Alcohol Abuse and Addiction - Prevalence Of Alcohol Abuse Andalcoholism
age drinking binge five
The Strategic Plan 2001-2005 of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) noted that nearly fourteen million Americans—one in every thirteen adults—have alcohol-abuse or alcohol-dependence problems. As Table 4.3 shows, people ages eighteen to twenty-five are far more likely to engage in alcohol use, binge alcohol use, or heavy alcohol use than those twelve to seventeen or those twenty-six and older. This can be attributed, in part, to the fact that this is a young, social group that—for those over twenty-one years of age—have just reached the age where they may drink legally. What is of particular concern about the data represented on this table is that the rates of binge drinking and heavy
|Alcoholism, also known as "alcohol dependence," is a disease that includes four symptoms:|
|• Craving: A strong need, or compulsion, to drink.|
|• Loss of control: The inability to limit one's drinking on any given occasion.|
|• Physical dependence: Withdrawal symptoms, such as nausea, sweating, shakiness, and anxiety, occur when alcohol use is stopped after a period of heavy drinking.|
|• Tolerance: The need to drink greater amounts of alcohol in order to "get high."|
|Alcohol abuse is defined as a pattern of drinking that results in one or more of the following situations within a 12-month period:|
|• Failure to fulfill major work, school, or home responsibilities;|
|• Drinking in situations that are physically dangerous, such as while driving a car or operating machinery;|
|• Having recurring alcohol-related legal problems, such as being arrested for driving under the influence of alcohol or for physically hurting someone while drunk; and|
|• Continued drinking despite having ongoing relationship problems that are caused or worsened by the drinking.|
drinking for eighteen- to twenty-five-year-olds increased steadily from 2000 to 2003—from 37.8% to 41.6% for binge drinking and from 12.8% to 15.1% for heavy alcohol use.
Figure 4.1 shows the trend in binge drinking in adults aged eighteen years and over from 1997 to 2004. These data provide a slightly different picture than those that single out the eighteen- to twenty-five-year-old group. The graph shows that the rate of binge drinking in the overall population over eighteen has decreased somewhat since 1997, from slightly over 21% in 1997 to a bit under 19% in 2004.
Figure 4.2 compares the rates of binge drinking for males and females in four age groups. As shown in Table 4.3, the age group with the highest percentages of binge drinking in 2004 was composed of eighteen- to twenty-four-year-olds; the percentages decline with each subsequent age group. However, in each age group, the rate of binge drinking in males was substantially higher than that of females. The percentage of males aged eighteen to twenty-four who binge drank in the first six months of 2004 was about 42%, while the percentage of females in that age group who binge drank was half that—about 21%. In the twenty-five to
|Type of alcohol use|
|Any alcohol use||"Binge" alcohol use||Heavy alcohol use|
|12 to 17||16.4||17.3||17.6||17.7||10.4||10.6||10.7||10.9||2.6||2.5||2.5||2.6|
|18 to 25||56.8||58.8||60.5||61.4||37.8||38.7||40.9||21.6||12.8||13.6||14.9||15.1|
|26 or older||49.0||50.8||53.9||52.4||19.1||18.8||21.4||21.0||4.8||4.8||5.9||5.9|
|Note: "Binge" alcohol use is defined as drinking five or more drinks on the same occasion on at least 1 day in the past 30 days. By "occasion" is meant at the same time or within a couple of hours of each other. Heavy alcohol use is defined as drinking five or more drinks on the same occasion on each of 5 or more days in the past 30 days; all heavy alcohol users are also "binge" alcohol users.|
forty-four age group, the percentage of males who binge drank was nearly 35%, but the percentage of females was about 15%. At forty-five to sixty-four years the gap widens more, with slightly over 21% of males having binged on alcohol, while the percentage of females who binged was not quite 7%. When adults reached age sixty-five years and older, only about 7% of men and 1% of women binge drank.
Figure 4.3 shows that a higher percentage of whites binge drank in the first six months of 2004 (nearly 22%) than did Hispanics (nearly 16%) or African-Americans (over 11%).
Table 4.4 shows trends in the prevalence of alcohol abuse by age, sex, and race/ethnicity by comparing data collected in 1991-1992 with data collected in 2001-2002. As one might expect after studying the data in Table 4.3 and Figure 4.2, the eighteen- to twenty-nine-year-old group quite consistently shows the highest percentages of alcohol abuse across races/ethnicities. In general, alcohol abuse rose over the decade between which these two data sets were gathered—quite substantially in some groups. There are exceptions, however. The rate remained somewhat stable in eighteen- to twenty-nine-year-old white males and dropped in this age group in Native American males and females. It also dropped in forty-five- to sixty-four-year-old Asian females. Overall decreases in the prevalence of alcohol abuse over this ten-year period are most notable in Native Americans.
Table 4.5 is similar to Table 4.4 and shows trends in the prevalence of alcohol dependence by age, sex, and race/ethnicity. Alcohol dependence is generally extremely low or nonexistent in the two oldest age groups, and has dropped off in the sixty-five and over age group of Native Americans. Once again, those most likely to be dependent on alcohol within any of the ethnic groups listed are those aged eighteen to twenty-nine.