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ALCOHOLISM: CROSSING THE LINE
At any given moment, about 10 percent of American men older than 18 have problems controlling their drinking. But if you include recovering alcoholics who no longer imbile, then the number of guys with drinking problems swell dramatically. Studies suggest, for example, that 23 procent of men have beem or will become dependent on alcohol at some point in their lives, says Dr. Nathan. Often those problems occur early in a man’s drinking history, such as during college. As he matures he drastically cuts back or quits drinking altogether. But some men don’t. In fact, most active alcoholics are between the ages of 35 and 55, according to the American Medical Association.
Certainly there are men who drink heavily?meaning they suck down three or more alcoholic beverages each day?without developing dependency. But how much or how often you drink probably isn’t the best way to define alcoholism. A man who never drinks during the week but passes out every Saturday night from drunkenness probably has more problems with alcohol than a man who has a drink every night of the year with his dinner.
The real line between choosing and needing to drink is this: If a man continues to drink alcohol even though it is destroying something critical to his well-being? health, career, relationships, legal status?then he is an alcoholic and should seek help, says Dr. Damstra.
Why some guys abuse alcohol and others don’t remains a mystery. Some experts suspect a genetic link, since men with family histories of alcoholism are more likely to become alcoholic. But alcoholics come from all types of family histories, so it’s likely that several other factors?peer pressure, self-esteem or religious attitudes, for example?also play key roles in making an alcoholic, says Dr. Damstra.
How common: About 12 million American men have drinking problems. Risk factors: Heredity, sex, religion, self-esteem and peer pressure are among the factors that contribute to alcoholism.
Age group affected: All age groups. The highest consumption rates and the greatest risk of abuse are found in men ages 18 to 24, followed by men ages 30 to 40.
Gender gap: Traditionally, statistics suggest that men?are twice as likely as women to abuse alcohol. But some experts believe women hide their drinking better than men, and so the numbers of men and women who abuse alcohol actually may be close to equal.
Who to see: Family doctor, certified self-help groups, counselors and psychologists.
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