Drive By Truckers 2.0

Total drug violations reported into the clearinghouse in 2022, including positive tests and refusals to take a drug test, increased 18% to 69,668 compared with last year’s 59,011, according to the most recent statistics released this week by the Federal Motor Carrier Safety Administration. That rate almost doubled the 9.2% annual increase in drug violations reported in 2021. Much of the increase can be attributed to violations related to marijuana, the substance identified most in positive tests. Marijuana violations increased 31.6% in 2022 compared with 2021, to 40,916. That compares to a 5.3% increase between 2020 and 2021.

Truckers’ positive drug tests up 18% in 2022 — https://www.freightwaves.com/news/truckers-positive-drug-tests-up-18-in-2022

At least binge drinking prevalence is just 19%

Truck drivers have been reported as a highly vulnerable working population due to different risk factors [16,17,18] including hypertension, fatigue [19], obstructive sleep apnea (OSA) and sleep deprivation [20,21], and insufficient physical activity [22]. Other risk factors are exposure to diesel exhaust and risk of developing lung cancer [23], poor diet, obesity, dyslipidemia, and other metabolic disorders [24]. Furthermore, they are prone to risky behaviors and lifestyles such as smoking, drinking, using psychoactive substances, and having casual sexual contacts [25].

Patterns of Harmful Alcohol Consumption among Truck Drivers: Implications for Occupational Health and Work Safety from a Systematic Review and Meta-Analysis — Int J Environ Res Public Health. 2018 Jun; 15(6): 1121.
Published online 2018 May 30. doi: 10.3390/ijerph15061121

I ask them why the industry has a 90 percent attrition rate within the first year. All instantly respond: “No money.” They describe a predatory apprenticeship system that conspires against new drivers seeking to enter the profession. The industry is made up of thousands of mostly small-fleet owners—95 percent of them with 20 trucks or fewer—but dominated by about two dozen giant companies that serve as its gatekeepers. These megacarriers often house schools where some 400,000 new truckers receive commercial driver’s licenses annually. The companies entice people with promises of financial plenty, even as they ensnare them in “training contracts”—binding agreements that require them to drive for the company at below-market wages for a year in exchange for training or else be hit with an exorbitant fee for that training, to be paid off at high interest. Many drivers stick around for the full year to avoid those fees, enduring what amounts to debt peonage. 

“I have panic attacks,” he says. “That’s why I drink.”


Life as a 21st-Century Trucker — https://www.wired.com/story/life-as-a-21st-century-trucker/

For the first post in this series see Drive By Truckers.

Alcohol Consumption and All-Cause Mortality: A Systematic Review [Internet]

Twenty-five studies compared those who consumed alcohol with never drinkers. Approximately half of the studies reported significant findings that low average alcohol consumption (particularly without binge drinking) was associated with reduced risk of all-cause mortality compared with never drinking alcohol, approximately half of the studies indicated no significant relationship, and two studies reported that low alcohol consumption was significantly associated with greater all-cause mortality compared to never drinking alcohol.

Mayer-Davis E, Leidy H, Mattes R, Naimi T, Novotny R, Schneeman B, Kingshipp BJ, Spill M, Cole NC, Butera G, Terry N, Obbagy J. Alcohol Consumption and All-Cause Mortality: A Systematic Review [Internet]. Alexandria (VA): USDA Nutrition Evidence Systematic Review; 2020 Jul. PMID: 35353467. — https://pubmed.ncbi.nlm.nih.gov/35353467/

I think I’ll have a beer.

Trouble in Paradise – 12.21.22

An analysis of current drinkers in the Framingham Heart Study found that a higher number of drinks per week and higher frequency of drinking were associated with increased odds of fibrosis among patients whose consumption fell below the threshold for heavy alcohol use.

Non-Heavy Alcohol Use Associated With Liver Fibrosis, NASH – Medscape – Dec 21, 2022 – https://www.medscape.com/viewarticle/985950?src=rss#vp_1

Oh crap.

I better read the full study.

Non-heavy alcohol use associates with liver fibrosis and ‘nonalcoholic’ steatohepatitis in the Framingham Heart Study – DOI:https://doi.org/10.1016/j.cgh.2022.10.039

Marijuana and hallucinogen use among young adults reached all-time high in 2021

Alcohol remains the most used substance among adults in the study, though past-year, past-month, and daily drinking have been decreasing over the past decade. Binge drinking (five or more drinks in a row in the past two weeks) rebounded in 2021 from a historic low in 2020, during the early stages of COVID-19 pandemic. On the other hand, high-intensity drinking (having 10 or more drinks in a row in the past two weeks) has been steadily increasing over the past decade and in 2021 reached its highest level ever recorded since first measured in 2005.

Marijuana and hallucinogen use among young adults reached all-time high in 2021 — https://www.nih.gov/news-events/news-releases/marijuana-hallucinogen-use-among-young-adults-reached-all-time-high-2021

Yikes!

Acute and Chronic Alcohol Consumption and the Risk of Atrial Fibrillation: What Did We Learn in 2021? — The Skeptical Cardiologist

As we approach the eve of the New Year, the skeptical cardiologist recognizes that many of you will be consuming vast quantities of alcohol tomorrow night. Whether this is done in celebration or in hopes of transiently forgetting pandemical stressors please be aware that as the fermented beverage of your choice begins to cloud your…

Acute and Chronic Alcohol Consumption and the Risk of Atrial Fibrillation: What Did We Learn in 2021? — The Skeptical Cardiologist

Thank you Dr. Pearson.

Increase in pleasurable effects of alcohol over time can predict alcohol use disorder

A new study out of the University of Chicago Medicine following young adult drinkers for 10 years has found that individuals who reported the highest sensitivity to alcohol’s pleasurable and rewarding effects at the start of the trial were more likely to develop an alcohol use disorder (AUD) over the course of the study.

University of Chicago Medical Center. “Increase in pleasurable effects of alcohol over time can predict alcohol use disorder: New research challenges existing dogma that higher tolerance for stimulating and rewarding effects of alcohol leads to addiction.” ScienceDaily. http://www.sciencedaily.com/releases/2021/01/210105084649.htm (accessed January 7, 2021).

Journal Reference: Andrea King, Ashley Vena, Deborah S. Hasin, Harriet deWit, Sean J. O’Connor, Dingcai Cao. Subjective Responses to Alcohol in the Development and Maintenance of Alcohol Use Disorder. American Journal of Psychiatry, 2021; appi.ajp.2020.2 DOI: 10.1176/appi.ajp.2020.20030247

Uh oh.

Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020

MentalHealthCOVID19_IMAGE_14Aug20_1200x675-medium

The survey results are in line with recent data from Mental Health America, which indicate dramatic increases in depression, anxiety, and suicidality since the start of the COVID-19 pandemic.

Citation: Czeisler MÉ , Lane RI, Petrosky E, et al. Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1049–1057. DOI: http://dx.doi.org/10.15585/mmwr.mm6932a1external icon.

 

 

English Pub Installs an Electric Fence to Maintain Social Distancing — VinePair

Restaurant and bar owners worldwide are rapidly innovating to accommodate social distancing requirements in their establishments. One pub landlord has a crafty solution, and it’s positively … electric. Johnny McFadden, landlord of The Star Inn in Cornwall, England, installed an electric fence in his pub to maintain a safe distance between pub goers and his…

via English Pub Installs an Electric Fence to Maintain Social Distancing — VinePair

Not The Onion.

You can’t make this stuff up.

Watch Your Quarantini Intake

Nielsen reports alcohol sales in stores were up 54% in late March compared to that time last year, while online sales were up nearly 500% in late April. According to a Morning Consult poll of 2,200 U.S. adults conducted in early April, 16% of all adults said they were drinking more during the pandemic, with higher rates among younger adults: One in 4 Millennials and nearly 1 in 5 Gen Xers said they had upped their alcohol intake.

COVID-19 pandemic brings new concerns about excessive drinking

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I stumbled upon the same AHA news article in several other websites.  The entire article was reprinted in its entirety and just one website provided attribution to the source.  The copyright notice and proper attribution is included above.