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Epidemiology of binge drinking - Wikipedia

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Unsourced material may be challenged and removed.<br /><small><span class="plainlinks"><i>Find sources:</i>&#160;<a rel="nofollow" class="external text" href="https://www.google.com/search?as_eq=wikipedia&amp;q=%22Epidemiology+of+binge+drinking%22">"Epidemiology of binge drinking"</a>&#160;–&#160;<a rel="nofollow" class="external text" href="https://www.google.com/search?tbm=nws&amp;q=%22Epidemiology+of+binge+drinking%22+-wikipedia&amp;tbs=ar:1">news</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.google.com/search?&amp;q=%22Epidemiology+of+binge+drinking%22&amp;tbs=bkt:s&amp;tbm=bks">newspapers</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.google.com/search?tbs=bks:1&amp;q=%22Epidemiology+of+binge+drinking%22+-wikipedia">books</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://scholar.google.com/scholar?q=%22Epidemiology+of+binge+drinking%22">scholar</a>&#160;<b>·</b> <a rel="nofollow" class="external text" href="https://www.jstor.org/action/doBasicSearch?Query=%22Epidemiology+of+binge+drinking%22&amp;acc=on&amp;wc=on">JSTOR</a></span></small></span> <span class="date-container"><i>(<span class="date">March 2014</span>)</i></span><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> </div> </div><span class="hide-when-compact"><i> (<small><a href="/wiki/Help:Maintenance_template_removal" title="Help:Maintenance template removal">Learn how and when to remove this message</a></small>)</i></span></div></td></tr></tbody></table> <p><a href="/wiki/Binge_drinking" title="Binge drinking">Binge drinking</a> is the practice of consuming excessive amounts of <a href="/wiki/Alcohol_(drug)" title="Alcohol (drug)">alcohol</a> in a short period of time. Due to the <a href="/wiki/Idiosyncrasies" class="mw-redirect" title="Idiosyncrasies">idiosyncrasies</a> of the human body, the exact amount of alcohol that would constitute binge drinking differs among individuals.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> The definitions of binge drinking are also nuanced across cultures and population subgroups. For example, many studies use gender-specific measures of binge drinking (such as 5+ drinks for men and 4+ drinks for women).<sup id="cite_ref-Wilsnack_57–76_2-0" class="reference"><a href="#cite_note-Wilsnack_57–76-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> The <b>epidemiology of binge drinking</b> likewise differs across cultures and population subgroups.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup> </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Asia">Asia</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=1" title="Edit section: Asia"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Singapore">Singapore</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=2" title="Edit section: Singapore"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>According to the <a rel="nofollow" class="external text" href="https://www.moh.gov.sg/news-highlights/details/smoking-rates-down-chronic-disease-prevalence-remains-of-concern">National Health Survey 2020</a> conducted by the <a rel="nofollow" class="external text" href="http://www.hpb.gov.sg">Health Promotion Board Singapore</a>, binge drinking is defined as consumption of five or more alcoholic drinks over a short period of time. </p><p>The survey results showed that the frequency of binge drinking was 15.6% in males, 11.9% higher than that for females (3.7%). The largest proportion of males and females who binge drink fall within the 18 – 29 age group. </p><p>In 2007, <a href="/wiki/Asia_Pacific_Breweries" class="mw-redirect" title="Asia Pacific Breweries">Asia Pacific Breweries</a> Singapore (APBS) spearheaded <a href="/wiki/Get_Your_Sexy_Back" title="Get Your Sexy Back">Get Your Sexy Back</a> (GYSB), Singapore's first youth-for-youth initiative to promote responsible and moderate drinking among young adults. The program seeks to widen awareness and educate individuals about responsible drinking behavior by raising the <a href="/wiki/Social_currency" title="Social currency">social currency</a> of moderation. The program engages youths in events and activities that are close to their lifestyles, focusing on four major platforms – Music, Fashion, Sports and Friends to spread the message of responsible drinking. </p> <div class="mw-heading mw-heading2"><h2 id="Europe">Europe</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=3" title="Edit section: Europe"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>The drinking age in most countries is either 16 or 18, though in many countries national or regional regulations ban the consumption and/or the sale of alcoholic drinks stronger than beer or wine to those less than 18 years of age. Licensees may sometimes choose to provide beverages such as diluted <a href="/wiki/Wine" title="Wine">wine</a> or beer mixed with <a href="/wiki/Lemonade" title="Lemonade">lemonade</a> (<i>shandy</i> or<i> Lager Top</i>) with a meal to encourage responsible consumption of alcohol. It is generally perceived that binge drinking is most prevalent in the <a href="/wiki/Vodka_Belt" class="mw-redirect" title="Vodka Belt">Vodka Belt</a> (most of Northern and some of Eastern Europe) and least common in the southern part of the continent, in <a href="/wiki/Italy" title="Italy">Italy</a>, <a href="/wiki/France" title="France">France</a>, <a href="/wiki/Portugal" title="Portugal">Portugal</a> and the Mediterranean (the <a href="/wiki/Alcohol_belts_of_Europe#Wine_belt" class="mw-redirect" title="Alcohol belts of Europe">Wine Belt</a>).<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> </p><p>Using a "5-drink, 30-days" (5 standard drinks in a row during the last 30 days) definition, <a href="/wiki/Denmark" title="Denmark">Denmark</a> leads European binge drinking, with 60% of 15–16-year-olds reporting participating in this behavior (and 61% reporting intoxication).<sup id="cite_ref-CompareDrinkRate_5-0" class="reference"><a href="#cite_note-CompareDrinkRate-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> However, there currently appears to be at least some convergence of drinking patterns and styles between the northern and southern countries, with the south beginning to drink more like the north more so than the other way around. </p> <div class="mw-heading mw-heading3"><h3 id="Malta">Malta</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=4" title="Edit section: Malta"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>A notable exception to the lower rates of binge drinking in <a href="/wiki/Southern_Europe" title="Southern Europe">Southern Europe</a> is the <a href="/wiki/List_of_islands_in_the_Mediterranean" title="List of islands in the Mediterranean">Mediterranean island</a> of <a href="/wiki/Malta" title="Malta">Malta</a>, which has adopted the <a href="/wiki/British_Culture" class="mw-redirect" title="British Culture">British culture</a> of binge drinking, and where teenagers, often still in their early teens, are able to buy alcohol and drink it in the streets of the main <a href="/wiki/Nightclub" title="Nightclub">club</a> district, <a href="/wiki/Paceville" title="Paceville">Paceville</a>, due to a lack of police enforcement of the legal drinking age of 17.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> Statistics show that alcohol consumption in Malta exceeds that in the UK (but binge drinking is slightly lower and intoxication is significantly lower),<sup id="cite_ref-CompareDrinkRate_5-1" class="reference"><a href="#cite_note-CompareDrinkRate-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> and report that Malta ranks 5th in the world in common binge drinking.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> Maltese 15–16-year-olds report binge drinking at a rate of 50%, using a 5-drink, 30-day definition, but only 20% report intoxication in the past 30 days.<sup id="cite_ref-CompareDrinkRate_5-2" class="reference"><a href="#cite_note-CompareDrinkRate-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Spain">Spain</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=5" title="Edit section: Spain"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Since the mid-1990s the <a href="/wiki/Botell%C3%B3n" title="Botellón">botellón</a> has been growing in popularity among young people. Botellón, which literally means "big bottle" in Spanish, is a drinking party or gathering that involves consuming alcohol, usually spirits (often mixed with soft drinks), in a public or semi-public place (beaches, parks, streets, etc.). This can be considered a case of binge drinking since most people that attend it consume 3 to 5 drinks in less than five hours.<sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (April 2008)">citation needed</span></a></i>&#93;</sup> Among 15–16-year-olds, 23% report being intoxicated in the past 30 days.<sup id="cite_ref-CompareDrinkRate_5-3" class="reference"><a href="#cite_note-CompareDrinkRate-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="Russia">Russia</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=6" title="Edit section: Russia"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1236090951">.mw-parser-output .hatnote{font-style:italic}.mw-parser-output div.hatnote{padding-left:1.6em;margin-bottom:0.5em}.mw-parser-output .hatnote i{font-style:normal}.mw-parser-output .hatnote+link+.hatnote{margin-top:-0.5em}@media print{body.ns-0 .mw-parser-output .hatnote{display:none!important}}</style><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/Alcoholism_in_Russia" class="mw-redirect" title="Alcoholism in Russia">Alcoholism in Russia</a></div> <p>Binge drinking in Russia ("<i>Zapoy</i>" ("<i>Запой</i>") in <a href="/wiki/Russian_language" title="Russian language">Russian</a>), often takes the form of two or more days of continuous drunkenness. Sometimes it can even last up to a week. One study found that among men ages 25–54, about 10% had at least one episode of <i>zapoy</i> in the past year, which can be taken as a sign that one has a drinking problem.<sup id="cite_ref-Tomkins07_8-0" class="reference"><a href="#cite_note-Tomkins07-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup> </p><p>Almost half of working-age men in Russia who die are killed by alcohol abuse, reducing Russia's male life expectancy significantly.<sup id="cite_ref-Tomkins07_8-1" class="reference"><a href="#cite_note-Tomkins07-8"><span class="cite-bracket">&#91;</span>8<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">&#91;</span>9<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">&#91;</span>10<span class="cite-bracket">&#93;</span></a></sup> Vodka is the preferred alcoholic beverage, and Russia is notably considered part of the <a href="/wiki/Vodka_Belt" class="mw-redirect" title="Vodka Belt">Vodka Belt</a>. Using a 5-drink, past 30 days definition, 38% of Russian 15–16-year-olds have binged and 27% became intoxicated, a percentage that is on par with other European countries, and even lower than some.<sup id="cite_ref-CompareDrinkRate_5-4" class="reference"><a href="#cite_note-CompareDrinkRate-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="United_Kingdom">United Kingdom</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=7" title="Edit section: United Kingdom"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In the UK, parallels have been drawn between binge drinking and the <a href="/wiki/Gin_Craze" title="Gin Craze">Gin Craze</a> of 18th century England.<sup id="cite_ref-historyandpolicy_11-0" class="reference"><a href="#cite_note-historyandpolicy-11"><span class="cite-bracket">&#91;</span>11<span class="cite-bracket">&#93;</span></a></sup> Some areas of the media are spending a great deal of time reporting on what they see as a social ill that is becoming more prevalent as time passes. In 2003, the cost of binge drinking was estimated as £20 billion a year.<sup id="cite_ref-12" class="reference"><a href="#cite_note-12"><span class="cite-bracket">&#91;</span>12<span class="cite-bracket">&#93;</span></a></sup> In response, the <a href="/wiki/Her_Majesty%27s_Government" class="mw-redirect" title="Her Majesty&#39;s Government">government</a> has introduced measures to deter disorderly behavior and sales of alcohol to people under 18, with special provisions in place during the holiday season. In January 2005, it was reported that one million admissions to UK <a href="/wiki/Emergency_department" title="Emergency department">emergency department</a> units each year are alcohol-related; in many cities, Friday and Saturday nights are by far the busiest periods for <a href="/wiki/Ambulance" title="Ambulance">ambulance</a> services. </p><p>The culture of drinking in the UK is markedly different from that of some other European nations. In mainland Europe, alcohol tends to be consumed more slowly over the course of an evening, often accompanied by a restaurant meal. In <a href="/wiki/Scandinavia" title="Scandinavia">Scandinavia</a>, occasional bouts of heavy drinking are the norm. In the UK (as well as <a href="/wiki/Ireland" title="Ireland">Ireland</a>), by contrast, alcohol is commonly consumed in rapid binges, leading to more regular instances of severe intoxication. In this way the British combine Northern European volumes of consumption with frequency resembling that of Southern Europe. This "drinking urgency" may have been inspired by traditional pre-midnight <a href="/wiki/Public_house" class="mw-redirect" title="Public house">pub</a> <a href="/wiki/Last_call_(bar_term)" class="mw-redirect" title="Last call (bar term)">closing hours</a> in the UK, whereas bars in continental Europe would typically remain open for the entire night. This may have stemmed from the <a href="/wiki/Defence_of_the_Realm_Act_1914" title="Defence of the Realm Act 1914">Defence of the Realm Act 1914</a>, emergency legislation dating back to the <a href="/wiki/World_War_I" title="World War I">first world war</a> regulating pub opening times with the intention of getting workers out of the pub and into the <a href="/wiki/Munitions" class="mw-redirect" title="Munitions">munitions</a> factories. Consequently, it was criticized for being draconian and denying the working classes their pleasures. This is one of the reasons for introducing the <a href="/wiki/Licensing_Act_2003" title="Licensing Act 2003">Licensing Act 2003</a> which came into effect in <a href="/wiki/England_and_Wales" title="England and Wales">England and Wales</a> in 2005, and which allows 24 hour licensing (although not all bars have taken advantage of the change). Some observers, however, believed it would exacerbate the problem.<sup id="cite_ref-13" class="reference"><a href="#cite_note-13"><span class="cite-bracket">&#91;</span>13<span class="cite-bracket">&#93;</span></a></sup> </p><p>As of 2008, results have been mixed and inconsistent across the country.<sup id="cite_ref-14" class="reference"><a href="#cite_note-14"><span class="cite-bracket">&#91;</span>14<span class="cite-bracket">&#93;</span></a></sup> Among young people (under 25), binge drinking (and drinking in general) in England appears to have declined since the late 1990s according to the National Health Service.<sup id="cite_ref-15" class="reference"><a href="#cite_note-15"><span class="cite-bracket">&#91;</span>15<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-16" class="reference"><a href="#cite_note-16"><span class="cite-bracket">&#91;</span>16<span class="cite-bracket">&#93;</span></a></sup> </p><p>While being drunk (outside of a <a href="/wiki/Student" title="Student">student</a> context) in mainland Europe is widely viewed as being socially unacceptable,<sup id="cite_ref-17" class="reference"><a href="#cite_note-17"><span class="cite-bracket">&#91;</span>17<span class="cite-bracket">&#93;</span></a></sup> in the UK the reverse is true in many social circles. Particularly amongst young adults, there is often a certain degree of <a href="/wiki/Peer_pressure" title="Peer pressure">peer pressure</a> to get drunk during a night out.<sup id="cite_ref-18" class="reference"><a href="#cite_note-18"><span class="cite-bracket">&#91;</span>18<span class="cite-bracket">&#93;</span></a></sup> This culture is increasingly becoming viewed by politicians and the media as a serious problem that ought to be tackled, partly for health reasons, but mostly due to its association with <a href="/wiki/Violence" title="Violence">violence</a> and <a href="/wiki/Anti-social_behaviour" title="Anti-social behaviour">anti-social behaviour</a>.<sup id="cite_ref-19" class="reference"><a href="#cite_note-19"><span class="cite-bracket">&#91;</span>19<span class="cite-bracket">&#93;</span></a></sup> </p><p>Using a 5-drink, 30-days definition, British 15–16-year-olds binge drink at a rate of 54%, the fourth highest in Europe, and 46% report intoxication in the past 30 days.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20"><span class="cite-bracket">&#91;</span>20<span class="cite-bracket">&#93;</span></a></sup> </p><p>The British <a href="/wiki/Television" title="Television">TV</a> channel <a href="/wiki/Granada_(production_company)" class="mw-redirect" title="Granada (production company)">Granada</a> produces a program called <i><a href="/wiki/Booze_Britain" title="Booze Britain">Booze Britain</a></i>, which documents the binge drinking culture by following groups of young adults. </p><p>As a reaction to the binge drinking epidemic in Britain, several charities have been created to raise awareness of the dangers of binge drinking and promote responsible drinking. These charities notably include <a href="/wiki/Alcohol_Concern" class="mw-redirect" title="Alcohol Concern">Alcohol Concern</a> and Drinkaware. </p><p>In May 2018 the Scottish Government implemented a minimum unit price<sup id="cite_ref-21" class="reference"><a href="#cite_note-21"><span class="cite-bracket">&#91;</span>21<span class="cite-bracket">&#93;</span></a></sup> of 50 pence per unit of alcohol sold in Scotland. The aim of this was to improve health outcomes from by reducing the availability of alcoholic beverages that are both low in cost and high in alcohol content.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22"><span class="cite-bracket">&#91;</span>22<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="The_Americas">The Americas</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=8" title="Edit section: The Americas"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Canada">Canada</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=9" title="Edit section: Canada"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Canadian binge drinking rates are comparable to those of the <a href="/wiki/United_States" title="United States">United States</a>. They most resemble drinking rates of geographically similar American states bordering <a href="/wiki/Canada" title="Canada">Canada</a>. For example, 29% of 15- to 19-year-olds (35% male, 22% female) and 37% of 20- to 24-year-olds (47% male, 17.9% female) report having 5 or more drinks on one occasion, 12 or more times a year in 2000–01.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23"><span class="cite-bracket">&#91;</span>23<span class="cite-bracket">&#93;</span></a></sup> </p><p>In university, binge drinking is especially common during the first week of orientation, commonly known as "frosh week". The first ever known study comparing the drinking patterns of Canadian and American college students under age 25 (in 1998 and 1999, respectively) found that although Canadian students were more likely to drink, American students drank more heavily overall.<sup id="cite_ref-First_National_Comparison_24-0" class="reference"><a href="#cite_note-First_National_Comparison-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> </p><p>"Heavy alcohol use" was defined as <i>usually</i> having 5/4 drinks or more on the days that the person drinks in the past 30 days (American) or 2–3 months (Canadian). Among past year drinkers, 41% and 35% of American and Canadian students, respectively, reported participated in this behavior. Among the total sample, it was 33% and 30%, respectively. Differences included the lack of a gender gap in Canada compared with America, as well some as age-related differences. Canadians exceeded Americans in reported heavy alcohol use until age 19 (especially among the 1% percentage of students under 18), at which point Americans overtook and then began to exceed Canadians, especially among 21- and 22-year-olds. After age 23, there was no longer much of a difference.<sup id="cite_ref-First_National_Comparison_24-1" class="reference"><a href="#cite_note-First_National_Comparison-24"><span class="cite-bracket">&#91;</span>24<span class="cite-bracket">&#93;</span></a></sup> In Canada, the legal drinking age is 18 or 19, depending on the province. </p><p>A relatively popular drinking game among the Canadian skateboarders and heavy metal culture is "wizard sticks", in which drinkers tape a stack of their empty beer cans to the can from which they are currently drinking. The name comes from the fact that when the stack gets tall enough, it resembles a wizard's staff.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25"><span class="cite-bracket">&#91;</span>25<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="United_States">United States</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=10" title="Edit section: United States"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <figure typeof="mw:File/Thumb"><a href="/wiki/File:Percent_of_adults_who_binge_drink_US_2010.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/3/32/Percent_of_adults_who_binge_drink_US_2010.png/350px-Percent_of_adults_who_binge_drink_US_2010.png" decoding="async" width="350" height="191" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/3/32/Percent_of_adults_who_binge_drink_US_2010.png/525px-Percent_of_adults_who_binge_drink_US_2010.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/3/32/Percent_of_adults_who_binge_drink_US_2010.png/700px-Percent_of_adults_who_binge_drink_US_2010.png 2x" data-file-width="2880" data-file-height="1575" /></a><figcaption>The percent of adults who binge drink in the US in 2010</figcaption></figure> <figure typeof="mw:File/Thumb"><a href="/wiki/File:The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/e/e5/The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png/350px-The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png" decoding="async" width="350" height="199" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/e/e5/The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png/525px-The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/e/e5/The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png/700px-The_average_largest_number_of_drinks_consumed_by_binge_drinkers_on_an_occasion_US_2010.png 2x" data-file-width="2823" data-file-height="1609" /></a><figcaption>The average largest number of drinks consumed by binge drinkers on an occasion in the US in 2010</figcaption></figure> <p>Despite having a <a href="/wiki/Legal_drinking_age" title="Legal drinking age">legal drinking age</a> of 21, binge drinking in the United States remains very prevalent among high school and college students. Using the popular 5/4 definition of "binge drinking", one study found that, in 1999, 44% of American college students (51% male, 40% female) engaged in this practice at least once in the past two weeks.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26"><span class="cite-bracket">&#91;</span>26<span class="cite-bracket">&#93;</span></a></sup> </p><p>One can also look at the prevalence of "extreme drinking" as well. A more recent study of US first-semester college freshmen in 2003 found that, while 41% of males and 34% of females "binged" (using the 5/4 threshold) at least once in the past two weeks, 20% of males and 8% of females drank 10/8 or more drinks (double the 5/4 threshold) at least once in the same period, and 8% of males and 2% of females drank at least 15/12 drinks (triple the threshold).<sup id="cite_ref-27" class="reference"><a href="#cite_note-27"><span class="cite-bracket">&#91;</span>27<span class="cite-bracket">&#93;</span></a></sup> </p><p>A main concern of binge drinking on college campuses is how the negative consequences of binge drinking affect the students. A study done by the <a href="/wiki/Harvard_School_of_Public_Health" class="mw-redirect" title="Harvard School of Public Health">Harvard School of Public Health</a> reported that students who engage in binge drinking experience numerous problems such as: missing class, engaging in unplanned or unsafe sexual activity, being victims of sexual assault, unintentional injuries, and physical ailments.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28"><span class="cite-bracket">&#91;</span>28<span class="cite-bracket">&#93;</span></a></sup> In 2008 the U.S Surgeon General estimated that around 5,000 Americans aged under 21 die each year from alcohol-related injuries involving underage drinking.<sup id="cite_ref-29" class="reference"><a href="#cite_note-29"><span class="cite-bracket">&#91;</span>29<span class="cite-bracket">&#93;</span></a></sup> Rates of binge drinking in women have been increasing; high risk drinking puts these women at increased risk of the negative <a href="/wiki/Long-term_effects_of_alcohol_consumption" class="mw-redirect" title="Long-term effects of alcohol consumption">long-term effects of alcohol consumption</a>.<sup id="cite_ref-Kelly-Weeder-2008_30-0" class="reference"><a href="#cite_note-Kelly-Weeder-2008-30"><span class="cite-bracket">&#91;</span>30<span class="cite-bracket">&#93;</span></a></sup> </p><p>The population of people who binge drink mainly comprises young adults aged 18–29, although it is by no means rare among older adults. For example, in 2007 (using a 5-drinks definition per occasion for both genders), 42% of 18- to 25-year-olds "binged" at least once a month, while 20% of 16–17-year-olds and 19% of those over age 35 did so.<sup id="cite_ref-31" class="reference"><a href="#cite_note-31"><span class="cite-bracket">&#91;</span>31<span class="cite-bracket">&#93;</span></a></sup> The peak age is 21. Prevalence varies widely by region, with the highest rates being in the <a href="/wiki/West_North_Central_States" class="mw-redirect" title="West North Central States">North Central</a> states.<sup id="cite_ref-32" class="reference"><a href="#cite_note-32"><span class="cite-bracket">&#91;</span>32<span class="cite-bracket">&#93;</span></a></sup> <a href="/wiki/Binge_drinking" title="Binge drinking">Binge drinking</a> is more common in men than it is in women.<sup id="cite_ref-Wilsnack_57–76_2-1" class="reference"><a href="#cite_note-Wilsnack_57–76-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> </p><p>The annual "Monitoring the Future" survey found that, in 2007, 10% of 8th graders, 22% of 10th graders, and 26% of 12th graders report having had five or more drinks at least once in the past two weeks.<sup id="cite_ref-33" class="reference"><a href="#cite_note-33"><span class="cite-bracket">&#91;</span>33<span class="cite-bracket">&#93;</span></a></sup> The same survey also found that alcohol was considered somewhat <i>easier</i> to obtain than cigarettes for 8th and 10th graders, even though the minimum age to purchase alcohol is 21 in all 50 states, while for cigarettes it is 18. </p><p>The following table represents the percentage of those age 12–20 who illegally binge drink in the United States.<sup id="cite_ref-autogenerated1_34-0" class="reference"><a href="#cite_note-autogenerated1-34"><span class="cite-bracket">&#91;</span>34<span class="cite-bracket">&#93;</span></a></sup> </p> <table class="wikitable"> <tbody><tr> <th><b>Asian</b> </th> <th><b>Black</b> </th> <th><b>Hispanic</b> </th> <th><b>American Indian</b> </th> <th><b>White</b> </th></tr> <tr> <td>7.9% </td> <td>10.4% </td> <td>17.2% </td> <td>20.3% </td> <td>21.4% </td></tr></tbody></table> <div class="mw-heading mw-heading3"><h3 id="American_Indians_and_First_Nations">American Indians and First Nations</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=11" title="Edit section: American Indians and First Nations"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1236090951"><div role="note" class="hatnote navigation-not-searchable">Further information: <a href="/wiki/American_Indian_alcoholism" class="mw-redirect" title="American Indian alcoholism">American Indian alcoholism</a></div> <p>Binge drinking is a common pattern among <a href="/wiki/American_Indian_alcoholism" class="mw-redirect" title="American Indian alcoholism">Native Americans</a> in both Canada and the United States. <a href="/wiki/Anastasia_M._Shkilnyk" title="Anastasia M. Shkilnyk">Anastasia M. Shkilnyk</a>, who conducted an observational study of the <a href="/wiki/Asubpeeschoseewagong_First_Nation" title="Asubpeeschoseewagong First Nation">Asubpeeschoseewagong First Nation</a> of <a href="/wiki/Northwestern_Ontario" title="Northwestern Ontario">Northwestern Ontario</a> in the late 1970s when they were demoralized by <a href="/wiki/Ontario_Minamata_disease" title="Ontario Minamata disease">Ontario Minamata disease</a>, has observed that heavy Native American drinkers may not be physiologically dependent on alcohol, but abuse it by engaging in binge drinking, a practice associated with child neglect, violence, and impoverishment. After binges during which entire families and their friends drink until they are unconscious and their funds are exhausted, they go about their business without drinking.<sup id="cite_ref-PSL_35-0" class="reference"><a href="#cite_note-PSL-35"><span class="cite-bracket">&#91;</span>35<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Oceania">Oceania</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=12" title="Edit section: Oceania"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <div class="mw-heading mw-heading3"><h3 id="Australia">Australia</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=13" title="Edit section: Australia"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>In 2004–2005, statistics from the National Health Survey<sup id="cite_ref-ABS2004_36-0" class="reference"><a href="#cite_note-ABS2004-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> show that among the general population over 18, 88% of males and 60% of females engaged in binge drinking at least once in the past year, with 12% and 4%, respectively, doing so at least once a week. Among 18 to 24-year-olds, 49% of males and 21% of females did so at least once a week. At the time, the definition for "binge drinking" corresponded to 7 or more standard Australian drinks per occasion for males and 5 or more for females, roughly equivalent to (but slightly less than) the 5/4 (standard American) drinks definition.<sup id="cite_ref-ABS2004_36-1" class="reference"><a href="#cite_note-ABS2004-36"><span class="cite-bracket">&#91;</span>36<span class="cite-bracket">&#93;</span></a></sup> </p><p>In March 2008, the <a href="/wiki/Government_of_Australia" class="mw-redirect" title="Government of Australia">Australian government</a> earmarked <a href="/wiki/Australian_dollar" title="Australian dollar">A$</a>53 million towards a campaign against binge drinking, citing two studies done in the past eight years which showed that binge drinking in Australia was at what <a href="/wiki/Prime_Minister_of_Australia" title="Prime Minister of Australia">Prime Minister</a> <a href="/wiki/Kevin_Rudd" title="Kevin Rudd">Kevin Rudd</a> called "epidemic levels".<sup id="cite_ref-37" class="reference"><a href="#cite_note-37"><span class="cite-bracket">&#91;</span>37<span class="cite-bracket">&#93;</span></a></sup> On June 15, the <a href="/wiki/Australian_Medical_Association" title="Australian Medical Association">Australian Medical Association</a> released new guidelines defining binge drinking as four standard Australian drinks a night.<sup id="cite_ref-38" class="reference"><a href="#cite_note-38"><span class="cite-bracket">&#91;</span>38<span class="cite-bracket">&#93;</span></a></sup> </p><p>The last survey of drinking habits by the <a href="/wiki/Australian_Bureau_of_Statistics" title="Australian Bureau of Statistics">Australian Bureau of Statistics</a> found there was an increase in drinking outside the home. In 1999, 34 percent of spending on alcoholic drinks took place on licensed premises. By 2004 this figure had risen to 38 percent. This figure is expected to fall in 2008 in Australia because of stricter licensing laws, smoking bans in pubs and the extra premium people have to pay for buying alcohol in a bar.<sup id="cite_ref-39" class="reference"><a href="#cite_note-39"><span class="cite-bracket">&#91;</span>39<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading3"><h3 id="New_Zealand">New Zealand</h3><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=14" title="Edit section: New Zealand"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>Concerns over binge drinking by teenagers has led to a review of liquor advertising being announced by the New Zealand government in January 2006. The review considered regulation of sport sponsorship by liquor companies, which at present is commonplace. Previously the drinking age in New Zealand was 20, then dropped to 18 in 1999.<sup id="cite_ref-40" class="reference"><a href="#cite_note-40"><span class="cite-bracket">&#91;</span>40<span class="cite-bracket">&#93;</span></a></sup> </p><p>In direct conjunction with the age-lowering, the Police were found to strictly enforce the on-license (bar, restaurant) code for underage-drinking, less so for the Off-license (liquor stores, supermarkets). As a result, young people ages 15–17 found it significantly <i>harder</i> to get into (or be served at) bars and restaurants than it was before with a poorly enforced (though higher) drinking age of 20. This asymmetric enforcement led to a period of many of New Zealand's youth getting strangers to purchase high alcohol content beverages for them (e.g. cheap vodka or rum) at liquor stores.<sup id="cite_ref-41" class="reference"><a href="#cite_note-41"><span class="cite-bracket">&#91;</span>41<span class="cite-bracket">&#93;</span></a></sup> </p><p>A propensity to consume an entire bottle of spirits developed and led to an instant increase in the number of youths under 18 being admitted to <a href="/wiki/Emergency_department" title="Emergency department">A&amp;E</a> hospitals. The price of alcohol at supermarkets and liquor stores had also gone down, and the number of outlets had mushroomed as well.<sup id="cite_ref-42" class="reference"><a href="#cite_note-42"><span class="cite-bracket">&#91;</span>42<span class="cite-bracket">&#93;</span></a></sup> Alcohol remains cheap, and sweet, spirit-based <a href="/wiki/Ready_to_drink" title="Ready to drink">ready to drink</a> beverages (similar to <a href="/wiki/Alcopops" class="mw-redirect" title="Alcopops">alcopops</a>) remain popular among young people.<sup id="cite_ref-43" class="reference"><a href="#cite_note-43"><span class="cite-bracket">&#91;</span>43<span class="cite-bracket">&#93;</span></a></sup> </p> <figure class="mw-default-size" typeof="mw:File/Thumb"><a href="/wiki/File:Edward_Fortyhands.jpg" class="mw-file-description"><img src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a9/Edward_Fortyhands.jpg/220px-Edward_Fortyhands.jpg" decoding="async" width="220" height="165" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a9/Edward_Fortyhands.jpg/330px-Edward_Fortyhands.jpg 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a9/Edward_Fortyhands.jpg/440px-Edward_Fortyhands.jpg 2x" data-file-width="604" data-file-height="453" /></a><figcaption>Drinking game "Edward Fortyhands", where bottles of beer are taped to participants' hands</figcaption></figure> <p>An example of this binge drinking mentality, often seen amongst university students, is the popularity of <a href="/wiki/Drinking_games" class="mw-redirect" title="Drinking games">drinking games</a> such as Edward Wineyhands and Scrumpy Hands, similar to the American drinking game Edward Fortyhands. A recent study showed that 37% of undergraduates binged at least once in the past week.<sup id="cite_ref-44" class="reference"><a href="#cite_note-44"><span class="cite-bracket">&#91;</span>44<span class="cite-bracket">&#93;</span></a></sup> The New Zealand health service classifies Binge Drinking as anytime a person consumes five or more standard drinks in a sitting. </p> <div style="clear:both;" class=""></div> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Epidemiology_of_binge_drinking&amp;action=edit&amp;section=15" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist"> <div class="mw-references-wrap mw-references-columns"><ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.drinkaware.co.uk/facts/drinking-habits-and-behaviours/binge-drinking">"Binge drinking facts"</a>. <i>drinkaware</i>. 20 June 2022<span class="reference-accessdate">. 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Retrieved <span class="nowrap">2012-12-23</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=NZ+Herald&amp;rft.atitle=Mayor+seeks+drinking+age+lift&amp;rft.date=2008-03-26&amp;rft.au=Gee%2C+Tony&amp;rft_id=http%3A%2F%2Fwww.nzherald.co.nz%2Fnz%2Fnews%2Farticle.cfm%3Fc_id%3D1%26objectid%3D10500085&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AEpidemiology+of+binge+drinking" class="Z3988"></span></span> </li> <li id="cite_note-43"><span class="mw-cite-backlink"><b><a href="#cite_ref-43">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://archive.today/20120917121335/http://www.stuff.co.nz/thepress/4599551a27726.html">"Eye on Crime: Nights of extreme in Christchurch"</a>. <i><a href="/wiki/The_Press" title="The Press">The Press</a></i>. 27 June 2008. Archived from <a rel="nofollow" class="external text" href="http://www.stuff.co.nz/thepress/4599551a27726.html">the original</a> on 17 September 2012<span class="reference-accessdate">. Retrieved <span class="nowrap">29 September</span> 2011</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=unknown&amp;rft.jtitle=The+Press&amp;rft.atitle=Eye+on+Crime%3A+Nights+of+extreme+in+Christchurch&amp;rft.date=2008-06-27&amp;rft_id=http%3A%2F%2Fwww.stuff.co.nz%2Fthepress%2F4599551a27726.html&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3AEpidemiology+of+binge+drinking" class="Z3988"></span></span> </li> <li id="cite_note-44"><span class="mw-cite-backlink"><b><a href="#cite_ref-44">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.eurekalert.org/pub_releases/2008-11/ace-hda111308.php">"Hazardous drinking among New Zealand university students has its roots in high school"</a>. Eurekalert.org. 2008-11-20<span class="reference-accessdate">. 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Alcoholism</a></li> <li><a href="/wiki/Disease_theory_of_alcoholism" title="Disease theory of alcoholism">Disease theory of alcoholism</a></li> <li><a href="/wiki/High-functioning_alcoholic" title="High-functioning alcoholic">High-functioning alcoholic</a> (HFA)</li> <li><a href="/wiki/Seeing_pink_elephants" title="Seeing pink elephants">Seeing pink elephants</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Chemistry</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li>Beverage-specific <ul><li><a href="/wiki/Beer_chemistry" title="Beer chemistry">Beer chemistry</a></li> <li><a href="/wiki/Wine_chemistry" title="Wine chemistry">Wine chemistry</a></li></ul></li> <li><a href="/wiki/Comparison_of_psychoactive_alcohols_in_alcoholic_drinks" title="Comparison of psychoactive alcohols in alcoholic drinks">Comparison of psychoactive alcohols in alcoholic drinks</a></li> <li><a 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href="/wiki/Pharmacology_of_ethanol" title="Pharmacology of ethanol">Pharmacology of ethanol</a></li> <li><a href="/wiki/Subjective_response_to_alcohol" title="Subjective response to alcohol">Subjective response to alcohol</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Adverse effects</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Hangxiety" title="Hangxiety">Anxiety</a></li> <li><a href="/wiki/Impact_of_alcohol_on_aging" title="Impact of alcohol on aging">Aging</a></li> <li><a href="/wiki/Long-term_impact_of_alcohol_on_the_brain" title="Long-term impact of alcohol on the brain">Brain</a></li> <li><a href="/wiki/Alcohol_and_cancer" title="Alcohol and cancer">Cancer</a> <ul><li><a href="/wiki/Alcohol_and_breast_cancer" title="Alcohol and breast cancer">breast cancer</a></li></ul></li> <li><a href="/wiki/Alcohol_and_cortisol" title="Alcohol and cortisol">Cortisol</a></li> <li><a href="/wiki/Effects_of_alcohol_on_memory" title="Effects of alcohol on memory">Memory</a></li> <li><a href="/wiki/Alcohol_and_pregnancy" class="mw-redirect" title="Alcohol and pregnancy">Pregnancy</a></li> <li><a href="/wiki/Alcohol_use_and_sleep" title="Alcohol use and sleep">Sleep</a></li> <li><a href="/wiki/Alcohol_tolerance" title="Alcohol tolerance">Tolerance</a>/<a href="/wiki/Alcohol_intolerance" title="Alcohol intolerance">intolerance</a></li> <li><a href="/wiki/Alcohol_and_weight" title="Alcohol and weight">Weight</a></li> <li>Beverage-specific <ul><li>Beer: <a href="/wiki/Potomania" title="Potomania">Potomania</a></li> <li>Wine: <a href="/wiki/Red_wine_headache" title="Red wine headache">Red wine headache</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Social_issues" class="mw-redirect" title="Social issues">Social issues</a></th><td class="navbox-list-with-group navbox-list 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goggles</a></li></ul></li> <li><a href="/wiki/Alcohol_myopia" title="Alcohol myopia">Alcohol myopia</a></li> <li><a href="/wiki/Alcohol_in_association_football" title="Alcohol in association football">Alcohol in association football</a></li> <li><a href="/wiki/Alcohol_use_among_college_students" title="Alcohol use among college students">Alcohol use among college students</a></li> <li><a href="/wiki/Binge_drinking" title="Binge drinking">Binge drinking</a> <ul><li><a href="/wiki/Austrian_syndrome" title="Austrian syndrome">Austrian syndrome</a></li> <li><a href="/wiki/Alcohol_intoxication" title="Alcohol intoxication">Alcohol intoxication</a></li> <li><a class="mw-selflink selflink">Epidemiology of binge drinking</a></li> <li><a href="/wiki/Holiday_heart_syndrome" title="Holiday heart syndrome">Holiday heart syndrome</a></li> <li>Problematic alcoholic products <ul><li><a href="/wiki/Alcohol_powder" title="Alcohol powder">Alcohol powder</a></li> <li><a href="/wiki/Alcopop" title="Alcopop">Alcopop</a></li> <li><a href="/wiki/Borg_(drink)" title="Borg (drink)">Borg</a></li> <li>Low-cost alcohol <ul><li><a href="/wiki/Flavored_fortified_wine" title="Flavored fortified wine">Flavored fortified wine</a></li></ul></li> <li><a href="/wiki/Alcohol_(drug)#Stimulants" title="Alcohol (drug)">Polysubstance alcoholic drinks</a> <ul><li><a href="/wiki/Caffeinated_alcoholic_drink" title="Caffeinated alcoholic drink">Caffeinated alcoholic drink</a></li> <li><a href="/wiki/Coca_wine" title="Coca wine">Coca wine</a></li> <li><a href="/wiki/Nicotini" title="Nicotini">Nicotini</a></li></ul></li></ul></li> <li><a href="/wiki/Zapoy" title="Zapoy">Zapoy</a></li></ul></li> <li><a href="/wiki/Blackout_(drug-related_amnesia)" title="Blackout (drug-related amnesia)">Blackout</a></li> <li><a href="/wiki/Blackout_Wednesday" title="Blackout Wednesday">Blackout Wednesday</a></li> <li><a href="/wiki/Drinking_game" title="Drinking game">Drinking game</a> <ul><li><a href="/wiki/List_of_drinking_games" title="List of drinking games">list</a></li> <li><a href="/wiki/Pregaming" title="Pregaming">Pregaming</a></li></ul></li> <li><a href="/wiki/Drinking_in_public" title="Drinking in public">Drinking in public</a></li> <li><a href="/wiki/Drunk_walking" title="Drunk walking">Drunk walking</a></li> <li><a href="/wiki/Drunkorexia" title="Drunkorexia">Drunkorexia</a></li> <li><a href="/wiki/Dry_drunk" title="Dry drunk">Dry drunk</a></li> <li><a href="/wiki/Dutch_courage" title="Dutch courage">Dutch courage</a></li> <li><a href="/wiki/Flaming_drink" title="Flaming drink">Flaming drink</a></li> <li><a href="/wiki/Hair_of_the_dog" title="Hair of the dog">Hair of the dog</a></li> <li><a href="/wiki/Hurtful_communication#Alcohol" title="Hurtful communication">Hurtful communication</a> <ul><li><a href="/wiki/Drunk_dialing" title="Drunk dialing">Drunk dialing</a></li> <li><a href="/wiki/In_vino_veritas" title="In vino veritas"><i>In vino veritas</i></a></li></ul></li> <li><a href="/wiki/Nightcap_(drink)" title="Nightcap (drink)">Nightcap</a></li> <li><a href="/wiki/Pantsdrunk" title="Pantsdrunk">Pantsdrunk</a></li> <li><a href="/wiki/Passive_drinking" title="Passive drinking">Passive drinking</a></li> <li>Binge drinking devices <ul><li><a href="/wiki/Beer_bong" title="Beer bong">Beer bong</a></li> <li><a href="/wiki/Yard_of_ale" title="Yard of ale">Yard of ale</a></li></ul></li> <li>Routes of administration <ul><li><a href="/wiki/Alcohol_enema" title="Alcohol enema">Alcohol enema</a></li> <li><a href="/wiki/Alcohol_inhalation" title="Alcohol inhalation">Alcohol inhalation</a></li> <li><a href="/wiki/Vodka_eyeballing" title="Vodka eyeballing">Vodka eyeballing</a></li></ul></li> <li><a href="/wiki/Sconcing" title="Sconcing">Sconcing</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">History</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Andrew_Johnson_alcoholism_debate" title="Andrew Johnson alcoholism debate">Andrew Johnson alcoholism debate</a></li> <li><a href="/wiki/Dionysian_Mysteries" title="Dionysian Mysteries">Dionysian Mysteries</a></li> <li><a href="/wiki/Dipsomania" title="Dipsomania">Dipsomania</a></li> <li><a href="/wiki/Gilbert_Paul_Jordan" title="Gilbert Paul Jordan">Gilbert Paul Jordan</a></li> <li><a href="/wiki/Gin_Craze" title="Gin Craze">Gin Craze</a></li> <li><a href="/wiki/List_of_deaths_through_alcohol" title="List of deaths through alcohol">List of deaths through alcohol</a></li> <li><a href="/wiki/Rum_ration" title="Rum ration">Rum ration</a></li> <li><a href="/wiki/Rum_Rebellion" title="Rum Rebellion">Rum Rebellion</a></li> <li><a href="/wiki/Shebeen" title="Shebeen">Shebeen</a></li> <li><a href="/wiki/Six_o%27clock_swill" title="Six o&#39;clock swill">Six o'clock swill</a></li> <li>Illegal drinking establishments <ul><li><a href="/wiki/Nip_joint" title="Nip joint">Nip joint</a></li> <li><a href="/wiki/Speakeasy" title="Speakeasy">Speakeasy</a></li></ul></li> <li><a href="/wiki/Whiskey_Rebellion" title="Whiskey Rebellion">Whiskey Rebellion</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">General</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Alcoholic_beverage" title="Alcoholic beverage">Alcoholic beverage</a></li> <li>Beer <ul><li><a href="/wiki/Beer_mile" title="Beer mile">Beer mile</a></li> <li><a href="/wiki/International_Beer_Day" title="International Beer Day">International Beer Day</a></li> <li><a href="/wiki/International_Women%27s_Collaboration_Brew_Day" title="International Women&#39;s Collaboration Brew Day">International Women's Collaboration Brew Day</a></li> <li><a href="/wiki/Women_in_brewing" title="Women in brewing">Women in brewing</a></li></ul></li> <li><a href="/wiki/Drinking_culture" title="Drinking culture">Drinking culture</a> <ul><li><a href="/wiki/Ap%C3%A9ritif_and_digestif" title="Apéritif and digestif">Apéritif and digestif</a></li> <li><a href="/wiki/Hangover_remedies" title="Hangover remedies">Hangover remedies</a></li> <li><a href="/wiki/Health_effects_of_wine" title="Health effects of wine">Health effects of wine</a> <ul><li><a href="/wiki/Wine_and_food_pairing" title="Wine and food pairing">Wine and food pairing</a></li></ul></li></ul></li> <li><a href="/wiki/Drunken_monkey_hypothesis" title="Drunken monkey hypothesis">Drunken monkey hypothesis</a></li> <li><a href="/wiki/Ladies%27_night" title="Ladies&#39; night">Ladies' night</a></li> <li><a href="/wiki/List_of_countries_by_alcohol_consumption_per_capita" title="List of countries by alcohol consumption per capita">List of countries by alcohol consumption per capita</a> <ul><li><a href="/wiki/Alcohol_consumption_by_youth_in_the_United_States" title="Alcohol consumption by youth in the United States">Alcohol consumption by youth in the United States</a></li></ul></li> <li><a href="/wiki/List_of_substances_used_in_rituals#Alcohol" title="List of substances used in rituals">Ritual use of alcohol</a></li> <li>Whiskey <ul><li><a href="/wiki/International_whisk(e)y_day" title="International whisk(e)y day">International whisk(e)y day</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Alcohol <br />control</th><td class="navbox-list-with-group navbox-list navbox-odd hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Alcohol_law" title="Alcohol law">Alcohol law</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Administrative_License_Suspension" title="Administrative License Suspension">Administrative License Suspension</a> (ALS)</li> <li><a href="/wiki/Alcohol_(Minimum_Pricing)_(Scotland)_Act_2012" title="Alcohol (Minimum Pricing) (Scotland) Act 2012">Alcohol (Minimum Pricing) (Scotland) Act 2012</a></li> <li><a href="/wiki/Alcohol_exclusion_laws" title="Alcohol exclusion laws">Alcohol exclusion laws</a></li> <li><a href="/wiki/Alcohol_monopoly" title="Alcohol monopoly">Alcohol monopoly</a> <ul><li><a href="/wiki/Alcoholic_beverage_control_state" title="Alcoholic beverage control state">Alcoholic beverage control state</a></li></ul></li> <li><a href="/wiki/Alcohol_packaging_warning_messages" title="Alcohol packaging warning messages">Alcohol packaging warning messages</a></li> <li><a href="/wiki/Ban_on_caffeinated_alcoholic_drinks_in_the_United_States" title="Ban on caffeinated alcoholic drinks in the United States">Ban on caffeinated alcoholic drinks in the United States</a></li> <li><a href="/wiki/Drunk_driving_law_by_country" title="Drunk driving law by country">Drunk driving law by country</a> <ul><li><a href="/wiki/DWI_court" title="DWI court">DWI court</a></li> <li><a href="/wiki/Field_sobriety_testing" title="Field sobriety testing">Field sobriety testing</a></li> <li><a href="/wiki/Hip_flask_defence" title="Hip flask defence">Hip flask defence</a></li> <li><a href="/wiki/Ignition_interlock_device" title="Ignition interlock device">Ignition interlock device</a></li></ul></li> <li><a href="/wiki/Dry_county" title="Dry county">Dry county</a> <ul><li><a href="/wiki/List_of_dry_communities_by_U.S._state" title="List of dry communities by U.S. state">List of dry communities by U.S. state</a></li></ul></li> <li><a href="/wiki/Last_call" title="Last call">Last call</a></li> <li><a href="/wiki/Legal_drinking_age" title="Legal drinking age">Legal drinking age</a> <ul><li><a href="/wiki/Legal_drinking_age_in_the_United_States" title="Legal drinking age in the United States">Legal drinking age in the United States</a></li> <li><a href="/wiki/Shoulder_tap_(alcohol)" title="Shoulder tap (alcohol)">Shoulder tap</a></li></ul></li> <li><a href="/wiki/List_of_alcohol_laws_of_the_United_States" title="List of alcohol laws of the United States">List of alcohol laws of US</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Prohibition" title="Prohibition">Alcohol prohibition</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/List_of_countries_with_alcohol_prohibition" title="List of countries with alcohol prohibition">List of countries with alcohol prohibition</a></li> <li><a href="/wiki/Neo-prohibitionism" title="Neo-prohibitionism">Neo-prohibitionism</a></li> <li><a href="/wiki/Temperance_movement" title="Temperance movement">Temperance movement</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Sobriety" title="Sobriety">Sobriety</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Alcohol_detoxification" title="Alcohol detoxification">Alcohol detoxification</a></li> <li><a href="/wiki/Alcohol-free_zone" title="Alcohol-free zone">Alcohol-free zone</a> <ul><li><a href="/wiki/Dry_campus" title="Dry campus">Dry campus</a></li> <li><a href="/wiki/Open-container_law" title="Open-container law">Open-container law</a></li></ul></li> <li><a href="/wiki/Brief_intervention" title="Brief intervention">Brief intervention</a></li> <li><a href="/wiki/Designated_driver" title="Designated driver">Designated driver</a></li> <li><a href="/wiki/Drug_rehabilitation" title="Drug rehabilitation">Alcohol rehabilitation</a></li> <li><a href="/wiki/Drunk_tank" title="Drunk tank">Drunk tank</a></li> <li><a href="/wiki/Managed_alcohol_program" title="Managed alcohol program">Managed alcohol program</a></li> <li><a href="/wiki/Non-alcoholic_drink" title="Non-alcoholic drink">Non-alcoholic drink</a> <ul><li><a href="/wiki/List_of_non-alcoholic_cocktails" class="mw-redirect" title="List of non-alcoholic cocktails">List of cocktails</a></li> <li><a href="/wiki/List_of_non-alcoholic_mixed_drinks" title="List of non-alcoholic mixed drinks">List of mixed drinks</a></li> <li><a href="/wiki/Spritzer#Non-alcoholic_spritzer" title="Spritzer">Spritzer</a></li> <li><a href="/wiki/Malt_drink#Non-alcoholic_malt_drinks" title="Malt drink">Malt drinks</a></li></ul></li> <li><a href="/wiki/Teetotalism" title="Teetotalism">Teetotalism</a></li> <li><a href="/wiki/Temperance_bar" title="Temperance bar">Temperance bar</a></li> <li><a href="/wiki/Temperance_and_Good_Citizenship_Day" title="Temperance and Good Citizenship Day">Temperance and Good Citizenship Day</a></li> <li><a href="/wiki/List_of_twelve-step_groups" title="List of twelve-step groups">Twelve-step groups</a> <ul><li><a href="/wiki/Al-Anon/Alateen" title="Al-Anon/Alateen">Al-Anon/Alateen</a></li> <li><a href="/wiki/Alcoholics_Anonymous" title="Alcoholics Anonymous">Alcoholics Anonymous</a> (AA):</li> <li><a href="/wiki/Adult_Children_of_Alcoholics" class="mw-redirect" title="Adult Children of Alcoholics">Adult Children of Alcoholics</a> (ACA)</li></ul></li> <li><a href="/wiki/Sober_companion" title="Sober companion">Sober companion</a></li> <li><a href="/wiki/Sober_curious" title="Sober curious">Sober curious</a></li> <li><a href="/wiki/Sober_living_house" title="Sober living house">Sober living house</a></li> <li><a href="/wiki/Sobering_center" title="Sobering center">Sobering center</a></li> <li><a href="/wiki/Sobrietol" title="Sobrietol">Sobrietol</a></li> <li><a href="/wiki/Quit_lit_(alcohol_cessation)" title="Quit lit (alcohol cessation)">Quit lit</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Alcohol limitation</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/0-0-1-3" title="0-0-1-3">0-0-1-3</a></li> <li><a href="/wiki/Alcohol_consumption_recommendations" title="Alcohol consumption recommendations">Alcohol consumption recommendations</a></li> <li><a href="/wiki/Alcohol_education" title="Alcohol education">Alcohol education</a></li> <li><a href="/wiki/Alcohol_server_training" title="Alcohol server training">Alcohol server training</a></li> <li>Monitoring <ul><li><a href="/wiki/Breathalyzer" title="Breathalyzer">Breathalyzer</a></li> <li><a href="/wiki/Electronic_tagging#Sweat_alcohol_content_monitor" title="Electronic tagging">Sweat alcohol content monitor</a></li></ul></li> <li><a href="/wiki/Brief_intervention#FRAMES" title="Brief intervention">FRAMES</a></li> <li><a href="/wiki/Foundation_for_Advancing_Alcohol_Responsibility" title="Foundation for Advancing Alcohol Responsibility">Foundation for Advancing Alcohol Responsibility</a></li> <li>Campaigns <ul><li><a href="/wiki/Dry_January" title="Dry January">Dry January</a></li> <li><a href="/wiki/Dry_July" title="Dry July">Dry July</a></li> <li><a href="/wiki/Get_Your_Sexy_Back" title="Get Your Sexy Back">Get Your Sexy Back</a></li> <li><a href="/wiki/Ocsober" title="Ocsober">Ocsober</a></li></ul></li> <li><a href="/wiki/Liquor_license" title="Liquor license">Liquor license</a></li> <li>Low-alcohol drinks <ul><li><a href="/wiki/Fermented_tea" title="Fermented tea">Fermented tea</a></li> <li><a href="/wiki/Low-alcohol_beer" title="Low-alcohol beer">Low-alcohol beer</a></li> <li><a href="/wiki/Malt_drink#Low-alcoholic_malt_drinks" title="Malt drink">Low-alcoholic malt drinks</a></li> <li><a href="/wiki/Small_beer" title="Small beer">Small beer</a></li></ul></li> <li>Measurement <ul><li><a href="/wiki/Alcoholic_spirits_measure" title="Alcoholic spirits measure">Alcoholic spirits measure</a></li> <li><a href="/wiki/Standard_drink" title="Standard drink">Standard drink</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Addiction_medicine" title="Addiction medicine">Addiction medicine</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Benzodiazepine" title="Benzodiazepine">Benzodiazepines</a> <ul><li><a href="/wiki/Chlordiazepoxide" title="Chlordiazepoxide">Chlordiazepoxide</a></li></ul></li> <li><a href="/wiki/Disulfiram-like_drug" title="Disulfiram-like drug">Disulfiram-like drugs</a> <ul><li><a href="/wiki/Disulfiram" title="Disulfiram">Disulfiram</a></li> <li><a href="/wiki/Calcium_carbimide" title="Calcium carbimide">Calcium carbimide</a></li> <li><a href="/wiki/Cyanamide" title="Cyanamide">Cyanamide</a></li></ul></li> <li><a href="/wiki/General_anaesthetic" title="General anaesthetic">General anaesthetics</a> <ul><li><a href="/wiki/Nitrous_oxide_(medication)" title="Nitrous oxide (medication)">Nitrous oxide</a></li></ul></li> <li><a href="/wiki/Sulfonic_acid" title="Sulfonic acid">Sulfonic acids</a> <ul><li><a href="/wiki/Acamprosate" title="Acamprosate">Acamprosate</a></li> <li><a href="/wiki/Homotaurine" title="Homotaurine">Homotaurine</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Religion_and_alcohol" title="Religion and alcohol">Religion and alcohol</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Christian_views_on_alcohol" title="Christian views on alcohol">Christian views on alcohol</a> <ul><li><a href="/wiki/Alcohol_in_the_Bible" title="Alcohol in the Bible">Alcohol in the Bible</a></li></ul></li> <li><a href="/wiki/Khamr" title="Khamr">Islam and alcohol</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">History</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Beer_Street_and_Gin_Lane" title="Beer Street and Gin Lane"><i>Beer Street</i> and <i>Gin Lane</i></a></li> <li><a href="/wiki/Bratt_System" title="Bratt System">Bratt System</a></li> <li><a href="/wiki/Dry_state" title="Dry state">Dry state</a></li> <li><a href="/wiki/Gin_Act_1751" title="Gin Act 1751">Gin Act 1751</a></li> <li><a href="/wiki/Medicinal_Liquor_Prescriptions_Act_of_1933" title="Medicinal Liquor Prescriptions Act of 1933">Medicinal Liquor Prescriptions Act of 1933</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Related</th><td class="navbox-list-with-group navbox-list navbox-even hlist" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Index_of_alcohol-related_articles" title="Index of alcohol-related articles">Index of alcohol-related articles</a></li> <li><a href="/wiki/Alcohol_and_spaceflight" title="Alcohol and spaceflight">Alcohol and spaceflight</a></li> <li><a href="/wiki/Gateway_drug_effect" title="Gateway drug effect">Gateway drug effect</a></li> <li><a href="/wiki/Mood_disorder" title="Mood disorder">Mood disorder</a></li> <li><a href="/wiki/Non-alcoholic_fatty_liver_disease" class="mw-redirect" title="Non-alcoholic fatty liver disease">Non-alcoholic fatty liver disease</a></li> <li><a href="/wiki/Self-medication" title="Self-medication">Self-medication</a></li> <li><a href="/wiki/Spins" title="Spins">Spins</a></li> <li><a href="/wiki/Town_drunk" title="Town drunk">Town drunk</a></li> <li><a href="/wiki/French_paradox" title="French paradox">French paradox</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow hlist" colspan="2"><div> <ul><li><span class="noviewer" typeof="mw:File"><span title="Category"><img alt="" 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