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. 2010 Feb;38(2):201-7. doi: 10.1016/j.amepre.2009.09.039.
Binge drinking (consuming five or more drinks during a drinking occasion) is responsible for more than half of the 79,000 annual deaths due to excessive drinking in the U.S. Although studies show a strong dose-response relationship between the intensity of binge drinking (i.e., the number of drinks consumed per binge episode) and adverse outcomes, there are no population-based studies assessing this measure.
This study aims to analyze population-based data from a module of questions on binge drinking among U.S. adults to assess the number of drinks consumed by binge drinkers and the associated independent risk factors for consuming more drinks.
Data were analyzed from 14,143 adult binge drinkers who responded to the Behavioral Risk Factor Surveillance System binge drinking module in 2003 and 2004. Total drinks were calculated by summing the total number of beer, wine, and liquor-containing drinks consumed during a respondents' most recent binge drinking episode.
Binge drinkers consumed an average of 8.0 drinks (median 6) during their most recent binge drinking episode; 70.0% of binge drinkers consumed six or more drinks, and 38.4% consumed eight or more drinks. Men consumed more drinks during their last binge episode than women (M = 8.3 vs 7.0, median = 7 vs 6), and those aged 18-34 years consumed more drinks than those aged >34 years for both men and women. Independent risk factors for consuming eight or more drinks included being male; being aged <35 years; being other than white race/ethnicity; having less education; not being married; binge drinking three or more times in the past 30 days; and drinking mostly beer.
Most adult binge drinkers drink in excess of the five-drink threshold defining this risky behavior. The intensity of binge drinking should be monitored regularly by health agencies to improve surveillance and to better assess the impact of interventions designed to reduce binge drinking and its consequences.
在美国，每年有超过 79,000 人因过量饮酒而死亡，其中超过一半的死亡是由 binge drinking（一次饮酒中摄入五杯或更多杯酒）导致的。尽管研究表明 binge drinking 的强度（即每次 binge 摄入的饮料量）与不良后果之间存在很强的剂量反应关系，但目前还没有基于人群的研究来评估这一指标。
本研究旨在分析来自美国成年人 binge drinking 模块的基于人群的数据，以评估 binge drinkers 的饮酒量以及与过量饮酒相关的独立风险因素。
分析了 2003 年和 2004 年对行为风险因素监测系统 binge drinking 模块做出回应的 14,143 名成年 binge drinker 的数据。通过汇总受访者最近一次 binge drinking 期间摄入的啤酒、葡萄酒和含酒精饮料的总数来计算总饮酒量。
binge drinkers 在最近一次 binge drinking 中平均摄入 8.0 杯（中位数 6）；70.0%的 binge drinkers 摄入了六杯或更多，38.4%摄入了八杯或更多。男性在最后一次 binge 期间摄入的饮料量多于女性（M = 8.3 vs 7.0，中位数 = 7 vs 6），男性和女性中，年龄在 18-34 岁的人比年龄在 34 岁以上的人摄入的饮料量更多。摄入八杯或更多饮料的独立风险因素包括男性；年龄在 35 岁以下；非白种人；教育程度较低；未婚；过去 30 天内 binge drinking 三次或更多次；以及主要饮用啤酒。
大多数成年 binge drinkers 的饮酒量超过了定义这种危险行为的五杯阈值。健康机构应定期监测 binge drinking 的强度，以改善监测并更好地评估旨在减少 binge drinking 及其后果的干预措施的影响。
