Introduction: Drinking at levels beyond standard binge drinking thresholds poses particularly high risks to youth. Few studies have examined high-intensity drinking (HID; 10+ drinks in a row) in high school students and none have tested whether peer drunkenness and parental knowledge (e.g., about youth's whereabouts) distinguish between binge and high-intensity drinkers. Methods: We used data from the Monitoring the Future study collected from nationally-representative samples of U.S. 10th graders (modal age 16 years old) in 2016–2018 (n = 14,824; 48.3% girls, 46.8% boys). We conducted multinomial logistic regression to examine odds of drinking at one of four mutually-exclusive levels: HID in the past 2 weeks, binge (5+) drinking in the past 2 weeks, any alcohol use in the past year, and no alcohol use in the past year. Results: Low parental knowledge and peer drunkenness were both associated with higher odds of each drinking level, including HID vs. binge, binge vs. alcohol use, and alcohol use vs. no alcohol use. Boys had higher odds than girls of HID compared to binge drinking and of no alcohol use compared to alcohol use. Conclusions: Parent and peer risk factors differentiate HID from other levels of drinking.
Bibliographical noteFunding Information:
This research was supported by research grants R01AA023504 to M. Patrick from the National Institute on Alcohol Abuse and Alcoholism and R01 DA001411 to R. Miech from the National Institute on Drug Abuse. The opinions, findings, and conclusions expressed in this manuscript are those of the authors and do not necessarily reflect those of the National Institutes of Health, the National Institute on Alcohol Abuse and Alcoholism, or the National Institute on Drug Abuse.
- Alcohol use
- Binge drinking
- High-intensity drinking
- Parental knowledge
- Peer alcohol use
PubMed: MeSH publication types
- Journal Article
- Research Support, N.I.H., Extramural