Stahre Mandy A, Brewer Robert D, Fonseca Vincent P, Naimi Timothy S
Alcohol Team, Emerging Investigations and Analytic Methods Branch, Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia, USA.
Am J Prev Med. 2009 Mar;36(3):208-17. doi: 10.1016/j.amepre.2008.10.017.
Binge drinking (drinking on a single occasion >or=5 drinks for men or >or=4 drinks for women) is a common risk behavior among U.S. adults that is associated with many adverse health and social consequences. However, little is known about binge drinking among active-duty military personnel (ADMP). The objectives of this study were to quantify episodes of binge drinking, to characterize ADMP who binge-drink, and to examine the relationship between binge drinking and related harms.
The prevalence of binge drinking and related harms was assessed from responses to the 2005 Department of Defense Survey of Health Related Behaviors Among Military Personnel (n=16,037), an anonymous, self-administered survey. The data were analyzed in 2007 after the release of the public-use data.
In 2005, a total of 43.2% of ADMP reported past-month binge drinking, resulting in 29.7 episodes per person per year. In all, 67.1% of binge episodes were reported by personnel aged 17-25 years (46.7% of ADMP), and 25.1% of these episodes were reported by underage youth (aged 17-20 years). Heavy drinkers (19.8% of ADMP) were responsible for 71.5% of the binge-drinking episodes and had the highest number of annual per-capita episodes of binge drinking (112.6 episodes). Compared to nonbinge drinkers, binge drinkers were more likely to report alcohol-related harms, including job performance problems (AOR=6.5; 95% CI=4.65, 9.15); alcohol-impaired driving (AOR=4.9; 95% CI=3.68, 6.49); and criminal justice problems (AOR=6.2; 95% CI=4.00, 9.72).
Binge drinking is common among ADMP and is strongly associated with adverse health and social consequences. Effective interventions (e.g., the enforcement and retainment of the minimum legal drinking age) to prevent binge drinking should be implemented across the military and in conjunction with military communities to discourage binge drinking.
狂饮（男性单次饮酒≥5杯或女性单次饮酒≥4杯）是美国成年人中一种常见的风险行为，与许多不良健康和社会后果相关。然而，对于现役军人中的狂饮情况却知之甚少。本研究的目的是量化狂饮发作次数，描述狂饮的现役军人特征，并探讨狂饮与相关危害之间的关系。
通过对2005年国防部军事人员健康相关行为调查（n = 16,037）的回复来评估狂饮及相关危害的患病率，该调查为匿名的自我管理式调查。在公开数据发布后，于2007年对数据进行了分析。
2005年，共有43.2%的现役军人报告过去一个月有狂饮行为，每人每年狂饮发作29.7次。总体而言，67.1%的狂饮发作是由17至25岁的人员报告的（占现役军人的46.7%），其中25.1%的发作是由未成年青年（17至20岁）报告的。酗酒者（占现役军人的19.8%）占狂饮发作次数的71.5%，且人均年度狂饮发作次数最多（112.6次）。与非狂饮者相比，狂饮者更有可能报告与酒精相关的危害，包括工作表现问题（优势比[AOR]=6.5；95%置信区间[CI]=4.65, 9.15）；酒后驾车（AOR = 4.9；95% CI = 3.68, 6.49）；以及刑事司法问题（AOR = 6.2；95% CI = 4.00, 9.72）。
狂饮在现役军人中很常见，且与不良健康和社会后果密切相关。应在全军范围内并与军事社区联合实施有效的干预措施（如执行和维持法定最低饮酒年龄），以防止狂饮。
