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The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
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Breath/Blood Alcohol Concentration as an Indicator of Alcohol Use Problems
Aerospace Medicine and Human Performance
|April 27, 2019
Summary
Driving under the influence (DUI) convictions can indicate alcohol problems in pilots. This study developed a tool to estimate consumed drinks from blood alcohol concentration (BAC), aiding in identifying pilots needing alcohol treatment.
Area of Science:
- Aviation Medicine
- Toxicology
- Public Health
Background:
- The Federal Aviation Administration (FAA) Office of Aerospace Medicine (AAM) must identify pilots with driving under the influence (DUI) convictions.
- Assessing pilot alcohol consumption is crucial for public safety and requires identifying those with potential drinking problems.
- Current guidelines suggest a blood alcohol concentration (BAC) of 0.15 g/dL may indicate alcohol tolerance, warranting treatment.
Purpose of the Study:
- To develop a method for estimating the number of alcoholic drinks consumed based on blood alcohol concentration (BAC) or breath alcohol concentration (BrAC).
- To assess the utility of DUI/DWI alcohol levels in identifying pilots with problematic drinking behaviors.
- To determine if body weight influences the relationship between alcohol concentration and the number of drinks consumed.
Main Methods:
- Utilized the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Clinician's Guide risk criteria (men: 5+ drinks/day, women: 4+ drinks/day, BAC ≥ 0.08 g/dL).
- Developed a spreadsheet tool incorporating ethanol's volume of distribution and individual body weight to estimate drinks consumed from BAC/BrAC.
- Analyzed DUI/DWI alcohol concentrations in relation to estimated drinks consumed and body weight.
Main Results:
- DUI/DWI alcohol concentrations can effectively determine the minimum number of drinks consumed.
- Individuals with higher body weight reach binge drinking levels at lower DUI/DWI concentrations compared to average or lower weight individuals.
- The developed tool demonstrates a high probability (99.7%) of accurately identifying binge drinkers.
Conclusions:
- A tool estimating consumed drinks from BAC/BrAC, considering body weight, can reliably identify pilots with alcohol problems.
- This method aids the FAA in fulfilling its legal mandate to assess pilot fitness for duty concerning alcohol use.
- Identifying and treating pilots with alcohol problems mitigates risks to themselves and the public.
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