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Distribution of Drinks Consumed by U.S. Adults by Average Daily Alcohol Consumption: A Comparison of 2 Nationwide Surveys

      Introduction

      Estimates of alcohol consumption in the Behavioral Risk Factor Surveillance System are generally lower than those in other surveys of U.S. adults. This study compares the estimates of adults’ drinking patterns and the distribution of drinks consumed by average daily alcohol consumption from 2 nationwide telephone surveys.

      Methods

      The 2014–2015 National Alcohol Survey (n=7,067) and the 2015 Behavioral Risk Factor Surveillance System (n=408,069) were used to assess alcohol consumption among adults (≥18 years), analyzed in 2019. The weighted prevalence of binge-level drinking and the distribution of drinks consumed by average daily alcohol consumption (low, medium, high) were assessed for the previous 12 months using the National Alcohol Survey and the previous 30 days using the Behavioral Risk Factor Surveillance System, stratified by respondents’ characteristics.

      Results

      The prevalence of binge-level drinking in a day was 26.1% for the National Alcohol Survey; the binge drinking prevalence was 17.4% for the Behavioral Risk Factor Surveillance System. The prevalence of high average daily alcohol consumption among current drinkers was 8.2% for the National Alcohol Survey, accounting for 51.0% of total drinks consumed, and 3.3% for the Behavioral Risk Factor Surveillance System, accounting for 27.7% of total drinks consumed.

      Conclusions

      National Alcohol Survey yearly prevalence estimates of binge-level drinking in a day and high average daily consumption were consistently greater than Behavioral Risk Factor Surveillance System monthly binge drinking and high average daily consumption prevalence estimates. When planning and evaluating prevention strategies, the impact of different survey designs and methods on estimates of excessive drinking and related harms is important to consider.
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      REFERENCES

        • Stahre M
        • Roeber J
        • Kanny D
        • Brewer RD
        • Zhang X
        Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States.
        Prev Chronic Dis. 2014; 11: E109https://doi.org/10.5888/pcd11.130293
        • Sacks JJ
        • Gonzales KR
        • Bouchery EE
        • Tomedi LE
        • Brewer RD
        2010 national and state costs of excessive alcohol consumption.
        Am J Prev Med. 2015; 49: e73-e79https://doi.org/10.1016/j.amepre.2015.05.031
        • WHO
        Global Status Report on Alcohol and Health 2018.
        WHO, Geneva, Switzerland2018
        • Rehm J
        • Kehoe T
        • Gmel G
        • Stinson F
        • Grant B
        • Gmel G
        Statistical modeling of volume of alcohol exposure for epidemiological studies of population health: the U.S. example.
        Popul Health Metr. 2010; 8: 3https://doi.org/10.1186/1478-7954-8-3
        • Kanny D
        • Naimi TS
        • Liu Y
        • Lu H
        • Brewer RD
        Annual total binge drinks consumed by U.S. adults, 2015.
        Am J Prev Med. 2018; 54: 486-496https://doi.org/10.1016/j.amepre.2017.12.021
        • Rehm J
        • Greenfield TK
        • Walsh G
        • Xie X
        • Robson L
        • Single E
        Assessment methods for alcohol consumption, prevalence of high risk drinking and harm: a sensitivity analysis.
        Int J Epidemiol. 1999; 28: 219-224https://doi.org/10.1093/ije/28.2.219
      1. Indicator definitions - alcohol. Centers for Disease Control and Prevention.http://www.cdc.gov/cdi/definitions/alcohol.html#ALC5_1. Updated April 6, 2017. Accessed August 27, 2020.

        • Grucza RA
        • Sher KJ
        • Kerr WC
        • et al.
        Trends in adult alcohol use and binge drinking in the early 21st-century United States: a meta-analysis of 6 national survey series.
        Alcohol Clin Exp Res. 2018; 42: 1939-1950https://doi.org/10.1111/acer.13859
        • Miller JW
        • Gfroerer JC
        • Brewer RD
        • Naimi TS
        • Mokdad A
        • Giles WH
        Prevalence of adult binge drinking: a comparison of two national surveys.
        Am J Prev Med. 2004; 27: 197-204https://doi.org/10.1016/j.amepre.2004.05.004
        • Nelson DE
        • Naimi TS
        • Brewer RD
        • Roeber J
        U.S. state alcohol sales compared to survey data, 1993–2006.
        Addiction. 2010; 105: 1589-1596https://doi.org/10.1111/j.1360-0443.2010.03007.x
        • Greenfield TK
        Ways of measuring drinking patterns and the difference they make: experience with graduated frequencies.
        J Subst Abuse. 2000; 12: 33-49https://doi.org/10.1016/s0899-3289(00)00039-0
        • Kerr WC
        • Greenfield TK
        Distribution of alcohol consumption and expenditures and the impact of improved measurement on coverage of alcohol sales in the 2000 National Alcohol Survey.
        Alcohol Clin Exp Res. 2007; 31: 1714-1722https://doi.org/10.1111/j.1530-0277.2007.00467.x
        • Stockwell T
        • Zhao J
        • Greenfield T
        • Li J
        • Livingston M
        • Meng Y
        Estimating under‐ and over‐reporting of drinking in national surveys of alcohol consumption: identification of consistent biases across four English‐speaking countries.
        Addiction. 2016; 111: 1203-1213https://doi.org/10.1111/add.13373
        • Greenfield TK
        • Kerr WC
        • Bond J
        • Ye Y
        • Stockwell T
        Improving graduated frequencies alcohol measures for monitoring consumption patterns: results from an Australian national survey and a U.S. diary validity study.
        Contemp Drug Probl. 2009; 3675056015https://doi.org/10.1177/009145090903600320
        • Esser MB
        • Guy Jr, GP
        • Zhang K
        • Brewer RD
        Binge drinking and prescription opioid misuse in the U.S., 2012-2014.
        Am J Prev Med. 2019; 57: 197-208https://doi.org/10.1016/j.amepre.2019.02.025
        • Stockwell T
        • Zhao J
        • Sherk A
        • Rehm J
        • Shield K
        • Naimi T
        Underestimation of alcohol consumption in cohort studies and implications for alcohol's contribution to the global burden of disease.
        Addiction. 2018; 113: 2245-2249https://doi.org/10.1111/add.14392
      2. 2015 BRFSS survey data and documentation. Centers for Disease Control and Prevention. http://www.cdc.gov/brfss/annual_data/annual_2015.html. Updated August 11, 2017. Accessed June 15, 2020.

        • Karriker-Jaffe KJ
        • Greenfield TK
        • Kaplan LM
        Distress and alcohol-related harms from intimates, friends, and strangers.
        J Subst Use. 2017; 22: 434-441https://doi.org/10.1080/14659891.2016.1232761
        • Pierannunzi C
        • Hu SS
        • Balluz L
        A systematic review of publications assessing reliability and validity of the Behavioral Risk Factor Surveillance System (BRFSS), 2004-2011.
        BMC Med Res Methodol. 2013; 13: 49https://doi.org/10.1186/1471-2288-13-49
        • Midanik LT
        • Ye Y
        • Greenfield TK
        • Kerr W
        Missed and inconsistent classification of current drinkers: results from the 2005 U.S. National Alcohol Survey.
        Addiction. 2013; 108: 348-355https://doi.org/10.1111/j.1360-0443.2012.04079.x
        • Serdula MK
        • Mokdad AH
        • Byers T
        • Siegel PZ
        Assessing alcohol consumption: beverage-specific versus grouped-beverage questions.
        J Stud Alcohol. 1999; 60: 99-102https://doi.org/10.15288/jsa.1999.60.99
        • Greenfield TK
        • Kerr WC
        Alcohol measurement methodology in epidemiology: recent advances and opportunities.
        Addiction. 2008; 103: 1082-1099https://doi.org/10.1111/j.1360-0443.2008.02197.x
        • Singer E
        • Van Hoewyk J
        • Maher MP
        Experiments with incentives in telephone surveys.
        Public Opin Q. 2000; 64: 171-188https://doi.org/10.1086/317761
        • Boniface S
        • Kneale J
        • Shelton N
        Drinking pattern is more strongly associated with under-reporting of alcohol consumption than socio-demographic factors: evidence from a mixed-methods study.
        BMC Public Health. 2014; 14: 1297https://doi.org/10.1186/1471-2458-14-1297
        • Stockwell T
        • Zhao J
        • Macdonald S
        Who under-reports their alcohol consumption in telephone surveys and by how much? An application of the ‘yesterday method’ in a national Canadian substance use survey.
        Addiction. 2014; 109: 1657-1666https://doi.org/10.1111/add.12609
        • Johnson TP
        • Wislar JS
        Response rates and nonresponse errors in surveys.
        JAMA. 2012; 307: 1805-1806https://doi.org/10.1001/jama.2012.3532
        • Kerr WC
        • Greenfield TK
        • Midanik LT
        How many drinks does it take you to feel drunk? Trends and predictors for subjective drunkenness.
        Addiction. 2006; 101: 1428-1437https://doi.org/10.1111/j.1360-0443.2006.01533.x
      3. Excessive alcohol consumption. The Community Guide.http://www.thecommunityguide.org/topic/excessive-alcohol-consumption. Accessed June 15, 2020.