High Intensity Drinking (HID) Assessed by Maximum Quantity Consumed Is an Important Pattern Measure Adding Predictive Value in Higher and Lower Income Societies for Modeling Alcohol-Related Problems

Thomas K. Greenfield, Camillia K. Lui, Won K. Cook, Katherine J. Karriker-Jaffe, Libo Li, Sharon C. Wilsnack, Kim Bloomfield, Robin Room, Anne-Marie Laslett, Jason Bond, Rachael Korcha and The GENAHTO Consortium
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Thomas K. Greenfield: Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA
Camillia K. Lui: Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA
Won K. Cook: Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA
Katherine J. Karriker-Jaffe: Community Health & Implementation Research Program, Research Triangle Institute, Berkeley Office, CA 94704, USA
Libo Li: Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA
Sharon C. Wilsnack: Department of Psychiatry and Behavioral Science, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND 94704, USA
Kim Bloomfield: Centre for Alcohol and Drug Research, School of Business and Social Sciences, Aarhus University, 2400 Copenhagen, Denmark
Robin Room: Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University (Melbourne Campus), Bundoora, VIC 3086, Australia
Anne-Marie Laslett: Centre for Alcohol Policy Research, School of Psychology and Public Health, La Trobe University (Melbourne Campus), Bundoora, VIC 3086, Australia
Jason Bond: Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA
Rachael Korcha: Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA

IJERPH, 2023, vol. 20, issue 4, 1-17

Abstract: Adjusting for demographics and standard drinking measures, High Intensity Drinking (HID), indexed by the maximum quantity consumed in a single day in the past 12 months, may be valuable in predicting alcohol dependence other harms across high and low income societies. The data consisted of 17 surveys of adult (15,460 current drinkers; 71% of total surveyed) in Europe (3), the Americas (8), Africa (2), and Asia/Australia (4). Gender-disaggregated country analyses used Poison regression to investigate whether HID (8–11, 12–23, 24+ drinks) was incrementally influential, beyond log drinking volume and HED (Heavy Episodic Drinking, or 5+ days), in predicting drinking problems, adjusting for age and marital status. In adjusted models predicting AUDIT-5 for men, adding HID improved the overall model fit for 11 of 15 countries. For women, 12 of 14 countries with available data showed an improved fit with HID included. The results for the five Life-Area Harms were similar for men. Considering the results by gender, each country showing improvements in model fit by adding HID had larger values of the average difference between high intensity and usual consumption, implying variations in amounts consumed on any given day. The amount consumed/day often greatly exceeded HED levels. In many societies of varying income levels, as hypothesized, HID provided important added information on drinking patterns for predicting harms, beyond the standard volume and binging indicators.

Keywords: alcohol; drinking patterns; alcohol problems; cross-national; surveys; measurement; policy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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