Miller Patrick, Plant Moira, Plant Martin
Alcohol and Health Research Trust, Centre for Research in Public Health and Primary Care Development, University of the West of England, Glenside Campus, Blackberry Hill, Stapleton, Bristol BS16 1DD, UK.
Alcohol Alcohol. 2005 Sep-Oct;40(5):461-8. doi: 10.1093/alcalc/agh169. Epub 2005 Jun 6.
To consider the consequences, within a UK population sample, of consuming a given amount of alcohol weekly in one or two sessions as against spreading it out over several sessions.
A new analysis of data from the UK components of the GENACIS survey of adults aged > or =18, was carried out.
At low levels of weekly alcohol consumption those subjects whose usual drinking frequency was several times per week ('spreaders'), if anything, reported more alcohol problems than those who consumed alcohol only once or twice per week ('bingers'). As weekly consumption increased above approximately 11 units per week 'bingers' began to experience more problems than 'spreaders'. At the highest levels of consumption 'bingers' reported more positive experiences from drinking than did 'spreaders'. Subjects >54 years showed lower levels of weekly alcohol consumption than other subjects, and relationships between problems, drinking level, and drinking pattern were less in evidence. Females drank less alcohol and experienced fewer alcohol-related problems than did their male counterparts. However, at high-consumption levels, female 'bingers' experienced fewer problems than male 'bingers'.
For most but not all the variables studied, both drinking level and drinking pattern are important determinants of problems experienced. Binge drinking for people who drink more than approximately 11 units per week is an obvious target for harm minimization.
在英国人群样本中,考量每周饮酒量固定,分一两次饮用与分散在几次饮用的后果。
对GENACIS成人(年龄≥18岁)调查英国部分的数据进行新的分析。
在每周低饮酒量时,那些通常每周饮酒几次的受试者(“分散饮酒者”),相比每周仅饮酒一两次的受试者(“狂饮者”),报告的酒精问题更多。当每周饮酒量增加到约每周11单位以上时,“狂饮者”开始比“分散饮酒者”经历更多问题。在最高饮酒量时,“狂饮者”报告的饮酒积极体验比“分散饮酒者”更多。54岁以上的受试者每周饮酒量低于其他受试者,问题、饮酒量和饮酒模式之间的关系不太明显。女性饮酒量比男性少,且与酒精相关的问题也比男性少。然而,在高饮酒量水平下,女性“狂饮者”比男性“狂饮者”经历的问题更少。
对于大多数(但并非所有)研究变量而言,饮酒量和饮酒模式都是所经历问题的重要决定因素。对于每周饮酒超过约11单位的人来说,狂饮是将危害降至最低的一个明显目标。