Health Indicator Report of Alcohol Consumption - Heavy Drinking
Heavy drinking is a type of excessive alcohol use. It exceeds the Dietary Guidelines for Americans definition of moderate drinking which is up to 1 drink per day for women and up to 2 drinks per day for men. 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.
Heavy Drinking in the Past 30 Days, Utah and U.S., 2006-2015
NotesA 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.
- 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 at: [http://health.utah.gov/opha/publications/brfss/Raking/Raking%20impact%202011.pdf]. Because of these changes, differences in heavy 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.
DefinitionHeavy drinking is defined as consuming 8 or more alcoholic beverages per week for women or 15 or more alcoholic beverages per week for men. It is listed as the percentage of adults aged 18 years and older who reported heavy drinking during the 30 days prior to the survey.
NumeratorNumber of survey respondents who reported heavy 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-15:Reduce the proportion of adults who drank excessively in the previous 30 days
U.S. Target: 25.4 percent
Other ObjectivesHealthy People Objective SA-15, Reduce the proportion of adults who drank excessively in the previous 30 days, includes adults who reported heavy drinking and/or binge drinking.
How Are We Doing?Using data from both landline and cell phones in 2015, it was estimated that 3.6% (crude rate) of Utah adults reported heavy drinking in the 30 days before for the survey.
How Do We Compare With the U.S.?Estimates for 2014 show that 5.8% of U.S. adults reported heavy drinking in the past 30 days whereas 3.6% (2015) of Utah adults reported heavy drinking (crude rates).
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 PracticesThe 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 ServicesAlcohol 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.
Page Content Updated On 05/19/2017, Published on 05/19/2017