ABSTRACT

Objectives

This study aimed to measure the extent to which risky drinkers identify themselves as a heavy/binge drinker and to examine if risky drinkers who identify themselves as a heavy/binge drinker experience less negative drinking-related consequences than those who do not classify themselves as a heavy/binge drinker.

Methods

Participants, who met our criterion for heavy and/or binge drinking, were asked about their drinking patterns and to describe themselves as a non-, ex-, occasional, light, social, heavy or binge drinker. Self-identified and researcher-defined (based on participants’ past 12 months consumption) drinker types were compared among 4,562 participants (74% males, mean age of 43.4).

Results

Over half of the researcher-defined binge and heavy drinkers classified themselves as social drinkers. Researcher-defined binge and heavy drinkers who classified themselves accurately experienced more drinking-related harms than those who classified themselves as a social drinker.

Conclusions

This study found that rather than using consumption-based definitions, drinkers may classify their drinking based on harms experienced, rather than their risk of harm. Health promotion campaigns aiming to prevent harms in risky drinkers should be aware that drinkers who would be considered at risk may not see themselves that way until they have experienced harm from their drinking.

中文翻译：

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饮酒者类型和相关危害定义的差异：自我识别和研究人员定义的饮酒者类型和酒精相关后果

摘要

目标

本研究旨在衡量高风险饮酒者将自己认定为重度/狂饮者的程度，并检查自认为重度/狂饮者的高风险饮酒者是否比未将自己归类为酗酒者的负面饮酒相关后果更少。重度/狂饮者。

方法

符合我们重度和/或狂饮标准的参与者被问及他们的饮酒模式，并将自己描述为非、前、偶尔、轻度、社交、重度或暴饮者。在 4,562 名参与者（74% 男性，平均年龄 43.4 岁）中比较了自我识别和研究人员定义（基于参与者过去 12 个月的消费量）饮酒者类型。

结果

超过一半的研究人员定义的暴饮暴食者和重度饮酒者将自己归类为社交饮酒者。与那些将自己归类为社交饮酒者的人相比，那些准确分类自己的研究人员定义的暴饮暴食者和重度饮酒者经历了更多与饮酒相关的伤害。

结论

这项研究发现，饮酒者可以根据所经历的伤害而不是他们的伤害风险对饮酒进行分类，而不是使用基于消费的定义。旨在防止对高风险饮酒者造成伤害的健康促进运动应该意识到，被认为处于危险之中的饮酒者可能不会这样看待自己，直到他们因饮酒而受到伤害。