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Clarifying the Relation between Alcohol Demand and Alcohol-Related Relative Reinforcement and Driving after Drinking
Herry Patel1, Derek D Reed2,3, James MacKillop1,4,5
1Peter Boris Centre for Addictions Research, McMaster University & St. Joseph's Healthcare Hamilton, Hamilton, ON, Canada.
Elevated alcohol demand and reinforcement are linked to increased driving after drinking (DAD) in Canadian adults. Alcohol reinforcement uniquely predicts DAD, suggesting it as a potential intervention target.
Area of Science:
- Behavioral economics
- Addiction research
- Public health
Background:
- Previous research on alcohol demand and driving after drinking (DAD) focused on US university students.
- Limited understanding of these associations in community adults and other geographical locations.
- The role of proportionate alcohol reinforcement in DAD remains unexplored.
Purpose of the Study:
- Investigate cognitive and behavioral economic factors associated with DAD.
- Examine alcohol demand and proportionate alcohol reinforcement in relation to DAD.
- Assess these factors in a large sample of Canadian adults.
Main Methods:
- Utilized data from 926 adults in the Population Assessment for Tomorrow's Health (PATH) registry in Hamilton, ON.
- Assessed alcohol demand using a hypothetical alcohol purchase task.
- Measured proportionate alcohol reinforcement and driving behaviors, including DAD frequency.
Main Results:
- Higher alcohol demand and alcohol-related reinforcement were significantly associated with increased DAD frequency and lifetime quantity.
- Alcohol-related reinforcement uniquely predicted DAD, even after accounting for alcohol demand.
- Regression models adjusted for age, sex, income, and drinking quantity.
Conclusions:
- Findings extend the known link between alcohol demand and DAD to a diverse Canadian adult population.
- This study is the first to demonstrate a unique association between alcohol-related reinforcement and DAD.
- Alcohol-related reinforcement emerges as a potential target for interventions aimed at reducing alcohol-impaired driving.
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