October 21, 2021

Explaining Binge Drinking to Older Teens

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What does binge drinking mean to you? Maybe it’s drinking to the point of being “intoxicated.” Maybe it’s drinking everyday Thursday-Sunday. Or maybe it’s sipping beers from 11 AM to on a Saturday.

Binge drinking is a word we often hear, and use, but many of us might not understand what binge drinking actually is. As parents—it’s important to know that binge drinking can look and mean something very different for your older teens than it does for adults.

While most 11th and 12th graders in Cortland County are not binge drinking (or drinking at all!) educating teens in this age group prior to graduating, and before they may start binge drinking, can arm them with the tools they need to understand what it actually means to binge drink when they enter college or the workforce.

What is the technical definition of binge drinking?

The CDC defines binge drinking in adults as drinking until your blood alcohol concentration (BAC) is at or above 0.08 g/dl. Ok—but how do we actually know when our BAC is at that level?

Here is one way to estimate:

For women: drinking 4 or more drinks within two hours
For men: drinking 5 or more drinks within two hours.

I am sure this is familiar to many of us—I remember learning these estimates in health class. However, youth metabolize alcohol differently than adults so these measurements may not be accurate for what your teen should consider binge drinking.

So what is considered binge drinking for teens?

Since it is unethical to conduct studies on BAC for people under 21, researchers have used mathematical models that estimate BAC to determine what binge drinking looks like for youth. One study made the following conclusions:

Girls ages 9-17: drinking 3 or more drinks on one occasion
Boys ages 9-13: drinking 3 or more drinks on one occasion
Boys 14-15: drinking 4 or more drinks on one occasion
Boys 16+: drinking 5 or more drinks on one occasion

So the estimates we’ve always been taught actually overestimate what binge drinking for teen girls and boys under age 16 looks like. Make sure your teen knows what binge drinking actually means for teens.

What does one drink actually look
like?

Another complicated factor in using the 3/4/5 or more drinks estimate is that what you consider “a drink” may actually be more than “a drink.” This concept is really important for teens to understand—just because they have one solo cup of punch, does not mean necessarily mean they are only having one drink.

In the U.S. the term “standard drink” is used to measure binge drinking. Here are the definitions for standard drink sizes in the U.S:

12 ounces of beer (5% alcohol content—note: hard seltzer
typically comes in this serving size too!)
8 ounces of malt liquor (7% alcohol content)
5 ounces of wine (12% alcohol content)
1.5 ounces or “a shot” of liquor (40% alcohol content)

Here are two common situations where a people might be drinking more standard drinks that they think:

Possible Misconception: 3 craft beers=3 drinks
Reality: Drinking 3 craft beers could potentially be the
equivalent of 6 standard drinks or more (depending on alcohol
content).
Break it Down: Craft beer often has a higher alcohol
percentage than other beer (usually 7% or more) and often
comes in 16 ounce cans or glasses, not 12 ounce.

Possible Misconception: 1 mixed drink=1 drink
Reality: One mixed drink could actually contain multiple
standard drinks.
Break it Down: Unless the person making your drink is using a 1.5 ounce shot glass to measure the amount of liquor, it is impossible to know how many standard drinks you are actually consuming in one mixed drink.

Share these common misconceptions with your teen so they can better understand what is considered binge drinking based on different drink sizes and alcohol percentages—it is not as simple as it seems!

References:
Binge Drinking. Centers for Disease Control and Prevention. https://www.
cdc.gov/alcohol/fact-sheets/binge-drinking.htm
National Institute on Alcohol and Alcoholism. Alcohol Screening and Brief
Intervention for Youth a Practitioner’s Guide. Retrieved from https://www.
niaaa.nih.gov/sites/default/files/publications/YouthGuide.pdf
What is a standard drink? National Institute on Alcohol and Abuse and
Alcoholism.https://www.niaaa.nih.gov/alcohols-effects-
health/overview-alcohol-consumption/what-standard-drink