collected more than two decades ago, it could be that temporal shifts in drinking behavior and attitudes account for these differences. It has been suggested that the movement towards a “drier” drinking culture in the U.S., together with the growth of alcohol prevention programs since the 1980s, might have fostered greater awareness and recognition of drinking problems at all levels of consumption, even at levels that historically were deemed non-problematic (Midanik and Clark, 1995).
