Binge drinking among US adults
Binge drinking among US adults
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DOI：
10.1001/jama.289.1.70
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发表时间：
2003-01-01
影响因子：
120.7
通讯作者：
Marks, JS
中科院分区：
文献类型：
--
作者：
Naimi, TS;Brewer, RD;Marks, JS
背景 暴饮暴食（一次饮用超过或等于 5 种酒精饮料）通常会导致急性损伤，并对健康产生许多不良后果。报告表明，美国的酗酒情况可能有所增加。 目标 量化 1993-2001 年美国成年人中酗酒事件的数量，描述从事酗酒的成年人的特征，并描述酗酒情况下各州和地区的差异。 设计、设置和参与者 行为风险因素监测系统，是一项针对 18 岁或以上成年人的随机数字电话调查，每年在所有州进行一次。样本量从 1993 年的 102,263 人到 2001 年的 212 510 人。 主要结果指标 酗酒发生率、发作次数以及每人每年的发作次数。 结果 1993 年至 2001 年间，美国成年人酗酒事件总数从约 12 亿增加到 15 亿；在此期间，每人每年的酗酒次数增加了 17%（从 6.3 次增加到 7.4 次，趋势 P = 0.03）。 1995 年至 2001 年间，每人每年的酗酒次数增加了 35%（趋势 P = 0.005）。在研究年份中，81%的酗酒事件是男性造成的。尽管 18 至 25 岁人群中暴饮发生率最高，但研究期间 69% 的暴饮事件发生在 26 岁或以上的人群中。总体而言，47% 的暴饮事件发生在中度（即非重度）饮酒者中，而所有暴饮者中 73% 是中度饮酒者。与不酗酒者相比，酗酒者在酒后驾车的可能性高出 14 倍。各州和地区的人均酗酒事件存在显着差异。结论 酗酒在美国成年人的大多数阶层中都很常见，包括 26 岁或以上的成年人。人均酗酒事件有所增加，特别是自 1995 年以来。酗酒与酒后驾驶密切相关。应广泛采用有效的干预措施来预防与酗酒相关的死亡率和发病率，包括根据国家指南筛查患者是否酗酒。
Context Binge drinking (consuming greater than or equal to5 alcoholic drinks on 1 occasion) generally results in acute impairment and has numerous adverse health consequences. Reports indicate that binge drinking may be increasing in the United States.Objectives To quantify episodes of binge drinking among US adults in 1993-2001, to characterize adults who engage in binge drinking, and to describe state and regional differences in binge drinking.Design, Setting, and Participants The Behavioral Risk Factor Surveillance System, a random-digit telephone survey of adults aged 18 years or older that is conducted annually in all states. The sample size ranged from 102263 in 1993 to 212 510 in 2001.Main Outcome Measures Binge-drinking prevalence, episodes, and episodes per person per year.Results Between 1993 and 2001, the total number of binge-drinking episodes among US adults increased from approximately 1.2 billion to 1.5 billion; during this time, binge-drinking episodes per person per year increased by 17% (from 6.3 to 7.4, P for trend = .03). Between 1995 and 2001, binge-drinking episodes per person per year increased by 35% (P for trend = .005). Men accounted for 81% of binge-drinking episodes in the study years. Although rates of binge-drinking episodes were highest among those aged 18 to 25 years, 69% of binge-drinking episodes during the study period occurred among those aged 26 years or older. Overall, 47% of binge-drinking episodes occurred among otherwise moderate (ie, non-heavy) drinkers, and 73% of all binge drinkers were moderate drinkers. Binge drinkers were 14 times more likely to drive while impaired by alcohol compared with non-binge drinkers. There were substantial state and regional differences in per capita binge-drinking episodes.Conclusions Binge drinking is common among most strata of US adults, including among those aged 26 years or older. Per capita binge-drinking episodes have increased, particularly since 1995. Binge drinking is strongly associated with alcohol-impaired driving. Effective interventions to prevent the mortality and morbidity associated with binge drinking should be widely adopted, including screening patients for alcohol abuse in accordance with national guidelines.