Extreme Binge Drinking Among 12th-Grade Students in the United States: Prevalence and Predictors
TL;DR: Binge drinking at the traditionally defined 5+ drinking level was common among high school seniors representative of all 12th graders in the contiguous United States, and substance-related attitudes, socializing with substance-using peers, the number of evenings out with friends, and other substance use predicted all 3 levels of binge and extreme binge drinking.
Abstract: Importance The prevalence of underage alcohol use has been studied extensively, but binge drinking among youth in the United States is not yet well understood. In particular, adolescents may drink much larger amounts than the threshold (5 drinks) often used in definitions of binge drinking. Delineating various levels of binge drinking, including extreme levels, and understanding predictors of such extreme binge drinking among youth will benefit public health efforts. Objective To examine the prevalence and predictors of 5+ (≥5 drinks) binge drinking and of 10+ (≥10 drinks) and 15+ (≥15 drinks) extreme binge drinking among 12th graders in the United States. Design, Setting, and Participants A nonclinical nationally representative sample of high school seniors in the annual Monitoring the Future study between 2005 and 2011. The sample included 16 332 high school seniors (modal age, 18 years) in the United States. Response rates were 79.1% to 84.7%. Main Outcomes and Measures Prevalence of consuming 5 or more, 10 or more, and 15 or more drinks in a row in the last 2 weeks. Results Between 2005 and 2011, a total of 20.2% of high school seniors reported 5+ binge drinking, 10.5% reported 10+ extreme binge drinking, and 5.6% reported 15+ extreme binge drinking in the last 2 weeks. Rates of 5+ binge drinking and 10+ extreme binge drinking have declined since 2005, but rates of 15+ extreme binge drinking have not significantly declined. Students with college-educated parents were more likely to consume 5 or more drinks but were less likely to consume 15 or more drinks than students whose parents were not college educated. Students from more rural areas were more likely than students from large metropolitan areas to consume 15 or more drinks. Substance-related attitudes, socializing with substance-using peers, the number of evenings out with friends, and other substance use (cigarettes and marijuana) predicted all 3 levels of binge and extreme binge drinking. Conclusions and Relevance Binge drinking at the traditionally defined 5+ drinking level was common among high school seniors representative of all 12th graders in the contiguous United States. A significant segment of students also reported extreme binge drinking at levels 2 and 3 times higher. These data suggest the importance of assessing multiple levels of binge drinking behavior and their predictors among youth to target effective screening and intervention efforts.
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TL;DR: Evidence is provided for notable across-species similarities in the neural consequences of adolescent alcohol exposure, providing support for further translational efforts in this context.
Abstract: Per occasion, alcohol consumption is higher in adolescents than in adults in both humans and laboratory animals, with changes in the adolescent brain probably contributing to this elevated drinking. This Review examines the contributors to and consequences of the use of alcohol in adolescents. Human adolescents with a history of alcohol use differ neurally and cognitively from other adolescents; some of these differences predate the commencement of alcohol consumption and serve as potential risk factors for later alcohol use, whereas others emerge from its use. The consequences of alcohol use in human adolescents include alterations in attention, verbal learning, visuospatial processing and memory, along with altered development of grey and white matter volumes and disrupted white matter integrity. The functional consequences of adolescent alcohol use emerging from studies of rodent models of adolescence include decreased cognitive flexibility, behavioural inefficiencies and elevations in anxiety, disinhibition, impulsivity and risk-taking. Rodent studies have also showed that adolescent alcohol use can impair neurogenesis, induce neuroinflammation and epigenetic alterations, and lead to the persistence of adolescent-like neurobehavioural phenotypes into adulthood. Although only a limited number of studies have examined comparable measures in humans and laboratory animals, the available data provide evidence for notable across-species similarities in the neural consequences of adolescent alcohol exposure, providing support for further translational efforts in this context.
314 citations
TL;DR: Given the higher risk of adult obesity that develops in childhood, MBS should not be withheld from adolescents when severe co-morbidities, such as depressed health-related quality of life score, type 2 diabetes, obstructive sleep apnea, and nonalcoholic steatohepatitis exist.
305 citations
TL;DR: The hypothesis that adolescent binge drinking leads to long-lasting changes in the adult brain that increase risks of adult psychopathology, particularly for alcohol dependence, is supported.
Abstract: Adolescence is a developmental period when physical and cognitive abilities are optimized, when social skills are consolidated, and when sexuality, adolescent behaviors, and frontal cortical functions mature to adult levels. Adolescents also have unique responses to alcohol compared with adults, being less sensitive to ethanol sedative–motor responses that most likely contribute to binge drinking and blackouts. Population studies find that an early age of drinking onset correlates with increased lifetime risks for the development of alcohol dependence, violence, and injuries. Brain synapses, myelination, and neural circuits mature in adolescence to adult levels in parallel with increased reflection on the consequence of actions and reduced impulsivity and thrill seeking. Alcohol binge drinking could alter human development, but variations in genetics, peer groups, family structure, early life experiences, and the emergence of psychopathology in humans confound studies. As adolescence is common to mammalian species, preclinical models of binge drinking provide insight into the direct impact of alcohol on adolescent development. This review relates human findings to basic science studies, particularly the preclinical studies of the Neurobiology of Adolescent Drinking in Adulthood (NADIA) Consortium. These studies focus on persistent adult changes in neurobiology and behavior following adolescent intermittent ethanol (AIE), a model of underage drinking. NADIA studies and others find that AIE results in the following: increases in adult alcohol drinking, disinhibition, and social anxiety; altered adult synapses, cognition, and sleep; reduced adult neurogenesis, cholinergic, and serotonergic neurons; and increased neuroimmune gene expression and epigenetic modifiers of gene expression. Many of these effects are specific to adolescents and not found in parallel adult studies. AIE can cause a persistence of adolescent-like synaptic physiology, behavior, and sensitivity to alcohol into adulthood. Together, these findings support the hypothesis that adolescent binge drinking leads to long-lasting changes in the adult brain that increase risks of adult psychopathology, particularly for alcohol dependence.
226 citations
Cites background from "Extreme Binge Drinking Among 12th-G..."
...In fact, many adolescents drink more, as 1 in 10 high school seniors reported drinking 10 or more drinks in a row, and 5.6% of high school seniors reported consuming 15 or more drinks in a row (Patrick et al., 2013)....
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...As mentioned earlier, extreme binge drinking of 10– 15 ormore drinks in a rowwas reported among 5–10% of 12th graders in the past 2 weeks (Patrick et al., 2013)....
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01 Jan 2013
TL;DR: Although alcohol use among these age groups overall has been declining since 1975, levels remain high and specific rates of drinking, binge drinking, and getting drunk varied among different student subgroups based on gender and race/ ethnicity.
Abstract: Because alcohol use typically is initiated during adolescence and young adulthood and may have long-term consequences, the Monitoring the Future (MTF) study annually assesses various measures of alcohol use among 8th-, 10th-, and 12th-grade students. These analyses have found that although alcohol use among these age groups overall has been declining since 1975, levels remain high. Thus, in 2011 about one-quarter of 8th graders, one-half of 10th graders, and almost two-thirds of 12th graders reported drinking alcohol in the month preceding the interview. Binge drinking (i.e., consumption of five or more drinks in a row) was also prevalent. Specific rates of drinking, binge drinking, and getting drunk varied among different student subgroups based on gender and race/ethnicity. The MTF study has also identified numerous factors that influence the risk of alcohol use among adolescents, including parents and peers, school and work, religiosity and community attachment, exercise and sports participation, externalizing behavior and other drug use, risk taking and sensation seeking, well-being, and drinking attitudes and reasons for alcohol use. Drinking during adolescence can have long-term effects on a person’s life trajectory. Therefore, these findings have broad implications for prevention and intervention efforts with this population.
208 citations
Cites background from "Extreme Binge Drinking Among 12th-G..."
...Thus, 10.5 percent of high school seniors reported consuming 10 or more drinks in a row, and 5.6 percent reported consuming 15 or more drinks in a row in the past 2 weeks (Patrick et al. 2013)....
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01 Jan 2016
TL;DR: How social and cultural contexts influence alcohol use/misuse is described and the future directions for alcohol research are explored.
Abstract: Alcohol use and misuse account for 3.3 million deaths every year, or 6 percent of all deaths worldwide. The harmful effects of alcohol misuse are far reaching and range from individual health risks, morbidity, and mortality to consequences for family, friends, and the larger society. This article reviews a few of the cultural and social influences on alcohol use and places individual alcohol use within the contexts and environments where people live and interact. It includes a discussion of macrolevel factors, such as advertising and marketing, immigration and discrimination factors, and how neighborhoods, families, and peers influence alcohol use. Specifically, the article describes how social and cultural contexts influence alcohol use/misuse and then explores future directions for alcohol research.
204 citations
References
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TL;DR: The authors suggest that the most promising route to effective strategies for the prevention of adolescent alcohol and other drug problems is through a risk-focused approach.
Abstract: The authors suggest that the most promising route to effective strategies for the prevention of adolescent alcohol and other drug problems is through a risk-focused approach. This approach requires the identification of risk factors for drug abuse, identification of methods by which risk factors have been effectively addressed, and application of these methods to appropriate high-risk and general population samples in controlled studies. The authors review risk and protective factors for drug abuse, assess a number of approaches for drug abuse prevention potential with high-risk groups, and make recommendations for research and practice.
5,348 citations
TL;DR: Developmental changes in prefrontal cortex and limbic brain regions of adolescents across a variety of species, alterations that include an apparent shift in the balance between mesocortical and mesolimbic dopamine systems likely contribute to the unique characteristics of adolescence.
4,985 citations
Book•
01 Jan 1977
TL;DR: The second phase of a long-term program of research on problem behavior as mentioned in this paper is the 2nd phase of the longitudinal study of problem behavior in adolescents and youths in American society in the late 1960s and early 1970s, which represents a logical continuation of long term interest in problem behavior and recognition that what was going on among youth and in the student movement can be viewed from a problem-behavior perspective.
Abstract: This study is the 2nd phase of a long-term program of research on problem behavior. The approach to theory testing involves a longitudinal design. The study plots trajectories of change over time in personality social environment and behavior and uses the theory to forecast important transitions--beginning to drink starting to use marijuana and becoming a nonvirgin. The book has 4 main sections: 1) an introductory chapter and a chapter describing problem-behavior theory and research design and method 2) the cross-sectional findings and their bearing on the theory 3) the longitudinal findings and 4) studies of socialization and conclusions. Using adolescents and youths in American society in the late 1960s and early 1970s this research represents a logical continuation of a long term interest in problem behavior and a recognition that what was going on among youth and in the student movement can be viewed from a problem-behavior perspective. This high school study began in the spring of 1969 with grades 7 8 and 9; by the end of the study in 1972 these participants had all made the transition from junior to senior high school of grades 10 11 and 12. Each year each participant completed a 50 page questionnaire inquiring about their drug use sexual behavior alcohol drinking and the problem behavior associated with excessive use of alcohol. Some of the major findings suggest that: 1) the prevalence of problem behaviors is substantial at the college level and while much lower sizable at the high school level; 2) personal controls appear to be most influential in relation to the set of problem behaviors motivational-instigations are next and personal beliefs are least; 3) the adolescent who is less likely to engage in problem behavior is one who values academic achievement and expects to do well academically; 4) within the distal structure the variables that indicate whether a youth is parent-oriented or peer-oriented are the most significant; and 5) the developmental changes most often measured in connection with growth trends are growth of independence decline in traditional ideology related to achievement value and society as a whole assumption of a more relativistic and tolerant morality attenuation of conventional norms and religious beliefs increase in peer influence and increase in problem behavior itself. Overall it would be an important step forward for prevention and control if problem behavior in youth came to be seen as part of the dialectic of growth.
3,237 citations
30 Oct 2009
TL;DR: The study of and interest in adolescence in the field of psychology and related fields continues to grow, necessitating an expanded revision of this seminal work as discussed by the authors, with contributions from the leading researchers.
Abstract: The study of and interest in adolescence in the field of psychology and related fields continues to grow, necessitating an expanded revision of this seminal work. This multidisciplinary handbook, edited by the premier scholars in the field, Richard Lerner and Laurence Steinberg, and with contributions from the leading researchers, reflects the latest empirical work and growth in the field.
2,001 citations
TL;DR: Binge drinking is widespread on college campuses and programs aimed at reducing this problem should focus on frequent binge drinkers, refer them to treatment or educational programs, and emphasize the harm they cause for students who are not binge drinkers.
Abstract: Objective. —To examine the extent of binge drinking by college students and the ensuing health and behavioral problems that binge drinkers create for themselves and others on their campus. Design. —Self-administered survey mailed to a national representative sample of US 4-year college students. Setting. —One hundred forty US 4-year colleges in 1993. Participants. —A total of 17592 college students. Main Outcome Measures. —Self-reports of drinking behavior, alcohol-related health problems, and other problems. Results. —Almost half (44%) of college students responding to the survey were binge drinkers, including almost one fifth (19%) of the students who were frequent binge drinkers. Frequent binge drinkers are more likely to experience serious health and other consequences of their drinking behavior than other students. Almost half (47%) of the frequent binge drinkers experienced five or more different drinking-related problems, including injuries and engaging in unplanned sex, since the beginning of the school year. Most binge drinkers do not consider themselves to be problem drinkers and have not sought treatment for an alcohol problem. Binge drinkers create problems for classmates who are not binge drinkers. Students who are not binge drinkers at schools with higher binge rates were more likely than students at schools with lower binge rates to experience problems such as being pushed, hit, or assaulted or experiencing an unwanted sexual advance. Conclusions. —Binge drinking is widespread on college campuses. Programs aimed at reducing this problem should focus on frequent binge drinkers, refer them to treatment or educational programs, and emphasize the harm they cause for students who are not binge drinkers. (JAMA. 1994;272:1672-1677)
1,840 citations