<p>First of all, the federal government (National Institute on Alcohol Abuse and Addiction) redefined binge drinking on February 3, 2004 to 5 drinks within a two-hour period - actually, to be more precise, the amount of alcohol needed to bring blood alcohol levels to .08 <a href=“http://pubs.niaaa.nih.gov/publications/Newsletter/winter2004/Newsletter_Number3.pdf[/url]”>http://pubs.niaaa.nih.gov/publications/Newsletter/winter2004/Newsletter_Number3.pdf</a>
(Theoretically, one could do that with fewer drinks in a shorter timeframe, or more drinks in a longer one.) So the old canard about what is a “session” is old news. The interesting thing though is that when they field-tested the definition (very, very extensively, I might add) they discovered that the rates for “two hours” v. “session” came out virtually the same. </p>
<p>The data from Health Canada and the Canadian Campus Survey (2004) suggest that binge drinking in Canada among college students is about 20% lower than in the U.S., though alcohol use is slightly higher. However, most of that difference seems to be associated with a much higher percentage of students in non-residential settings and working at least part-time. There is a study underway to adjust for these differences, but the general assumption is that once this is taken into account, it is likely that binge drinking among younger Canadian college students will be found to be the same or actually slightly higher than in the U.S. (The reason for that, however, is that a much higher percentage of U.S. college students are African-American and Hispanic - with much lower drinking rates - or attend religious colleges where abstinence or something close is normative.)</p>
<p>As for the school, it was/is mostly a risk management exercise. They don’t want to be sued when an untoward event happens on what can be construed to be their watch. I wouldn’t be surprised if the testing/surveillance was required by their insurance company, along with stated consequences. As to whether it is “fair”, well, life isn’t.</p>
<p>As to what can be done, there are literally SCORES of colleges that have successfully lowered their binge and heavy drinking rates. Not eliminated - lowered. In fact, when it comes to binge and heavy drinking, many erstwhile similar institutions have more differences than similarities. Colleges claim to be filled with faculty who teach courses called “behavioral” or “social” psychology. If the colleges can’t read the research, or make use of their own resources, they have only themselves to blame. (Frankly, there are all kinds of schools - especially prestige ones - that would like to pretend that it doesn’t exist.)</p>
<p>In our state, we have ongoing implementation, testing, and evaluation of evidence-based practices in prevention/intervention, with pre- and post-test data extending back as far as two years before the intervention, and two years following. We have matched populations, and matched communities, and we know an awful lot about what works and what doesn’t. And, no, we won’t eliminate binge drinking among high school students. But we have also found out that there is a huge amount that can be done to make a difference.</p>
<p>Past-year alcohol dependence among individuals ages 12 and up in my state (which is a little bit above average) is slightly above 4%; need for treatment a little below 10%). Lifetime prevalence of alcohol dependence is about 15%. Virtually all of these were heavy drinkers in high school or college (note the link is between "heavy’ drinking, not “binge drinking” per se), with the single greatest association being age of first use. Yes, there are folks who do not drink in high school but do so in college (though I think there are all kinds of high school parents in denial).</p>