Survey Finds Binge Drinking Among Older People, Too

Often unrecognized problem can escalate risks, experts say

Posted: August 17, 2009

MONDAY, Aug. 17 (HealthDay News) -- Binge drinking isn't just a problem of young people, researchers say.

In a nationwide survey of people 50 to 64 years old, nearly a quarter of the men and nine percent of the women told Duke University researchers they had engaged in binge drinking in the previous 30 days.

Defined as five or more alcoholic drinks in a short time, binge drinking is considered extremely risky behavior, and its dangers increase with age.

The survey also found that 14 percent of men and three percent of women 65 and older reported binge drinking in the previous month.

The survey results were published online Aug. 17 in the American Journal of Psychiatry.

"We feel that our findings are important to the public health of middle-aged and elderly persons as they point to a potentially unrecognized problem that often flies beneath the typical screen for alcohol problems in psychiatry practices," Dr. Dan G. Blazer of Duke, a study co-author, said in a news release. "Clinicians who work with this age group would be well advised to ask specifically about binge drinking."

The researchers examined data on the drinking habits of nearly 11,000 middle-age and older adults from the 2005 and 2006 National Survey on Drug Use and Health.

They found that older binge drinkers were more likely to use tobacco or illicit drugs than those reporting no alcohol use. Male binge drinkers tended to be unmarried and have higher income than non-drinkers. Women binge drinkers reported higher non-medical use of prescription drugs.

Binge drinking, also called extreme drinking, has gained notoriety in recent years as experts have decried the drinking habits of college students and young people. In one study, nearly 50 percent of college students reported consuming excessive alcohol in a short time.

Binge drinking at any age can lead to alcohol poisoning, liver disease, neurological damage, injuries and violent crimes.

More information

The U.S. National Institute on Alcohol Abuse and Alcoholism has more on alcohol abuse.

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Harm Reduction for Alcohol

Whereas I understand that the definition of binge drinking as more than four standard drinks in a single sitting comes from a branch of the US government called the NIAAA, I believe that it is important to note that this definition carries some major inherent problems with it. What is problematic is that this definition fails to take into account the fact that there is a tremendous amount of difference in the potential harm of drinking five beers in a day as compared to drinking a case of beer or a liter of vodka in a day. If it were possible to make prohibition work and to make everyone abstinent from alcohol then this definition of binge drinking might be useful. However, prohibition was a miserable failure and it is unlikely that all Americans will give up all alcohol at any time in the near future.

Therefore, it is much more realistic and helpful to view binge drinking from a harm reductionist perspective. From a harm reductionist perspective it is far, far better to drink only five beers in a sitting than to drink a case of beer at one sitting. It is also far better to drink five beers only once a month than to drink five beers every day of the month. The harm reductionist perspective tells us that it is important to recognize and to encourage every positive change. The person who cuts down from a case of beer per day to five beers per day is making major progress and is to be commended for it. Only a neo-prohibitionist perspective would try to condemn people for doing better.

Kenneth Anderson - Executive Director of The HAMS Harm Reduction Network

http://hamsnetwork.org

Kenneth Anderson of NY @ Aug 21, 2009 01:08:58 AM

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