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  • Original Article
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Comparison of assessment methods for self-reported alcohol consumption in health interview surveys

Abstract

Objective:

To select a simple method for assessing alcohol consumption and to compare how different reference periods and response categories influence the self-reported frequency of binge drinking.

Design:

Four random samples of 1000 adult Danes. Data were collected via personal interview at the respondents' home.

Setting:

Denmark, nationwide.

Participants:

The total number of interviewed was 2593 individuals.

Measurements:

The assessment methods in the four samples were (1) the 7-day recall method, (2) intake each day in a typical week, (3) intake last weekend, and (4) intake in a typical week. Furthermore, binge drinking was assessed in the samples using different reference periods and response formats.

Findings:

The sex- and age-adjusted mean number of drinks in the last week (the 7-day recall method) was 10.6 drinks compared to 10.4 drinks among respondents reporting their intake for each day in a typical week and 8.7 drinks among subjects reporting the average intake in a typical week. Furthermore, subjects that reported their typical intake for each day were as likely as subjects that had the 7-day recall method to report a high weekly alcohol intake. Respondents who had close-ended questions were more likely to report binge drinking compared to respondents that had open-ended questions.

Conclusions:

Questions concerning typical alcohol intake for each day of the week are feasible to use in epidemiological studies. Furthermore, it is more appropriate to use close-ended questions compared to open-ended questions in measuring binge-drinking when the reference period is long.

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References

  • Andréasson S, Allebeck P (2005) (eds). Alkohol och hälsa. En kunskapsöversikt om alkoholens positiva och negativa effekter på vår hälsa. Statens Folkhälsoinstitut: Stockholm.

    Google Scholar 

  • Babor TF, Steinberg K, Anton R, Del Boca F (2000). Talk is cheap: Measuring drinking outcomes in clinical trials. J Stud Alcohol 61, 55–63.

    Article  CAS  Google Scholar 

  • Dawson DA (1998). Volume of ethanol consumption: effects of different approaches to measurement. J Stud Alcohol 59, 191–197.

    Article  CAS  Google Scholar 

  • Dawson DA (2003). Methodological issues in measuring alcohol use. Alcohol Res Health 27, 18–29.

    PubMed  Google Scholar 

  • Del Boca FK, Darkes J (2003). The validity of self-reports of alcohol consumption: state of the science and challenges for research. Addiction 98 (Suppl 2), S1–S12.

    Article  Google Scholar 

  • Del Boca FK, Noll JA (2000). Truth or consequences: the validity of self-report data in health services research on addictions. Addiction 95 (Suppl 3), S347–S360.

    Article  Google Scholar 

  • Department of Health (1995). Sensible drinking: the report of an inter-departmental working group. Department of Health: London.

  • Ekholm O (2004). Influence of the recall period on self-reported alcohol intake. Eur J Clin Nutr 58, 60–63.

    Article  Google Scholar 

  • Embree BG, Whitehead PC (1993). Validity and reliability of self-reported drinking behavior: dealing with the problem of response bias. J Stud Alcohol 54, 334–344.

    Article  CAS  Google Scholar 

  • Feunekes GIJ, van't Veer P, van Staveren WA, Kok FJ (1999). Alcohol intake assessment: The sober facts. Am J Epidemiol 150, 105–112.

    Article  CAS  Google Scholar 

  • Gmel G, Graham K, Kuendig H, Kuntsche S (2006). Measuring alcohol consumption – should the ‘graduated frequency’ approach become the norm in survey research. Addiction 101, 16–30.

    Article  Google Scholar 

  • Greenfield TK (2000). Ways of measuring drinking patterns and the difference they make: experience with graduated frequencies. J Subst Abuse 12, 33–49.

    Article  CAS  Google Scholar 

  • Grønbæk M, Becker U, Johansen D, Gottschau A, Schnohr P, Hein HO et al. (2000). Type of alcohol consumed and mortality from all causes, coronary heart disease, and cancer. Ann Intern Med 133, 411–419.

    Article  Google Scholar 

  • Grønbæk M, Deis A, Sørensen TI, Becker U, Schnohr P, Jensen G (1995). Mortality associated with moderate intake of wine, beer, or spirits. BMJ 310, 1165–1169.

    Article  Google Scholar 

  • Grønbæk M, Heitmann BL (1996). Validity of self-reported intakes of beer, wine and spirits in population studies. Eur J Clin Nutr 50, 487–490.

    PubMed  Google Scholar 

  • Grønbæk M, Jensen MK, Johansen D, Sørensen TIA, Becker U (2004). Intake of beer, wine and spirits and risk of heavy drinking and alcoholic cirrhosis. Biol Res 37, 195–200.

    Article  Google Scholar 

  • Grønbæk MN, Iversen L, Olsen J, Becker PU, Hardt F, Sørensen TIA (1997). Sensible drinking limits. Ugeskr Læger 159, 5939–5945.

    PubMed  Google Scholar 

  • Heeb J, Gmel G (2001). Interviewers' and respondents' effects on self-reported alcohol consumption in a Swiss health survey. J Stud Alcohol 62, 434–442.

    Article  CAS  Google Scholar 

  • Ivis FJ, Bondy SJ, Adlaf EM (1997). The effect of question structure on self-reports of heavy drinking: closed-ended versus open-ended questions. J Stud Alcohol 58, 622–624.

    Article  CAS  Google Scholar 

  • Klatsky AL, Friedman GD, Armstrong MA, Kipp H (2003). Wine, liquor, beer, and mortality. Am J Epidemiol 158, 585–595.

    Article  Google Scholar 

  • Kuntsche E, Rehm J, Gmel G (2004). Characteristics of binge drinkers in Europe. Soc Sci Med 59, 113–127.

    Article  CAS  Google Scholar 

  • Lemmens P, Tan ES, Knibbe RA (1992). Measuring quantity and frequency of drinking in a general population survey: a comparison of five indices. J Stud Alcohol 53, 476–486.

    Article  CAS  Google Scholar 

  • McCann SE, Marshall JR, Trevisan M, Russell M, Muti P, Markovic N et al. (1999). Recent alcohol intake as estimated by the Health Habits and History Questionnaire, the Harvard Semiquantitative Food Questionnaire, and a more detailed Alcohol Intake Questionnaire. Am J Epidemiol 150, 334–340.

    Article  CAS  Google Scholar 

  • Midanik LT (1989). Perspectives on the validity of self-reported alcohol use. Br J Addict 84, 1419–1423.

    Article  CAS  Google Scholar 

  • Mørch LS, Becker U, Olsen J, Tjønneland A, Grønbæk MN (2005). Should the sensible drinking limits for adults be changed? Ugeskr Læger 167, 3777–3779.

    PubMed  Google Scholar 

  • Mukamal KJ, Maclure M, Muller JE, Mittleman MA (2005). Binge drinking and mortality after acute myocardial infarction. Circulation 112, 3839–3845.

    Article  Google Scholar 

  • Naimi TS, Brewer RD, Mokdad A, Denny C, Serdula MK, Marks JS (2003). Binge drinking among US adults. JAMA 289, 70–75.

    Article  Google Scholar 

  • National Health and Medical Research Council (NHMRC) (2001). Australian alcohol guidelines: health risks and benefits. NHMRC: Canberra.

  • Prescott E, Grønbæk M, Becker U, Sørensen TI (1999). Alcohol intake and the risk of lung cancer: influence of type of alcoholic beverage. Am J Epidemiol 149, 463–470.

    Article  CAS  Google Scholar 

  • Rehm J (1998). Measuring quantity, frequency and volume of drinking. Alcohol Clin Exp Res 22 (Suppl 2), S4–S14.

    Article  Google Scholar 

  • Russell M, Welte JW, Barnes GM (1991). Quantity-frequency measures of alcohol consumption: beverage-specific vs global questions. Br J Addict 86, 409–417.

    Article  CAS  Google Scholar 

  • Serdula MK, Brewer RD, Gillespie C, Denny CH, Mokdad A (2004). Trends in alcohol use and binge drinking, 1985–1999. Results of a multi-state survey. Am J Prev Med 26, 294–298.

    Article  Google Scholar 

  • Serdula MK, Mokdad AH, Byers T, Siegel PZ (1999). Assessing alcohol consumption: beverage-specific versus grouped-beverage questions. J Stud Alcohol 60, 99–102.

    Article  CAS  Google Scholar 

  • Sharpe PC (2001). Biochemical detection and monitoring of alcohol abuse and abstinence. Ann Clin Biochem 38, 652–664.

    Article  CAS  Google Scholar 

  • Statistics Denmark. StatBank Denmark. http://www.statistikbanken.dk, 2006, 12–31.

  • Stockwell T, Donath S, Cooper-Stanbury M, Chikritzhs T, Catalano P, Mateo C (2004). Under-reporting of alcohol consumption in household surveys: a comparison of quantity-frequency, graduated-frequency and recent recall. Addiction 99, 1024–1033.

    Article  Google Scholar 

  • Strandberg-Larsen K, Andersen A-MN, Olsen J, Nielsen NR, Grønbæk M (2006). Do women give the same information on binge drinking during pregnancy when asked repeatedly? Eur J Clin Nutr 60, 1294–1298.

    Article  CAS  Google Scholar 

Download references

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Correspondence to O Ekholm.

Additional information

Contributors: OE and MG conceived the original idea, OE conducted the statistical analyses, OE, KS-L and KC drafted the manuscript, which all authors subsequently reviewed, edited and approved. MG contributed to the design of the survey questions and supervised the study.

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Ekholm, O., Strandberg-Larsen, K., Christensen, K. et al. Comparison of assessment methods for self-reported alcohol consumption in health interview surveys. Eur J Clin Nutr 62, 286–291 (2008). https://doi.org/10.1038/sj.ejcn.1602728

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602728

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