NIAAA defines heavy alcohol use as follows:
For men, consuming five or more drinks on any day or 15 or more per week
For women, consuming four or more drinks on any day or eight or more per week
According to the 2024 NSDUH, 14.4 million adults ages 18 and older (5.5% in this age group) reported heavy alcohol use in the past month
Five drinks for me would be a good date night dinner at home (cocktail hour, plus two glasses of wine with dinner). Hardly a bacchanal, but apparently America is slacking as of late.
I’ve seen this stat a lot, and anecdotally there’s no way it can be accurate. It really makes me wonder about the methodology of data collection. First, it seems like the heavier of a drinker or drug user you are, the less likely you are to set aside time to participate in a long survey. Second, regardless of the assurances of confidentiality, I’m not sure people would always be honest about the extent of their drinking. In AA, one of the most important steps is admitting you have a problem…
For anyone interested, here’s the paper that explains the survey methodology: https://www.samhsa.gov/data/sites/default/files/reports/rpt47098/Methodological Summary and Definitions/2023-nsduh-method-summary-defs.pdf
And here’s an FAQ: https://nsduhweb.rti.org/respweb/faq.html#q6
A few interesting notes:
How do you figure? I personally know no one who drinks (openly) this much.
4 drinks (for women) isn’t a lot. That can be as little as two martinis or three margaritas.
5 (for men) isn’t really a lot either. That’s less than a 6 pack of beer. Or like 3 cocktails depending on how strong they are.
Most people I know will likely have at least one day a month where they drink this much. A birthday party, a holiday celebration, a wedding, a big game, etc. I wouldn’t think twice about a couple drinking this much on a date night. Heck, I’ve been to stuffy work functions that gave me 3 “drink tickets” (which would have put me over the limit). Throw in populations like alcoholics, college kids, service industry workers, etc, and I find it really hard to believe that’s only 5% of the population.
It’s also probably higher than reported due to people not understanding what constitutes “a drink.” People are naturally not accurate at judging volumes/weight (even if they know the amounts) and probably aren’t measuring. Many more think “a drink” is “whatever is in my glass/bottle/can.” It’s further complicated by the wide variation in alcohol content among drinks within the same category.
I can’t believe there’s supposedly such a wide spectrum of drinking in the population below “heavy” as defined in the OP. Anything less than that seems like a waste of time and calories. They defined “binge drinking” as getting your BAC up to 0.08%, otherwise known as “starting to catch a buzz,” and supposedly like 70 million Americans drink, but not up to that level. Bullshit.
Yeah, I’m skeptical too. I live in a supposedly Mormon town, and probably half the people here drink at least as much as I do.