Naimi Timothy S, Brewer Robert D, Mokdad Ali, Denny Clark, Serdula Mary K, Marks James S
Alcohol Team, Emerging Investigations, and Analytic Methods Branch , Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
JAMA. 2003 Jan 1;289(1):70-5. doi: 10.1001/jama.289.1.70.
Binge drinking (consuming > or =5 alcoholic drinks on 1 occasion) generally results in acute impairment and has numerous adverse health consequences. Reports indicate that binge drinking may be increasing in the United States.
To quantify episodes of binge drinking among US adults in 1993-2001, to characterize adults who engage in binge drinking, and to describe state and regional differences in binge drinking.
DESIGN, SETTING, AND PARTICIPANTS: The Behavioral Risk Factor Surveillance System, a random-digit telephone survey of adults aged 18 years or older that is conducted annually in all states. The sample size ranged from 102 263 in 1993 to 212 510 in 2001.
Binge-drinking prevalence, episodes, and episodes per person per year.
Between 1993 and 2001, the total number of binge-drinking episodes among US adults increased from approximately 1.2 billion to 1.5 billion; during this time, binge-drinking episodes per person per year increased by 17% (from 6.3 to 7.4, P for trend =.03). Between 1995 and 2001, binge-drinking episodes per person per year increased by 35% (P for trend =.005). Men accounted for 81% of binge-drinking episodes in the study years. Although rates of binge-drinking episodes were highest among those aged 18 to 25 years, 69% of binge-drinking episodes during the study period occurred among those aged 26 years or older. Overall, 47% of binge-drinking episodes occurred among otherwise moderate (ie, non-heavy) drinkers, and 73% of all binge drinkers were moderate drinkers. Binge drinkers were 14 times more likely to drive while impaired by alcohol compared with non-binge drinkers. There were substantial state and regional differences in per capita binge-drinking episodes.
Binge drinking is common among most strata of US adults, including among those aged 26 years or older. Per capita binge-drinking episodes have increased, particularly since 1995. Binge drinking is strongly associated with alcohol-impaired driving. Effective interventions to prevent the mortality and morbidity associated with binge drinking should be widely adopted, including screening patients for alcohol abuse in accordance with national guidelines.
暴饮（一次饮用≥5 杯酒精饮料）通常会导致急性功能障碍，并产生许多不良健康后果。报告显示，在美国，暴饮现象可能正在增加。
量化 1993 - 2001 年美国成年人的暴饮发作次数，描述参与暴饮的成年人特征，并阐述各州及各地区在暴饮方面的差异。
设计、场所和参与者：行为危险因素监测系统，这是一项对 18 岁及以上成年人进行的随机数字电话调查，每年在所有州开展。样本量从 1993 年的 102263 人到 2001 年的 212510 人不等。
暴饮患病率、发作次数以及每人每年的发作次数。
1993 年至 2001 年期间，美国成年人的暴饮发作总次数从约 12 亿次增加到 15 亿次；在此期间，每人每年的暴饮发作次数增加了 17%（从 6.3 次增至 7.4 次，趋势 P 值 = 0.03）。1995 年至 2001 年期间，每人每年的暴饮发作次数增加了 35%（趋势 P 值 = 0.005）。在研究年份中，男性占暴饮发作次数的 81%。尽管 18 至 25 岁人群的暴饮发作率最高，但在研究期间，69%的暴饮发作发生在 26 岁及以上人群中。总体而言，47%的暴饮发作发生在其他方面为适度饮酒者（即非重度饮酒者）中，所有暴饮者中有 73%为适度饮酒者。与非暴饮者相比，暴饮者在酒精影响下驾车的可能性高出 14 倍。人均暴饮发作次数在各州及各地区存在显著差异。
暴饮在美国成年人的大多数阶层中都很常见，包括 26 岁及以上人群。人均暴饮发作次数有所增加，尤其是自 1995 年以来。暴饮与酒精影响下驾车密切相关。应广泛采用有效的干预措施来预防与暴饮相关的死亡率和发病率，包括按照国家指南对患者进行酒精滥用筛查。
