This study examined the relationship of volume of alcohol consumed to
the occurrence of alcohol-related problems among male and female colle
ge students to develop a gender-specific measure of heavy episodic or
binge drinking by college students for public health research. A self-
administered survey was mailed to a national representative sample of
students of 140 4-year colleges in 40 states and the District of Colum
bia. A total of 17 592 college students completed the survey. Women wh
o typically drink four drinks in a row were found to have roughly the
same likelihood of experiencing drinking-related problems as men who t
ypically drink five drinks in a row. Use of the same standard for both
sexes underestimates binge drinking and the negative health risks for
women.