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Binging on 21st Birthday Suggests Issues Ahead

Binging on 21st Birthday Suggests Issues Ahead

New research finds that students who binge-drink on their 21st birthday are more likely to drink heavily in the future.

University of Washington investigators analyzed data from a group of 600 undergraduate student drinkers who were followed from one month before their 21st birthday to one year after.

Students who drank the most on their 21st birthday also reported consuming the highest amounts of alcohol throughout the following year. The finding held true even when accounting for the subjects’ drinking habits before they turned 21.

Investigators explain that this is the first study to show that drinking heavily on one specific occasion can result in long-term increases in drinking.

The study appears in the journal Addictive Behaviors.

The association between 21st birthday drinking and subsequent drinking was stronger for students who were lighter drinkers before turning 21, indicating that 21st birthday drinking may serve as a more perilous gateway among those with limited prior drinking experience.

Alcohol-related consequences such as vomiting, blacking out, and neglecting responsibilities were also assessed. Accounting for prior drinking habits, students who drank more heavily on their 21st birthday experienced more of these consequences over the rest of the following year.

“We didn’t expect one day’s behavior to matter for an entire year of choices, but it did,” said Irene Geisner, the study’s lead author. She is an assistant professor of psychiatry and behavioral sciences at the University of Washington School of Medicine.

Celebrating a 21st birthday is often seen as a rite of passage, during which most people drink more than they intend to. In fact, students typically consume more alcohol on their 21st birthday than during any other event.

In this study, the average number of drinks consumed was 9.6, likely an underestimate of typical drinking behavior as the majority of study participants received an intervention.

The study builds on a body of work led by Christine Lee, a University of Washington research professor of psychiatry and behavioral sciences. She has studied whether specifically timed interventions can reduce drinking during specific high-risk events and overall general drinking.

Her team has developed in-person and web-based event-specific interventions for 21st birthdays and spring break.

“There’s a long-range public health benefit to designing effective interventions for 21st birthday drinking, or any event when young adults drink heavily,” Lee said.

“The recent findings suggest that event-specific alcohol interventions may have an even greater utility and thus be more cost-effective than we previously thought.”

Source: University of Washington

Binging on 21st Birthday Suggests Issues Ahead

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Binging on 21st Birthday Suggests Issues Ahead. Psych Central. Retrieved on September 28, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 13 Jan 2017)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
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