Alcohol measures and terms: a perfect storm for chronic confusion.

Members in the prevention and treatment fields continue to examine how to most effectively assess and label high volume alcohol consumption. Terms such as "binge" drinking have resulted in considerable controversy and debate. Conventionally the criteria for assessing high-risk drinking includes: five or drinks for men and four or more drinks for women during a sitting/event/occasion within the previous two weeks. Several standardized instruments simply use the cut off for high-risk drinking as five or more drinks and do not include the gender variable when defining this behavior. Both of these measures have undergone criticism for not including a more specific time element. Yet asking respondents to recall specific time frames from a night of heavy drinking may also compromise validity. Further the 5+/4+ or 5+ drinking criterion does not adequately assess intoxication levels or more extreme levels of alcohol consumption. A variety of special measures and terms have been created to capture heavy drinking behaviors and ritualistic behavior. Researchers and practitioners may benefit by using different measures and terms based on context and their specific prevention goals.