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SA-14.3 Data Details

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SA-14.3 Reduce the proportion of persons engaging in binge drinking during the past 30 days—adults aged 18 years and older
LHI

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

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 (NSDUH); Substance Abuse and Mental Health Services Administration (SAMHSA)
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
26.9 (2015)
Target: 
24.2
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of persons aged 18 years and over who report having five or more drinks (for men) or four or more drinks (for women) at the same time or within a couple of hours of each other during the 30 days prior to the survey

Denominator: 

Number of persons aged 18 years and over

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:]

    Women:

    During the past 30 days, that is, since [DATE], on how many days did you have 4 or more drinks on the same occasion? By 'occasion,' we mean at the same time or within a couple of hours of each other.

    Men:

    During the past 30 days, that is, since [DATE], on how many days did you have 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.

Data Collection Frequency: 
Annual
Leading Health Indicator:
Substance Abuse
Methodology Notes: 

    Binge drinking is defined as drinking 5 or more alcoholic beverages for men or 4 or more alcoholic beverages for women at the same time or within a couple of hours of each other during the past 30 days. A description of the National Survey on Drug Use and Health (NSDUH) has been published by SAMHSA.

Trend Issues: 
Estimates prior to data year 2015 were removed for country of birth and geographic location due to a questionnaire redesign of the National Survey on Drug Use and Health (NSDUH) beginning in data year 2015, which resulted in a break in trend. Estimates were removed for both national level, and state-level data including the category ‘all reporting states’.
Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 26-11c in that objective 26-11c defined binge drinking as 5 or more drinks at one time for all persons while this objective defines binge drinking as 5 or more drinks at one time for men and 4 or more drinks at one time for women.

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: 
During regular data collection and processing checks, errors were identified in the NSDUH data. These errors affected the data for Pennsylvania (2006-2010) and Maryland (2008-2009). These errors had minimal impact on the national estimates and no effect on direct estimates for the other 48 states and the District of Columbia. Comparing estimates for Pennsylvania, Maryland, the mid-Atlantic division, and the Northeast region were of most concern. As a result in 2013, the original baseline was revised from 27.0 to 27.1 percent. The target was adjusted from 24.3 to 24.4 percent to reflect the revised baseline using the original target-setting method. 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 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. As a result in 2017, the baseline was again revised from 27.1 to 26.9 percent. The target was also adjusted from 24.4 to 24.2 percent to reflect the revised baseline using the original target-setting method.

References

Additional resources about the objective

  1. Center for Behavioral Health Statistics and Quality. (2016). Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health (HHS Publication No. SMA 16-4984, NSDUH Series H-51). Retrieved from http://www.samhsa.gov/data/