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Definitions of drunkenness.

Lorraine T Midanik1

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This study reveals that how often people get drunk correlates with how many drinks it takes to feel drunk. For women, the number of drinks to feel drunk is consistently below five, suggesting current at-risk drinking measures may need reevaluation.

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Area of Science:

  • Alcohol research
  • Public health
  • Sociology of alcohol consumption

Background:

  • Current measures of at-risk alcohol consumption often use a standardized threshold (e.g., five or more drinks) to define excessive drinking.
  • Understanding individual definitions and experiences of drunkenness is crucial for accurate risk assessment.
  • Existing research may not fully capture the nuances of how different populations perceive and define intoxication.

Purpose of the Study:

  • To investigate the relationship between the frequency of drunkenness and the number of drinks consumed to reach that state in a general population.
  • To explore qualitative definitions and perceptions of drunkenness among adult drinkers.
  • To evaluate the adequacy of a "one-size-fits-all" approach to measuring at-risk drinking, particularly for women.

Main Methods:

  • Quantitative analysis of data from 1366 adult current drinkers from the 1995 National Alcohol Survey.
  • Comparison of drunkenness frequency with the number of drinks required to feel drunk.
  • Qualitative analysis of interviews with 58 current drinkers to understand their definitions of drunkenness.

Main Results:

  • A positive linear relationship was observed between the frequency of drunkenness and the number of drinks needed to feel drunk.
  • For women across all age and ethnicity categories, the mean number of drinks to feel drunk was below five.
  • Qualitative data revealed diverse themes, both positive and negative, describing the experience of drunkenness.

Conclusions:

  • The findings suggest that a standardized threshold of five or more drinks may not be the most effective measure for assessing at-risk drinking in women.
  • Individual perceptions and experiences of drunkenness vary, highlighting the need for more nuanced assessment tools.
  • Reframing how at-risk drinking is measured could lead to more accurate identification and intervention strategies.