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BioMed Research International
Volume 2014, Article ID 853410, 11 pages
Research Article

Alcohol Drinking Patterns and Differences in Alcohol-Related Harm: A Population-Based Study of the United States

1City University London, School of Health Sciences, Centre for Public Health Research, Northampton Square, London EC1V 0HB, UK
2Division of Global Health & Inequalities, The Angels Trust, Abuja, Nigeria
3Department of Psychology, Queens College, The City University of New York, Long Island City, NY 11101, USA

Received 21 February 2014; Revised 22 April 2014; Accepted 14 May 2014; Published 25 June 2014

Academic Editor: Sabine Rohrmann

Copyright © 2014 D. Antai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Alcohol use and associated alcohol-related harm (ARH) are a prevalent and important public health problem, with alcohol representing about 4% of the global burden of disease. A discussion of ARH secondary to alcohol consumption necessitates a consideration of the amount of alcohol consumed and the drinking pattern. This study examined the association between alcohol drinking patterns and self-reported ARH. Pearson chi-square test and logistic regression analyses were used on data from the National Comorbidity Survey Replication (NCS-R). The NCS-R is a cross-sectional nationally representative sample. Data was obtained by face-to-face interviews from 9282 adults aged ≥18 years in the full sample, and 5,692 respondents in a subsample of the full sample. Results presented as odds ratio (OR) and 95% confidence intervals (95% CI). Alcohol drinking patterns (frequency of drinking, and drinks per occasion) were associated with increased risks of self-reported ARH; binge or “risky” drinking was strongly predictive of ARH than other categories of drinks per occasion or frequency of drinking; and men had significantly higher likelihood of ARH in relation to frequency of drinking and drinks per occasion. Findings provide evidence for public health practitioners to target alcohol prevention strategies at the entire population of drinkers.