the cause for my mom’s cancer. But I’ve always enjoyed a nice beer or 2 and, like millions of college-aged women, had enjoyed more than a few too many at one time or another. Maybe it’s because now that I have a history of breast cancer from not only my mother, but my paternal grandmother who had been diagnosed at just 37 years old and I have been forced to acknowledge my very real risk of developing breast cancer one day myself. But this hit me particularly hard.

An entire month every year is dedicated to breast cancer awareness. Famous athletes wear pink, millions of people march and run thousands of miles every year to raise money for breast cancer research. Breast cancer is the second most common type of cancer among women and the second leading cause of cancer death among women. It’s estimated that over 200,000 women in the U.S. will be diagnosed with breast cancer just this year. Yet despite all the information about breast cancer awareness and prevention screening, in a recent survey in the UK only 20% of the 205 women undergoing cancer treatment who participated knew that alcohol was a risk factor for breast cancer. Things aren’t looking much better in another survey conducted in the US which found 70% of Americans also did not know that drinking alcohol was a risk factor for breast cancer.

This begs me to ask this question, if all the pink ribbons, charity walks, billboards, bus signs, and tv commercials aren’t teaching us about the risk alcohol poses to women, what else can we do? A valuable, and perhaps obvious, the first step could be to increase and improve education. A woman’s physician is her best weapon in this never-ending battle against cancer. They could provide women with more comprehensive education about the risks of breast cancer at their yearly checkups. Breast cancer screenings and visits for breast cancer symptoms also provide some of the most teachable moments. Women are likely more open to this information when the threat seems so near. It wouldn’t take much, just 5 minutes at the beginning of their visit highlighting the biggest risk-factor and prevention methods.

Starting education even earlier seems like the best way to prevent more cases of breast cancer. We all remember those horrifically uncomfortable sex education classes, even if we wished we didn’t. What if we started educating girls on the risk of drinking alcohol for breast cancer when they are the most likely to start experimenting with alcohol? Maybe they wouldn’t listen. Maybe they’d just roll their eyes and turn away. But maybe it would plant a seed. Maybe if they’re presented with the evidence often enough, they’ll think twice before having their next drink. Maybe a few with family histories of breast cancer like me would decide it wasn’t worth it. I’m not 14 or 21 anymore, and I can’t speak for everyone, but even a craft beer enthusiast like me is opting for water or tea a lot more than I used to,  before I knew.

Caution for women of childbearing age

Link

Over the last 3 weeks, I have been amazed at how much I have learned about alcohol from a biological, social, and environmental standpoint. As a current dietetic intern studying nutrition, I have been very fascinated by the effects of alcohol in the body from a biological standpoint. In class, we discussed how alcohol can have detrimental effects on reproductive and maternal health, rates of infectious diseases, the incidence of non-communicable diseases, and mental health. Moreover, I was saddened to learn about the negative effects alcohol can have on infants and how drinking while pregnant can cause fetal alcohol spectrum disorder (FASD) in children. FASD is a devastating condition that can lead to poor cognition and delayed development in children. However, what is, even more, devastating is that this disorder could be prevented if the mother would have abstained from alcohol during pregnancy. 

  1. Image of children with FASD

 

Sadly, there is new research coming out every day that shows how destructive alcohol consumption can be in the body even if it is “controlled” especially in women. One example of this is a study published in June 2019 that showed how alcohol can stunt the growth of the early embryo and the stem cells that become the placenta. Researchers wrote, “After the rats were exposed to alcohol, the placenta was poorly formed and was not able to give the fetus all the nutrients it needed to grow. This effect was more severe in female fetuses than in male fetuses.” Furthermore, researchers were able to show that alcohol consumption prior to a few days before conception can have detrimental effects on the development of the fetus in rats.

Researchers were not able to fully understand the mechanism behind why female fetuses were more vulnerable than male fetuses calling for more research to be done. While it may take years to fully understand the mechanism behind this study, I believe it further solidifies the growing opinion around how toxic alcohol can be especially in women of childbearing age.

This led me to think about the following questions:

What if a mother drinks before she knows she is pregnant? 

If more childbearing age women knew that alcohol could potentially harm their fetus especially female fetuses would it decrease consumption of alcohol?

Should there be more policy around the alcohol industry targeting women of childbearing age since there is a greater health risk involved?

This article sparked many questions that I think our society should think about on a deeper level. 

One day while on Twitter, I came across a classmates tweet on the CDC recommendations for women of childbearing age. 

According to the CDC, women should avoid alcohol if they are sexually active and not using birth control. What was interesting was how much backlash this recommendation receive from the public. Many major news outlets like Elle magazine expressed outrage over the new recommendations. Did the CDC go too far in telling women that they should not drink if they are sexually active and not using birth control?

In my opinion, the CDC is right. Women of childbearing age are more susceptible to some of the most devastating effects of alcohol. I think this policy helps to protect this population even though it may sound like your grandma preaching to you about your habits.  Furthermore, I think Dr. Anne Schuchat, CDC Principal Deputy Director, said it best, “Alcohol can permanently harm a developing baby before a woman knows she is pregnant. About half of all pregnancies in the United States are unplanned, and even if planned, most women won’t know they are pregnant for the first month or so, when they might still be drinking. The risk is real. Why take the chance?”

References

 

  1. https://scienceoveracuppa.com/2014/07/06/sometimes-you-can-tell-a-book-by-its-cover-shared-developments-of-the-brain-and-face/
  2. https://dev.biologists.org/content/146/11/dev172205
  3. https://www.huffpost.com/entry/cdc-alcohol-young-women-pregnancy-warning_n_56b22f03e4b04f9b57d805bc?guccounter=1&guce_referrer=aHR0cHM6Ly93d3cuZ29vZ2xlLmNvbS8&guce_referrer_sig=AQAAABu_Fe4255l68fYf5D0k9N_bUtYMK2-kn12RKDNpi4iAuKq5B8qGXzHC1WiWo3YiDfyJqLYK-ZOE7sohkWeu_Y4IYm0zno6gzRNBuuccBi1bccbIFefokFOOatqwrogHeBAwPYWATqYS-Cz3ntfVLAFEbJgoBkzAexUosPL9KIb_

 

 

Sober Curious- Not Just For Health Tourists

People start and (sometimes) stop drinking at all different phases of life for all different reasons. The expectation, however, is that everyone’s drinking. The internet, the bartender and the billboards all tell us that’s what you do. Period.

In the era of health experiments like detoxes, yoga retreats and juicing, we take a touristic approach to health experiences. Sober curious is something I perceive to be similar in this way, which means it can be marketed in the same way. The buzz word was coined by Ruby Warrington, author of “Sober Curious: The Blissful Sleep, Greater Focus, Limitless Presence, and Deep Connection Awaiting Us All on the Other Side of Alcohol.”

Additionally, bars for the sober curious are popping up everywhere, such as Sans Bar in Austin, TX and Ambrosia Elixirs in Williamsburg, NY. 

According to a British study from 2016, those who participated in Dry January experienced varying health benefits, including “increased drink refusal self-efficacy” and, of course, no hangovers. The significance of the short breaks in drinking influencing health in this way speaks to the idea that people can experiment with sobriety the way they can experiment with the Keto/dairy free/gluten-free/vegan/vegetarian/Paleo/Whole30 diet. Grocery and supplement stores have entire departments dedicated to diet categories, and alcohol stores and departments can easily be merchandised in this way for zero percent products. The increase in non-alcoholic beers and mocktails makes it easy to see how this would be possible.

By marketing sobriety as a healthy experience, we open peoples’ perceptions of sobriety, and the conversation around sobriety becomes more open as a result. In my experience with intentional sobriety, people almost always have needed an explanation for the absence of a drink in my hand. I’ve even been seriously confronted about pregnancy before. I have yet to become pregnant, but that seems to check out more easily in a crowd than the long-winded, baggage-ridden idea that I’m not a great drinker and have damaged a lot of relationships with my drinking, not to mention a murky family history with addiction. No, no, no, you get back to your game of pool, though, I promise it’s not a big deal!

 

Click the image to see the SoberGirlSociety Instagram profile!

I’ve never participated personally in a sobriety challenge like Dry January, only the challenge of getting truly sober. It was genuinely difficult surrounded by friends who never took a break from daily drinking after college ended and were relying heavily on it to manage their vulnerability and mental health issues. I have a personal notion that my not drinking made people uncomfortable, knowing that they, too, probably should have taken a step back from the bar. This illuminates the ambivalence we’ve discussed in class and the idea that there is such a thing as responsible drinking for some of us. People say that the binge drinking criteria seems too low- “five drinks in a night?! That’s a Tuesday at home!” I think the ugly reality may just be that many young adults don’t have the best drinking habits, but no one wants to admit that.

Sober curiosity is an easy movement to promote and absolutely has a place in the era of wellness exploration. Dry bars and social circles based on sobriety (that don’t meet each other in recovery meetings, per se) are carving out their places in this world of heavy drinking. 

Is “Sober Curious” the new trend for the upcoming new decade?

“We don’t have to drink. There’s nothing that says, as an adult being, you have to consume alcohol,” says British writer and founder of the movement Sober Curious, Ruby Warrington. In December 2018, Warrington released the book Sober Curious, which offers an eye-opening new way to think about our relationship with alcohol.  Sober Curious reveals the enormous benefits that come from unlearning the mindless habit of drinking.

Think of sober curiosity as a “wellness” approach to (not) drinking alcohol.  The idea isn’t a hard stop to drinking or a 12-step process to sobriety, Warrington said. It’s not a recovery method for alcoholics, either. It’s about recognizing drinking habits and acting on that understanding. Maybe it means cutting out all alcohol, or just not drinking on weekdays. Warrington added that it’s the idea that alcohol determines our fun, intimacy, friendships, and experiences to the point that some Americans have tapped out of the present and aren’t fully living.

But how effective is this sober curious movement? Are women really  going to put down their cocktails and “mommy juice” for mocktails and lemonade?

My immediate thought was drinking has become way  too accessible for drinkers to stop now. We are drinking at work, in the early mornings, and on  Sundays, the day that was once considered a holy day. People are even drinking alone and getting alcohol delivered directly to their homes. The means of getting drunk has become limitless, so why stop?

There are many reasons to cease or  limit your alcohol intake. According to the Center for Disease Control and Prevention excessive drinking can cause chronic disease such as liver cirrhosis, unintentional motor vehicle traffic injures and violence.  However, many drinkers are unaware of the harm alcohol can cause. Drinkers feel since they are “drinking responsible” they are safe from consequences. Unfortunately, for some, just because you are binge drinking at home or taking an Uber  instead of driving doesn’t mean you don’t have a drinking problem. 

So really how did we get to the point where we feel like drinking is inevitably? If you decline a drink, you are scolded and peer pressured to just take a sip. I blame social media.  Social media networks have wired our brains to believe that there is nothing wrong with drinking in excess. There are so many memes that encourage to drink when you are sad, when you want to have fun, or relax. We are inclined to post a picture of us drinking to show fun is happening or to prove that we are taking time out for ourselves by having a drink.

In order to combat drinking as a negative reinforcement, we  have to replace memes that encourage drinking whenever there is a slight inconvenience or memes that justify drinking for every occasion. These  new memes can motivate drinkers to feel stimulated without drinking and enjoy activities such as working out, reading, or cooking

.Image result for when my friends ask if i wanna go to the gym  Image result for when my friends ask if i wanna go to the gym

Society has made us believe that binge drinking is euphoric. If I drink this bottle of wine, I will be having the time of my life. The sober curious movement challenges that social norm and forces drinkers to be more mindful about consuming alcohol. It’s a movement that brings awareness of drinking dependence. Even if people start going to the bars and having 1 drink instead 1o that is proof the movement is working.

  The new decade is now less than six months away,  will the sober curious movement be the new wave? 

Alcohol and Harm: Breast Cancer

Before attending our class on Women and Alcohol, I was unfamiliar with the relationship between alcohol and breast cancer. I had some awareness that alcohol was harmful, but did not know about its direct links to cancers. It is interesting to me that I, along with my peers, can recall learning that one glass of red wine may be beneficial to one’s health, but very few women I have asked remember learning about alcohol and its link to cancer.

As it turns out, this factsheet says that researchers have found no association between a small consumption of red wine, but all the research says that there is no doubt that alcohol is significantly associated with certain cancers. Since many of us enjoy drinking some red wine, this may be the reason why we have “tunnel vision” and are only remembering hearing about a positive effect for our behaviors and not the negative effects. I feel like a lot of the time individuals tune out information that they do not like or information that goes against what they regularly do and like to do because it is not something that they want to hear. Most people do not like to hear that something they are doing is not positive and healthy behavior. It is also really hard to make behavior changes so most people do not want to learn that they have to change their behavior.

                                         

I think we need to work harder to create prevention programs that better disseminate these messages. One idea would be to find a way to target the vulnerable population, women. This could be done by creating more ads/commercials on television channels that women frequently watch such as ABC, E and Bravo. Another way to target women would be by requiring alcohol companies to put a warning label on their alcohols about links to breast cancer. Specifically, it would be important to put these warning labels on “women targeted alcohol” such as the low calorie drinks like Truly or Wines. These drinks are commonly drunk by women. Another prevention program idea is to put up factsheets and advertisements in some locations that are commonly frequented by women such as grocery stores or shopping malls. I think that it is important to create advertisements that would attract women and catch their attention. This can be done using bright colors. This is also something that doctors should talk about during primary care and gynecological visits. During my doctor visits, I am asked about my alcohol use, but I have never had a doctor discuss the links between alcohol use and cancers.

 

Sober Curious: A Night Life Alternative

 Consuming alcohol has almost become synonymous with going out on the weekend with your friends especially if the pre-determined meeting location is a bar. The situation usually plays out by one friend getting there earlier, and ordering a drink from the bar while they wait for the rest of the group. Then the rest of the friends or group arrives, and you all order another round of drinks while you wait for the food, and then maybe one more round of drinks before you all leave for the night and head your separate ways.

Now, one can say that this may be a scenario that can be quite expensive with the group in the example ordering three round of drinks and according to an article entitled The Recent Evolution of How we Get Tipsy“, that covered an NPR alcohol report, it actually is! This report found that as production of alcohol in America has become more efficient, alcohol prices have declined 39% from 1982 to 2012. During that same time span, the prices of alcohol at bars and restaurants has increased 79%.Prices of Booze At Home and Away That increase of price is coupled with the fact that bars and restaurants are now starting to focus more on the sale on alcohol rather than the sale of food. This led to Americans in 2012 to spend an estimated 40% of their expenses at bars and restaurants on alcohol, in comparison to just 24% in 1982. 

So with Americans spending a majority of their money while eating out on something that is unhealthy, in bars and restaurants where the alcohol is getting more expensive, what happens if you want to escape this culture for a weekend or two but still want to attend a bar-esque atmosphere with your friends?

Well, that is where the phenomena of “Sober curious” or “Sober Sometimes” comes in. NPR did a piece on this new social club that is mostly made up of women in their 30s, and the NPR piece stated that one of the main reasons behind the women joining the club was due to the fact that they “have demanding jobs and simply do not want to feel foggy or hungover anymore.” 

These social clubs usually have bars dedicated to them where people can gather, eat, listen to music, and socialize all while consuming non-alcoholic beverages. This gives individuals a healthy alternative to going to bars that serve alcohol but still allowing them to enjoy all of the other aspects that comes with night life.

                                                                                                                                                                                         

https://media.npr.org/assets/img/2019/06/19/sans-bar-052_custom-47bff05db0ee54d4664b7c832ac9c746fef1f77a-s1600-c85.jpg

Source: Julia Robinson for NPR

But, the question begs itself, how effective could this new initiative be, especially in a climate where drinking and going out is seen as the norm?. Well, the first step would to be establish more bars that are strictly dedicated to serving non-alcoholic beverages to its patrons. But to be competitive, these bars need to still offer the same amenities and activities that bars that serve alcohol do which would be good music, good food, and good service. That accompanied with word of mouth of the atmosphere of the bar being just as fun, then the growth for these types of establishments is endless, and will slowly become culturally accepted. But, for the latter to happen, individuals must be educated on the harms of drinking and how even taking a small break, if you choose not to become completely sober, is still a healthier option, and non-alcoholic bars are the way to go. But, if the value is seen in these sober bars, then potentially investments can be made into these types of establishments that will make them bigger and better than ever, and will make these bars an excellent alternative to individuals that want to go out and socialize with friends but do not want to drink.

 

The Culture of Abstaining From Alcohol

“Abstinence [from alcohol] was found to be associated with a staggering 45 per cent higher risk of dementia compared to those who consumed between one and 14 unites of alcohol a week.”

 -Sean Morrison, Evening Standard

I know what you’re thinking, who did this science experiment? Well, the French National Institute of Health and Medical Research in Paris along with scientists from the University College London. They followed 9000 men and women with ages ranging between 45-55 over 23 years and found that 45% of those who did not drink developed dementia. Now, the downfalls of this is that their health history was not really controlled for, it is just that they abstained from drinking during the 23 period time period.

But, for the average Joe to google abstaining from alcohol, and retrieve these articles can be detrimental to the culture of abstaining from alcohol. By the way, this is the first image that comes up when you google “abstaining from alcohol.”

So why exactly is there so much pressure in some societies to consume alcohol? Is it really NEEDED to be social? Are we not FUN enough without it? Are you too RELIGIOUS and need to loosen up a little? I have heard it all. No, I am not too religious but my religion has forced me to do my own research. Why is alcohol so specifically forbidden in the Quran? Reading and learning and realizing that I really do not need it to have fun and I have more effective coping mechanisms, I decided abstaining from alcohol was the right choice for me.

So how do we get others to not only abstain from consuming alcohol but also make that idea culturally accepted? Well here are two ways to start:

  1. No Beer, No Botox, No Problem

Seems simple, educate the masses on what alcohol does to you. But the twist is, get them with what they care about most in today’s society: vanity. Vogue recently published an article on how giving up alcohol can transform your skin. “I always joke with my patients, ‘If you want to get older, go ahead and drink!’” says nutritionist Jairo Rodriquez, who gave the Vogue advice on how no drinking means looking more radiant and youthful. More women are also diving into the “sober curious” waters for vanity reasons and blogger Kate of The Sober School writes that the fewer calories, less bloating, beauty rest, and motivation to gym are all reasons why no drinking is really the right choice. Which leads us to tip number 2 for creating a more culturally accepting environment for abstainers.

 

  1. Success Stories Create Success Stories

Kate, a previous heavy drinker, started her blog page, “The Sober School” as a way to motivate herself to continue on that path as well as build a community for like women to join in and feel welcomed, whether you are new to the abstinence life or been sober all your life. Kate writes “I show them [women] how to have fun, relax and be confident without a glass of wine in their hand… and I can help you too” and suggests that there is no need to label yourself as being in recovery. She offers a 6 week course to women in need of help. This welcoming environment creates a culture of acceptance and hopefully a domino effect too. She has a page dedicated to “graduates” of her program and their testimonies, with women both young and old. And Kate’s page isn’t the only blog page out there. Hip Sobriety, UnPickled, Drunky Drunk Girl, and Sober Senorita are just a few of the FEMALE led blog pages. Some are about the process of sobriety and some about the success of sobriety, but all creating awareness in a positive, more inviting way.  

 

Mommy Drinks Because of Me: Memes and Mommy Juice Products

Have you ever heard of something called a mommy sippy cup or mommy juice? No? Neither did I, until I signed up for a class all about it. After my first day in class, I have seen so many mommy sippy cups and things related to moms drinking. “The tumbler of mommy juice became the signal of the end of a day of parenting—a hard-earned reward, an escape form the difficulty of the day” (Ravishly). Take a look at this cup!

Isn’t it SO cute! Okay okay, but actually though, you might be wondering if that product is real. Check out this link to go buy one for yourself (Just kidding. I don’t endorse that): https://www.etsy.com/market/mommy%27s_sippy_cup

Here are a few questions to ask yourself before you continue reading:

  • Have you ever seen your mom, or a mom you know, drink?
  • Does that mom have children?
  • Does that mom have young children?
  • Have you ever been stressed about something, and taken a drink because of it?

If the answers to these questions were yes, you should probably keep reading.

As you know, the internet, texts, fliers, and social media are full of something called memes. According to dictionary.com, a meme is “a humorous image, video, piece of text that is copied (often with slight variations) and spread rapidly by Internet users.” Pay attention to the word in red. Humorous. That’s important. Memes are supposed to be funny. Memes are supposed to be spread from people to people. Platform to platform. But where is the line of something being funny and something being dangerous and wrong? Below I discuss a few memes that have come to my attention.This one is just sad. This meme makes it appear as if mothers only drink because of their children, as if their children cause so much pain and stress in their lives. People who are not mothers view this as funny. They view this as reality. They view this as….well, “if this is true, do I really want to have children?” The next meme (below) shows the same concept. “Make sure you get your mom a bottle of wine for Mother’s Day. After all, you are the reason she drinks.” If I heard someone tell me this, I’d be so offended. Unfortunately, sometimes this is true. People drink to forget. The consequences of memes like this are that some women will believe them, and some mom’s will think it’s okay to drink all the time just to take the edge off of being a mother. Let’s not forget most meme users are younger. Just imagine for a second: all these young girls seeing these memes and wondering if they are true.

 

Please tell me how the below meme is okay. What if it is true? There has to be some truth to this in some cases. Props to stay at home mothers. That is a full time job and some say the hardest job of all. However, if you are a daytime drinking, stay at home mom, looking after a child, isn’t that a contradiction? How can you be looking after a child and also drinking? Not all of your focus will be on that child. According to Women’s Health Magazine, daytime drinking can lead to:

  1. It becoming a habit
  2. Getting dehydrated
  3. Drinking way more than you expect to 

 

And, just imagine if your babysitter did that while watching your child.

 

What my point is…..

These mommy memes are not cool or funny. They shouldn’t exist, and they should not be spreading across the Internet like wildfire. Young girls and boys are on the internet everyday. Their lives revolve around it. They want to share things they think are funny- including these mommy memes. Some consequences of these memes and mommy sippy cup products are that some of these young girls are going to think that it is okay to drink. And, with the increasing amount of women drinking these days, this is even worse. The earlier people are introduced to the concept of drinking, the worse it is.

Lastly, here’s a mother’s point about these memes:

She believes that these mommy memes and quotes are not “message(s) I’m comfortable with my kids seeing as normal or usual. I don’t want my kids to think that I’m counting the minutes until it’s 5pm somewhere” (Ravishly). She believes that alcohol use should not be normalized, and that it harms families and kids who grow up in an environment where it is in use and where they feel unwanted.

Here are the biggest consequences of these memes:

  1. Mom’s start believing them and thinking it is normal to drink everyday
  2. Increasing the likelihood of alcohol dependence
  3. Children thinking they can drink because their mom drinks
  4. Children thinking their parents do not love them

 

Websites used:

https://www.dictionary.com/browse/meme

https://www.womenshealthmag.com/health/a19934218/dangers-of-day-drinking/

https://ravishly.com/mommy-juice-jokes

How Does Consumption of Alcoholic Beverages Impact Women?

Gone are those days when you would think excessive alcohol drinking was a man’s problem. The shift in excessive alcohol drinking patterns among women is on the rise particularly in younger age groups. Findings from the 2015 National Survey on Drug Use and Health estimated that about 5.3 million women suffer from Alcohol Use Disorder (AUD).
Women tolerate alcohol differently than men. Do you know why? Perhaps this may be since women have a lower body weight than men, less body water and higher percentage of body fat. In addition, women metabolize alcohol at a slower rate than men, so alcohol may remain in their tissues longer (1). There is evidence from studies that for equivalent doses of alcohol, women are more vulnerable than men to tissue damage and the onset of certain diseases such as cirrhosis of the liver and physical alcohol dependence (2). Heavier alcohol use by women is also thought to increase risk of bone fracture and osteoporosis (3). Furthermore, women can be more vulnerable to physical risks through violence or abuse when intoxicated (4).

But the harms done to women by alcohol are many, and most do not seem to know. You will be surprised to learn this. Consumption of alcoholic beverages is now recognized as a known human carcinogen. This is stated in the Report on Carcinogens by the National Toxicology Program of the US Department of Health and Human Services.

What is more alarming is the fact that alcohol is a risk factor for breast cancer in women. It is estimated that about 2.1 to 4.0% of breast cancers are primarily due to alcohol consumption accounting for 9000–23,000 new invasive breast cancer cases each year. Studies suggest a 7–10% increase in risk for each 10 g (~1 drink) alcohol consumed daily by adult women. And the risk increases for every additional drink they have per day. This raises a clinical and public health concern because nearly half of women of child-bearing age drink alcohol and 15% of drinkers at this age have four or more drinks at a time.

Do Women need to be informed about the association of Alcohol and breast cancer? Definitely? What can be done? Some strategies to consider: – Use mass media advertising campaigns involving television, billboard displays and Transit advertising on modes of public transportation or in public transportation areas), social media platforms to disseminate this information.


Image source: CDC

These can aim at reduction of alcohol consumption in women, influence risk perceptions of women on alcohol consumption and increase their level of awareness on Alcohol as a risk factor for breast cancer.

Another strategy- Make the women aware through their Family Physicians. Family Physicians could screen female patients and provide behavioral counseling and make them aware of association of alcohol with breast cancer. How about using cancer centers to do some outreach to the community? Appropriate staff in these centers could post position papers in peer reviewed journals on how alcohol affects risk of cancer in women.

Yet another strategy would be to have warning labels on alcohol bottles, however this is not easy as it seems, and this is some food for thought I suppose.

 

References
1. Plant M. Women and Alcohol: contemporary and historical perspectives. London: Free Association Books, 1997.
2. Kalant H. Absorption, diffusion, distribution and elimination of ethanol: effects on biological membranes. In: Kissin B, Begleiter H, eds. The biology of Alcohol ism, vol 1. Biochemistry. New York: Plenum Press, 1971.
3. Baron JA, Bahman YF, Weiderpass E, et al. Cigarette smoking, Alcohol consumption and risk of hip fracture in women. Arch Int Med 2001; 161:983 ± 90.
4. Jacobs J. The links between substance misuse and domestic violence: current knowledge and debates. London: Alcohol Concern and ISDD, 1998.

My Thoughts on Why Women Drink & Drunkorexia

Alcohol use among women has been increasing at an alarming rate. In fact, according to the JAMA Psychiatry article published in September 2017, there was a 34% increase in high-risk women drinkers and alcohol use disorder (AUD) from 2002 to 2013 compared to a 13% increase in men. This demonstrates that alcohol use among women is a growing public health issue that needs to be addressed. However, with the media, marketing strategies employed by alcohol companies and the normalization of alcohol in our society, addressing this issue is becoming increasingly harder to do.

There are several ways that women are targeted by both the media and marketing strategies which appeal to them to drink. One of the best-known examples of this is the wine company, “MommyJuice”. The marketing strategy behind this brand is that it is stressful to be a mother – to juggle taking care of yourself, your kids, and work – and that even moms need a way to unwind. And what a better way to de-stress than with a glass of MommyJuice? While moms do work incredibly hard (and absolutely need to take time for themselves), is encouraging them to relax with alcohol the best way? Especially when it’s branded in such an insidious way, it appears to be taking advantage of women and their situations.

It is common for kids to have playdates, and while the kids are playing so are the parents who use this as an excuse to socialize and drink. There are potential consequences that can result from an afternoon of drinking such as the safety of both the adults and children and the normalization of alcohol. After the play date, the mom might have to drive herself and her children home. If her inhibitions are impaired from the “mommyjuice”, the potential for car accidents increases. The act of moms drinking during a child’s playdate can also normalize alcohol for the child. If they are constantly around it as a child because their parents drink in front of them, they may be more likely to drink in adolescence and adulthood.

Another example is the Skinnygirl Cocktail line, with the advertising campaign of “Drink Like a Lady.” The marketing strategy here is that women can still drink but without the worry of extra calories. This will appeal to women because of the societal norms regarding appearance. The other day I saw an advertisement for spiked sparkling water – with only 100 calories, the can reads. I was shocked that an innocent beverage such as sparkling water now needs to be spiked to be enjoyed. Even beer companies have been marketing low-calorie options for women. The reaction the alcohol industry is hoping to elicit from women is, “What’s better than being able to indulge in an alcoholic beverage without the guilt from the empty calories that come with it?” The way these brands are being marketed towards women, many of whom are susceptible to succumbing to them because they address issues that affect women, is manipulative.  A quick google search for “low-calorie alcohol” will bring up several articles with suggestions on how to select drinks that will still get you drunk minus the extra calories. Other websites like beer100 offer charts with the caloric content of the different brands of beer. This information is easily accessible, and if the internet says it works, then people believe it.

This leads me into another drinking phenomenon to which I was completely unaware of until recently: Drunkorexia. The name is what it implies; it is a pattern of starvation, excessive exercise or binging and purging in order to consume multiple drinks. This pattern is often seen in women who are concerned about their calorie consumption and body image. Because there is no food in their system, the individual is more susceptible to the effects of alcohol. They will become drunk quicker and are at a higher risk of passing out and of alcohol poisoning. From basic human anatomy differences between women and men, we know that women are more vulnerable to alcohol’s effects. Women tend to have a higher body fat percentage and less body water. Because there is less water in body fat, alcohol is diluted in the blood at a slower rate. Women also have a lower level of alcohol dehydrogenase, which is an enzyme that assists in metabolizing and eliminating alcohol from the body. The bottom line is that women suffer from the effects of alcohol more than men, especially if they are drinking spirits in order to avoid extra calories.

In addition to alcohol companies marketing their products specifically to women, there are several other consumer products that use this as a way to sell products while contributing to the pattern of women and drinking. For example, wine glasses are sold with the mottos “MommyJuice” or “Surviving motherhood one glass at a time” written on them. Cup towels, aprons, magnets, and several other similar products are sold which perpetrate this increasing trend of women who drink. These novelty items are given as gifts, oftentimes as a joke, but they still carry that message that drinking for women is a necessity to cope with the stressors of daily life.

                                                                         

I understand that some people don’t necessarily see this as a problem – they think these products are funny and is meant to be taken as a light-hearted joke or that indulging in alcohol isn’t the worst thing they could be doing – but if they take the time to look at the national trend in high-risk drinking and AUD mentioned earlier, I would hope that they would change their minds. Alcohol companies have noticed this upward trend in the number of women who drink, and are using that information to exacerbate a public health issue. Because drinking is so normalized and engrained within our culture, it is not viewed as a problem and the alcohol industry, unfortunately, takes advantage of this.