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What is binge drinking?

In the UK, binge drinking occurs when a man consumes more than eight units of alcohol and a woman consumes over six units in one sitting. Drinking large amounts of alcohol now-and-again is worse for the heath than frequently drinking small quantities.

Binge drinking has become a growing problem in many countries, especially in the UK where 40% of emergency hospital admittances are alcohol-related. Sipping wine, beer or spirits three to four times per week increases the risk of binge drinking, particularly among young men, according to a study carried out by researchers from the Université de Montréal and the University of Western Ontario. Men who drink 22 or more units of alcohol a week have a 20% higher rate of admissions into acute care hospitals than non-drinkers, researchers from the University of Glasgow found.

What causes alcohol dependence (alcoholism)?

Alcohol dependence is a gradual process which can take from a few years to several decades to become a problem - with some very vulnerable people addiction can come in a question of months. Eventually, over time, regular alcohol consumption can disrupt the balance of the brain chemical GABA (gamma-aminobutyric acid), which controls impulsiveness, as well as glutamate, which stimulates the nervous system. Brain levels of dopamine are raised when we consume alcohol - dopamine levels may make the drinking experience more gratifying. Over the long- or medium-term, excessive drinking can significantly alter the levels of these brain chemicals, making the person's body crave alcohol in order to feel good and avoid feeling bad.

These risk factors may also be linked to excessive drinking:

  • Genes - scientists say there are specific genetic factors which may make some people more likely to become addicted to alcohol, as well as other substances. People who have a family history of addiction are at higher risk for abusing alcohol. Alcoholics are six times more likely than nonalcoholic to have blood relatives who are alcohol dependent. Researchers from the Universidad de Granada, Spain, revealed that "the lack of endorphin is hereditary, and thus that there is a genetic predisposition to become addicted to alcohol".

  • The age of first alcoholic drink - a study found that people who started drinking alcohol before the age of 15 were much more likely to have an alcohol problem later in life.

  • Smoking, especially non-daily smokers - A study by Yale University researchers found that non-daily smokers are five times more likely to have a problem with alcohol compared to people who have never smoked.

  • Easy access - Experts say there is a correlation between easy access to alcohol (cheap prices) and alcohol abuse and alcohol-related deaths. A US study found a strong link between alcohol tax increases in 1983 and 2002 and a significant drop in deaths related to alcohol use in one American state - the effect was found to be nearly two to four times that of other prevention strategies such as school programs or media campaigns.

  • Stress - some stress hormones are linked to alcoholism. If our levels of stress, anxiety are high some of us may consume alcohol in an attempt to blank out the upheaval. Military service members returning from Iraq and Afghanistan are likely to experience posttraumatic stress disorder and alcohol use disorders simultaneously, according to researchers at the National Institute on Alcohol Abuse and Alcoholism.

  • Peer drinking - people who have friends who drink regularly or abuse alcohol are more likely to drink excessively and eventually have an alcohol problem.

  • Low self-esteem - experts say that people with low self-esteem who have alcohol readily available are more likely to abuse it.

  • Depression - people with depression may deliberately or unwittingly use alcohol as a means of self-treatment. On the other hand, a statistical modeling study suggested that alcohol abuse may lead to depression risk, rather than vice versa.

  • Media and advertising - in some countries alcohol is portrayed as a glamorous, worldly and cool activity. Many experts believe that alcohol advertising and media coverage of it may convey the message that excessive drinking is acceptable. The Royal College of Physicians is asking for a European Union ban on alcohol advertising to protect children.

  • How the body processes (metabolizes) alcohol - people who need comparatively more alcohol to achieve an effect have a higher risk of eventually having an alcohol problem, a study carried out by researchers at the University of California, San Diego, found.

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