Drinking Patterns in US Counties From 2002 to 2012

We estimated the prevalence of any drinking and binge drinking from 2002 to 2012 and heavy drinking from 2005 to 2012 in every US county. We applied small area models to Behavioral Risk Factor Surveillance System data. These models incorporated spatial and temporal smoothing and explicitly accounted...

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Bibliographic Details
Published inAmerican journal of public health (1971) Vol. 105; no. 6; pp. 1120 - 1127
Main Authors Dwyer-Lindgren, Laura, Flaxman, Abraham D, Ng, Marie, Hansen, Gillian M, Murray, Christopher J L, Mokdad, Ali H
Format Journal Article
LanguageEnglish
Published United States American Public Health Association 01.06.2015
Subjects
Adolescent
Adult
Age groups
Aged
Aged, 80 and over
Alcohol
Alcohol Drinking - epidemiology
Alcohol use
Alcoholic Intoxication - epidemiology
Behavior
Child
Chronic Disease
Counties
Estimates
Female
Geography
Health surveillance
Hispanic people
Humans
Male
Middle Aged
Polls & surveys
Population Surveillance
Prevalence
Public health
Research and Practice
Risk factors
Surveillance
Trends
United States - epidemiology
Womens health
United States
United States > US
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Summary:We estimated the prevalence of any drinking and binge drinking from 2002 to 2012 and heavy drinking from 2005 to 2012 in every US county. We applied small area models to Behavioral Risk Factor Surveillance System data. These models incorporated spatial and temporal smoothing and explicitly accounted for methodological changes to the Behavioral Risk Factor Surveillance System during this period. We found large differences between counties in all measures of alcohol use: in 2012, any drinking prevalence ranged from 11.0% to 78.7%, heavy drinking prevalence ranged from 2.4% to 22.4%, and binge drinking prevalence ranged from 5.9% to 36.0%. Moreover, there was wide variation in the proportion of all drinkers who engaged in heavy or binge drinking. Heavy and binge drinking prevalence increased in most counties between 2005 and 2012, but the magnitude of change varied considerably. There are large differences within the United States in levels and recent trends in alcohol use. These estimates should be used as an aid in designing and implementing targeted interventions and to monitor progress toward reducing the burden of excessive alcohol use.
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L. Dwyer-Lindgren, A. D. Flaxman, M. Ng, and A. H. Mokdad developed and applied the model. L. Dwyer-Lindgren, G. M. Hansen, and A. H. Mokdad performed the literature review. L. Dwyer-Lindgren and A. H. Mokdad wrote the first draft. A. D. Flaxman and C. J. L. Murray advised on the modeling strategy. C. J. L. Murray and A. H. Mokdad designed the overall study and the analytical strategy. All authors revised the article and approved the final draft.
Peer Reviewed
Contributors
ISSN:0090-0036
1541-0048
DOI:10.2105/ajph.2014.302313