From The Times:
Alcohol abuse is a bigger problem than post-traumatic stress disorder for British servicemen and women deployed in war zones, a study has concluded.
That's one way of reporting the story. The glass is always half empty at The Times, it seems, since the BBC preferred to go with the more positive...
Mental trauma 'not rife among UK troops'
Overall, more than one in ten (13 per cent) of the respondents said that they were drinking alcohol in quantities defined by researchers as hazardous, according to the World Health Organisation’s Alcohol Use Disorders Identification Test (Audit).
But no. The clue is in the reference to the WHO's Audit test, which is a very different barometer of drinking levels.
There are two ways of measuring hazardous drinking. One is a units-per-week system based on no evidence at all which is used to scare the public into believing there is an alcohol epidemic. The other is the Audit test, which is used when doctors genuinely want to identify people who are drinking at hazardous levels. The Audit test is far more reliable as it doesn't hinge on some arbitrary figures that were plucked out of the air. Tellingly, it identifies far fewer people as 'hazardous drinkers'.
That's well worth bearing in mind next time you hear about a third of Britons drinking to hazardous levels. Even the doctors don't take it seriously in practice.
So, do you fancy finding out if you're a hazardous drinker by the WHO's real test? Off you go then. The points for each question are shown in brackets. 8 or more makes you a hazardous drinker. Cheers!
1. How often do you have a drink containing alcohol?
(0) Never (skip to Qs 9-10)
(1) Monthly or less
(2) 2 to 4 times a month
(3) 2 to 3 times a week
(4) 4 or more times a week
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
(0) 1 or 2
(1) 3 or 4
(2) 5 or 6
(3) 7, 8 or 9
(4) 10 or more
3. How often do you have six or more drinks on one occasion?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
4. How often during the last year have you found that you were not able to stop drinking once you had started?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
5. How often during the last year have you failed to do what was normally expected from you because of drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
7. How often during the last year have you had a feeling of guilt or remorse after drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
(0) Never
(1) Less than monthly
(2) Monthly
(3) Weekly
(4) Daily or almost daily
9. Have you or someone else been injured as a result of your drinking?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
10. Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
Scores between 8 and 15 are most appropriate for simple advice focused on the reduction of hazardous drinking.
Scores between 16 and 19 suggest brief counselling and continued monitoring
Scores of 20 or above clearly warrant further diagnostic evaluation for alcohol dependence.
