2014/11/14 by Marissa B. Esser, Sarra L. Hedden, Dafna Kanny +3 · 1 citation
Medicine · #Substance Abuse Treatment and Outcomes #Alcohol Consumption and Health Effects #Alcoholism and Thiamine Deficiency
paper · pdf · doi:10.5888/pcd11.140329
openalex publication_date 2014/11/14 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/31
INTRODUCTION: Excessive alcohol consumption is responsible for 88,000 deaths annually and cost the United States 223.5 billion in 2006. It is often assumed that most excessive drinkers are alcohol dependent. However, few studies have examined the prevalence of alcohol dependence among excessive drinkers. The objective of this study was to update prior estimates of the prevalence of alcohol dependence among US adult drinkers. METHODS: Data were analyzed from the 138,100 adults who responded to the National Survey on Drug Use and Health in 2009, 2010, or 2011. Drinking patterns (ie, past-year drinking, excessive drinking, and binge drinking) were assessed by sociodemographic characteristics and alcohol dependence (assessed through self-reported survey responses and defined as meeting ≥3 of 7 criteria for dependence in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition). RESULTS: Excessive drinking, binge drinking, and alcohol dependence were most common among men and those aged 18 to 24. Binge drinking was most common among those with annual family incomes of 75,000 or more, whereas alcohol dependence was most common among those with annual family incomes of less than 25,000. The prevalence of alcohol dependence was 10.2% among excessive drinkers, 10.5% among binge drinkers, and 1.3% among non-binge drinkers. A positive relationship was found between alcohol dependence and binge drinking frequency. CONCLUSION: Most excessive drinkers (90%) did not meet the criteria for alcohol dependence. A comprehensive approach to reducing excessive drinking that emphasizes evidence-based policy strategies and clinical preventive services could have an impact on reducing excessive drinking in addition to focusing on the implementation of addiction treatment services.