Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS K-67, Atlanta, GA 30341, USA.
Prev Chronic Dis. 2012;9:E86. doi: 10.5888/pcd9.110204. Epub 2012 Apr 12.
Binge drinking (men, ≥ 5 drinks, women, ≥ 4 on an occasion) accounts for more than half of the 79,000 annual deaths due to excessive alcohol use in the United States. The frequency of binge drinking is associated with poor health-related quality of life (HRQOL), but the association between binge drinking intensity and HRQOL is unknown. Our objective was to examine this association.
We used 2008-2010 Behavioral Risk Factor Surveillance System data and multivariate linear regression models to examine the association between binge drinking intensity (largest number of drinks consumed on any occasion) among US adult binge drinkers and 2 HRQOL indicators: number of physically and mentally unhealthy days.
Among binge drinkers, the highest-intensity binge drinkers (women consuming ≥ 7 drinks and men consuming ≥ 8 drinks on any occasion) were more likely to report poor HRQOL than binge drinkers who reported lower levels of intensity (women who consumed 4 drinks and men who consumed 5 drinks on any occasion). On average, female binge drinkers reported more physically and mentally unhealthy days (2.8 d and 5.1 d, respectively) than male binge drinkers (2.5 d and 3.6 d, respectively). After adjustment for confounding factors, women who consumed ≥ 7 drinks on any occasion reported more mentally unhealthy days (6.3 d) than women who consumed 4 drinks (4.6 d). Compared with male binge drinkers across the age groups, female binge drinkers had a significantly higher mean number of mentally unhealthy days.
Our findings underscore the importance of implementing effective population-level strategies to prevent binge drinking and improve HRQOL.
在美国，每年因过量饮酒而导致的 79000 例死亡中，有超过一半是由 binge drinking（男性≥5 杯，女性≥4 杯）造成的。 binge drinking 的频率与健康相关的生活质量（HRQOL）差有关，但 binge drinking 强度与 HRQOL 之间的关系尚不清楚。我们的目的是研究这种关联。
我们使用了 2008-2010 年行为风险因素监测系统的数据和多元线性回归模型，来研究美国成年 binge drinker 中 binge drinking 强度（在任何一次场合中饮用的最大酒量）与 2 个 HRQOL 指标之间的关联：身体和心理健康不良的天数。
在 binge drinker 中，高强度 binge drinker（女性任何一次场合中饮用≥7 杯，男性任何一次场合中饮用≥8 杯）比低强度 binge drinker（女性任何一次场合中饮用 4 杯，男性任何一次场合中饮用 5 杯）更有可能报告较差的 HRQOL。平均而言，女性 binge drinker 报告的身体和心理健康不良天数（分别为 2.8 天和 5.1 天）多于男性 binge drinker（分别为 2.5 天和 3.6 天）。在调整了混杂因素后，任何一次场合中饮用≥7 杯的女性报告的心理健康不良天数（6.3 天）多于饮用 4 杯的女性（4.6 天）。与各个年龄段的男性 binge drinker 相比，女性 binge drinker 的心理健康不良天数明显更高。
我们的研究结果强调了实施有效的人群层面策略来预防 binge drinking 和改善 HRQOL 的重要性。
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