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Complete Health Indicator Report of Alcohol Consumption - Binge Drinking

Definition

Binge drinking is defined as a pattern of alcohol consumption that brings the blood alcohol concentration (BAC) level to 0.08% or above. This typically happens when men consume 5 or more drinks, and when women consume 4 or more drinks, in about 2 hours. It is listed as the percentage of survey respondents who reported binge drinking during the 30 days prior to the survey.

Numerator

Number of survey respondents who reported binge drinking during the 30 days prior to the survey.

Denominator

Number of survey respondents excluding those with missing, "Don't know/Not sure", or "Refused" responses.

Data Interpretation Issues

To reduce bias and more accurately represent population data, the BRFSS survey methodology changed. In 2009, the survey began including surveys on cellular phones in addition to landline phones. And a new weighting methodology, known as "iterative proportional fitting" (raking) was implemented. More details about these changes can be found at: [http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf]. Because of these changes, differences in binge drinking rates across methodologies should be interpreted with caution. As with all surveys, some error results from nonresponse (e.g., refusal to participate in the survey or to answer specific questions), and measurement (e.g., social desirability or recall bias). Error was minimized by use of strict calling protocols, good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision.

Why Is This Important?

Binge drinking is the most common pattern of excessive alcohol use in the United States and those who binge drink tend to do so frequently and with high intensity. According to the latest estimates from the Centers for Disease Control and Prevention, excessive alcohol use led to approximately 88,000 deaths each year in the United States from 2006-2010. Nationally, the economic costs of excessive alcohol consumption in 2010 were estimated at $249 billion. Short-term health effects associated with excessive drinking include injuries from motor vehicle crashes or falls, violence in the form of sexual assault or suicide, alcohol poisoning, risky sexual behaviors, and miscarriage and stillbirth among pregnant women. Long-term health effects of excessive alcohol use include increased risk of high blood pressure, various cancers, learning and memory problems, mental health problems like depression and anxiety, social problems and alcohol dependence.

Healthy People Objective SA-14.3:

Reduce the proportion of persons engaging in binge drinking during the past 30 days--adults aged 18 years and older
U.S. Target: 24.4 percent

How Are We Doing?

Using data from both landline and cell phones in 2015, it was estimated that 11.6% (crude rate) of Utah adults binge drank at least once in the 30 days prior to the survey. Utah is well below the Healthy People 2020 objective of 24.4% for this measure.

How Do We Compare With the U.S.?

Estimates show that 16.0% of U.S. adults reported binge drinking in the past 30 days in 2014 whereas 11.6% of Utah adults reported binge drinking in 2015 (crude rates). The percentage of adults who reported binge drinking in the past 30 days was substantially lower in Utah than in the U.S. for all years reported between 1989-2015.

What Is Being Done?

The Utah Department of Health (UDOH) receives funding from the Alcohol Program at the Centers for Disease Control (CDC) for a full-time alcohol epidemiologist. With this additional capacity at the UDOH, it is now possible to conduct more monitoring and surveillance of excessive alcohol use and related harms. The Utah Division of Substance Abuse and Mental Health is the agency responsible for ensuring that substance abuse and mental health prevention and treatment services are available statewide. The Division also acts as a resource by providing general information, research, and statistics to the public regarding substances of abuse and mental health services. [https://dsamh.utah.gov/]

Evidence-based Practices

The Community Preventive Services Task Force recommends evidence based strategies to reduce excessive alcohol consumption in The Community Guide. [http://www.thecommunityguide.org/alcohol/index.html] These strategies include: 1) Increasing alcoholic beverage costs 2) Limiting the number of retail alcohol outlets that sell alcoholic beverages in a given area 3) Holding alcohol retailers responsible for the harms caused by their underage or intoxicated patrons (dram shop liability) 4) Restricting access to alcohol by maintaining limits on the days and hours of alcohol retail sales 5) Consistent enforcement of laws against underage drinking and alcohol-impaired driving 6) Screening and counseling for alcohol misuse.

Available Services

Alcohol Screening and Brief Intervention (A-SBI) is a preventive service like hypertension or cholesterol screening that can occur as part of a patient's wellness visit. It identifies and helps individuals who are drinking too much. A-SBI is recommended by the U.S. Preventive Services Task Force (USPSTF), the Community Preventive Services Task Force (Community Guide), the Centers for Disease Control and Prevention (CDC), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), Substance Abuse and Mental Health Services Administration (SAMHSA), and the World Health Organization (WHO). For more information on A-SBI, please the CDC vital signs website: [http://www.cdc.gov/vitalsigns/alcohol-screening-counseling/index.html] Substance abuse helplines are also available. NATIONAL: The U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) has a toll-free referral helpline. The number is: 1-800-662-HELP (4357). UTAH: Dial 2-1-1 for state and community service information. Code 2-1-1 can now be accessed from anywhere in the state of Utah. 211 Info Bank, a program of Community Services Council, is a free information and referral line for health, human and community services. 211 provides information and referral on many topics.


Related Indicators

Relevant Population Characteristics

Binge drinking is more common among males and young adults in Utah.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Excessive alcohol use is strongly associated with unintentional injury.

Related Health Care System Factors Indicators:


Risk Factors

People experiencing poor mental health are more likely to drink excessively.

Related Risk Factors Indicators:


Health Status Outcomes

Excessive alcohol use is associated with motor vehicle and other unintentional injury deaths.

Related Health Status Outcomes Indicators:




Graphical Data Views

Binge Drinking in the Past 30 Days, Utah and U.S., 2005-2015

::chart - missing::
confidence limits

BRFSS Utah vs. U.S.YearCrude Percentage of AdultsLower LimitUpper Limit
Record Count: 23
UT Old Methodology20059.0%8.0%9.4%
UT Old Methodology20069.1%8.0%10.4%
UT Old Methodology20079.5%8.3%10.8%
UT Old Methodology20088.2%7.2%9.3%
UT Old Methodology20098.8%8.0%9.7%
UT Old Methodology20108.7%7.9%9.6%
US Old Methodology200515.5%15.2%15.8%
US Old Methodology200615.0%14.7%15.3%
US Old Methodology200715.4%15.2%15.7%
US Old Methodology200815.2%14.9%15.4%
US Old Methodology200915.2%14.9%15.4%
US Old Methodology201014.7%14.5%15.0%
UT New Methodology200910.4%9.5%11.3%
UT New Methodology201010.4%9.7%11.2%
UT New Methodology201112.0%11.1%12.9%
UT New Methodology201211.2%10.3%12.0%
UT New Methodology201312.3%11.5%13.1%
UT New Methodology201411.4%10.7%12.1%
UT New Methodology201511.6%10.9%12.5%
US New Methodology201118.3%18.1%18.6%
US New Methodology201217.0%16.7%17.2%
US New Methodology201316.5%16.3%16.8%
US New Methodology201416.0%15.8%16.2%

Prevalence of Binge Drinking Among Adults, BRFSS, United States, 2010

supplemental image
The figure above shows the prevalence of binge drinking among adults in the United States during 2010, as determined from the Behavioral Risk Factor Surveillance System combined landline and cellular telephone developmental dataset. Overall, states with the highest age-adjusted prevalence of adult binge drinking were in the Midwest and New England, and included the District of Columbia, Alaska, and Hawaii. Utah's 2010 prevalence of binge drinking was 10.9 percent, placing it among the states with the lowest rates.


Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]] U.S. data are the average value for all states and the District of Columbia; they do not include U.S. territories. The rates shown in the data table and on the line graph are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates. Rates shown on the U.S. map are age-adjusted to the 2000 U.S. Census standard population. From 1989-2005, binge drinking on the BRFSS was defined as consuming five or more drinks of alcohol on an occasion one or more times during the past 30 days for both males and females. Starting in 2006, the definition of binge drinking changed to consuming five or more drinks on an occasion for men, or four or more drinks on an occasion for women one or more times during the past 30 days.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Binge Drinking in the Past 30 Days by Age Group and Sex, Utah, 2015

::chart - missing::
confidence limits

Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 8
Male18-3418.9%16.6%21.5%
Male35-4920.4%17.7%23.5%
Male50-6411.1%9.2%13.4%
Male65+4.4%3.2%6.1%
Female18-3411.0%9.2%13.1%
Female35-498.2%6.7%10.0%
Female50-647.0%5.5%8.9%
Female65+1.5%0.9%2.5%

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Binge Drinking in the Past 30 Days by Education, Utah, 2015

::chart - missing::
confidence limits

Education LevelCrude Percentage of Adults 25+Lower LimitUpper Limit
Record Count: 4
Less Than High School14.9%11.2%19.7%
H.S. Grad or G.E.D.15.7%14.0%17.6%
Some Post High School11.3%9.9%12.8%
College Graduate8.5%7.4%9.6%

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]] These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Binge Drinking in the Past 30 Days by Ethnicity, Utah, 2015

::chart - missing::
confidence limits

Hispanic EthnicityCrude Percentage of AdultsLower LimitUpper Limit
Record Count: 2
Hispanic15.0%12.3%18.2%
Non-Hispanic11.2%10.4%12.1%

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]] These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Binge Drinking in the Past 30 Days by Race, Utah, 2013-2015

::chart - missing::
confidence limits

RaceCrude Percentage of AdultsLower LimitUpper Limit
Record Count: 5
American Indian/Native Alaskan18.6%14.1%24.1%
Asian10.0%7.2%13.9%
Black13.2%8.9%19.0%
Pacific Islander13.4%9.0%19.6%
White11.5%11.0%11.9%

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]] These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Binge Drinking Frequency in the Past 30 Days by Year, Utah and U.S., 2005-2015

::chart - missing::
confidence limits

The frequency and intensity of binge drinking are measures used to examine the adverse health effects for this pattern of alcohol consumption. Binge drinking frequency is defined as the number of binge drinking occasions in the past month. The frequency of binge drinking is also associated with poor health-related quality of life. [Am J Prev Med 2004;26(3)] Among binge drinkers in Utah (2015), the frequency of binge drinking was 4.2 episodes per month. In the U.S. (2015), the frequency was 4.3 episodes per month. Unlike the overall prevalence of binge drinking, where Utah rates are much lower than the national average, in Utah, the frequency of binge drinking is very similar to the national average.
BRFSS Utah vs. U.S.YearAverage Number of Binge-drinking Episodes per MonthLower LimitUpper Limit
Record Count: 24
UT Old Methodology20054.23.64.9
UT Old Methodology20063.63.04.2
UT Old Methodology20073.93.24.6
UT Old Methodology20084.43.65.2
UT Old Methodology20094.43.95.0
UT Old Methodology20104.23.54.9
US Old Methodology20054.14.04.2
US Old Methodology20064.03.94.1
US Old Methodology20074.03.94.1
US Old Methodology20084.03.94.1
US Old Methodology20094.14.04.2
US Old Methodology20103.93.84.0
UT New Methodology20094.33.84.8
UT New Methodology20104.33.94.8
UT New Methodology20114.33.84.7
UT New Methodology20123.93.54.3
UT New Methodology20134.64.25.0
UT New Methodology20144.64.25.1
UT New Methodology20154.23.84.6
US New Methodology20114.14.04.2
US New Methodology20124.24.14.3
US New Methodology20134.34.24.4
US New Methodology20144.24.14.3
US New Methodology20154.34.24.4

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]]The rates shown in the data table and on the line graph are crude rates, not age-adjusted.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Binge Drinking Intensity in the Past 30 Days by Year, Utah and U.S., 2005-2015

::chart - missing::
confidence limits

The frequency and intensity of binge drinking are measures used to examine the adverse health effects for this pattern of alcohol consumption. Binge drinking intensity is defined as the average largest number of drinks consumed on occasion. The risk of adverse outcomes (e.g., unintentional injuries) increases with the number of drinks consumed or with progressively higher blood alcohol concentrations. [Journal of Studies on Alcohol, 64(3), 358-366 (2003)] Among binge drinkers in Utah (2015), the intensity of binge drinking was 7.6 drinks per occasion. In the U.S. (2015), the intensity was 7.3 drinks per occasion. Unlike the overall prevalence of binge drinking, where Utah rates are much lower than the national average, in Utah, intensity of binge drinking is very similar to the national average and may even be slightly higher.
BRFSS Utah vs. U.S.YearAverage Largest Number of DrinksLower LimitUpper Limit
Record Count: 24
UT Old Methodology20058.37.59.2
UT Old Methodology20067.66.98.3
UT Old Methodology20077.97.38.5
UT Old Methodology20088.27.49.0
UT Old Methodology20098.07.48.6
UT Old Methodology20108.27.48.9
US Old Methodology20057.97.88.0
US Old Methodology20067.47.37.5
US Old Methodology20077.67.47.7
US Old Methodology20087.77.57.8
US Old Methodology20097.57.47.7
US Old Methodology20107.47.37.5
UT New Methodology20097.77.28.2
UT New Methodology20108.37.88.9
UT New Methodology20118.68.19.1
UT New Methodology20127.97.48.3
UT New Methodology20138.37.88.7
UT New Methodology20148.17.78.6
UT New Methodology20157.67.28.1
US New Methodology20117.77.67.8
US New Methodology20127.57.47.6
US New Methodology20137.67.57.7
US New Methodology20147.67.57.7
US New Methodology20157.37.27.4

Intensity of Binge Drinking Among Adults, BRFSS, United States, 2010

supplemental image
The figure above shows the intensity of binge drinking among adults in the United States during 2010, as determined from the Behavioral Risk Factor Surveillance System combined landline and cellular telephone developmental dataset. States with the highest intensity of adult binge drinking generally were located in the southern Mountain states and Midwest, and included some states (e.g., Louisiana, Mississippi, New Mexico, South Carolina, and Utah) that had a lower prevalence of binge drinking. Utah's 2010 intensity of binge drinking was 7.9 drinks per occasion, placing it among the states with the highest rates.


Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   The rates shown in the data table and on the line graph are crude rates, not age-adjusted. Rates shown on the U.S. map are age-adjusted to the 2000 U.S. Census standard population.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Binge Drinking in the Past 30 Days by Local Health District, Utah, 2015

::chart - missing::
confidence limits

Local Health DistrictCrude percentage of AdultsLower LimitUpper LimitNote
Record Count: 14
Bear River8.1%5.6%11.6%
Central8.3%5.5%12.3%
Davis County10.5%8.3%13.2%
Salt Lake County14.8%13.4%16.4%
San Juan****
Southeast14.2%8.5%22.9%
Southwest10.2%7.8%13.3%
Summit18.8%12.6%27.2%
Tooele13.7%8.7%20.9%
TriCounty11.6%7.6%17.2%
Utah County6.0%4.7%7.5%
Wasatch12.4%5.4%26.0%*
Weber-Morgan13.2%10.7%16.2%
State of Utah11.6%10.9%12.5%

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]] These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Binge Drinking in the Past 30 Days by Utah Small Area, 2013-2015

::chart - missing::
confidence limits

Utah Small AreasCrude Percentage of AdultsLower LimitUpper LimitNote
Record Count: 64
Brigham City6.8%4.3%10.7%*
Box Elder Co (Other)7.6%4.7%12.2%
Logan8.6%6.6%11.1%
Cache Co (Oth)/Rich Co (All)9.8%6.7%14.0%
Ben Lomond13.7%10.9%17.2%
Morgan Co (All)/Weber Co (E)12.0%9.0%16.0%
Ogden (Downtown)19.3%14.5%25.2%
South Ogden14.2%10.7%18.5%
Roy/Hooper14.5%11.1%18.6%
Riverdale15.5%11.1%21.4%
Clearfield/Hill AFB11.6%8.9%14.8%
Layton10.3%8.0%13.2%
Syracuse/Kaysville7.4%5.3%10.4%
Farmington/Centerville7.9%5.0%12.4%
Woods Cross/North Salt Lake11.2%7.5%16.5%
Bountiful9.5%6.5%13.7%
SLC (Rose Park)13.4%9.5%18.6%
SLC (Avenues)16.9%12.5%22.5%
SLC (Foothill/U of U)13.7%9.8%18.8%
Magna15.4%10.8%21.5%
SLC (Glendale)14.9%10.5%20.7%
West Valley (West)14.8%12.1%18.1%
West Valley (East) V214.4%10.5%19.4%
SLC (Downtown)25.2%21.3%29.6%
South Salt Lake23.6%17.9%30.4%
Millcreek19.7%16.0%24.1%
Holladay13.0%9.9%16.9%
Cottonwood13.7%10.4%17.8%
Kearns V213.5%9.9%18.1%
Taylorsville (E)/Murray (W)15.0%11.5%19.4%
Taylorsville (West)14.2%10.5%19.0%
Murray19.2%14.5%25.0%
Midvale13.5%9.4%19.0%
West Jordan (NE) V216.2%11.5%22.2%
West Jordan (SE)18.6%14.3%23.9%
West Jordan (W)/Copperton19.6%14.9%25.4%
South Jordan9.3%6.8%12.6%
Sandy (Center)13.2%10.1%16.9%
Sandy (NE)14.9%10.8%20.3%
Sandy (SE)12.9%9.2%17.8%
Riverton/Draper9.3%7.3%11.7%
Tooele Co13.2%10.4%16.7%
Lehi/Cedar Valley8.5%6.5%11.0%
American Fork/Alpine7.0%4.5%10.7%
Pleasant Grove/Lindon5.8%3.7%8.8%
Orem (North)9.3%5.8%14.5%
Orem (West)8.5%5.4%13.2%
Orem (East)4.1%1.7%9.3%*
Provo (North)/BYU5.7%3.4%9.4%
Provo (South)7.0%4.9%10.1%
Springville/Spanish Fork6.0%4.3%8.4%
Utah Co (South)8.1%5.5%12.0%
Summit Co19.1%16.0%22.8%
Wasatch Co10.7%7.0%16.0%
TriCounty LHD12.3%10.0%15.0%
Juab/Millard/Sanpete Co8.6%6.3%11.6%
Sevier/Piute/Wayne Co12.8%9.1%17.8%
Carbon/Emery Co9.6%6.7%13.4%
Grand/San Juan Co15.2%10.0%22.6%
St George10.2%7.8%13.1%
Washington Co (Other)8.5%6.4%11.4%
Cedar City9.4%6.3%13.8%
Southwest LHD (Other)12.5%8.7%17.6%
State11.8%11.3%12.2%

Data Notes

A drink of alcohol is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor.   [[br]] [[br]] *Use caution in interpreting rates for Brigham City and Orem (East); the estimates have a relative standard error greater than 30% and do not meet UDOH standards for reliability. A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

NATIONAL: The U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMSA) Substance Abuse Treatment Facility Locator: [http://findtreatment.samhsa.gov/] National Institutes of Health: National Institute on Alcohol Abuse and Alcoholism: [http://www.niaaa.nih.gov] Centers for Disease Control and Prevention, Alcohol and Public Health, web site: [http://www.cdc.gov/alcohol/]. This site includes fact sheets, online tool kits, data and recently published literature. The CDC also publishes the Prevention Status Reports (PSR), which highlight, for all 50 states and the District of Columbia, the status of public health policies and practices designed to address important public health problems and concerns. The 2015 PSR for excessive alcohol use can be found at: [https://wwwn.cdc.gov/psr/?state=Utah]. UTAH: Utah Department of Human Services Division of Substance Abuse and Mental Health 195 North 1950 West Salt Lake City, Utah 84116 Phone: (801) 538- 3939 Fax: (801) 538-9892 [http://www.dsamh.utah.gov] More information on the Behavioral Risk Factor Surveillance System may be found on the website of the Centers for Disease Control and Prevention - [http://www.cdc.gov/brfss/]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 07/13/2017, Published on 08/01/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 17 August 2017 19:21:49 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 1 Aug 2017 13:28:53 MDT