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MICH-11.2 Data Details

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MICH-11.2 Increase abstinence from binge drinking among pregnant women

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Survey on Drug Use and Health
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
95.5 (2015–16)
Target: 
100
Target-Setting Method: 
Total coverage
Target-Setting Method Justification: 
The importance of getting all women to abstain from binge drinking during pregnancy warrants this proposed target.
Numerator: 

Number of pregnant females aged 15 to 44 years reporting no past month binge drinking (4 or more drinks per occasion on at least 1 day within the past 30 days)

Denominator: 

Number of pregnant females aged 15 to 44 years

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2015 National Survey on Drug Use and Health:

    [NUMERATOR AND DENOMINATOR:]

    Are you currently pregnant?

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    [NUMERATOR:]

    The next few questions return to the topic of alcohol. Remember that by a “drink,” we mean a can or bottle of beer, a glass of wine or a wine cooler, a shot of liquor, or a mixed drink with liquor in it. We are not asking about times when you only had a sip or two from a drink.

    Earlier, the computer recorded that you drank at least one alcoholic beverage within the past 30 days, that is, since [FILLDATE]. Please think about the last time you drank any alcoholic beverage. How many drinks did you have at that time?

    1. Number of Drinks______________(0-90)
    2. Don’t know
    3. Refused

    Have you ever had 5 or more drinks on the same occasion? By “occasion” we mean at the same time or within a couple of hours of each other.

    1. Yes
    2. No
    3. Don’t know
    4. Refused

    Have you ever had 4 or more drinks on the same occasion?

    1. Yes
    2. No
    3. Don’t know
    4. Refused
Data Collection Frequency: 
Annual
Methodology Notes: 

    Binge drinking for women is defined as drinking 4 or more alcoholic beverages at the same time or within a couple of hours of each other during the past 30 days. To ensure adequate precision of estimates for pregnant women, estimates are based on combined data 2 years.

    In 2014 and 2015 changes were made to the National Survey on Drug Use and Health (NSDUH) resulting in the need to revise the baselines and targets for 20 HP2020 objectives. In 2014, the changes to NSDUH primarily focused on revising the sample design, such as modifying the distribution of the sample across the 50 states and the District of Columbia and reducing the oversampling of youths and young adults. In 2015, SAMHSA implemented changes to the NSDUH data collection equipment, respondent materials, and survey questionnaire, including revisions to existing measures (e.g., prescription drugs, methamphetamine, hallucinogens, inhalants, and binge alcohol) and the addition of new questions (e.g., sexual orientation and attraction, disability status, and identification of active duty family members).

    The 2014 changes to the sample design are expected to result in more precise national estimates overall as well as more precise estimates for older adults. The 2015 changes are expected to improve the quality of data, and the questionnaire revisions will address SAMHSA's substance use and mental health policy and research needs. The questions on consumption of four or more drinks on an occasion for females (questions CA12, CA13, and the CA14 series) which were used to track this objective have been deleted. New questions which reflects changes to the threshold for binge alcohol use for females and changes to the question CA10 and CA11 series have been added. Improved data quality for females are expected because females will no longer have an opportunity to provide inconsistent answers for their consumption of five or more drinks and their consumption of four or more drinks on an occasion.>

    The following report outlines all of the changes that were made to the NSDUH in 2014 and 2015.
    http://www.samhsa.gov/data/sites/default/files/NSDUH-RedesignChanges-201....

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 16-17b in that for objective 16-17b, binge drinking was defined as 5 or more drinks on one occasion. For this objective, binge drinking is defined as 4 or more drinks on one occasion.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
The baseline for this objective was revised in 2019 due to a change in the methodology used to track this measure. The baseline year was revised from 2007-08 to 2015-16. The baseline was revised from 95.0% to 95.5%. In keeping with the original target setting method (total coverage), the target remained 100%.