Back to Journals » Substance Abuse and Rehabilitation » Volume 3 » Supplement 1

The GENACIS project: a review of findings and some implications for global needs in women-focused substance abuse prevention and intervention

Authors Wilsnack SC

Received 14 September 2011

Accepted for publication 11 October 2011

Published 1 February 2012 Volume 2012:3(Supplement 1) Pages 5—15

DOI https://doi.org/10.2147/SAR.S21343

Review by Single-blind

Peer reviewer comments 3

Sharon C Wilsnack

Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA

Abstract: Gender, Alcohol, and Culture: An International Study (GENACIS) is a collaborative study of gender-related and cultural influences on alcohol use and alcohol-related problems of women and men. Members conduct comparative analyses of data from comparable general population surveys in 38 countries on five continents. This paper presents GENACIS findings that (1) age-related declines in drinking are uncommon outside North America and Europe; (2) groups of women at increased risk for hazardous drinking include women who cohabit, women with fewer social roles, more highly educated women in lower-income countries, and sexual minority women in North America; (3) heavier alcohol use shows strong and cross-culturally consistent associations with increased likelihood and severity of intimate partner violence; and (4) one effect or accompaniment of rapid social, economic, and gender-role change in traditional societies may be increased drinking among formerly abstinent women. These findings have potentially important implications for women-focused intervention and policy. Substance abuse services should include attention to middle-aged and older women, who may have different risk factors, symptoms, and treatment issues than their younger counterparts. Creative, targeted prevention is needed for high-risk groups of women. Programs to reduce violence between intimate partners must include attention to the pervasive role of alcohol use in intimate partner aggression. Social and economic empowerment of women, together with social marketing of norms of abstention or low-risk drinking, may help prevent increased hazardous alcohol use among women in countries undergoing rapid social change. Greater attention to effects of gender, culture, and their interactions can inform the design of more effective prevention, intervention, and policy to reduce the substantial global costs of alcohol abuse in both women and men.

Keywords: GENACIS, women, alcohol, substance abuse, international, intervention, prevention

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]

 

Readers of this article also read:

The use of brain imaging to elucidate neural circuit changes in cocaine addiction

Hanlon CA, Canterberry M

Substance Abuse and Rehabilitation 2012, 3:115-128

Published Date: 12 September 2012

Prevention interventions for human immunodeficiency virus in drug-using women with a history of partner violence

Stockman JK, Ludwig-Barron N, Hoffman MA, Ulibarri MD, Penniman Dyer TV

Substance Abuse and Rehabilitation 2012, 3:45-57

Published Date: 1 February 2012

Six-month follow-up of Iranian women in methadone treatment: drug use, social functioning, crime, and HIV and HCV seroincidence

Dolan K, Salimi S, Nassirimanesh B, Mohsenifar S, Allsop D, Mokri A

Substance Abuse and Rehabilitation 2012, 3:37-43

Published Date: 1 February 2012

Long-term residential substance abuse treatment for women: lessons learned from Israel

Schori M, Sapir Y, Lawental E

Substance Abuse and Rehabilitation 2012, 3:71-81

Published Date: 1 February 2012

Choice of ACE inhibitor combinations in hypertensive patients with type 2 diabetes: update after recent clinical trials

Gianpaolo Reboldi, Giorgio Gentile, Fabio Angeli, Paolo Verdecchia

Vascular Health and Risk Management 2009, 5:411-427

Published Date: 8 May 2009