Titre : | Consideration of an upper-bound continuous maximum drinks measure for adolescent binge and high-intensity drinking prevalence (2021) |
Auteurs : | M. E. PATRICK ; Y. M. TERRY-McELRATH |
Type de document : | Article : Périodique |
Dans : | Alcoholism: Clinical and Experimental Research (Vol.45, n°9, September 2021) |
Article en page(s) : | 1821-1828 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés ADOLESCENT ; PREVALENCE ; ALCOOL ; ABUS ; COMPARAISON ; SEXE ; METHODE ; EPIDEMIOLOGIE |
Mots-clés: | Monitoring the Future |
Résumé : |
BACKGROUND: The degree to which binge and high-intensity drinking prevalence estimates vary from fixed threshold frequency and continuous maximum drinks measures is unknown. The current study compared prevalence estimates for adolescent binge and high-intensity drinking (5+ drinks, 10+ drinks, respectively) and sex-specific thresholds using fixed threshold frequency and continuous maximum drinks measures.
METHODS: Data were obtained from 7911 respondents participating in the 2018 and 2019 nationally representative Monitoring the Future 12th-grade surveys. Comparisons of frequency prevalence (e.g., any occasions of 5+ drinking using the frequency measure) versus maximum drinks prevalence (e.g., reporting 5 or more drinks using the maximum number of drinks measure) were made using all respondents and then separately within males and females. RESULTS: Among the sample overall and within sex, binge drinking estimates from the 5+ frequency prevalence and 5+ maximum drinks prevalence measures evidenced overlapping confidence intervals (estimates were slightly higher for frequency prevalence); similar results were observed for high-intensity drinking 10+ frequency prevalence and 10+ maximum drinks prevalence. For example, among the sample overall, 5+ frequency prevalence was 11.4% [95% CI 10.3, 12.6]; 5+ maximum drinks prevalence was 10.7% [9.6, 11.8]; 10+ frequency prevalence was 5.1% [4.4, 5.8]; and 10+ maximum drinks prevalence was 4.1% [3.5, 4.7]. Using sex-specific thresholds (i.e., 4+ drinks for females and 5+ drinks for males), binge frequency and maximum drinks levels also had overlapping confidence intervals. Binge drinking prevalence estimates for females were approximately 1.5 times higher using sex-specific (4+) versus universal (5+) thresholds. CONCLUSIONS: In this nationally representative sample of 12th-grade students, prevalence levels for 5+ and 10+ drinking did not differ significantly when using frequency versus maximum drinks measures. Among females, binge drinking prevalence was higher using sex-specific versus universal thresholds. Both the frequency and maximum drinks measures provided comparable estimates of binge and high-intensity drinking prevalence among older adolescents. |
Domaine : | Alcool / Alcohol |
Affiliation : | Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA |
Lien : | https://doi.org/10.1111/acer.14676 |
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