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January 2013




                                                                      Binge Drinking
                                                              A Serious, Under-Recognized Problem
                                                                           Among Women and Girls

                                                                Binge drinking is a dangerous behavior but is not

                 1 in 8                                         widely recognized as a women’s health problem.
                                                                Drinking too much – including binge drinking* -
                                                                results in about 23,000 deaths in women and girls
Nearly 14 million US women binge drink
about 3 times a month.                                          each year. Binge drinking increases the chances of
                                                                breast cancer, heart disease, sexually transmitted
                                                                diseases, unintended pregnancy, and many other

6
Women average 6 drinks per binge.
                                                                health problems. Drinking during pregnancy can
                                                                lead to sudden infant death syndrome and fetal
                                                                alcohol spectrum disorders.

                                                                About 1 in 8 women aged 18 years and older and
                                                                1 in 5 high school girls binge drink. Women who


          1 in 5
                                                                binge drink do so frequently – about 3 times a
                                                                month – and have about 6 drinks per binge. There
                                                                are effective actions communities can take to
1 in 5 high school girls binge drink.                           prevent binge drinking among women and girls.

                                                               *Binge drinking for women is defined as consuming 4 or
                                                               more alcohol drinks (beer, wine, or liquor) on an occasion.


                                                                                                               See page 4
                                                                                           Want to learn more? Visit
                                                                          	   www       http://www.cdc.gov/vitalsigns



                  National Center for Chronic Disease Prevention and Health Promotion
                  Division of Population Health
Binge drinking among women
         and girls is a dangerous
Problem problem.
  Drinking too much can seriously affect the health               Drinking is influenced by your community and
  of women and girls.                                             your relationships.
  ◊◊ Women’s and girls’ bodies respond to alcohol differently     ◊◊ Alcohol use in a community is affected by alcohol’s price
    than men’s. It takes less alcohol for women to get              and availability.
    intoxicated because of their size and how they process
                                                                  ◊◊ Underage drinking is affected by exposure to alcohol
    alcohol.
                                                                    marketing.
  ◊◊ Binge drinking can lead to unintended pregnancies. It is
                                                                  ◊◊ Underage drinking is also influenced by adult drinking,
    not safe to drink at any time during pregnancy.
                                                                    and youth often obtain alcohol from adults.
  ◊◊ If women binge drink while pregnant, they risk exposing
    their developing baby to high levels of alcohol, increasing
    the chances the baby will be harmed by the mother’s
    alcohol use.




  Risks for women and girls
  Injuries                                                                        Cancer
  Motor vehicle crashes, falls, drowning                                          Of the breast, liver, mouth and throat

  Violence                                                                        Reproductive health
  Homicide, suicide, intimate partner violence,                                   Unintended pregnancy, sexually transmitted diseases
  sexual assault                                                                  such as HIV

  Chronic diseases                                                                Alcohol dependence/alcoholism
  High blood pressure, heart disease, stroke, liver disease
                                                                                  Learning and memory problems



  If pregnant                                                                    •	 Sudden Infant Death Syndrome (SIDS)
     •	 Miscarriage, stillbirth, premature                                       •	 Attention-Deficit/Hyperactivity Disorder
        birth, and low birth weight                                                 (ADHD)
     •	 Fetal alcohol spectrum disorders
        (FASDs) which include physical,
        behavioral, and learning disabilities
Which women and girls are most likely to binge drink?


                          Women aged                                                                         Women with
                                                                    Whites &
                          18-34 and high
                          school girls
                                                                    Hispanics                          $75K+ household incomes
                                                                                                             above $75,000




           Binge drinking* among women and high school girls by age group


          30
                    20%                   24%                    20%                    15%                    10%                       3%
Percent




          20

          10

          0



                       High                  Ages                   Ages                  Ages                    Ages                    Ages
                      School                 18-24                  25-34                 35-44                   45-64                   ≥65




              Binge drinking* by race/ethnicity among women and high school girls

          30         22                           22
                                                                               17
Percent




          20                  11                           13                           11                   10      10
                                                                                                                                          % of Girls
          10
          0                                                                                                                               % of Women
                    Hispanic                    White,                       Other                        Black,
                                                non-Hispanic                 non-Hispanic†                non-Hispanic

           †Other non-Hispanic includes Asian, Native Hawaiian/other Pacific Islander, American Indian/Alaskan Native, and multiracial.




           Binge drinking* among high school students reporting current alcohol use* by grade



              45%                         50%                              58%                                    62%

          SOURCES: Behavioral Risk Factor Surveillance System (BRFSS) and Youth Risk Behavior Survey (YRBS), 2011.
          *reported behavior in the past 30 days
What Can Be Done
     Federal agencies and national                               Key Points on Alcohol Consumption
     partners are                                                from the 2010 US Dietary Guidelines for
                                                                 Americans
     ◊◊ Recognizing that binge drinking is an important
        women’s health issue.                                    ◊◊ Don’t begin drinking or drink more frequently on
                                                                    the basis of potential health benefits.
     ◊◊ Working with states and communities to support
        Community Guide recommendations to reduce                ◊◊ If you do choose to drink, do so in moderation.
        binge drinking.                                             This is defined as up to 1 drink a day for women
                                                                    or 2 for men.
     ◊◊ Informing people about the US Dietary Guidelines
        on alcohol consumption (see box).                        ◊◊ Don’t drink at all if you are under age 21,
                                                                    pregnant or may be pregnant, or have health
     ◊◊ Helping states and communities to report on how             problems that could be made worse by drinking.
        many people binge drink, how often and how
        much they drink when they binge, and whether
        health care providers are screening and counseling
        for excessive alcohol use.                           Doctors, nurses, and others
                                                             who treat patients can
     ◊◊ Reporting on youth exposure to alcohol marketing
        because it influences underage drinking.             ◊◊ Ask women about binge drinking and counsel
                                                                those who do to drink less (see http://www.
                                                                uspreventiveservicestaskforce.org/uspstf/
     We know what works                                         uspsdrin.htm). This screening and counseling
                                                                can also be effectively done using the internet,
     The Guide to Community Preventive Services                 telephone, or other electronic methods, as
     (Community Guide) recommends effective policies            recommended by the Community Guide.
     to prevent binge drinking.
                                                             ◊◊ Advise women who are pregnant or might be
     Learn more at                                              pregnant not to drink at all.
     www.thecommunityguide.org/alcohol.
                                                             ◊◊ Recognize that most binge drinkers are not alcohol
                                                                dependent or alcoholics, but may need counseling.
     States and communities can                              ◊◊ Support effective policies to prevent binge
                                                                drinking such as those recommended by the
     ◊◊ Follow Community Guide recommendations to
        reduce binge drinking. The same approaches that         Community Guide.
        work in the population as a whole can work for
        women and girls.
                                                             Women and girls can
     ◊◊ Increase enforcement of laws on the sale and
        consumption of alcohol.                              ◊◊ Avoid binge drinking. If you choose to drink
                                                                alcohol, follow the US Dietary Guidelines.
     ◊◊ Develop partnerships with a variety of
        groups, including schools, women’s and girls’        ◊◊ Choose not to drink alcohol if you are underage or
        organizations, law enforcement, and public health       if there is any chance you could be pregnant.
        agencies to reduce binge drinking.
                                                             ◊◊ Be cautious about consuming drinks if the alcohol
     ◊◊ Report on how many people binge drink, how              content is unknown to you.
        often, and how much they drink when they binge.



      For more information, please contact
      Telephone: 1-800-CDC-INFO (232-4636)
      TTY: 1-888-232-6348
      E-mail: cdcinfo@cdc.gov
 4    Web: www.cdc.gov                                       	    www       http://www.cdc.gov/vitalsigns
      Centers for Disease Control and Prevention
      1600 Clifton Road NE, Atlanta, GA 30333
      Publication date: 01/08/2012                           	    www       http://www.cdc.gov/mmwr

                                                                                                            CS236885-B

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Women Binge Drinking_CDC

  • 1. January 2013 Binge Drinking A Serious, Under-Recognized Problem Among Women and Girls Binge drinking is a dangerous behavior but is not 1 in 8 widely recognized as a women’s health problem. Drinking too much – including binge drinking* - results in about 23,000 deaths in women and girls Nearly 14 million US women binge drink about 3 times a month. each year. Binge drinking increases the chances of breast cancer, heart disease, sexually transmitted diseases, unintended pregnancy, and many other 6 Women average 6 drinks per binge. health problems. Drinking during pregnancy can lead to sudden infant death syndrome and fetal alcohol spectrum disorders. About 1 in 8 women aged 18 years and older and 1 in 5 high school girls binge drink. Women who 1 in 5 binge drink do so frequently – about 3 times a month – and have about 6 drinks per binge. There are effective actions communities can take to 1 in 5 high school girls binge drink. prevent binge drinking among women and girls. *Binge drinking for women is defined as consuming 4 or more alcohol drinks (beer, wine, or liquor) on an occasion. See page 4 Want to learn more? Visit www http://www.cdc.gov/vitalsigns National Center for Chronic Disease Prevention and Health Promotion Division of Population Health
  • 2. Binge drinking among women and girls is a dangerous Problem problem. Drinking too much can seriously affect the health Drinking is influenced by your community and of women and girls. your relationships. ◊◊ Women’s and girls’ bodies respond to alcohol differently ◊◊ Alcohol use in a community is affected by alcohol’s price than men’s. It takes less alcohol for women to get and availability. intoxicated because of their size and how they process ◊◊ Underage drinking is affected by exposure to alcohol alcohol. marketing. ◊◊ Binge drinking can lead to unintended pregnancies. It is ◊◊ Underage drinking is also influenced by adult drinking, not safe to drink at any time during pregnancy. and youth often obtain alcohol from adults. ◊◊ If women binge drink while pregnant, they risk exposing their developing baby to high levels of alcohol, increasing the chances the baby will be harmed by the mother’s alcohol use. Risks for women and girls Injuries Cancer Motor vehicle crashes, falls, drowning Of the breast, liver, mouth and throat Violence Reproductive health Homicide, suicide, intimate partner violence, Unintended pregnancy, sexually transmitted diseases sexual assault such as HIV Chronic diseases Alcohol dependence/alcoholism High blood pressure, heart disease, stroke, liver disease Learning and memory problems If pregnant • Sudden Infant Death Syndrome (SIDS) • Miscarriage, stillbirth, premature • Attention-Deficit/Hyperactivity Disorder birth, and low birth weight (ADHD) • Fetal alcohol spectrum disorders (FASDs) which include physical, behavioral, and learning disabilities
  • 3. Which women and girls are most likely to binge drink? Women aged Women with Whites & 18-34 and high school girls Hispanics $75K+ household incomes above $75,000 Binge drinking* among women and high school girls by age group 30 20% 24% 20% 15% 10% 3% Percent 20 10 0 High Ages Ages Ages Ages Ages School 18-24 25-34 35-44 45-64 ≥65 Binge drinking* by race/ethnicity among women and high school girls 30 22 22 17 Percent 20 11 13 11 10 10 % of Girls 10 0 % of Women Hispanic White, Other Black, non-Hispanic non-Hispanic† non-Hispanic †Other non-Hispanic includes Asian, Native Hawaiian/other Pacific Islander, American Indian/Alaskan Native, and multiracial. Binge drinking* among high school students reporting current alcohol use* by grade 45% 50% 58% 62% SOURCES: Behavioral Risk Factor Surveillance System (BRFSS) and Youth Risk Behavior Survey (YRBS), 2011. *reported behavior in the past 30 days
  • 4. What Can Be Done Federal agencies and national Key Points on Alcohol Consumption partners are from the 2010 US Dietary Guidelines for Americans ◊◊ Recognizing that binge drinking is an important women’s health issue. ◊◊ Don’t begin drinking or drink more frequently on the basis of potential health benefits. ◊◊ Working with states and communities to support Community Guide recommendations to reduce ◊◊ If you do choose to drink, do so in moderation. binge drinking. This is defined as up to 1 drink a day for women or 2 for men. ◊◊ Informing people about the US Dietary Guidelines on alcohol consumption (see box). ◊◊ Don’t drink at all if you are under age 21, pregnant or may be pregnant, or have health ◊◊ Helping states and communities to report on how problems that could be made worse by drinking. many people binge drink, how often and how much they drink when they binge, and whether health care providers are screening and counseling for excessive alcohol use. Doctors, nurses, and others who treat patients can ◊◊ Reporting on youth exposure to alcohol marketing because it influences underage drinking. ◊◊ Ask women about binge drinking and counsel those who do to drink less (see http://www. uspreventiveservicestaskforce.org/uspstf/ We know what works uspsdrin.htm). This screening and counseling can also be effectively done using the internet, The Guide to Community Preventive Services telephone, or other electronic methods, as (Community Guide) recommends effective policies recommended by the Community Guide. to prevent binge drinking. ◊◊ Advise women who are pregnant or might be Learn more at pregnant not to drink at all. www.thecommunityguide.org/alcohol. ◊◊ Recognize that most binge drinkers are not alcohol dependent or alcoholics, but may need counseling. States and communities can ◊◊ Support effective policies to prevent binge drinking such as those recommended by the ◊◊ Follow Community Guide recommendations to reduce binge drinking. The same approaches that Community Guide. work in the population as a whole can work for women and girls. Women and girls can ◊◊ Increase enforcement of laws on the sale and consumption of alcohol. ◊◊ Avoid binge drinking. If you choose to drink alcohol, follow the US Dietary Guidelines. ◊◊ Develop partnerships with a variety of groups, including schools, women’s and girls’ ◊◊ Choose not to drink alcohol if you are underage or organizations, law enforcement, and public health if there is any chance you could be pregnant. agencies to reduce binge drinking. ◊◊ Be cautious about consuming drinks if the alcohol ◊◊ Report on how many people binge drink, how content is unknown to you. often, and how much they drink when they binge. For more information, please contact Telephone: 1-800-CDC-INFO (232-4636) TTY: 1-888-232-6348 E-mail: cdcinfo@cdc.gov 4 Web: www.cdc.gov www http://www.cdc.gov/vitalsigns Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Publication date: 01/08/2012 www http://www.cdc.gov/mmwr CS236885-B