After how many drinks does someone experience acute consequences—determining thresholds for binge drinking based on two event‐level studies

Labhart, Florian; Livingston, Michael; Engels, Rutger C. M. E.; Kuntsche, Emmanuel

doi:10.1111/add.14370

Cited by 43 publications

(28 citation statements)

References 39 publications

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“…Our findings with youth and young adults align with similar research that suggests not all binge drinkers consume alcohol in the same pattern, endure drunkenness in the same manner, or experience similar consequences (Hingson and Zha, ; Read et al., ). These results are supported by event‐level assessment of alcohol use that found 4+/5+ binge drinking thresholds are accurate to predict some alcohol consequences, but were too low to predict severe acute consequences, such as blackouts and risky sex (Labhart et al., ). Consequently, use of a single level of risky drinking masks important information about higher, more dangerous consumption levels that should be a focus of public health prevention efforts.…”

Section: Discussionmentioning

confidence: 74%

Social and Situational Party Characteristics Associated With High‐Intensity Alcohol Use Among Youth and Young Adults

Cox

Egan

Suerken

et al. 2019

Alcoholism Clin & Exp Res

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Background: Rates of high-intensity drinking, which is alcohol consumption that exceeds standard heavy drinking levels, have increased in recent years and peak in young adulthood. To identify modifiable environmental targets for prevention of high-intensity drinking, we identified characteristics of parties attended by youth and young adults that were associated with high-intensity drinking and the consequences of this excessive form of drinking.Methods: Data are from 15-to 20-year-old participants in an online survey (n = 2,442; 55.4% female, 74.8% White) who resided in 24 communities across 7 states that were a part of a community randomized intervention trial to reduce the incidence and consequences of underage drinking parties. We used multinomial logistic regression to predict level of drinking by 6 party characteristics (size, location, age and gender composition, supervision, others' drinking behavior), and to predict 6 consequences (hangover, not remember event, passed out, punished by parents, broke something/got in fight, and sex against will) from level of drinking. We tested study hypotheses in 2 models, one that used a single binge drinking threshold (below binge vs. at or above binge level) and one that additionally used a high-intensity drinking level (below binge, 1 to 2 times binge, 2+ times binge level).Results: We found that larger party size and a mostly male composition were unique predictors of high-intensity drinking when compared to those who consumed 1 to 2 times the binge drinking level. Odds of passing out, not remembering the drinking event, breaking/damaging property, or getting in a fight were more than double for high-intensity drinkers compared to standard binge level drinkers.Conclusions: Results from this study indicate there are unique precursors and consequences of highintensity alcohol consumption among youth and young adults. These environmental factors associated with high-risk drinking contexts can be used to develop prevention strategies to mitigate the harms associated with excessive alcohol consumption.

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Section: Discussionmentioning

confidence: 74%

Social and Situational Party Characteristics Associated With High‐Intensity Alcohol Use Among Youth and Young Adults

Cox

Egan

Suerken

et al. 2019

Alcoholism Clin & Exp Res

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“…Few studies provide data on how drinking influences blackouts at the event (vs. person) level. One study found that the average drinks consumed on blackout nights ranged from 7 to 11 (vs. 2 to 3 on nights without blackouts) among women and 10 to 20 (vs. 3 to 4 on nights without blackouts) among men (Labhart et al., ). “High‐intensity drinking” (HID), in particular, defined as twice the traditional “binge” or HED level of 4+/5+, has been shown to be associated with negative alcohol consequences (Hingson et al., ; Linden‐Carmichael et al., ).…”

Section: The Present Studymentioning

confidence: 99%

Event‐Level Correlates of Drinking Events Characterized by Alcohol‐Induced Blackouts

Merrill

Boyle

Jackson

et al. 2019

Alcoholism Clin & Exp Res

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Background: Prior research identifies a range of potential predictors of blackouts and suggests that blackouts increase risk for additional negative consequences. However, these studies are based on epidemiological work that allows us to draw conclusions about groups of people but not within-person processes. The present study examined within-person, event-level correlates of blackouts.Methods: Ninety-six heavy drinking college students (52% female) completed 28 days of daily reports of alcohol use and consequences, including blackouts. Thirty-three participants reported 56 blackouts. Hierarchical linear modeling compared morning reports of drinking events on which participants did versus did not report a blackout, controlling for total drinks at the event.Results: Blackout likelihood increased as a function of total drinks consumed and of crossing thresholds for heavy episodic drinking (4+/5+ drinks for women/men) and high-intensity drinking (8+/ 10+). Participants reported a higher total number of additional negative consequences on blackout events. Specific consequences that were more likely included embarrassing oneself and hangover. Blackouts were associated with morning ratings of less positive mood and a less favorable drinking event.Motives for drinking and simultaneous use of marijuana were not associated with blackouts.Conclusions: Event-level findings of this study document that events leading to alcohol-induced memory loss are associated with other adverse experiences relative to drinking events that do not result in blackout, and offer potentially motivational levers for preventive interventions.

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“…A MAC of less than or equal to 22 cm and TSFT<10 mm were considered to be a significant decrease . Binge drinking was defined as >5 standard drinks (>50 g) on one occasion . The stringent recording of dietary intake, alcohol intake, and anthropometric measurements was performed by the investigator (a gastroenterologist) in the presence of a dietician using standard diet charts.…”

Section: Methodsmentioning

confidence: 99%

Patterns of alcohol consumption and nutrition intake in patients with alcoholic liver disease and alcoholic pancreatitis in North Indian men

et al. 2019

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Background and Aim Chronic alcoholism and nutrition play an important role in liver and pancreatic diseases. To compare drinking habits and nutritional data in patients with alcoholic liver disease (ALD) and alcoholic pancreatitis (ALP). Methods Clinical, anthropometric, dietary intake, laboratory, and imaging data were recorded in consecutive patients of ALD and ALP. Results In 150 patients of ALP ( n = 76) and ALD ( n = 74), the age of starting alcohol consumption (19.03 ± 3.78 vs 18.0 ± 2.59 years) and the mean amount of alcohol consumed per day (165.63 ± 87.99 vs 185.50 ± 113.54 g; P = 0.230) were similar. Patients with ALD consumed alcohol on a daily basis more frequently (90.5 vs 72.3%; P = 0.003) and had a longer duration of alcohol intake (21.6 + 0.2 vs 14.5 + 6.9 years; P < 0.0001) than patients in the ALP group. Binge drinking was more common in patients with ALP compared to patients with ALD (60.5 vs 20.3%); P < 0.0001). Patients with ALP had a lower body mass index (19.9 ± 3.49 vs 22.64 ± 4.88 kg/m 2 ; P = 0.001) and more frequent decrease in mid arm circumference (57.9 vs 44.6%; P = 0.042) and triceps skin fold thickness (67.1 vs 52.7%; P = 0.072) compared to patients with ALD. Conclusion There was no difference in the age of starting alcohol consumption and mean amount of alcohol consumption per day between the groups. Patients with ALD were more likely to be daily drinkers with a longer duration of alcohol intake. However, binge drinking and malnourishment was more common in the ALP group.

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After how many drinks does someone experience acute consequences—determining thresholds for binge drinking based on two event‐level studies

Cited by 43 publications

References 39 publications

Social and Situational Party Characteristics Associated With High‐Intensity Alcohol Use Among Youth and Young Adults

Social and Situational Party Characteristics Associated With High‐Intensity Alcohol Use Among Youth and Young Adults

Event‐Level Correlates of Drinking Events Characterized by Alcohol‐Induced Blackouts

Patterns of alcohol consumption and nutrition intake in patients with alcoholic liver disease and alcoholic pancreatitis in North Indian men

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