Defining "binge" drinking as five drinks per occasion or drinking to a .08% BAC: which is more sensitive to risk?
Defining "binge" drinking as five drinks per occasion or drinking to a .08% BAC: which is more sensitive to risk?
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DOI：
10.1111/j.1521-0391.2011.00156.x
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发表时间：
2011-09
期刊：
影响因子：
--
通讯作者：
Jude R
中科院分区：
文献类型：
--
作者：
Fillmore MT;Jude R
重度间歇性或“狂欢”饮酒通常被定义为每次饮酒4-5杯(5/4定义)或导致血液酒精浓度(BAC)为0.08%的饮酒。目前的研究比较了每种狂欢定义作为高风险、问题饮酒的指标的有效性。251名大学生根据5/4的定义或0.08%的BAC定义被归类为非酗酒者或酗酒者。根据酒精使用障碍识别测试(AUDIT)的分数，考察了两种酗酒定义作为酒精相关问题指标的敏感度和特异度。根据审计，超过一半的样本(56%)是有风险的饮酒者。0.08%的定义只检测到了这些人的一半。性别差异也很明显。实际上，女性酗酒者每集的BAC估计值比男性酗酒者高得多。研究结果表明，饮酒量低于临界值(即0.08%)并不足以避免与酒精相关的问题，而且每次总饮酒量(即总标准饮料)可能会增加风险，而不是与饮酒期间达到的BAC无关。研究结果还强调了在确定危险饮酒时考虑饮酒频率的重要性，而不是仅仅依赖数量测量。
Heavy episodic or “binge” drinking is commonly defined as drinking 4–5 drinks per occasion (5/4 definition) or drinking that results in a blood alcohol concentration (BAC) of 0.08%. The present study compared the validity of each binge definition as an indicator of at-risk, problem drinking. 251 college students were classified as non-binge drinkers or as binge drinkers based on the 5/4 definition or the 0.08% BAC definition. The two definitions of binge drinking were examined in terms of their sensitivity and specificity as indicators of alcohol-related problems as determined by scores on the Alcohol Use Disorders Identification Test (AUDIT). Over half the sample (56%) were at-risk drinkers according to the AUDIT. The 0.08% definition detected only one-half of these individuals. Gender differences were also evident. Female binge drinkers actually achieved significantly higher estimated BACs per episode than their male binge drinking counterparts. The findings suggest that drinking to a sub-threshold BAC (i.e., < 0.08%) is not sufficient to avoid alcohol-related problems, and that total quantity (i.e., total standard drinks) per occasion might contribute to risk independent of the BAC achieved during drinking episodes. The findings also highlight the importance of considering frequency of consumption in determining risky drinking versus relying solely on quantity measures.
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DOI：
10.15288/jsa.1981.42.547
发表时间：
1981-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
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DOI：
10.1097/01.alc.0000128239.87611.f5
发表时间：
2004-06-01
影响因子：
3.2
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通讯作者：
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影响因子：
3.4
作者：
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Wechsler, Henry
DOI：
10.1111/j.1530-0277.1998.tb03682.x
发表时间：
1998-04-01
影响因子：
3.2
作者：
Robin, RW;Long, JC;Goldman, D
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DOI：
10.1097/01.alc.0000085633.23230.4a
发表时间：
2003-09-01
影响因子：
3.2
作者：
Selin, KH
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Selin, KH