{"id":177,"date":"2023-08-04T14:39:55","date_gmt":"2023-08-04T14:39:55","guid":{"rendered":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/?page_id=177"},"modified":"2026-02-04T19:28:41","modified_gmt":"2026-02-04T19:28:41","slug":"alcohol","status":"publish","type":"page","link":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/alcohol\/","title":{"rendered":"Alcohol"},"content":{"rendered":"\n<p>Ethanol, ethyl alcohol, or just alcohol, is a substance that has a depressant effect on the body. It slows down communication between brain cells and communication between the brain and the rest of the body. It is consumed as beer, wine, or hard liquor. Alcohol is the most commonly used substance, but 1\/3 of the US population and 35% of Hopkins undergrads<sup data-fn=\"b5c6a628-0731-490b-bd8c-997bb458ee32\" class=\"fn\"><a href=\"#b5c6a628-0731-490b-bd8c-997bb458ee32\" id=\"b5c6a628-0731-490b-bd8c-997bb458ee32-link\">1<\/a><\/sup> choose to not drink alcohol regularly or at all.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Blue Jays in the Blue Zone<\/h2>\n\n\n\n<p>People choose to drink alcohol for the initial positive effects, or \u201cthe buzz.\u201d This is when people can feel more social, less anxious, and more energetic. We also call this state &#8220;The Blue Zone,&#8221; which is around a blood alcohol concentration (BAC) of 0.055.<\/p>\n\n\n\n<p>Beyond this point, the positive effects of alcohol peak and the negative effects begin, known as the point of diminishing returns. A BAC of 0.055 or higher can cause issues with balance, speaking, judgement, and coordination, along with blackouts, nausea, and vomiting.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>BAC<\/strong><\/td><td><strong>Typical Effects<\/strong><\/td><\/tr><tr><td>0.00<\/td><td>Sober<\/td><\/tr><tr><td>0.01-0.055 (<mark style=\"background-color:#8ed1fc\" class=\"has-inline-color has-black-color\">The Blue Zone<\/mark>)<\/td><td>Peak buzz, point of diminishing returns<\/td><\/tr><tr><td>0.06<\/td><td>Slight impairment of judgement, balance, and coordination<\/td><\/tr><tr><td>0.08<\/td><td>Maryland legal driving limit for people 21 and over<\/td><\/tr><tr><td>0.10<\/td><td>Significant impairment of judgment and coordination. Speech, balance, and reflexes are impaired.<\/td><\/tr><tr><td>0.13<\/td><td>An overall feeling of being unwell<\/td><\/tr><tr><td>0.16<\/td><td>Nausea<\/td><\/tr><tr><td>0.20<\/td><td>Needs help walking. Blackout possible<\/td><\/tr><tr><td>0.25<\/td><td>Unconsciousness<\/td><\/tr><tr><td>0.40<\/td><td>Possible coma, risk of death<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"522\" src=\"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-content\/uploads\/sites\/5\/2023\/08\/bac-graph.jpg\" alt=\"\" class=\"wp-image-179\" srcset=\"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-content\/uploads\/sites\/5\/2023\/08\/bac-graph.jpg 350w, https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-content\/uploads\/sites\/5\/2023\/08\/bac-graph-201x300.jpg 201w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\" \/><figcaption class=\"wp-element-caption\">Image source: <a href=\"https:\/\/www.niaaa.nih.gov\/sites\/default\/files\/publications\/Alcohol_overdose.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol Overdose: The Dangers of Drinking Too Much<\/a><\/figcaption><\/figure>\n<\/div>\n\n\n<p>First-year students (and other incoming undergraduates) go more in-depth on this topic during the Blue Jays in the Blue Zone Training during New Student Orientation. The <a href=\"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/\" target=\"_blank\" rel=\"noreferrer noopener\">Office of Health Promotion and Well-Being<\/a> uses a harm reduction approach, where we provide information about alcohol and ways to minimize the risk when using it. Maryland law, federal law, and the university code of conduct prohibit the underage use, possession, or distribution of alcohol by students under 21.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Standard Drink Sizes<\/h2>\n\n\n\n<p>The body can process or metabolize about 1 standard drink per hour. A standard drink is a way to measure the same amount of pure ethyl alcohol across a variety of alcoholic drinks, or how strong the drink is. This strength is represented as &#8220;proof&#8221; or as &#8220;alcohol by volume&#8221; (ABV), which is half of the proof and represented as a percentage. Beers and wines usually list ABV, while liquors list proof, but both proof and ABV might appear on the label.<\/p>\n\n\n\n<p>Beer: 12 oz (355 ml) at 5% ABV<\/p>\n\n\n\n<p>Wine: 5 oz (148 ml) at 12% ABV<\/p>\n\n\n\n<p>80 Proof Liquor: 1.5 oz (44 ml) at 40% ABV<\/p>\n\n\n\n<p>100 Proof Liquor: 1 oz (30 ml) at 50% ABV<\/p>\n\n\n\n<p>*Note that as the proof or ABV goes up, the fluid ounce or milliliters of the type of drink goes down.<\/p>\n\n\n\n<p>There are also other types of alcohol outside the norms of a standard drink. Craft beers can be 12% ABV or higher and come in 16oz cans, and fortified wines can be as strong as 20% ABV. If you\u2019re unsure, you can use the <a href=\"https:\/\/www.rethinkingdrinking.niaaa.nih.gov\/tools\/calculators\/drink-size-calculator.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol Drink Size Calculator<\/a> to calculate the true number of standard drinks you\u2019re consuming.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Harm Reduction<\/h2>\n\n\n\n<p>Harm reduction is a set of principles that aim to reduce the risk that comes with drinking. Some of these risks are blackouts and memory problems, increased risk of being assaulted and\/or committing assault, and <a href=\"https:\/\/umatter.princeton.edu\/limits\/tools\/alcohol-and-your-body#:~:text=Long%2Dterm%20health,-Long%2Dterm%2C%20heavy&amp;text=Alcohol%20use%20can%3A,and%20certain%20kinds%20of%20strokes\" target=\"_blank\" rel=\"noreferrer noopener\">damage to the structure and function of the body<\/a>. There is always a risk that comes with drinking. The only way to avoid the risk is to not drink. If you do choose to drink, you can reduce the risk by incorporating these harm reduction techniques:<\/p>\n\n\n\n<p><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Count your drinks<\/strong>. Keep track of the <strong>standard<\/strong> drinks you are consuming. Remember, a standard drink is not what is simply in your cup, bottle, or can. It is measured by an alcohol&#8217;s ABV, and the amount in fluid ounces or milliliters.<\/li>\n\n\n\n<li><strong>Keep tabs on your BAC with a tracker app<\/strong>. In addition to weight, sex assigned at birth, and time since your first drink, other things that can affect your BAC, including medications, how tired you are, and what you\u2019ve had to eat. Here are some apps we recommend:\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=org.M.alcodroid&amp;pli=1\" target=\"_blank\" rel=\"noreferrer noopener\">AlcoDroid Alcohol Tracker<\/a> (Android)<\/li>\n\n\n\n<li><a href=\"https:\/\/apps.apple.com\/us\/app\/bactrack\/id553347498\" target=\"_blank\" rel=\"noreferrer noopener\">AlcoTrack<\/a> (Android)<\/li>\n\n\n\n<li><a href=\"https:\/\/apps.apple.com\/us\/app\/bactrack\/id553347498\" target=\"_blank\" rel=\"noreferrer noopener\">BAC Track<\/a> (Apple)<\/li>\n\n\n\n<li><a href=\"https:\/\/play.google.com\/store\/apps\/details?id=com.bactrack.bactrack_mobile&amp;hl=en\" target=\"_blank\" rel=\"noreferrer noopener\">BAC Tracker<\/a> (Android)<\/li>\n\n\n\n<li><a href=\"https:\/\/apps.apple.com\/us\/app\/drunkalyzer-blood-alcohol-content-estimator\/id980954647\" target=\"_blank\" rel=\"noreferrer noopener\">Drunkalyzer<\/a> (Apple)<\/li>\n\n\n\n<li><a href=\"https:\/\/apprecs.com\/ios\/440759306\/intellidrink-pro-blood-alcohol-content-bac-calculator\" target=\"_blank\" rel=\"noreferrer noopener\">Intellidrink<\/a> (Apple)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Space your drinks<\/strong>. The body can process one standard drink an hour and BAC can rise quickly if drinks are taken one after the other. You can help space your drinks by having water or another non-alcoholic beverage in between your drinks, having one standard drink an hour, or filling the time with something else. Avoid trying to match someone drink for drink and drinking games.<\/li>\n\n\n\n<li><strong>Don\u2019t just drink<\/strong>. A <a href=\"https:\/\/wellbeing.jhu.edu\/blog\/2022\/05\/11\/food-and-alcohol-what-you-need-to-know\/\" target=\"_blank\" rel=\"noreferrer noopener\">filling meal before drinking<\/a>, ideally with healthy fats like salmon, complex carbs like sweet potatoes, and proteins like eggs, chicken, or tofu, can slow down the absorption of alcohol. Eating non-salty snacks while drinking can also help with the absorption of alcohol.<\/li>\n\n\n\n<li><strong>Set a limit and stick with it<\/strong>. Drinking affects your judgement, especially at higher levels of BAC. Setting a limit before going out and staying within a limit where your judgement is not as impaired can help to prevent drinking in excess due to affected judgement or any other impairment.<\/li>\n\n\n\n<li><strong>Avoid pre-gaming<\/strong>. People may pre-game to save money or get started on the night. But this strategy means that they may miscount their drinks or begin a regular night of drinking with a higher BAC than intended.<\/li>\n\n\n\n<li><strong>Avoid using alcohol with other drugs<\/strong>. Whether it is prescription, over-the-counter, or other drugs like cannabis, alcohol can interact with most medications and substances. These combinations can increase the effect of alcohol or cause negative and uncomfortable side effects. Some medications that can interact with alcohol are: allergy medications, antibiotics, antidepressants and anti-anxiety medications, caffeine, cannabis, and some over-the-counter pain killers, especially Tylenol.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Alcohol emergencies<\/h2>\n\n\n\n<p>Whether you choose to drink or not, it is important everyone knows the signs of alcohol poisoning so we can keep everyone in our campus community safe. If a person experiences <strong>any <\/strong>of these signs:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Vomiting, especially with little to no gag reflex\/reaction<\/li>\n\n\n\n<li>Low body temperature<\/li>\n\n\n\n<li>Confusion<\/li>\n\n\n\n<li>Pale or bluish skin<\/li>\n\n\n\n<li>Slow or irregular breathing<\/li>\n\n\n\n<li>Seizures<\/li>\n<\/ul>\n\n\n\n<p>They might need medical attention. A person cannot always &#8220;sleep it off&#8221; as BAC can rise after they&#8217;ve fallen asleep or passed out. <\/p>\n\n\n\n<p>In the case of an alcohol emergency, the University&#8217;s amnesty policy may apply to those who help another student in an emergency if they follow these three requirements:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Call<\/strong> 911 or Campus Safety and Security (<a href=\"tel:4105167777\" target=\"_blank\" rel=\"noreferrer noopener\">410-516-7777<\/a>).<\/li>\n\n\n\n<li><strong>Stay<\/strong> with the person as emergency services arrive.<\/li>\n\n\n\n<li><strong>Cooperate<\/strong> and share what you know with the responders so they can help. Their priority is the person&#8217;s health and safety. <\/li>\n<\/ul>\n\n\n\n<p>Please visit <a href=\"https:\/\/studentaffairs.jhu.edu\/policies-guidelines\/amnesty\/#:~:text=To%20initiate%20the%20Amnesty%20and,an%20RA%2Don%2Dduty.\" target=\"_blank\" rel=\"noreferrer noopener\">the Student Affairs website to read more about the amnesty policy<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Resources<\/h2>\n\n\n\n<p>If you would like to learn more about your alcohol use, you can use <a href=\"https:\/\/echeckup.sdsu.edu\/usa\/alc\/coll\/jhu\" target=\"_blank\" rel=\"noreferrer noopener\">eCHECKUP TO GO ALCOHOL<\/a>. This is a free and anonymous online module to receive personalized feedback.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/wellbeing.jhu.edu\/MentalHealthServices\/\" data-type=\"link\" data-id=\"https:\/\/wellbeing.jhu.edu\/MentalHealthServices\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Mental Health Services<\/strong><\/a> (<a href=\"tel:4105163311\" target=\"_blank\" rel=\"noreferrer noopener\">410-516-3311<\/a>)<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/services\/well-being-coaching\/\" target=\"_blank\" rel=\"noreferrer noopener\">Well-Being Coaching<\/a><\/strong>&nbsp;<\/li>\n\n\n\n<li><strong><a href=\"http:\/\/timelycare.com\/jhu\" target=\"_blank\" rel=\"noreferrer noopener\">TimelyCare Scheduled Counseling<\/a><\/strong><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n<ol class=\"wp-block-footnotes\"><li id=\"b5c6a628-0731-490b-bd8c-997bb458ee32\">2023 Maryland Collaborative College Alcohol Survey <a href=\"#b5c6a628-0731-490b-bd8c-997bb458ee32-link\" aria-label=\"Jump to footnote reference 1\">\u21a9\ufe0e<\/a><\/li><\/ol>\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ethanol, ethyl alcohol, or just alcohol, is a substance that has a depressant effect on the body. It slows down&#8230;<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"[{\"id\":\"b5c6a628-0731-490b-bd8c-997bb458ee32\",\"content\":\"2023 Maryland Collaborative College Alcohol Survey\"}]"},"class_list":["post-177","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/pages\/177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/comments?post=177"}],"version-history":[{"count":49,"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/pages\/177\/revisions"}],"predecessor-version":[{"id":683,"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/pages\/177\/revisions\/683"}],"wp:attachment":[{"href":"https:\/\/wellbeing.jhu.edu\/HealthPromotion\/wp-json\/wp\/v2\/media?parent=177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}