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Related Experiment Video

Updated: Aug 9, 2025

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High Intensity Drinking (HID) Assessed by Maximum Quantity Consumed Is an Important Pattern Measure Adding Predictive

Thomas K Greenfield1, Camillia K Lui1, Won K Cook1

  • 1Alcohol Research Group, Public Health Institute (PHI), 6001 Shellmound St., Suite 450, Emeryville, CA 94608, USA.

International Journal of Environmental Research and Public Health
|February 25, 2023
PubMed
Summary
This summary is machine-generated.

High Intensity Drinking (HID), the maximum drinks consumed daily, is a valuable predictor of alcohol dependence and harms. This measure offers crucial insights beyond standard drinking volume and Heavy Episodic Drinking (HED) indicators.

Keywords:
alcoholalcohol problemscross-nationaldrinking patternsmeasurementpolicysurveys

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Area of Science:

  • Addiction research
  • Global public health
  • Alcohol epidemiology

Background:

  • Standard drinking measures may not fully capture alcohol-related harms.
  • High Intensity Drinking (HID) is defined as maximum daily consumption in the past 12 months.
  • Existing measures like Heavy Episodic Drinking (HED) may not account for extreme consumption levels.

Purpose of the Study:

  • To investigate the incremental predictive value of High Intensity Drinking (HID) for alcohol dependence and harms.
  • To assess if HID improves prediction models beyond standard drinking volume and Heavy Episodic Drinking (HED).
  • To examine these relationships across diverse global societies and genders.

Main Methods:

  • Utilized data from 17 adult surveys across Europe, the Americas, Africa, and Asia/Australia (15,460 current drinkers).
  • Employed gender-disaggregated Poison regression analyses.
  • Included High Intensity Drinking (8-11, 12-23, 24+ drinks), log drinking volume, and Heavy Episodic Drinking (5+ days) as predictors, adjusting for age and marital status.

Main Results:

  • In adjusted models, including HID significantly improved the prediction of alcohol use disorders (AUDIT-5) for 11 of 15 countries for men and 12 of 14 for women.
  • Similar improvements were observed for predicting five Life-Area Harms for men.
  • Daily consumption amounts often exceeded Heavy Episodic Drinking levels, highlighting the significance of HID.

Conclusions:

  • High Intensity Drinking (HID) provides important, incremental information for predicting alcohol-related harms globally.
  • HID's predictive power is evident across various income levels and genders.
  • Findings suggest incorporating HID into future alcohol research and public health strategies.