Cranford James A, McCabe Sean Esteban, Boyd Carol J
Substance Abuse Research Center, University of Michigan, 2025 Traverwood Drive, Ann Arbor, MI 48105, USA.
Alcohol Clin Exp Res. 2006 Nov;30(11):1896-905. doi: 10.1111/j.1530-0277.2006.00234.x.
A standard measure defines binge drinking as the consumption of 5 or more drinks in a row for men (4 or more drinks for women) on at least 1 occasion during the past 2 weeks. A revised operational definition of binge drinking was developed by the National Institute on Alcohol Abuse and Alcoholism in 2004 and incorporated the duration of the drinking episode in addition to the quantity of alcohol consumed. This study compares the standard and new binge measures for overall and subgroup prevalence rates; associations with gender, race/ethnicity, and age of drinking onset; and associations with negative drinking consequences.
A probability sample of 4,580 randomly selected college students (50.3% female, M age=19.9, SD=2.0) at a large Midwestern university in the United States completed a Web-based survey of alcohol and other drug use. Participants reported on past 2-week binge drinking using the standard measure and past-year binge drinking using the new measure.
The longer past-year time frame of the new measure yielded a higher prevalence estimate of binge drinking (63.6%) compared with the 2-week standard measure (53.2%). Approximately 9.9% of those who were classified as binge drinkers using the 2-week standard measure were classified as non-binge drinkers using the new measure specification of a 2-hour duration for the drinking episode. The past-year new binge measure was positively associated with negative drinking consequences even when the 2-week measure was statistically controlled.
Using a longer time frame and incorporating the duration of the drinking episode, the new measure of binge drinking appears to capture an important element of risky alcohol involvement in college students that is not fully assessed by the standard measure.
一项标准将暴饮定义为在过去两周内至少有一次男性连续饮用5杯或更多酒（女性为4杯或更多）。美国国立酒精滥用与酒精中毒研究所于2004年制定了暴饮的修订操作定义，除了饮酒量外，还纳入了饮酒时段的时长。本研究比较了标准和新的暴饮测量方法在总体和亚组患病率、与性别、种族/族裔以及饮酒开始年龄的关联，以及与负面饮酒后果的关联。
在美国中西部一所大型大学随机抽取的4580名大学生（50.3%为女性，平均年龄 = 19.9，标准差 = 2.0）的概率样本完成了一项关于酒精和其他药物使用的网络调查。参与者使用标准测量方法报告过去两周的暴饮情况，并使用新测量方法报告过去一年的暴饮情况。
与两周的标准测量方法（53.2%）相比，新测量方法更长的过去一年时间框架得出了更高的暴饮患病率估计值（63.6%）。在使用两周标准测量方法被归类为暴饮者的人中，约9.9%在新测量方法（规定饮酒时段为2小时）下被归类为非暴饮者。即使在对两周测量方法进行统计控制的情况下，过去一年的新暴饮测量方法与负面饮酒后果呈正相关。
通过使用更长的时间框架并纳入饮酒时段的时长，新的暴饮测量方法似乎捕捉到了大学生中危险饮酒行为的一个重要因素，而标准测量方法并未对其进行充分评估。
