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Protocol - Alcohol - Maximum Drinks in 24 Hours

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Description:

Lifetime measurement of the largest number of drinks respondent has consumed. The PhenX Working Group modified this question from the source so that it is compatible with the Alcohol - Lifetime Use measure. The original question defined the time period for maximum consumption as the last year.

Specific Instructions:

Respondents are only asked this question if they answered "yes" to the Alcohol - Lifetime Use measure. If the respondent is male and reports consuming 5 or more drinks or if the respondent is female and reports consuming 4 or more drinks, then the researcher can extract binge drinking. Alcohol is defined as any type of alcohol (including coolers, beer, wine, champagne) and liquor (e.g., whiskey, rum, gin, vodka, scotch, or liqueurs.)

Protocol:

The Working Group acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released it might be damaging to an individuals employability, lead to social stigmatization, or other consequences.

For information on obtaining a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants, please go to the National Human Genome Research Institutes Institutional Review Board website.

The following question has been revised from the original. The time frame was modified to reflect the context of the time frame. Specifically, "During the last 12 months" was changed to "ever":

The following question is asked of the respondent. Respondents will provide a value in response to this question. Read the introductory paragraph to the respondent. If your questionnaire includes multiple questions about alcohol, then the first sentence should be "The next questions are about drinking alcohol."

The next question is about drinking alcohol. This includes coolers, beer, wine, champagne, liquor such as whiskey, rum, gin, vodka, scotch, or liqueurs, and also any other type of alcohol.

What was the LARGEST number of drinks that you ever drank in a single day?

___ Number

Note regarding interpretation of the measure:

The National Institute on Alcohol Abuse and Alcoholism (NIAAA) National Advisory Council definition of binge drinking is: A "binge" is a pattern of drinking alcohol that brings blood alcohol concentration (BAC) to 0.08 gram percent or above. For the typical adult, this pattern corresponds to consuming 5 or more drinks (male), or 4 or more drinks (female), in about 2 hours. (NIAAA, 2004)

Notes to interviewer:

  • Definition of a standard drink: 1 12oz bottle of beer, 1 glass 4oz non-fortified wine, 1 mixed drink with 1oz liquor.
  • If respondent needs a visual reference for the size of a drink, the flashcards from the Wave 1 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) study are provided below:

Card 1A. Cooler ounce size

Card 1B. Cooler ounce size

Card 1C. Cooler ounce size

Card 2A. Wine ounce size

Card 2B. Wine ounce size

Card 2C. Wine ounce size

Card 3A. Liquor ounce size

Card 3B. Liquor ounce size

Card 3C. Liquor ounce size

Protocol Name from Source:

Availability:

Publicly available

Personnel and Training Required

Interviewer must be trained and found competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "dont know" response is provided.

Equipment Needs

While the Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV) instrument was developed for administration by computer, the PhenX Working Group acknowledges that this question can be administered in a noncomputerized format. Hasin et al. (1997) and Grant et al. (1995) used the AUDADIS in paper-and-pencil format, while Grant et al. (2003) obtained data with the computerized format.

Requirements
Requirement CategoryRequired
Major equipment No
Major equipment No
Specialized training No
Specialized training No
Specialized requirements for biospecimen collection No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Life Stage:

Adult, Adult

Participants:

≥18 years of age

Selection Rationale

The protocol from the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS) was chosen because it was used in a large epidemiological study of adults of a wide age range and different ethnicities (Wave 1 included 43,093 Americans; in Wave 2, 34,653 members of the original cohort were reinterviewed). The measures from this survey have been validated and psychometrically tested.

Language

English, English, Available in other languages, Available in other languages

Standards
StandardNameIDSource
Common Data Elements (CDE) Alcohol 24 hours Maximum Consumption Number 2820804 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Alcohol max drinks 24H proto 62549-1 LOINC
Derived Variables

Binge drinking:

Male respondent: 5 or more drinks

Female respondent: 4 or more drinks

Process and Review

Not applicable.

Source

National Institute on Alcohol Abuse and Alcoholism (NIAAA) National Epidemiologic Survey on Alcohol and Related Conditions. Wave 1 (NESARC - WAVE 1). Alcohol Use Disorder and Associated Disabilities Interview Schedule - Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition Version (AUDADIS-IV). Section 2A. Modified question 8c and Flashcard Booklet, Flashcards 13A-C, 16A-C, and 17A-C.

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71(1), 7-16.

General References

Grant, B. F., Dawson, D. A., Stinson, F. S., Chou, P. S., Kay, W., & Pickering, R. (2003). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-IV (AUDADIS-IV): Reliability of alcohol consumption, tobacco use, family history of depression and psychiatric diagnostic modules in a general population sample. Drug and Alcohol Dependence, 71(1), 7-16.

Grant, B. F., Harford, T. C., Dawson, D. A., Chou, P. S., & Pickering, R. P. (1995). The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability of alcohol and drug modules in a general population sample. Drug and Alcohol Dependence, 39(1), 37-44.

Hasin, D., Carpenter, K. M., McCloud, S., Smith, M., & Grant, B. F. (1997). The Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability of alcohol and drug modules in a clinical sample. Drug and Alcohol Dependence, 44(2-3), 133-141.

National Institute on Alcohol Abuse and Alcoholism (NIAAA). (2004). NIAAA Newsletter (NIH Publication No. 04-5346).

Protocol ID:

30401

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX030401_Alcohol_Max_Drinks_1Day PX030401010000 The next question is about drinking alcohol. more
This includes coolers, beer, wine, champagne, liquor such as whiskey, rum, gin, vodka, scotch, or liqueurs, and also any other type of alcohol. What was the LARGEST number of drinks that you ever drank in a single day? show less
N/A
PX030401_Alcohol_Max_Drinks_1Day_Coded PX030401010100 The next question is about drinking alcohol. more
This includes coolers, beer, wine, champagne, liquor such as whiskey, rum, gin, vodka, scotch, or liqueurs, and also any other type of alcohol. What was the LARGEST number of drinks that you ever drank in a single day? show less
N/A
Alcohol, Tobacco and Other Substances
Measure Name:

Alcohol - Maximum Drinks in 24 Hours

Release Date:

February 6, 2009

Definition

Question asks respondent about his or her maximum consumption of alcoholic beverages in a 24-hour period.

Purpose

This measure is used to assess the participant's maximum drinking level within a 24-hour period. The data can be used to derive an indicator of binge drinking.

Keywords

Alcohol, binge drinking, alcohol abuse, alcohol use, coolers, beer, wine, champagne, liquor, whiskey, rum, gin, vodka, scotch, liqueurs, National Institute on Alcohol Abuse and Alcoholism, NIAAA, National Epidemiologic Survey on Alcohol and Related Conditions, NESARC, Alcohol Use Disorder and Associated Disabilities Interview Schedule, AUDADIS, Diagnostic and Statistical Manual of Mental Disorders