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Alcohol and Alcoholism Advance Access originally published online on August 31, 2007
Alcohol and Alcoholism 2007 42(6):610-617; doi:10.1093/alcalc/agm066
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Copyright © The Author 2007. Published by Oxford University Press on behalf of the Medical Council on Alcohol.

How do quantities drunk per drinking day and the frequencies of drinking those quantities contribute to self-reported harm and positive consequences?

Pia Mäkelä* and Heli Mustonen

STAKES, Helsinki, Finland

* Author to whom correspondence should be addressed at: STAKES, 00531 Helsinki, Finland. Tel: +358 9 3967 2159; Fax: +358 9 3967 2170; E-mail: pia.makela{at}stakes.fi

Received 7 November 2006; first review notified 8 January 2007; in revised form 7 May 2007; accepted 16 July 2007


   Abstract

Aims: This article examines how quantities drunk per drinking day (dose) and the frequency of drinking those quantities affect self-reported harm and positive consequences at the individual and population level. Methods: Participants were drinkers in a general population survey among Finns aged 15–69 years, conducted in 2000 (N = 1760, response rate 78%). Types of harm examined were self-reported worries over drinking control, negative consequences of individual drinking occasions, and external reactions to drinking. Results: Respondents who reported frequent drinking at very high doses (13 drinks and above for men, 8 and above for women) were in a league of their own with respect to the risk of harm. At the population level, the dose of 8–12 drinks accounted for most problems among men, and doses of 5–7 and 3–4 drinks among women. No gain in positive consequences was attached to drinking beyond the dose of 5–7 drinks among men and 3–4 drinks among women. Conclusions: The dose level at which the population-level risk was the highest was lower than the level at which the individual-level risk was the highest, due to a greater prevalence of drinking the lesser quantities. Future studies should pay more attention to the separate effects of dose as well as the frequency of drinking the particular doses per occasion at the individual level, and also, as to how the prevalence of these drinking patterns contributes to the population-level risk.


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