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KEY       10.6   Levels of alcohol consumption.




                                                                                    Men              Women
                                 Lower-risk drinking pattern equaling “having no more than
              Moderate
              Drinking           1 drink per day for women and no more than 2 drinks per day
                                 for men.”
                                                                                   per day           per day


      10       Heavy              For men, heavy drinking is typically defined as consuming  +            +
                                  an average of three or more drinks per day. For women,
      CHAPTER   Drinking          heavy drinking is typically defined as consuming an average  per day  per day
                                  of two or more drinks per day.



                                 “A pattern of alcohol consumption that brings the blood
                                 alcohol concentration (BAC) level to 0.08% or more. This
               Binge             pattern of drinking usually corresponds to five or more drinks
              Drinking
                                 on a single occasion for men or four or more drinks on a single  in 2 hrs.  in 2 hrs.
                                 occasion for women, generally within about two hours.”






                                      In recent years, the health dangers of secondhand smoke have been recognized. Liv-
             SECONDHAND SMOKE
             Smoke in the air exhaled   ing with smokers or being around them on a regular basis is linked to about 3,000 lung
                                   cancer deaths and 46,000 heart disease deaths per year in nonsmokers.  This awareness
             by smokers or given off by
                                                                                              24
             cigarettes, cigars, or pipes.  has led many colleges (and local jurisdictions) to ban smoking in dorm rooms, class-
                                   rooms, and other public spaces. More and more companies, aware of the problem, are
                                   banning smoking in the workplace or even refusing to hire people who smoke. 25
                                      If you smoke or vape regularly, you can work toward quitting by being motivated,
                                   persevering, and seeking help. Practical suggestions for quitting include: 26
                                    ■  Try a nicotine patch or nicotine gum, and be sure to use them consistently.
                                    ■  Get support and encouragement from a health care provider, a “quit smoking”
                                      program, a support group, and friends and family.



                                   talk risk and reward . . .


                                   Risk asking tough questions to be rewarded with new insights. Use the following ques-
                                   tions to inspire discussion with classmates, either in person or online.
                                     ■  When a friend has a substance problem or abusive tendencies, trying to help can
                                      be risky. How can you reach out without insulting the person? What reward do you
                                      think is possible?
                                     ■  Consider how to approach health issues with your friends. What is worth the risk
                                      to discuss, and what should be off limits? Keeping a reward in mind, come up with
                                      effective ways to broach topics such as eating patterns, sleep patterns, and moods.
                                   CONSIDER THE CASE: Imagine you are one of Kelly’s best friends and you hear what
                                   happened to her. How would you help her cope and move ahead? Discuss a risk you
                                   would advise her to take and what reward she might earn from it.



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