Extreme binge drinking-consuming 10 or 15 or more drinks in a row-has recently been recognized as a relatively prevalent and highly problematic behavior among American young people. Given that alcohol use reaches lifetime peaks in the 20s, understanding the patterns and predictors of extreme binge drinking across the transition to adulthood is particularly critical. The current application is to use existing national prospective data from Monitoring the Future (MTF) to examine the development of extreme binge drinking across young adulthood (from ages 18 to 30) in the US.
Specific aims are to (1) examine how extreme binge drinking varies based on patterns of college enrollment and attainment, (2) document normative age-related changes in extreme binge drinking across young adulthood, and the extent to which they vary based on social role statuses and demographic indicators and are associated with trajectories of other substance use, and (3) investigate concurrent associations between reasons for drinking and extreme binge drinking behaviors. MTF added questions regarding extreme binge drinking for a random one-sixth of participants in 2005. Data for the current application from 2005-2013 include N~9,400 observations from N~4,000 individuals. The proposed project will identify developmental patterns and predictors of extreme binge drinking for the first time, in national samples including both college attenders and non-attenders, providing critical information for health promotion and intervention efforts targeting high-risk alcohol behaviors among young adults.

Public Health Relevance

This research project is designed to examine extreme binge drinking (consuming 10 or 15 or more drinks in a row) in a national study of young adults. Existing and new secondary longitudinal data will be used to document the extent to which college attendance patterns are associated with extreme binge drinking, the normative age-related changes in extreme binge drinking across young adulthood, and the self-reported reasons for drinking identified by extreme binge drinkers. The primary goal of this study is to provide new and needed information regarding when and for whom extreme binge drinking is most common among young adults in the US.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA023504-03
Application #
9249437
Study Section
Risk, Prevention and Intervention for Addictions Study Section (RPIA)
Program Officer
Shirley, Mariela
Project Start
2015-04-01
Project End
2018-03-31
Budget Start
2017-04-01
Budget End
2018-03-31
Support Year
3
Fiscal Year
2017
Total Cost
$240,966
Indirect Cost
$78,966
Name
University of Michigan Ann Arbor
Department
Biostatistics & Other Math Sci
Type
Organized Research Units
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Patrick, Megan E; Veliz, Phil; Linden-Carmichael, Ashley et al. (2018) Alcohol mixed with energy drink use during young adulthood. Addict Behav 84:224-230
Evans-Polce, Rebecca J; Schuler, Megan S; Schulenberg, John E et al. (2018) Gender- and age-varying associations of sensation seeking and substance use across young adulthood. Addict Behav 84:271-277
Jang, Bohyun Joy; Schuler, Megan S; Evans-Polce, Rebecca J et al. (2018) Marital Status as a Partial Mediator of the Associations Between Young Adult Substance Use and Subsequent Substance Use Disorder: Application of Causal Inference Methods. J Stud Alcohol Drugs 79:567-577
Patrick, Megan E; Terry-McElrath, Yvonne M (2018) Commentary on White and Colleagues: Trends in Alcohol-Related Emergency Department Visits in the United States: Results from the Nationwide Emergency Department Sample, 2006 to 2014 (ACER, 2018). Alcohol Clin Exp Res 42:489-491
Terry-McElrath, Yvonne M; Patrick, Megan E (2018) Simultaneous Alcohol and Marijuana Use Among Young Adult Drinkers: Age-Specific Changes in Prevalence from 1977 to 2016. Alcohol Clin Exp Res 42:2224-2233
Vasilenko, Sara A; Linden-Carmichael, Ashley; Lanza, Stephanie T et al. (2018) Sexual Behavior and Heavy Episodic Drinking Across the Transition to Adulthood: Differences by College Attendance. J Res Adolesc 28:473-487
Patrick, Megan E; Azar, Beth (2018) High-Intensity Drinking. Alcohol Res 39:49-55
Tang, Sandra; Patrick, Megan E (2018) Technology and interactive social media use among 8th and 10th graders in the U.S. and associations with homework and school grades. Comput Human Behav 86:34-44
Terry-McElrath, Yvonne M; Patrick, Megan E (2018) U.S. adolescent alcohol use by race/ethnicity: Consumption and perceived need to reduce/stop use. J Ethn Subst Abuse :1-25
Patrick, Megan E; Terry-McElrath, Yvonne M; Schulenberg, John E et al. (2017) Patterns of high-intensity drinking among young adults in the United States: A repeated measures latent class analysis. Addict Behav 74:134-139

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