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Math Biosci Eng ; 10(5-6): 1281-300, 2013.
Article in English | MEDLINE | ID: mdl-24245617

ABSTRACT

Alcohol abuse is a major problem, especially among students on and around college campuses. We use the mathematical framework of [16] and study the role of environmental factors on the long term dynamics of an alcohol drinking population. Sensitivity and uncertainty analyses are carried out on the relevant functions (for example, on the drinking reproduction number and the extinction time of moderate and heavy drinking because of interventions) to understand the impact of environmental interventions on the distributions of drinkers. The reproduction number helps determine whether or not the high-risk alcohol drinking behavior will spread and become persistent in the population, whereas extinction time of high-risk drinking measures the effectiveness of control programs. We found that the reproduction number is most sensitive to social interactions, while the time to extinction of high-risk drinkers is significantly sensitive to the intervention programs that reduce initiation, and the college drop-out rate. The results also suggest that in a population, higher rates of intervention programs in low-risk environments (more than intervention rates in high-risk environments) are needed to reduce heavy drinking in the population.


Subject(s)
Alcohol Drinking/epidemiology , Alcoholism/epidemiology , Students , Adolescent , Adult , Algorithms , Environment , Humans , Models, Theoretical , Probability , Reproducibility of Results , Universities , Young Adult
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