Alcohol Program, Epidemiology and Surveillance Branch, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, GA 30341, USA.
Am J Prev Med. 2012 Jun;42(6):625-9. doi: 10.1016/j.amepre.2012.03.001.
Binge drinking (≥ 4 drinks for women; ≥ 5 drinks for men, per occasion) is responsible for more than half of the estimated 80,000 U.S. deaths annually and three-quarters of the $223.5 billion in costs in 2006. Binge drinking prevalence is assessed more commonly than binge drinking intensity (i.e., number of drinks consumed per binge episode). Risk of binge drinking-related harm increases with intensity, and thus it is important to monitor. The largest number of drinks consumed is assessed in health surveys, but its usefulness for assessing binge intensity is unknown.
To assess the agreement between two potential measures of binge drinking intensity: the largest number of drinks consumed by binge drinkers (maximum-drinks) and the total number of drinks consumed during their most recent binge episode (drinks-per-binge).
Data were analyzed from 7909 adult binge drinkers from 14 states responding to the 2008 Behavioral Risk Factor Surveillance System (BRFSS) binge drinking module. Mean and median drinks-per-binge from that module were compared to mean and median maximum-drinks. Analyses were conducted in 2010-2011.
Mean (8.2) and median (5.9) maximum-drinks were strongly correlated with mean (7.4) and median (5.4) drinks-per-binge (r=0.57). These measures were also strongly correlated across most sociodemographic and drinking categories overall and within states.
The maximum-drinks consumed by binge drinkers is a practical method for assessing binge drinking intensity and thus can be used to plan and evaluate Community Guide-recommended strategies for preventing binge drinking (e.g., increasing the price of alcoholic beverages and regulating alcohol outlet density).
binge drinking（女性≥4 杯；男性≥5 杯，每次）导致每年美国估计有超过 8 万人死亡，占 2006 年 2235 亿美元成本的四分之三。 binge drinking 的流行程度比 binge drinking 的强度（即每次 binge 摄入的饮料量）更常被评估。随着强度的增加，binge drinking 相关伤害的风险增加，因此监测很重要。在健康调查中评估了摄入的最大饮料量，但尚不清楚其用于评估 binge 强度的有用性。
评估两种潜在的 binge drinking 强度衡量标准之间的一致性： binge drinkers 摄入的最大饮料量（最大饮料量）和最近 binge 发作期间摄入的总饮料量（每 binge 饮料量）。
对来自 14 个州的 7909 名成年 binge drinkers 进行分析，他们对 2008 年行为风险因素监测系统（BRFSS） binge drinking 模块做出了回应。该模块的平均和中位数 drinks-per-binge 与平均和中位数 maximum-drinks 进行了比较。分析于 2010-2011 年进行。
mean（8.2）和 median（5.9）最大饮料量与 mean（7.4）和 median（5.4）drinks-per-binge 呈强相关（r=0.57）。这两个衡量标准在大多数社会人口统计学和饮酒类别中以及在各州内也呈强相关。
binge drinkers 摄入的最大饮料量是评估 binge drinking 强度的实用方法，因此可以用于计划和评估社区指南推荐的预防 binge drinking 的策略（例如，提高酒精饮料的价格和监管酒精饮料销售点的密度）。
