Benjamin Rolland1, Ingrid de Chazeron2, Françoise Carpentier3, Fares Moustafa4, Alain Viallon5, Xavier Jacob6, Patrick Lesage7, Delphine Ragonnet8, Annick Genty9, Julie Geneste10, Emmanuel Poulet11, Maurice Dematteis12, Pierre-Michel Llorca2, Mickaël Naassila13, Georges Brousse2. 1. INSERM ERi24-GRAP, Université Picardie Jules Verne, Amiens, F-80025, France. Electronic address: benjrolland@gmail.com. 2. Univ. Clermont 1, UFR Médecine, EA7280, Clermont-Ferrand, F-63001, France; CHU Clermont-Ferrand, Psychiatrie B, Clermont-Ferrand, F-63003, France. 3. Univ. J. Fourrier, Grenoble, F38042, France; CHU de Grenoble, Pôle Urgence/Médecine Aiguë, Grenoble, F-38043, France. 4. CHU Clermont-Ferrand, Pôle SAMU-SMUR-Urgences, Service Urgences Adultes, Clermont-Ferrand, F-63003, France. 5. CHU Saint-Etienne, Urgences Adulte, Saint-Priest-en-Jarez, F-42270, France. 6. Centre Hospitalier Lyon-sud, Service des Urgences, Pierre Benite, F-69310, France. 7. Centre Hospitalier Métropole Savoie, Service des Urgences, Chambéry, F-73011, France. 8. Equipe de Liaison et de Soins en Addictologie (ELSA) et Centre de Soins, d'Accompagnement et de Prévention en Addictologie (CSAPA), Centre Hospitalier Universitaire de Lyon, Groupement Hospitalier Edouard Herriot - HCL, Lyon F-69437, France. 9. CHU Clermont-Ferrand, Service des Urgences Psychiatriques, Clermont-Ferrand, F-63003, France. 10. Université Grenoble Alpes, Faculté de Médecine, Grenoble F-38042, France; CHU de Grenoble, Addictologie, Grenoble F-38043, France. 11. Psychiatrie des Urgences - Groupement Hospitalier Edouard Herriot, EA 4615 « SIPAD », Université Lyon 1 - CH Le Vinatier, Lyon, F 69000, France. 12. Clinique d'Addictologie, CHU de Grenoble, Université Grenoble Alpes, Grenoble, France. 13. INSERM ERi24-GRAP, Université Picardie Jules Verne, Amiens, F-80025, France.
Abstract
BACKGROUND: Binge drinking (BD) consists of heavy episodic alcohol use. Whereas the World Health Organization (WHO) defines BD as 60g of alcohol or more per occasion, the National Institute on Alcoholism and Alcohol Abuse (NIAAA) conceives BD as drinking 70g (men) or 56g (women) in less than two hours. We compared the subjects delineated by each definition. METHODS: Eight-center cross-sectional study among 11,695 subjects hospitalized in emergency wards. Participants completed the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C), CAGE and Rapid Alcohol Problem Screen 4 (RAPS4-QF) questionnaires. The WHO criteria were investigated using the RAPS4-QF. Independent questions assessed the NIAAA criteria. The main medical admission motive was noted. The characteristics of subjects meeting respectively: 1) the exclusive WHO criteria (BD1); 2) the NIAAA criteria (BD2); and 3) no BD criteria (noBD) were compared using multinomial regression analyses. Binary age- and gender-adjusted regression analyses directly compared BD1 and BD2. Subjects with at least four drinking occasions per week were excluded from the analyses, to withdrawn regular heavy drinking. RESULTS: Compared to BD1, BD2 subjects were more frequently males (OR=1.67 [1.39-2.0]), single (aOR=1.64 [1.36-1.98]) and unemployed (aOR=1.57 [1.27-1.90]). BD2 reported significantly more drinks per occasion, and higher heavy drinking frequencies. Previous alcohol-related remarks from family (aOR=3.00 [2.53-3.56]), ever drinking on waking-up (aOR=2.05 [1.37-2.72]), and admission for psychiatric motive (aOR=2.27 [1.68-3.07]) were more frequent among BD2 subjects. CONCLUSIONS: Compared to WHO criteria, NIAAA criteria for BD delineate subjects with more concerning drinking patterns and alcohol aftermaths.
BACKGROUND: Binge drinking (BD) consists of heavy episodicalcohol use. Whereas the World Health Organization (WHO) defines BD as 60g of alcohol or more per occasion, the National Institute on Alcoholism and Alcohol Abuse (NIAAA) conceives BD as drinking 70g (men) or 56g (women) in less than two hours. We compared the subjects delineated by each definition. METHODS: Eight-center cross-sectional study among 11,695 subjects hospitalized in emergency wards. Participants completed the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C), CAGE and Rapid Alcohol Problem Screen 4 (RAPS4-QF) questionnaires. The WHO criteria were investigated using the RAPS4-QF. Independent questions assessed the NIAAA criteria. The main medical admission motive was noted. The characteristics of subjects meeting respectively: 1) the exclusive WHO criteria (BD1); 2) the NIAAA criteria (BD2); and 3) no BD criteria (noBD) were compared using multinomial regression analyses. Binary age- and gender-adjusted regression analyses directly compared BD1 and BD2. Subjects with at least four drinking occasions per week were excluded from the analyses, to withdrawn regular heavy drinking. RESULTS: Compared to BD1, BD2 subjects were more frequently males (OR=1.67 [1.39-2.0]), single (aOR=1.64 [1.36-1.98]) and unemployed (aOR=1.57 [1.27-1.90]). BD2 reported significantly more drinks per occasion, and higher heavy drinking frequencies. Previous alcohol-related remarks from family (aOR=3.00 [2.53-3.56]), ever drinking on waking-up (aOR=2.05 [1.37-2.72]), and admission for psychiatric motive (aOR=2.27 [1.68-3.07]) were more frequent among BD2 subjects. CONCLUSIONS: Compared to WHO criteria, NIAAA criteria for BD delineate subjects with more concerning drinking patterns and alcohol aftermaths.