Marta Donat1, Gregorio Barrio2, José Pulido3, César Pérez4, María J Belza5, Enrique Regidor6. 1. National School of Public Health, Carlos III Health Institute, Madrid, Spain; Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain. Electronic address: m.donat@isciii.es. 2. National School of Public Health, Carlos III Health Institute, Madrid, Spain; Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain. Electronic address: gbarrio@isciii.es. 3. Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain; Department of Public Health & Maternal and Child Health, Faculty of Medicine, Universidad Complutense, Madrid, Spain. Electronic address: josepuli@ucm.es. 4. National School of Public Health, Carlos III Health Institute, Madrid, Spain. Electronic address: cesar.perez@isciii.es. 5. National School of Public Health, Carlos III Health Institute, Madrid, Spain; Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain. Electronic address: mbelza@isciii.es. 6. Biomedical Research Center Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain; Department of Public Health & Maternal and Child Health, Faculty of Medicine, Universidad Complutense, Madrid, Spain; Health Research Institute of San Carlos (IdISSC), Madrid, Spain. Electronic address: enriqueregidor@hotmail.com.
Abstract
BACKGROUND: The public health impact of binge drinking depends on its population prevalence and its frequency and intensity among binge drinkers. The objective is to assess the consistency of time trends and age-sex disparities between binge-drinking prevalence and binge-drinking exposure indicators that combine such prevalence with the number of binge-drinking days among binge drinkers. METHODS: Data come from 11 biennial national household surveys from 1997 to 2017 in young (15-34 years) and middle-aged adults (35-64 years) in Spain (n = 211,961). Binge-drinking was the intake of 5+ standard drinks (4+ in women from 2009 onwards) in approximately two hours. Three monthly indicators were analyzed: binge-drinking prevalence, population rate of binge-drinking days, and proportion of drinking days with binge drinking. Results were stratified for sex and two age groups. Annual percent changes (APCs), ratios of young to middle-aged people (age ratios) and men-to-women ratios were obtained from negative binomial regression. RESULTS: Although the three indicators showed considerable consistency as an intense increase in binge drinking from 2009 to 2017 among middle-aged people, especially women, there were relevant inconsistencies. In 2009-2017 the APCs for prevalence and rate were +1.3 % and -1.6 %, respectively, in young women, and -0.6 % and -3.0 % in young men. Age ratios were significantly higher for prevalence and proportional ratio than rates, while men-to-women ratios were lower, especially in middle-aged people. CONCLUSIONS: Adequate monitoring of binge drinking should incorporate indicators of absolute exposure, which better reflect its impact on public health, such as the population rate of binge-drinking days.
BACKGROUND: The public health impact of binge drinking depends on its population prevalence and its frequency and intensity among binge drinkers. The objective is to assess the consistency of time trends and age-sex disparities between binge-drinking prevalence and binge-drinking exposure indicators that combine such prevalence with the number of binge-drinking days among binge drinkers. METHODS: Data come from 11 biennial national household surveys from 1997 to 2017 in young (15-34 years) and middle-aged adults (35-64 years) in Spain (n = 211,961). Binge-drinking was the intake of 5+ standard drinks (4+ in women from 2009 onwards) in approximately two hours. Three monthly indicators were analyzed: binge-drinking prevalence, population rate of binge-drinking days, and proportion of drinking days with binge drinking. Results were stratified for sex and two age groups. Annual percent changes (APCs), ratios of young to middle-aged people (age ratios) and men-to-women ratios were obtained from negative binomial regression. RESULTS: Although the three indicators showed considerable consistency as an intense increase in binge drinking from 2009 to 2017 among middle-aged people, especially women, there were relevant inconsistencies. In 2009-2017 the APCs for prevalence and rate were +1.3 % and -1.6 %, respectively, in young women, and -0.6 % and -3.0 % in young men. Age ratios were significantly higher for prevalence and proportional ratio than rates, while men-to-women ratios were lower, especially in middle-aged people. CONCLUSIONS: Adequate monitoring of binge drinking should incorporate indicators of absolute exposure, which better reflect its impact on public health, such as the population rate of binge-drinking days.
Authors: Marta Donat; Gregorio Barrio; Juan-Miguel Guerras; Lidia Herrero; José Pulido; María-José Belza; Enrique Regidor Journal: Int J Environ Res Public Health Date: 2022-04-05 Impact factor: 3.390