Health Indicator Report of Alcohol Consumption - Binge Drinking
'''''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 is responsible for '''88,000 deaths in the United States''' each year, including 1 in 10 deaths among working-age adults aged 20-64 years.^1^ Estimates also suggest that over '''700 Utahns''' die from alcohol-attributable causes each year and Utah is ranked seventh in the nation for alcohol poisoning deaths.^2^ Excessive alcohol use is also associated with many health and social harms, including '''liver cirrhosis, certain cancers, unintentional injuries, violence and fetal alcohol spectrum disorder'''. Excessive drinking cost the United States $249 billion in 2010.^3^ In 2014, the cost of excessive alcohol use in Utah was estimated to be $1.2 billion.^4^[[br]][[br]] ---- #Preventing Chronic Disease, 2014, Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States #Centers for Disease Control and Prevention. Alcohol Related Disease Impact (ARDI) application, 2013. Available at [http://www.cdc.gov/ARDI] #American Journal of Preventative Medicine, 2010, National and State Costs of Excessive Alcohol Consumption #Utah Department of Public Safety, Alcohol Abuse Tracking Committee, 2016 Report
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'''.^5^ Among binge drinkers in Utah (2016), the frequency of binge drinking was '''4.7 episodes per month'''. In the U.S. (2016), the frequency was '''4.4 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. [[br]][[br]] ---- 5. American Journal of Preventive Medicine, 2004, Binge drinking and health-related quality of life: do popular perceptions match reality?
Binge Drinking Frequency in the Past 30 Days by Year, Utah and U.S., 2009-2016
NotesThe rates shown in the data table and on the line graph are crude rates, not age-adjusted.
- 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
Data Interpretation IssuesTo 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 [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf here]. 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.
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. [[img src ="https://www.cdc.gov/vitalsigns/alcohol-screening-counseling/images/problem1_970px.jpg" width = "652" height= "455"]]
NumeratorNumber of survey respondents who reported binge drinking during the 30 days prior to the survey.
DenominatorNumber of survey respondents excluding those with missing, "Don't know/Not sure", or "Refused" responses.
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 2016, it was estimated that '''12.5%''' (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 '''16.9% of U.S. adults''' reported binge drinking in the past 30 days in 2016 whereas '''12.5% of Utah adults''' reported binge drinking in 2016 (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 1989-2016.
What Is Being Done?The Utah Department of Health [http://health.utah.gov/vipp/ Violence and Injury Prevention Program] receives funding from the [https://www.cdc.gov/alcohol/index.htm 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 [https://dsamh.utah.gov/ 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.
Evidence-based PracticesThe Community Preventive Services Task Force recommends evidence based strategies to reduce excessive alcohol consumption in [http://www.thecommunityguide.org/alcohol/index.html The Community Guide]. These strategies include: # Increasing alcoholic beverage costs # Limiting the number of retail alcohol outlets that sell alcoholic beverages in a given area # Holding alcohol retailers responsible for the harms caused by their underage or intoxicated patrons (dram shop liability) # Restricting access to alcohol by maintaining limits on the days and hours of alcohol retail sales # Consistent enforcement of laws against underage drinking and alcohol-impaired driving # Screening and counseling for alcohol misuse. [[br]] [[br]] ''The Community Preventive Services task force is an independent body of prevention and public health experts.''
Available ServicesServices include: ====Alcohol Screening and Brief Intervention==== 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 visit the CDC vital signs [http://www.cdc.gov/vitalsigns/alcohol-screening-counseling/index.html website]. ====Substance Abuse Helplines==== '''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.
Health Program InformationA 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]] ====A Standard Drink ==== [[img src="https://www.niaaa.nih.gov/sites/default/files/introduction-standard-drink-sidebar.png"]] Knowing standard drink sizes and the number of drinks per container can help you make informed decisions about your drinking. Find a '''standard drink size calculator tool''' from the National Institute of Alcohol Abuse and Alcoholism [https://www.rethinkingdrinking.niaaa.nih.gov/tools/Calculators/drink-size-calculator.aspx here].
Page Content Updated On 10/24/2017, Published on 11/13/2017