Okoro Catherine A, Brewer Robert D, Naimi Timothy S, Moriarty David G, Giles Wayne H, Mokdad Ali H
National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.
Am J Prev Med. 2004 Apr;26(3):230-3. doi: 10.1016/j.amepre.2003.10.022.
Popular culture (movies, television shows, advertising) often portrays drinking to the point of intoxication as either humorous or associated with enjoyable social activities that enhance quality of life. This study examined the association between binge drinking (consuming five or more alcoholic drinks on one occasion) and health-related quality of life (HRQOL) among U.S. adults.
Data are from the Behavioral Risk Factor Surveillance System, a continuous random-digit-dial telephone survey of adults aged >/=18 years conducted in all states. This survey included questions about alcohol consumption and HRQOL.
In 2001, 52% of U.S. adults were current drinkers (one or more drinks in the past 30 days). Of current drinkers, 11% were frequent binge drinkers (three or more episodes in past month) and 14% were infrequent binge drinkers (one to two episodes in past month). After adjusting for confounding factors, frequent binge drinkers were more likely than non-binge drinkers to experience >/=14 unhealthy days (physical or mental) in the past month (adjusted odds ratio [AOR]=1.39, 95% confidence interval [CI]=1.24-1.56), primarily because they had more mentally unhealthy days than non-binge drinkers (AOR=1.52, 95% CI=1.32-1.75).
Frequent binge drinking is associated with significantly worse HRQOL and mental distress, including stress, depression, and emotional problems. Effective interventions to prevent binge drinking should be widely adopted and may help improve quality of life.
流行文化（电影、电视节目、广告）常常将饮酒至醉酒状态描绘成幽默的，或者与提升生活质量的愉快社交活动相关联。本研究调查了美国成年人中暴饮（一次饮用五杯或更多酒精饮料）与健康相关生活质量（HRQOL）之间的关联。
数据来自行为危险因素监测系统，这是一项在所有州对18岁及以上成年人进行的连续随机数字拨号电话调查。该调查包括有关饮酒和健康相关生活质量的问题。
2001年，52%的美国成年人是当前饮酒者（过去30天内饮用过一杯或更多饮料）。在当前饮酒者中，11%是频繁暴饮者（过去一个月内有三次或更多发作），14%是偶尔暴饮者（过去一个月内有一至两次发作）。在调整混杂因素后，频繁暴饮者在过去一个月内经历≥14天不健康状态（身体或精神）的可能性高于非暴饮者（调整后的优势比[AOR]=1.39，95%置信区间[CI]=1.24-1.56），主要是因为他们比非暴饮者有更多的精神不健康天数（AOR=1.52，95%CI=1.32-1.75）。
频繁暴饮与显著更差的健康相关生活质量和精神困扰相关，包括压力、抑郁和情绪问题。应广泛采用有效的预防暴饮干预措施，这可能有助于提高生活质量。
