Extreme binge drinking among 12th-grade students in the United States: prevalence and predictors.
paper
Cited
Public
- Authors
- Patrick, Megan E; Schulenberg, John E; Martz, Meghan E; Maggs, Jennifer L; O'Malley, Patrick M; Johnston, Lloyd D
- Year
- 2013
- Journal
- JAMA pediatrics
- PMID
- 24042318
- DOI
- 10.1001/jamapediatrics.2013.2392
- PMCID
- PMC3818300
IMPORTANCE: The prevalence of underage alcohol use has been studied extensively, but binge drinking among youth in the United States is not yet well understood. In particular, adolescents may drink much larger amounts than the threshold (5 drinks) often used in definitions of binge drinking. Delineating various levels of binge drinking, including extreme levels, and understanding predictors of such extreme binge drinking among youth will benefit public health efforts. OBJECTIVE: To examine the prevalence and predictors of 5+ (≥5 drinks) binge drinking and of 10+ (≥10 drinks) and 15+ (≥15 drinks) extreme binge drinking among 12th graders in the United States. DESIGN, SETTING, AND PARTICIPANTS: A nonclinical nationally representative sample of high school seniors in the annual Monitoring the Future study between 2005 and 2011. The sample included 16,332 high school seniors (modal age, 18 years) in the United States. Response rates were 79.1% to 84.7%. MAIN OUTCOMES AND MEASURES: Prevalence of consuming 5 or more, 10 or more, and 15 or more drinks in a row in the last 2 weeks. RESULTS: Between 2005 and 2011, a total of 20.2% of high school seniors reported 5+ binge drinking, 10.5% reported 10+ extreme binge drinking, and 5.6% reported 15+ extreme binge drinking in the last 2 weeks. Rates of 5+ binge drinking and 10+ extreme binge drinking have declined since 2005, but rates of 15+ extreme binge drinking have not significantly declined. Students with college-educated parents were more likely to consume 5 or more drinks but were less likely to consume 15 or more drinks than students whose parents were not college educated. Students from more rural areas were more likely than students from large metropolitan areas to consume 15 or more drinks. Substance-related attitudes, socializing with substance-using peers, the number of evenings out with friends, and other substance use (cigarettes and marijuana) predicted all 3 levels of binge and extreme binge drinking. CONCLUSIONS AND RELEVANCE: Binge drinking at the traditionally defined 5+ drinking level was common among high school seniors representative of all 12th graders in the contiguous United States. A significant segment of students also reported extreme binge drinking at levels 2 and 3 times higher. These data suggest the importance of assessing multiple levels of binge drinking behavior and their predictors among youth to target effective screening and intervention efforts.
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1–17 of 17
| Name | Type |
|---|---|
| 10+ drinks in a row local | phenotype |
| 10+ Extreme Binge local | phenotype |
| 10+ extreme binge drinking local | phenotype |
| 12th graders | cohort |
| 12th-graders from the high school classes of 2005 to 2011 local | cohort |
| 15+ binge local | phenotype |
| 15+ drinks in a row local | phenotype |
| 15+ Extreme Binge local | phenotype |
| 15+ extreme binge drinking local | phenotype |
| 5+ binge local | phenotype |
| 5+ Binge local | phenotype |
| adolescents | cohort |
| adolescent subcultures local | cohort |
| alcohol | phenotype |
| Alcohol attitudes local | phenotype |
| Alcohol poisoning | phenotype |
| Alcohol-related motor vehicle accidents local | phenotype |
| American high school seniors local | cohort |
| beer | drug |
| binge drinking | phenotype |
| Binge drinking (all levels) local | phenotype |
| Black | phenotype |
| Black students local | cohort |
| cigarettes | phenotype |
| cohort year local | cohort |
| college level local | cohort |
| College plans local | phenotype |
| college students | cohort |
| cutting school for more days local | phenotype |
| Days cut school local | phenotype |
| Days cutting school local | phenotype |
| Disapproval of binge drinking local | phenotype |
| disapproving of binge drinking local | phenotype |
| drink local | drug |
| Drowning local | phenotype |
| Educational success local | phenotype |
| Evenings out local | phenotype |
| Evenings out without parents local | phenotype |
| Extreme binge drinking local | phenotype |
| Friends' drunkenness local | phenotype |
| Friends get drunk local | phenotype |
| geographic region local | phenotype |
| Geographic region local | phenotype |
| High-risk alcohol behaviors local | phenotype |
| High school dropouts local | cohort |
| High school grades local | phenotype |
| High school seniors | cohort |
| Hispanic | phenotype |
| Hispanic students local | cohort |
| Homicide | phenotype |
| Large Metropolitan Statistical Area local | phenotype |
| Large MSA areas local | cohort |
| liquor | drug |
| marijuana | phenotype |
| Medical emergencies involving alcohol use local | phenotype |
| Midwest local | phenotype |
| mixed drink | drug |
| Monitoring the Future (MTF45) local | cohort |
| No college education local | phenotype |
| Non-Metropolitan Statistical Area local | phenotype |
| Non-MSA areas local | cohort |
| Northeast local | other |
| Northeast local | phenotype |
| Northeast region local | phenotype |
| Other | phenotype |
| Other Metropolitan Statistical Area local | phenotype |
| Other (race/ethnicity) local | phenotype |
| Other race/ethnicity local | phenotype |
| parental education | phenotype |
| Parent college education local | phenotype |
| Perceived risk local | phenotype |
| Perceived risk of binge drinking local | phenotype |
| perceiving greater risk of 5+ binge drinking local | phenotype |
| perceiving that more friends get drunk local | phenotype |
| population density local | phenotype |
| Population density local | phenotype |
| race/ethnicity | phenotype |
| religiosity | phenotype |
| Rural area local | phenotype |
| Rural students local | cohort |
| sex | phenotype |
| Social life local | phenotype |
| socioeconomic status | phenotype |
| Some college or more local | phenotype |
| South local | other |
| South local | phenotype |
| South region local | phenotype |
| spending more evenings out with friends local | phenotype |
| students in large MSA areas local | cohort |
| students in non-MSA areas local | cohort |
| students in the South local | cohort |
| Students with college-educated parents local | cohort |
| Students with non-college-educated parents local | cohort |
| study cohort | cohort |
| suicide | phenotype |
| teens | cohort |
| West local | other |
| West local | phenotype |
| West region local | phenotype |
| White | phenotype |
| White race/ethnicity local | phenotype |
| whites | cohort |
| wine | drug |
| wine cooler | drug |
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