for example, being arrested for drunk driving or having a traffic accident while drinking); and c) 1 or more alcohol dependence symptoms (from a list of 9) (Matzger et al., 2004; Matzger et al., 2005; Weisner and Matzger, 2002). This measure of problem drinking (Weisner, 1993) is consistent with the predominant approach taken in alcohol epidemiology research (Institute of Medicine, 1990; Schmidt et al., 1998; Weisner and Schmidt, 1995b; Wilsnack et al., 1991).