Trends in Adult Alcohol Use and Binge Drinking in the Early 21st-Century United States: A Meta-Analysis of 6 National Survey Series.
paper
Primary
Public
- Authors
- Grucza, Richard A; Sher, Kenneth J; Kerr, William C; Krauss, Melissa J; Lui, Camillia K; McDowell, Yoanna E; Hartz, Sarah; Virdi, Gurpal; Bierut, Laura J
- Year
- 2018
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 30080258
- DOI
- 10.1111/acer.13859
- PMCID
- PMC6364977
BACKGROUND: Recent trends in alcoholic liver disease, alcohol-related emergency room admissions, and alcohol use disorder prevalence as measured by general-population surveys have raised concerns about rising alcohol-related morbidity and mortality in the United States. In contrast, upward trends in per capita alcohol consumption have been comparatively modest. METHODS: To resolve these discordant observations, we sought to examine trends in the prevalence of alcohol use and binge drinking from 6 regularly or periodically administered national surveys using a meta-analytic approach. Annual or periodic prevalence estimates for past-12-month or past-30-day alcohol use and binge drinking were estimated for available time points between the years 2000 and 2016. Estimates were combined in a random-effects regression model in which prevalence was modeled as a log-linear function of time to obtain meta-analytic trend estimates for the full population and by sex, race, age, and educational attainment. RESULTS: Meta-analysis-derived estimates of average annual percentage increase in the prevalence of alcohol use and binge drinking were 0.30% per year (95% CI: 0.22%, 0.38%) and 0.72% per year (95% CI: 0.46%, 0.98%), respectively. There was substantial between-survey heterogeneity among trend estimates, although there was notable consistency in the degree to which trends have impacted various demographic groups. For example, most surveys found that the changes in prevalence for alcohol use and binge drinking were large and positive for ages 50 to 64 and 65 and up, and smaller, negative, or nonsignificant for ages 18 to 29. CONCLUSIONS: Significant increases in the prevalence of alcohol use and of binge drinking over the past 10 to 15 years were observed, but not for all demographic groups. However, the increase in binge drinking among middle-aged and older adults is substantial and may be driving increasing rates of alcohol-related morbidity and mortality.
Yearly prevalence estimates for (A) past year or past month alcohol use and (B) past year or past month binge drinking. Trend lines are derived from regression analyses of outcome as a function of year with dummy-indicators used to specify additional intercept parameters to reflect changes in item wording or other design changes.
LLM interpretation
This figure consists of two line graphs (A and B) showing yearly prevalence estimates from 2000 to 2016 across six different surveys (NSDUH, NHIS, BRFSS, NESARC, NHANES, and NAS). Panel A displays prevalence for past year or past month alcohol use, while Panel B displays prevalence for binge drinking, both plotted as a percentage on the y-axis against the year on the x-axis. Most surveys show a slight upward trend over time, with the BRFSS survey consistently reporting the lowest prevalence in both panels.
Forest plot of regression coefficients describing the association between prevalence of alcohol use and year for each of the six survey series and meta-analysis regression coefficient. Error bars represent 95% confidence intervals
LLM interpretation
This forest plot displays regression coefficients and 95% confidence intervals showing the association between alcohol use prevalence and year across six survey series (NSDUH, NHIS, BRFSS, NESARC, NHANES, NAS) and a meta-analysis. The data is categorized by demographic groups, including sex, race/ethnicity, age, and education level. Most coefficients are positive and centered around or to the right of the zero line, though results vary by survey and subgroup, particularly among Native and Asian populations.
Simulated trend lines for past year alcohol use prevalence based on trend estimates from meta-analysis and using 2002 NSDUH data to establish baseline prevalence.
LLM interpretation
This figure consists of four line graphs showing simulated trends in past-year alcohol use prevalence from 2002 to 2015. The y-axis represents "Past-Year Prevalence" (ranging from 40 to 80) and the x-axis represents the year. The panels compare prevalence across different demographic groups: gender (Overall, Men, Women), race/ethnicity (White, Black, Native, Asian, Hispanic), age (18-29, 30-49, 50-64, 65+), and education level (< HS, HS Only, > HS).
Forest plot of regression coefficients describing the association between prevalence of binge drinking and year for each of the six survey series and meta-analysis regression coefficient. Error bars represent 95% confidence intervals.
LLM interpretation
This forest plot displays regression coefficients and 95% confidence intervals showing the association between binge drinking prevalence and year across six survey series (NSDUH, NHIS, BRFSS, NESARC, NHANES, NAS) and a meta-analysis. The data is stratified by overall population, sex, race/ethnicity, age group, and education level. Most coefficients are positive, particularly for the "Ages 65+" group and the overall meta-analysis, indicating an increasing trend in binge drinking prevalence over time.
Simulated trend lines for past year binge drinking prevalence based on trend estimates from meta-analysis and using 2002 NSDUH data to establish baseline prevalence.
LLM interpretation
This figure consists of four line graphs showing simulated trends in past-year binge drinking prevalence from 2002 to 2015. The panels categorize prevalence by gender (Overall, Men, Women), race/ethnicity (White, Black, Native, Asian, Hispanic), age group (18-29, 30-49, 50-64, 65+), and education level (< HS, HS Only, > HS). Across most groups, prevalence remains relatively stable or shows a slight increase over time, with the most notable divergence seen in the age group panel.
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| 40 | Discussion — Implications for Public Health. | Limitations notwithstanding, the heterogeneity in estimates of alcohol trends is surprising, and… |
| 41 | Discussion — Implications for Public Health. | et al., 2014). Thus, targeted screening and brief intervention may be an effective strategy,… |
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| Development of an accelerometer-based wearable sensor approach for alcohol consumption detection. | Bush NJ et al. | — | 2024 | → |
| Differing time trends for alcohol misuse and alcohol use disorder among Veteran men: A comparison of population surveillance and clinical data. | Hoggatt KJ et al. | — | 2024 | → |
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| Executive and memory dysfunction related to binge drinking in stroke survivors during a 9-year follow-up. | Laari S et al. | — | 2024 | → |
| EZH2-dependent epigenetic reprogramming in the central nucleus of amygdala regulates adult anxiety in both sexes after adolescent alcohol exposure. | Bohnsack JP et al. | — | 2024 | → |
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| Mind the gap! Gender differences in alcohol consumption among Swedish ninth graders 1989-2021. | Raninen J et al. | — | 2024 | → |
| Missing Opportunities in the Screening of Alcohol Use and Problematic Use, and the Provision of Brief Advice and Treatment Information Among Individuals With Alcohol Use Disorder. | Sharma V et al. | — | 2024 | → |
| Modeling of drinking and driving behaviors among adolescents and young adults in the United States: Complexities and Intervention outcomes. | Hosseinichimeh N et al. | — | 2024 | → |
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| Neuroimmune Activation and Microglia Reactivity in Female Rats Following Alcohol Dependence. | Melbourne JK et al. | — | 2024 | → |
| Obstetrics and Gynecology Provider Experience Screening for Harmful Alcohol Use: An Unmet Need for Standardized Screening and Intervention. | Thomson MJ et al. | — | 2024 | → |
| Palatability attributed to alcohol and alcohol-paired flavors. | Valyear MD et al. | — | 2024 | → |
| Predictors of 30-day recurrent emergency department visits for hyperglycemia in patients with types 1 and 2 diabetes: a population-based cohort study. | Yan JW et al. | — | 2024 | → |
| Prevalence and Treatment of Substance Misuse in Older Adults: Beyond Early Adulthood. | Hu J et al. | — | 2024 | → |
| Relationship Between Alcohol Use and Firearm-Involved Suicide: Findings From the National Violent Death Reporting System, 2003-2020. | Kim KV et al. | — | 2024 | → |
| Sex- and estrous-related response patterns for alcohol depend critically on the level of compulsion-like challenge. | De Oliveira Sergio T et al. | — | 2024 | → |
| Sex Differences in Alcohol Use: Is It All About Hormones? | Maddern XJ et al. | — | 2024 | → |
| Sex Differences in Mouse Models of Voluntary Alcohol Drinking and Abstinence-Induced Negative Emotion. | Salazar AL et al. | — | 2024 | → |
| Sexual and gender identities and alcohol use during the COVID-19 pandemic. | Stewart SD et al. | — | 2024 | → |
| The burden of alcohol-related cardiovascular complications in young and middle-aged adults: rising burden of atrial fibrillation and hypertensive heart disease. | Danpanichkul P et al. | — | 2024 | → |
| The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review. | Holland-Winkler AM et al. | — | 2024 | → |
| The Impact of Old Age Pension Eligibility on Alcohol Consumption: Evidence From a Population-Based Study in Rural South Africa. | Jock J et al. | — | 2024 | → |
| The Interaction between Education and Sex with Alcohol Consumption during the COVID-19 Pandemic: A Cross-Sectional Analysis of Two Brazilian Cities. | Diniz AP et al. | — | 2024 | → |
| The trends and incidence of alcohol-associated hepatitis hospitalizations from 2016-2020 and the impact of the COVID-19 pandemic. | Ghai MB et al. | — | 2024 | → |
| The web-based self-reported survey of Alcohol Use Disorders Identification Test and associated factors in Japan. | Toyama T et al. | — | 2024 | → |
| Treatment of alcohol use disorder in patients with alcohol-associated liver disease: Innovative approaches and a call to action. | Haque LY et al. | — | 2024 | → |
| Trends in binge drinking in the United States by LGBTQ+ identity, gender, and age, 2014-2022. | McKetta S et al. | — | 2024 | → |
| Trends in marijuana and heavy alcohol use by cigarette smoking status among US adults: An analysis of the 2002-2019 NSDUH. | Rich JJ et al. | — | 2024 | → |
| Umbrella review and Delphi study on modifiable factors for dementia risk reduction. | Rosenau C et al. | — | 2024 | → |
| Understanding alcohol use and alcohol use disorders from a developmental psychopathology perspective: Research advances, challenges, and future directions. | Chassin L et al. | — | 2024 | → |
| Age 18-30 trajectories of binge drinking frequency and prevalence across the past 30 years for men and women: Delineating when and why historical trends reversed across age. | Jager J et al. | — | 2023 | → |
| Age, period and cohort effects on alcohol-related risky behaviours in Australia from 2001 to 2016. | Yuen WS et al. | — | 2023 | → |
| Age Specificity of Effects of Health Problems on Drinking Reduction: A Lifespan Developmental Analysis. | Lee MR et al. | — | 2023 | → |
| Alcohol and aging - An area of increasing concern. | White AM et al. | — | 2023 | → |
| Alcohol Consumption During the First Year of the COVID-19 Pandemic in the United States: Results From a Nationally Representative Longitudinal Survey. | Barbosa C et al. | — | 2023 | → |
| Alcohol Use Disorder Symptoms Reported during Midlife: Results from the Monitoring the Future Study among US Adults at Modal Ages 50, 55, and 60. | Patrick ME et al. | — | 2023 | → |
| Alcohol use in the older adult US population: Trends, causes, and consequences. | Keyes KM | — | 2023 | → |
| Are Cisgender Women and Transgender and Nonbinary People Drinking More During the COVID-19 Pandemic? It Depends. | Veldhuis CB et al. | — | 2023 | → |
| A Reversible Cause of Cutaneous Rash in a Patient With Alcohol Consumption. | Haider A et al. | — | 2023 | → |
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| Associations of childhood maltreatment with binge eating and binge drinking in emerging adult women. | Friedman JK et al. | — | 2023 | → |
| Astrocyte Reactivity and Neurodegeneration in the Female Rat Brain Following Alcohol Dependence. | Guerin SP et al. | — | 2023 | → |
| A systematic review of sex/gender differences in the multi-dimensional neurobiological mechanisms in addiction and their relevance to impulsivity. | Maxwell AM et al. | — | 2023 | → |
| Brain volumes in alcohol use disorder: Do females and males differ? A whole-brain magnetic resonance imaging mega-analysis. | Maggioni E et al. | — | 2023 | → |
| Cannabis Recreational Legalization and Prevalence of Simultaneous Cannabis and Alcohol Use in the United States. | Gonçalves PD et al. | — | 2023 | → |
| Child and Adolescent Psychopathology and Subsequent Harmful Behaviors Associated with Premature Mortality: A Selective Review and Future Directions. | Yu RA et al. | — | 2023 | → |
| Chronic Alcohol Drinking Drives Sex-Specific Differences in Affective Behavior and Medial Prefrontal Cortex Activity in CRF1:Cre:tdTomato Transgenic Rats. | Quadir SG et al. | — | 2023 | → |
| Cohort effects of women's mid-life binge drinking and alcohol use disorder symptoms in the United States: Impacts of changes in timing of parenthood. | Adams RS et al. | — | 2023 | → |
| Culturally adapted motivational interviewing's effects on drinking in response to immigration and acculturation stressors among Latinx adults with heavy drinking problems. | Hai AH et al. | — | 2023 | → |
| Demographic differences in the cascade of care for unhealthy alcohol use: A cross-sectional analysis of data from the 2015-2019 National Survey on Drug Use and Health. | Mintz CM et al. | — | 2023 | → |
| Disparities in the receipt of alcohol brief intervention: The intersectionality of sex, age, and race/ethnicity. | Parthasarathy S et al. | — | 2023 | → |
| Does the relationship between alcohol retail environment and alcohol outcomes vary by depressive symptoms? Findings from a U.S. Survey of Black, Hispanic and White drinkers. | Phillips AZ et al. | — | 2023 | → |
| Emergency Department Visits for Alcohol-Associated Falls Among Older Adults in the United States, 2011 to 2020. | Yuan K et al. | — | 2023 | → |
| Excessive Consumption of Alcoholic Beverages and Extremely High Levels of High-Density Lipoprotein Cholesterol (HALP) in the ELSA-Brasil Cohort Baseline. | Enriquez-Martinez OG et al. | — | 2023 | → |
| Gender Differences in Risks of Suicide and Suicidal Behaviors in the USA: A Narrative Review. | Carretta RF et al. | — | 2023 | → |
| Grounding alcohol simulation models in empirical and theoretical alcohol research: a model for a Northern Plains population in the United States. | Deutsch AR et al. | — | 2023 | → |
| Hazardous drinking by older adults with chronic conditions during the COVID-19 pandemic: Evidence from a Chicago-based cohort. | Phillips AZ et al. | — | 2023 | → |
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| Linking Historical Discriminatory Housing Patterns to the Contemporary Alcohol Environment. | Sadler RC et al. | — | 2023 | → |
| Liquor consumption is associated with other medical conditions in females who consume alcohol. | Verplaetse TL et al. | — | 2023 | → |
| Longitudinal associations between age 20 problematic substance use and opioid use disorder incidence at age 30 - findings from an urban cohort. | Thrul J et al. | — | 2023 | → |
| Management of alcohol use disorder in patients with chronic liver disease. | Mellinger JL et al. | — | 2023 | → |
| Neighborhood Alcohol Outlet Density, Historical Redlining, and Violent Crime in NYC 2014-2018. | Haley SJ et al. | — | 2023 | → |
| Neuroimaging-Derived Predicted Brain Age and Alcohol Use Among Community-Dwelling Older Adults. | Funk-White M et al. | — | 2023 | → |
| Predictors and prevalence of hazardous alcohol use in middle-late to late adulthood in Europe. | Tschorn M et al. | — | 2023 | → |
| Prelimbic neuron calcium activity predicts perceived hedonic value across drinking solutions and ethanol dependent states in mice | Rinker JA et al. | — | 2023 | — |
| Prevention Science and Health Equity: A Comprehensive Framework for Preventing Health Inequities and Disparities Associated with Race, Ethnicity, and Social Class. | Biglan A et al. | — | 2023 | → |
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| Strategies to support midlife women to reduce their alcohol consumption: an Australian study using human-centred design. | Miller M et al. | — | 2023 | → |
| Stress and gonadal steroid influences on alcohol drinking and withdrawal, with focus on animal models in females. | Finn DA | — | 2023 | → |
| Structural sexism moderates work and occupational risks for alcohol consumption and binge drinking among US women, 1989-2016. | McKetta S et al. | — | 2023 | → |
| Tauopathy and alcohol consumption interact to alter locus coeruleus excitatory transmission and excitability in male and female mice. | Downs AM et al. | — | 2023 | → |
| The association between temperature and alcohol- and substance-related disorder hospital visits in New York State. | Parks RM et al. | — | 2023 | → |
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| The great decline in adolescent risk behaviours: Unitary trend, separate trends, or cascade? | Ball J et al. | — | 2023 | → |
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| The Potential for Prevention Science in Middle and Late Adulthood: a Commentary on the Special Issue of Prevention Science. | Epstein M et al. | — | 2023 | → |
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| Trends in Unhealthy Lifestyle Factors among Adults with Stroke in the United States between 1999 and 2018. | Liu Y et al. | — | 2023 | → |
| Unraveling Lifelong Brain Morphometric Dynamics: A Protocol for Systematic Review and Meta-Analysis in Healthy Neurodevelopment and Ageing. | Statsenko Y et al. | — | 2023 | → |
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| Age, Period, and Cohort Effects in Alcohol Use in the United States in the 20th and 21st Centuries: Implications for the Coming Decades. | Keyes KM | — | 2022 | → |
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| American Cancer Society's report on the status of cancer disparities in the United States, 2021. | Islami F et al. | — | 2022 | → |
| An observational epidemiological study to analyze intracerebral hemorrhage across the United States: Incidence and mortality trends from 1990 to 2017. | DeLago AJ et al. | — | 2022 | → |
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| Early-Onset Cardiovascular Disease From Cocaine, Amphetamines, Alcohol, and Marijuana. | O'Keefe EL et al. | — | 2022 | → |
| High-Risk Drinkers Engage Distinct Stress-Predictive Brain Networks. | Goldfarb EV et al. | — | 2022 | → |
| Investigating Why and How Young Adults Use Protective Behavioral Strategies for Alcohol and Marijuana Use: Protocol for Developing a Randomized Controlled Trial. | Lewis MA et al. | — | 2022 | → |
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| Modeling alcohol use disorder as a set of interconnected symptoms - Assessing differences between clinical and population samples and across external factors. | Huth KBS et al. | — | 2022 | → |
| Pilot examination of stress, heart rate variability, and alcohol craving and use among female veterans. | Holzhauer CG et al. | — | 2022 | → |
| Predicting severe alcohol use disorders in primary care using number of heavy drinking days. | Metz VE et al. | — | 2022 | → |
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| Relationships of Cannabis Policy Liberalization With Alcohol Use and Co-Use With Cannabis: A Narrative Review. | Pacula RL et al. | — | 2022 | → |
| Researching Mitigation of Alcohol Binge Drinking in Polydrug Abuse: KCNK13 and RASGRF2 Gene(s) Risk Polymorphisms Coupled with Genetic Addiction Risk Severity (GARS) Guiding Precision Pro-Dopamine Regulation. | Blum K et al. | — | 2022 | → |
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| Seeking care where they can: A systematic review of global trends in online alcohol treatment utilization among non-veteran and veteran women. | Simpson T et al. | — | 2022 | → |
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| Binge-like ethanol drinking activates anaplastic lymphoma kinase signaling and increases the expression of STAT3 target genes in the mouse hippocampus and prefrontal cortex. | Hamada K et al. | — | 2021 | → |
| Calendar Month Variation in Alcohol and Marijuana Use in a Community Sample of Young Adults. | Fleming CB et al. | — | 2021 | → |
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| Declining Life Expectancy in the United States: Missing the Trees for the Forest. | Harper S et al. | — | 2021 | → |
| Functional-Belief-Based Alcohol Use Questionnaire (FBAQ) as a Pre-Screening Tool for High-Risk Drinking Behaviors among Young Adults: A Northern Thai Cross-Sectional Survey Analysis. | Yingchankul N et al. | — | 2021 | → |
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| Harmful drinking, tobacco, and marijuana use in the 2000-2015 National Alcohol Surveys: Examining differential trends by sexual identity. | Drabble LA et al. | — | 2021 | → |
| High-Risk Sexual Behavior, Binge Drinking and Use of Stimulants are Key Experiences on the Pathway to High Perceived HIV Risk Among Men Who Have Sex with Men in Brazil. | Luz PM et al. | — | 2021 | → |
| Imputing pre-diagnosis health behaviour in cancer registry data and investigating its relationship with oesophageal cancer survival time. | Fahey PP et al. | — | 2021 | → |
| Interested constituents: identifying groups to mobilize in community organizing efforts to strengthen alcohol control policies. | Trangenstein PJ et al. | — | 2021 | → |
| Is substance use changing because of the COVID-19 pandemic? Conceptual and methodological considerations to delineating the impact of the COVID-19 pandemic on substance use and disorder. | Jager J et al. | — | 2021 | → |
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| Proportion of cancer cases and deaths attributable to alcohol consumption by US state, 2013-2016. | Goding Sauer A et al. | — | 2021 | → |
| Rates and predictors of brief intervention for women veterans returning from recent wars: Examining gaps in service delivery for unhealthy alcohol use. | Pugatch M et al. | — | 2021 | → |
| Reactive, Adult Neurogenesis From Increased Neural Progenitor Cell Proliferation Following Alcohol Dependence in Female Rats. | Nawarawong NN et al. | — | 2021 | → |
| Recent Perspectives on Sex Differences in Compulsion-Like and Binge Alcohol Drinking. | Radke AK et al. | — | 2021 | → |
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