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Moran JB, Wang W, Testa M, Hone LSE. The Relationship Between Men's Sociosexuality, Drinking Intake, and Blackouts. Subst Use Misuse 2024; 59:1565-1573. [PMID: 39010672 DOI: 10.1080/10826084.2024.2352097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/17/2024]
Abstract
Background: Sociosexuality-attitudes, behaviors, and desires related to casual sex-partly predicts drinking behavior in both men and women because drinking is thought to facilitate interactions that lead to casual sex. It follows that sociosexuality would predict drinking intake (e.g., quantity consumed)-but perhaps not drinking consequences (e.g., blacking out)-on the premise that drinking large quantities with high frequency (but not to such high degrees/levels of intoxication that negative consequences occur) would facilitate casual sex. Objectives: This set of studies evaluated whether baseline measures of sociosexuality predict drinking intake (i.e., frequency, quantity, and binge drinking) but not experiencing blacking out at follow-up in two samples (Study 1, N = 172; Study 2, N = 1,038) of college-aged men. Results: As predicted, men's sociosexuality prospectively predicted drinking frequency, quantity, and binge drinking. Contrary to our predictions, men's sociosexuality also predicted blacking out. Conclusions: College men's drinking interventions should be tailored to high-risk groups and consider individual differences like sociosexuality.
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Affiliation(s)
- James B Moran
- Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA
| | - Weijun Wang
- School of Nursing, University at Buffalo, State University of New York, Buffalo, NY, USA
| | - Maria Testa
- Department of Psychology and Clinical and Research Institute on Addictions, University at Buffalo, State University of New York, Buffalo, NY, USA
| | - Liana S E Hone
- Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA
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2
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George WH, Blayney JA, Davis KC. Impact of Acute Alcohol Consumption on Sexuality: A Look at Psychological Mechanisms. Annu Rev Clin Psychol 2024; 20:307-331. [PMID: 38346294 DOI: 10.1146/annurev-clinpsy-080921-075423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/15/2024]
Abstract
Alcohol's link with sexuality is long-standing and prominent. While research continues to document robust associations between drinking and sexual behavior, scientific attention now centers primarily on evaluating mechanisms and attendant theoretical frameworks to advance our understanding of how alcohol exerts a causal impact. We describe four domains with reliable evidence of alcohol effects: sexualized social perceptions, sexual arousal, sexual risk taking, and sexual assault. We consider three contextual frames: distal factors associated with encountering opportunities for alcohol-involved sex, proximal factors associated with alcohol's acute effects, and distal-proximal interactions. We then examine the empirical support for mechanisms embedded within four theoretical frameworks: alcohol disinhibition, alcohol expectancy, alcohol myopia, and emotion regulation. Support for disinhibition mechanisms is evident with sexual arousal only. Expectancy and myopia mechanisms enjoy support across domains and make up bases for integrative expectancy-myopia causal explanations. Emotion regulation mechanisms evidence preliminary support in risk taking and sexual assault. Implications and future directions are considered.
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Affiliation(s)
- William H George
- Department of Psychology, University of Washington, Seattle, Washington, USA;
| | - Jessica A Blayney
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA
| | - Kelly Cue Davis
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona, USA
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3
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Leeman RF, Berey BL, Frohe T, Vásquez Ferreiro A, O’Malley SS. Impaired Control (Both Attempts to Control Drinking and Failed Control) as Prospective Predictors of Negative Outcomes Among Young Adults Who Drink Heavily. J Stud Alcohol Drugs 2024; 85:508-521. [PMID: 38315139 PMCID: PMC11289869 DOI: 10.15288/jsad.22-00362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/28/2023] [Indexed: 02/07/2024] Open
Abstract
OBJECTIVE Impaired control over alcohol is a hallmark of addiction relevant to young adults, but additional prospective findings are needed, particularly in samples reporting heavy drinking. Further, we lack understanding of how attempts and failed efforts to control drinking relate to each other in predicting outcomes. We hypothesized that attempted and failed control would prospectively predict outcomes, with endorsement of both being especially problematic. METHOD We used data from young adults reporting heavy drinking who enrolled in laboratory alcohol self-administration studies (n = 109). Mixed-effects models were used to predict drinks per drinking day, heavy drinking, and negative consequences across baseline and 6- and 12-month follow-ups. Interactions by time and between attempted and failed control were tested. RESULTS Higher failed control was associated with steeper declines in consequences and heavy drinking over time compared with lower failed control. However, higher attempted or failed control was still associated with more consequences and alcohol use than lower impaired control at multiple time points. A significant interaction indicated that the combination of higher attempted and failed control was associated with the most drinks per drinking day. There was also a significant Attempted × Failed Control interaction for heavy drinking. CONCLUSIONS These findings provide further evidence supporting impaired control over alcohol use as a risk factor among young adults. Those reporting both higher attempted and failed control drank the most per day. Either attempted or failed control was associated with negative consequences. Those reporting both higher attempted and failed control may be in greatest need of intensive intervention.
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Affiliation(s)
- Robert F. Leeman
- Department of Public Health and Health Sciences, School of Community Health and Behavioral Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
| | - Benjamin L. Berey
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
- Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island
| | - Tessa Frohe
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
- Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, Washington
| | - Andrea Vásquez Ferreiro
- Department of Health Education & Behavior, College of Health and Human Performance, University of Florida, Gainesville, Florida
| | - Stephanie S. O’Malley
- Department of Psychiatry, Yale School of Medicine, Connecticut Mental Health Center, New Haven, Connecticut
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4
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Pedersen ER, Davis JP, Canning L, Tucker JS, Prindle J, Seelam R, Dunbar MS, Siconolfi D, D'Amico EJ. Longitudinal associations among experiences of sexual assault, posttraumatic stress disorder symptoms, and heavy drinking in young adults. J Trauma Stress 2024; 37:243-256. [PMID: 38109146 PMCID: PMC10984762 DOI: 10.1002/jts.23000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 11/03/2023] [Accepted: 11/04/2023] [Indexed: 12/19/2023]
Abstract
Prior research with young adults has demonstrated clear associations between experiences of sexual assault, symptoms of posttraumatic stress disorder (PTSD), and alcohol use, but most studies have been cross-sectional or have not considered multiple theoretical pathways to understand these associations. Using six waves of data from a longitudinal cohort sample of 1,719 young adults, we examined associations among experiences of past-year sexual assault (i.e., rape, unwanted sexual touching, and physical intimidation in a sexual way), PTSD symptoms, and the frequency of binge drinking over time, allowing for the exploration of symptom-induced, interpersonal risk, and substance-induced pathways for male and female participants. For both male, βs = 2.84 to 6.55, and female participants, βs = 2.96 to 10.1, higher prior levels of PTSD symptoms were associated with larger increases in binge drinking over time. For female participants, higher prior levels of sexual assault were associated with larger increases in PTSD symptoms over time, βs = 3.48 to 4.25, whereas for male participants, higher prior levels of past-year binge drinking were associated with decreases in PTSD symptoms over time, βs = -2.75 to -0.53. Continued efforts are needed to prevent sexual assault among young adults and address PTSD symptoms among those who experience sexual assault. Interventions that target binge drinking are also needed for individuals who experience PTSD symptoms, especially young adults, to address potentially hazardous drinking before problems escalate and become chronic.
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Affiliation(s)
- Eric R Pedersen
- Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California, USA
| | | | - Liv Canning
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
| | | | - John Prindle
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, USA
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5
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López G, Merrill JE, Ward RM. Associations among sexual assault history, alcohol use, blackouts, and blackout intentions among college women. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-8. [PMID: 38277508 PMCID: PMC11272901 DOI: 10.1080/07448481.2023.2299415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2023] [Accepted: 12/03/2023] [Indexed: 01/28/2024]
Abstract
Background: Links between alcohol-induced blackouts and sexual assault (SA) are understudied. We tested whether: (1) history of blackouts, past 30-day blackouts, and past 30-day blackout intentions would be higher among women with histories of SA relative to women without; (2) baseline history of blackouts, past 30-day blackouts, and blackout intentions would predict an increase in SA severity (i.e., a continuous variable that considers SA tactic type and assault frequency) at a one-year follow-up. Methods: 1721 undergraduate women completed a baseline survey and 313 completed the follow-up. Results: Women with SA history had 2.10 higher odds of history of blackouts, 1.47 higher odds of past 30-day blackout during "one" drinking episode, 1.78 higher odds of blackout during a "few" drinking episodes, 3.21 higher odds of blackout during "most/all" drinking episodes, and 1.54 higher odds of blackout intentions in the last 30-days. Longitudinally, history of blackouts and past 30-day blackouts at baseline were associated with an increase in SA severity at follow-up, when peak drinks were not controlled. Conclusion: Longitudinal findings provide some evidence that lifetime history of blackouts and past 30-day blackouts are significant predictors of an increase in SA severity at follow-up and therefore an essential target for interventions.
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Affiliation(s)
- Gabriela López
- Brown University Center for Alcohol and Addiction Studies, Providence, RI, 02903 USA
| | - Jennifer E. Merrill
- Brown University Center for Alcohol and Addiction Studies, Providence, RI, 02903 USA
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6
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Glenn SD, Turrisi RJ, Richards VL, Russell MA, Mallett KA. A Dual-Process Decision-Making Model Examining the Longitudinal Associations Between Alcohol-Induced Blackouts and Alcohol Use Disorder Risk Among College Student Drinkers. J Stud Alcohol Drugs 2024; 85:73-83. [PMID: 37768675 PMCID: PMC10846608 DOI: 10.15288/jsad.23-00063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 08/15/2023] [Indexed: 09/29/2023] Open
Abstract
OBJECTIVE The purpose of this study was to use a dual-process decision-making model to examine the longitudinal associations between alcohol-induced blackouts (blackouts) and alcohol use disorder (AUD) risk symptoms among college student drinkers. METHOD Undergraduate drinkers (N = 2,024; 56% female; 87% White; 5% Hispanic) at a large northeastern university completed online surveys each semester during their first (Time [T] 1, T2), second (T3, T4), third (T5, T6), and fourth (T7, T8) years of college (87% retention across the study). Path analyses were examined testing the longitudinal associations between T1 willingness to experience a blackout, T1 intentions to avoid a blackout, T2-T8 drinking, T2-T8 blackouts, and T8 AUD risk symptoms. Hypotheses 1 and 2 tested the associations between T1 willingness, T1 intentions, T2-T8 drinking, and T2-T8 blackouts. Hypothesis 3 tested the associations between T2-T8 drinking, T2-T8 blackouts, and T8 AUD risk symptoms. RESULTS Students experienced an average of 8 (SD = 8) blackouts during college. Approximately 1,514 (88.8%) participants reported experiencing 1 of 8 AUD risk symptoms. T1 willingness was positively associated with T2-T8 blackouts. T2-T8 drinking and T2-T8 blackouts were positively associated with T8 AUD risk symptoms. T1 willingness significantly indirectly affected T8 AUD risk symptoms through its association with T2-T8 blackouts. CONCLUSIONS Results estimated that, on average, college student drinkers experienced eight blackouts across 4 years of college, and 88% of participants reported experiencing at least one symptom of AUD in the last semester of college. Willingness to experience a blackout influenced students' AUD risk symptoms through the number of blackouts they experienced throughout college.
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Affiliation(s)
- Shannon D. Glenn
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania
| | - Robert J. Turrisi
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania
| | - Veronica L. Richards
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania
| | - Michael A. Russell
- Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania
| | - Kimberly A. Mallett
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, University Park, Pennsylvania
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7
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Djezzar S, Gaulier JM, Gorgiard C, Chèze M, Alvarez JC, Martin C, Dumestre-Toulet V, Lavit M, Mathieu O, Eysseric H, Berland E, Roussel C, Gaillard Y, Hurtel-Lemaire AS, Deveaux M, Pion C. Assessment of 19 years of a prospective national survey on drug-facilitated crimes in France. Leg Med (Tokyo) 2023; 65:102297. [PMID: 37597347 DOI: 10.1016/j.legalmed.2023.102297] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 06/29/2023] [Accepted: 07/12/2023] [Indexed: 08/21/2023]
Abstract
Drug facilitated-crime or chemical submission (DFC/CS) is defined as the concealed or forced administration of psychoactive substances to a victim for criminal purposes. This is a national program set up in the early 2000 s in the form of a prospective multicenter survey, the results of which this manuscript presents. Over this 19-year period, 5487 cases were collected, analyzed and classified into 54 % of suspected cases, 29 % of chemical vulnerability (CV) cases and 17 % of proven DFC/CS cases. In the overall data, the most prevalent victims were female (81 %), with an average age of 27 years. Sexual assault was the most frequent aggression (77 %), followed by theft (14 %). Victims of proven DFC/CS cases were from of all ages including children and elderly. In 934 victims of DFC/CS, 100 various psychoactive substances were detected mostly represented by benzodiazepines and z-drugs (55 %), various sedatives including antihistamines (16 %) and non-therapeutic substances (16 %). Gamma-hydroxybutyric acid (GHB) was found in 4 % cases. In CV cases, alcohol (90 %) and cannabis (32 %) intake were mainly involved. In France, despite prevention messages, DFC/CS has been an epidemic for many years and has been proven by our national study. This national program has the aim to identifying the substances used but unfortunately not the goal to fight against this phenomenon. Since 2009, we observed a new modus operandi of the aggressors who pose as taxi drivers facilitating the reception of the victims leaving nightclubs. We can emphasize that GHB is not the "date rape drug" but rather the benzodiazepine class is.
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Affiliation(s)
- Samira Djezzar
- Addictovigilance Center, hôpital Fernand Widal, AP-HP-Nord-Université de Paris, 200, rue du Fg Saint-Denis, 75010 Paris, France.
| | | | - Charlotte Gorgiard
- Forensic emergencies, hôpital Hôtel-Dieu, AP-HP. Centre - Université de Paris, France
| | | | - Jean-Claude Alvarez
- Pharmacology-Toxicology Laboratory, hôpital Raymond Poincaré, AP-HP. Université Paris Saclay, France
| | - Claire Martin
- Toxicology Section, National Institute of Forensic Science, INPS-LPS75, Paris, France
| | | | - Michel Lavit
- Pharmacokinetics and Toxicology Laboratory, CHU, Toulouse, France
| | - Olivier Mathieu
- Medical Pharmacology and Toxicology Department, CHU Montpellier, France
| | - Hélène Eysseric
- Pharmacology and Toxicology Laboratory, CHU Grenoble, France
| | - Emilie Berland
- Toxicology Section, National Institute of Forensic Science, INPS-LPS13, Marseille, France
| | - Carine Roussel
- Toxicology Section, National Institute of Forensic Science, INPS-LPS31, Toulouse, France
| | | | | | | | - Charlotte Pion
- Addictovigilance Department, Agence nationale de sécurité du médicament et des produits de santé (ANSM), Saint-Denis, France
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8
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Pedersen ER, DiGuiseppi G, Klein DJ, Davis JP, Farris C, D’Amico EJ, LaBrie JW, Griffin BA. Sexual violence victimization among American college students studying abroad. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:1947-1956. [PMID: 34398702 PMCID: PMC9088132 DOI: 10.1080/07448481.2021.1950733] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 04/02/2021] [Accepted: 06/25/2021] [Indexed: 06/13/2023]
Abstract
Objective: Research has just begun to identify American college students who study abroad as a group at-risk for sexual violence victimization. The purpose of the current study was to examine the context of these incidents. Participants: We utilized a large longitudinal sample of 2,428 United States college students studying abroad for between 4 and 21 weeks in 12 different foreign countries. Methods: We estimated descriptive statistics and logistic regression models to assess prevalence and correlates of sexual victimization abroad, as well as effect size comparisons to quantify changes in drinking abroad. Results: Over one-fifth of students experienced sexual violence while abroad, including sexual assault and verbal coercion. Women, younger students, those who experienced sexual violence prior, and heavier drinkers had the greatest odds of sexual violence victimization abroad. Conclusions: Findings point to the need for evidence-based programming to reduce sexual violence risk among American college students studying in foreign countries.
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Affiliation(s)
- Eric R. Pedersen
- RAND Corporation, 1776 Main Street, PO Box 2138, Santa
Monica, CA 90407
- University of Southern California, Department of Psychiatry
and Behavioral Sciences, Keck School of Medicine, Los Angeles CA 90089
| | - Graham DiGuiseppi
- University of Southern California, School of Social Work;
Los Angeles CA 90089
| | - David J. Klein
- RAND Corporation, 1776 Main Street, PO Box 2138, Santa
Monica, CA 90407
| | - Jordan P. Davis
- University of Southern California, School of Social Work;
Los Angeles CA 90089
| | - Coreen Farris
- RAND Corporation, 4570 Fifth Ave, Ste. #600, Pittsburgh, PA
15213
| | | | - Joseph W. LaBrie
- Loyola Marymount University, Department of Psychology, 1
LMU Drive, Los Angeles, CA 90045
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9
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Speed S, Ward RM, Budd K, Branscum P, Barrios V, Miljkovic K. The Relationship between Drunkorexia, Alcohol, and Blackouts Among College Students: An Exploratory Study. Alcohol 2023; 110:51-56. [PMID: 37105336 DOI: 10.1016/j.alcohol.2023.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 03/24/2023] [Accepted: 04/10/2023] [Indexed: 04/29/2023]
Abstract
College drinkers commonly report blacking out (i.e., alcohol-induced amnesia), and those who drink with the intention to blackout are at risk for harmful consequences. Drunkorexia (i.e., restriction of calories on planned drinking days) is a high-risk behavior potentially associated with blacking out. Informed by the Theory of Planned Behavior (TPB), this study explores blackout experiences and intentions to blackout association with drunkorexia. College students (n=2335) who primarily identified as female and White participated via an online survey. Participants received a $3 coupon for completion of the study. Consistent with the literature, 40% and 60.7% participants reported experiencing blackouts and drunkorexia respectively in the last year. Informed by the TPB, a structural equation model assessed if more frequency blackout experiences (IV) related to drunkorexia behaviors (DV1) and alcohol behaviors (DV2), and if there was a significant indirect effect through blackout intention. The model fit the data well (CFI=.98, TLI=.95) and suggests that more frequent blackout experiences relate to more drunkorexia experiences (R2=.04) and higher levels of alcohol consumption (R2=.44). In addition, the relationship between blackout experiences and drunkorexia flows through intentions to blackout (i.e., a significant indirect effect). Findings are consistent with TPB, which suggests intentions predict health behavior. Future interventions should consider modifying intentions and other possible TPB constructs to minimize high risk alcohol consumption and drunkorexia behaviors.
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Affiliation(s)
| | | | - Kristen Budd
- Miami University, Oxford, OH 45056, United States.
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10
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Counts CJ, John-Henderson NA. Childhood trauma and college student health: a review of the literature. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-15. [PMID: 36595473 DOI: 10.1080/07448481.2022.2130336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 08/05/2022] [Accepted: 09/05/2022] [Indexed: 06/17/2023]
Abstract
The experience of childhood trauma is known to predict health-relevant outcomes across the lifespan. Previous reviews summarize existing knowledge of the implications of childhood trauma for health in young adults and adults more generally. The current theoretical review aims to integrate the existing literature on the relationship between childhood trauma and health-relevant outcomes specifically in college students, consolidating findings across specific health domains. Further, the following theoretical review highlights the need for more research in this area and discusses how college campuses may use the knowledge in this area of work to develop targeted interventions aimed at improving the health of college students who experienced trauma in childhood.
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Affiliation(s)
- Cory J Counts
- Department of Psychology, Montana State University, Bozeman, Montana, USA
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11
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Kilpatrick DG, Hahn CK. Understanding and Addressing Alcohol and Sexual Violence: We Have Made Progress but Still Have Miles to Go. NEBRASKA SYMPOSIUM ON MOTIVATION 2023. [DOI: 10.1007/978-3-031-24426-1_7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/29/2023]
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12
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Davis CN, Dash GF, Miller MB, Slutske WS. Past year high-intensity drinking moderates the association between simultaneous alcohol and marijuana use and blackout frequency among college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:140-146. [PMID: 33577429 PMCID: PMC8357845 DOI: 10.1080/07448481.2021.1880415] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 12/15/2020] [Accepted: 01/15/2021] [Indexed: 06/12/2023]
Abstract
Objective: The role of simultaneous alcohol and marijuana (SAM) use in the experience of blackouts among college students is unclear. To clarify discrepancies, the current study evaluated whether the association between SAM user status and blackouts was moderated by high-intensity drinking (HID). Participants and Methods: College students (N = 1,224; 63.7% female) reported on their past year experiences of blackout, marijuana use, SAM use, and HID (i.e., drinking at least twice the binge threshold). Results: SAM users had more past year blackouts than non-SAM users, but this effect was only significant among SAM users who had engaged in HID in the past year (nonbinge: F(5,37) = 0.50, p = 0.49; binge: F(5,138) = 0.23, p = 0.63; HID: F(5,328) = 4.52, p = 0.03). Conclusions: Effects of SAM user status on the experience of alcohol-related blackouts may be limited to individuals who engage in HID.
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Affiliation(s)
- Christal N. Davis
- Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO 65211, USA
| | - Genevieve F. Dash
- Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO 65211, USA
| | - Mary Beth Miller
- Department of Psychiatry, University of Missouri, 1 Hospital Drive DC067.00, Columbia 65212, USA
| | - Wendy S. Slutske
- Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO 65211, USA
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13
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Sutton TE, Edwards KM, Siller L, Shorey RC. An Exploration of Factors that Mediate the Relationship Between Adverse Childhood Experiences and Sexual Assault Victimization Among LGBTQ+ College Students. CHILD MALTREATMENT 2022; 27:539-549. [PMID: 34569316 DOI: 10.1177/10775595211041970] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Despite alarming rates of sexual assault on college campuses, little research has examined risk factors for sexual victimization among LGBTQ+ college students. This exploratory study aims to examine adolescent sexual assault, internalized homonegativity, and problematic alcohol use as mediators linking several types of adverse childhood experiences (ACEs; i.e., childhood sexual abuse, parental abuse, and household disorder) to collegiate sexual assault. Utilizing data from 241 LGBTQ+ college students, path analysis findings demonstrated that these proposed mediators increased risk for sexual assault and that various types of ACEs exerted differential impacts on sexual re-victimization, internalized homonegativity, and problematic alcohol use. Practice-based implications are offered, including the need for affirming programming that includes problem drinking prevention components and considers the role of ACEs and internalized homonegativity in increasing risk for sexual assault during college as well as the need for LGBTQ+ resource centers on campus.
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Affiliation(s)
- Tara E Sutton
- 5547Department of Sociology, Mississippi State University, Starkville, MS, USA
| | - Katie M Edwards
- 14719Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Laura Siller
- 14719Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA
| | - Ryan C Shorey
- 14751Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA
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14
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Miller MB, Boness CL, DiBello AM, Froeliger B. Insomnia as a moderator of alcohol use and blackout: Potential role in acute physiological consequences. Addict Behav 2022; 134:107395. [PMID: 35696822 PMCID: PMC10018985 DOI: 10.1016/j.addbeh.2022.107395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 05/06/2022] [Accepted: 06/05/2022] [Indexed: 11/01/2022]
Abstract
BACKGROUND Alcohol-induced blackout is associated concurrently and prospectively with alcohol-related harm, including emergency room visits and sexual coercion. Although sleep has not been linked empirically to blackout, symptoms of insomnia have also been linked to memory impairment, in which case insomnia symptoms may compound alcohol's negative effects on memory. This study tested insomnia symptoms as a moderator of the association between heavy drinking and alcohol-induced blackout. METHODS Heavy-drinking young adults in college (N = 461, 69% female) completed assessments online from remote locations. Hierarchical linear regression was used to test a moderation model predicting blackout frequency. Logistic regression was used to test post hoc hypotheses. RESULTS In contrast to our main hypothesis, heavy drinking was more weakly (not more strongly) associated with blackout in the context of more severe insomnia. Post hoc analyses tested insomnia symptoms as a unique moderator of the association between heavy drinking and likelihood of acute physiological consequences of alcohol use (blackout, passing out, nausea/throwing up, and hangover). Insomnia severity at least marginally moderated the association between heavy drinking and 4 out of 5 physiological consequences of alcohol use, and only moderated the association between drinking and 1 of 19 remaining consequences. CONCLUSIONS Symptoms of insomnia are associated with alcohol-related harm, but may buffer associations between drinking and acute physiological consequences of alcohol. Additional research is needed to determine if alcohol heightens sensitivity to the acute physiological effects of alcohol, in which case less alcohol may be required for young adults with insomnia to experience these effects.
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Affiliation(s)
- Mary Beth Miller
- Department of Psychiatry, University of Missouri School of Medicine, United States.
| | - Cassandra L Boness
- Department of Psychological Sciences, University of Missouri College of Arts & Sciences, United States; Center on Alcohol, Substance Use, and Addictions, University of New Mexico, United States
| | - Angelo M DiBello
- Center of Alcohol & Substance Use Studies & Graduate School of Applied and Professional Psychology, Rutgers University, United States
| | - Brett Froeliger
- Department of Psychiatry, University of Missouri School of Medicine, United States; Department of Psychological Sciences, University of Missouri College of Arts & Sciences, United States
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15
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Mullet N, Hawkins LG, Tuliao AP, Snyder H, Holyoak D, McGuire KC, Earl AK, McChargue D. Early Trauma and Later Sexual Victimization in College Women: A Multiple Mediation Examination of Alexithymia, Impulsivity, and Alcohol Use. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP18194-NP18214. [PMID: 34388947 DOI: 10.1177/08862605211035876] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Childhood abuse and sexual violence against women are prevalent in the United States. However, researchers have not fully explored the intersection among important predisposing factors that predict recent sexual violence experienced by women who are also survivors of childhood abuse. The purpose of this study was to examine the relationships among early childhood trauma, alexithymia, impulsivity, alcohol use severity, and sexual victimization in later life among female college students from the United States (n = 1,178). Participants were part of a larger cross-cultural study, conducted between 2012 to 2014, which examined sexual aggression and victimization in the context of alcohol use. The current study aimed to examine if: (a) early trauma, impulsivity, alexithymia, and alcohol use severity impact sexual victimization in later life, and (b) if impulsivity, alexithymia, and alcohol use severity mediate the relationship between early trauma and victimization in later life. It was hypothesized that impulsivity, alexithymia, and alcohol use severity would significantly mediate the relationship between early trauma and sexual victimization in later life. Using a multiple mediation path analysis, results indicated that early childhood trauma was significantly linked with impulsivity, alcohol use severity, and sexual victimization in later life. A partial mediation through impulsivity and alcohol use severity was observed. Alexithymia did not produce mediation effects. These findings align with previous research examining how early childhood trauma influences the occurrence of sexual victimization in later life and provides further recommendations for helping professionals as they attempt to stifle the sexual victimization rates among female college students.
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16
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Iverson KM, Rossi FS, Nillni YI, Fox AB, Galovski TE. PTSD and Depression Symptoms Increase Women's Risk for Experiencing Future Intimate Partner Violence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12217. [PMID: 36231518 PMCID: PMC9566456 DOI: 10.3390/ijerph191912217] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 09/08/2022] [Accepted: 09/14/2022] [Indexed: 06/16/2023]
Abstract
Psychological distress may impact women's risk for future intimate partner violence (IPV). Yet, limited research has utilized longitudinal research designs and there is a scarcity of research looking at the three most commonly implicated mental health factors-posttraumatic stress disorder (PTSD), depression, and alcohol use-within the same study. Research is especially scarce for women veterans, who experience substantial risk for these mental health concerns and experiencing IPV. This study examined the role of PTSD symptoms, depression symptoms, and alcohol use in increasing risk for experiencing future IPV while simultaneously accounting for the impact of recent IPV experience on subsequent mental health. This study included a sample of 1921 women veterans (Mage = 36.5), who were asked to complete three mail surveys over the course of 8 months as part of a larger longitudinal survey study of US veterans' health and well-being. The survey assessed experiences of IPV, PTSD symptoms (PCL-5), depression symptoms (PHQ-9), and alcohol use (AUDIT-C) at each of the three time points. Results from separate path analysis models provided support for the role of PTSD symptoms and depression symptoms (but not alcohol use) in increasing risk for IPV experience over time. However, the path analysis models provided little support, with the exception of PTSD, for the impact of IPV experience on subsequent mental health symptoms. Findings point to the importance of better understanding the mechanisms by which PTSD and depression symptoms can increase risk for IPV to inform theory and prevention and treatment efforts. Detection and treatment of PTSD and depression symptoms among women may help reduce risk for future violence in intimate relationships.
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Affiliation(s)
- Katherine M. Iverson
- Women’s Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA 02130, USA
- Department of Psychiatry, Boston University School of Medicine, Boston, MA 02118, USA
| | - Fernanda S. Rossi
- Women’s Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA 02130, USA
- Center for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Menlo Park, CA 94025, USA
- Center for Primary Care and Outcomes Research (PCOR), Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Yael I. Nillni
- Women’s Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA 02130, USA
- Department of Psychiatry, Boston University School of Medicine, Boston, MA 02118, USA
| | - Annie B. Fox
- Women’s Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA 02130, USA
- School of Healthcare Leadership, Massachusetts General Hospital Institute of Health Professions, Boston, MA 02129, USA
| | - Tara E. Galovski
- Women’s Health Sciences Division of the National Center for PTSD, VA Boston Healthcare System, Boston, MA 02130, USA
- Department of Psychiatry, Boston University School of Medicine, Boston, MA 02118, USA
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17
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Carey KB, Tempchin J, DiBello AM, Mastroleo NR. Use of protective behavioral strategies and blackout experience among mandated college students. Addict Behav 2022; 132:107340. [PMID: 35512439 DOI: 10.1016/j.addbeh.2022.107340] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Revised: 03/28/2022] [Accepted: 04/18/2022] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Alcohol-induced blackouts are experienced by approximately half of college students who drink. People who use protective behavioral strategies (PBS) tend to experience fewer alcohol-related consequences of drinking, but the relationship between PBS and blackouts is unknown. This study examines the associations among the use of protective behavioral strategies and blacking out. METHODS Participants were 484 college students, aged 18-22 (56% male, 51% first-year), who were mandated to complete alcohol education following an alcohol violation. Before the intervention, participants completed questionnaires that included questions about past month peak consumption, alcohol-related consequences, marijuana use frequency, and frequency of PBS use. Logistic regression analyses were conducted to evaluate how use of PBS was related to the odds of experiencing a blackout, controlling for consumption and other risk factors. RESULTS Participants endorsing greater overall use of PBS had decreased odds of having experienced a blackout. However, this association depended on the type of PBS being used. Participants endorsing greater use of PBS regarding manner of drinking and stopping/limiting drinking had decreased odds of having experienced a blackout, but those who endorsed greater use of PBS relating to serious harm reduction did not. CONCLUSIONS This study adds nuance to the idea that PBS protect against adverse alcohol-related consequences. Only PBS that serve to limit or slow consumption appear to be protective against experiencing blackouts. Research on specific associations between types of PBS and consequences may lead to improved outcomes in interventions that incorporate PBS.
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Affiliation(s)
- Kate B Carey
- Center for Alcohol and Addiction Studies, Brown University School of Public Health, United States; Department of Behavioral and Social Sciences, Brown University School of Public Health, United States.
| | - Jacob Tempchin
- Center for Alcohol and Addiction Studies, Brown University School of Public Health, United States
| | - Angelo M DiBello
- Center for Alcohol and Addiction Studies, Brown University School of Public Health, United States; Center of Alcohol & Substance Use Studies, Rutgers University, United States; Department of Applied Psychology, Graduate School of Applied and Professional Psychology, Rutgers University, United States
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18
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Brady SS, Jefferson SC, Saliares E, Porta CM, Patrick ME. Sex in the Context of Substance Use: A Study of Perceived Benefits and Risks, Boundaries, and Behaviors among Adolescents Participating in an Internet-Based Intervention. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1741-1764. [PMID: 34792691 PMCID: PMC10260373 DOI: 10.1007/s10508-021-02173-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 10/03/2021] [Accepted: 10/05/2021] [Indexed: 06/13/2023]
Abstract
Little research has examined adolescents' perspectives of sex with substance use. This study examined (1) adolescents' perceived benefits and risks of sex with substance use, as well as boundaries; (2) the potential for positive and negative social influences among adolescents when they discuss these topics; and (3) whether exposure to health-promoting content is associated with trajectories of sex with substance use over a 6-month period. To address the first two objectives, 176 comments were analyzed from 71 adolescents (90% female) aged 14-18 years who participated in an Internet-based sexual health promotion intervention and posted to at least one message board addressing sex with substance use. Adolescents' perceived benefits and risks of sex with substance use primarily reflected concern for the experience of sex in the moment; perceived risks and boundaries primarily reflected concern for the ability to develop and maintain meaningful relationships. Comments of 63% and 22% of adolescents, respectively, were evaluated to have potential for health-promoting and risk-promoting social influence. To address the third objective, trajectories of self-reported sex with substance use were compared between 89 intervention and 54 control participants. No significant differences were observed. However, a dose-response effect was observed; intervention participants who completed less than one third of assigned tasks reported increases in sex with alcohol or marijuana use over time, while no marked changes or much smaller changes in sex with substance use were observed among intervention participants who completed one third or more tasks. Implications for prevention and intervention programs are discussed.
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Affiliation(s)
- Sonya S Brady
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 South Second Street, Suite 300, Minneapolis, MN, 55454, USA.
| | - Suzanne C Jefferson
- University of Minnesota School of Public Health Alumni, Minneapolis, MN, USA
| | | | - Carolyn M Porta
- University of Minnesota School of Nursing, Minneapolis, MN, USA
| | - Megan E Patrick
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
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19
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Munro NA. Author's Response. J Forensic Sci 2022; 67:1323-1327. [DOI: 10.1111/1556-4029.14997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 01/03/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Neil A. Munro
- The Sleep Centre Guys and St Thomas Hospital NHS Foundation Trust London UK
- Neurology Department King’s College Hospital NHS Foundation Trust London UK
- East Kent University NHS Foundation Trust Canterbury, Kent UK
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20
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Brady SS, Saliares E, Kodet AJ, Rothberg V, Hicks MS, Hager-Garman E, Porta CM. Communication about Sexual Consent and Refusal: A Learning Tool and Qualitative Study of Adolescents' Comments on a Sexual Health Website. AMERICAN JOURNAL OF SEXUALITY EDUCATION 2022; 17:19-56. [PMID: 37206540 PMCID: PMC10195043 DOI: 10.1080/15546128.2021.1953658] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Sexual communication skills are needed to create healthy romantic relationships. Arguably, these skills also can be used to prevent some instances of unwanted sex. This study presents a qualitative analysis of adolescents' comments after reading a teen-friendly article on sexual consent as part of a web-based sexual health promotion intervention. The sample was comprised predominantly of female adolescents recruited from a Midwest urban region in the United States. Adolescents varied with respect to self-efficacy to request, provide, and deny consent, as well as the perceived need to ask for consent in the context of established relationships. Many adolescents perceived that nonverbal methods of communication were sufficient to request, provide, or deny sexual consent. Factors that make it difficult to discuss sexual boundaries and say "no" to unwanted sex included low self-efficacy and an underlying desire to nurture or preserve a relationship. Cultural norms must be changed to support verbal, affirmative sexual consent. In addition, adolescents must be aided in the development of skills to request sexual consent, say "yes" to specific activities, and say "no" to others. Without supportive norms and skills to enhance self-efficacy, adolescents may be unwilling to engage in verbal communication about sexual consent and boundaries.
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Affiliation(s)
- Sonya S. Brady
- Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1300 South Second Street, Suite 300, Minneapolis, MN 55454
| | | | | | - Vienna Rothberg
- Violence Prevention and Response, Division of Student Life, Massachusetts Institution of Technology, Boston, MA
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21
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Williams RD, Gutierrez A. Increased Likelihood of Forced Sexual Intercourse, Sexual Violence, and Sexual Dating Violence Victimization Among Sexual Minority Youth. J Community Health 2021; 47:193-200. [PMID: 34559329 DOI: 10.1007/s10900-021-01033-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2021] [Indexed: 11/30/2022]
Abstract
Sexual violence victimization among adolescents, specifically sexual minority youth, is a significant public health concern. The purpose of this study was to compare sexual violence victimization rates among sexual minority and heterosexual youth using nationally representative data from the 2019 Youth Risk Behavioral Surveillance System. Results indicated that lesbian, gay, bisexual, and questioning youth were significantly more likely than heterosexual youth (p < .05) to experience sexual violence (22.3% vs. 9.1%), sexual dating violence (16.3% vs. 6.4%), and forced sexual intercourse (17.6% vs. 5.9%). Among sexual minority youth, female participants were more likely than male participants (p < .05) to experience sexual violence (23.5% vs. 18.0%), sexual dating violence (17.2% vs. 11.6%), and forced sexual intercourse (19.0% vs. 13.1%). This study identified varying rates of sexual violence victimization among a national sample of youth while examining the differences between heterosexual and sexual minority communities. The additional behavioral risks experienced by sexual minority youth should be further researched to determine impact on overall quality of life and to help guide health education intervention development.
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Affiliation(s)
- Ronald D Williams
- Public Health, Department of Health and Human Performance, Texas State University, 601 University Drive, Jowers Center, San Marcos, TX, 78666, USA.
| | - Analise Gutierrez
- Public Health, Department of Health and Human Performance, Texas State University, 601 University Drive, Jowers Center, San Marcos, TX, 78666, USA
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22
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Horner-Johnson W, Senders A, Higgins Tejera C, McGee MG. Sexual Health Experiences Among High School Students With Disabilities. J Adolesc Health 2021; 69:255-262. [PMID: 33902994 DOI: 10.1016/j.jadohealth.2021.03.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2020] [Revised: 02/24/2021] [Accepted: 03/02/2021] [Indexed: 12/28/2022]
Abstract
PURPOSE The purpose of this study was to investigate the sexual experiences of adolescents with and without disabilities. METHODS Data were from the 2015 and 2017 Oregon Healthy Teens survey, a state-wide representative sample of 11th grade students. We compared teens with and without disabilities on whether or not they had ever had sexual intercourse (N = 20,812). Among those who had ever had intercourse (N = 8,311), we used multivariable Poisson regression to measure the association between disability status and the prevalence of five sexual experiences. RESULTS After adjusting for sociodemographic characteristics, the prevalence of ever having had intercourse was 25% higher among teens with disabilities than among those without (adjusted prevalence ratio [aPR] 1.25, 95% confidence interval [CI]: 1.20-1.30). Among students who had had intercourse, the prevalence of having had intercourse before the age of 15 years (aPR 1.25, 95% CI: 1.14-1.47), having ≥ 2 lifetime sexual partners (aPR 1.13, 95% CI 1.07-1.19), having ≥ 2 sexual partners in the previous three months (aPR 1.23, 95% CI: 1.00-1.52), having used alcohol and/or drugs at the last intercourse (aPR 1.28, 95% CI: 1.10-1.48), and having condomless sex at the last intercourse (aPR 1.17, 95% CI: 1.08-1.27) was higher among students with disabilities than among students without disabilities. After accounting for sexual abuse, each of these associations was attenuated and most were no longer significant. CONCLUSIONS Youth with disabilities are sexually active. Findings highlight the need for increased attention to sexual abuse prevention, sexual health promotion, and risk reduction efforts for this population.
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Affiliation(s)
- Willi Horner-Johnson
- Institute on Development and Disability, Oregon Health & Science University, Portland, Oregon.
| | - Angela Senders
- Institute on Development and Disability, Oregon Health & Science University, Portland, Oregon
| | - César Higgins Tejera
- Institute on Development and Disability, Oregon Health & Science University, Portland, Oregon
| | - Marjorie G McGee
- Office of Equity and Inclusion, Oregon Health Authority, Portland, Oregon
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23
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Evans SM, Reed SC. Impulsivity and the effects of alcohol in women with a history of childhood sexual abuse: A pilot study. Exp Clin Psychopharmacol 2021; 29:395-406. [PMID: 32658534 PMCID: PMC8372544 DOI: 10.1037/pha0000419] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Women with a history of childhood sexual abuse (CSA) are at greater risk to develop alcohol use disorders. Whereas impulsivity has been postulated as a behavioral mechanism linking childhood trauma and alcohol use, few studies have comprehensively examined impulsivity in women with CSA. We compared women with a history of CSA (n = 21) and control women who did not endorse CSA or other major traumas (CON; n = 21) on self-report measures of impulsivity and risk taking. Additionally, performance on behavioral impulsivity and subjective response to alcohol were examined before and after acute alcohol (0.00, 0.50, 0.75 g/kg) administration. Overall, women with CSA responded more impulsively than CON women on the immediate and delayed-memory tasks (measures of response initiation) and the GoStop task (a measure of response inhibition). Whereas alcohol produced dose-related increases in impulsive responding on the immediate memory task in both groups, alcohol-induced increases in response inhibition on the GoStop task were evident only in the CSA group. In contrast, women with CSA exhibited less risk taking than the CON group on the balloon analogue risk task. Alcohol produced dose-related increases on several subjective response measures (e.g., alcohol liking) in both groups; however, these ratings tended to be greater in women with CSA. These preliminary data suggest that women with CSA may be more impulsive. Importantly, impulsivity can lead to hazardous drinking, and alcohol consumption can further increase impulsivity, putting women with CSA at increased risk for sexual revictimization, particularly in the context of alcohol use. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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24
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Calnan S, Davoren MP. College students’ perspectives on an alcohol prevention programme and student drinking – A focus group study. NORDIC STUDIES ON ALCOHOL AND DRUGS 2021; 39:301-321. [PMID: 35720519 PMCID: PMC9152229 DOI: 10.1177/14550725211007078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2021] [Accepted: 03/15/2021] [Indexed: 11/15/2022] Open
Abstract
Aim: While there is considerable research on the efficacy of interventions designed to reduce alcohol consumption and related harms among college students, there is limited research on students’ own perspectives on such interventions. This qualitative study aimed to address this gap by examining college students’ perspectives in the context of an alcohol prevention programme for college students in Ireland. Methods: Focus groups were used as the means of data collection, and participants were selected using purposive sampling based on two criteria – type/location of college and category of student. A total of eight focus groups were conducted at two institutions taking part in the programme. Participants comprised four categories of student: undergraduates, mature students, international students and students who were members of clubs or societies. Results were analysed through the lens of a social-ecological framework. Results: The study findings indicated that students perceived alcohol as being endemic to college life and wider society. As a result, many of the students were sceptical or ambivalent regarding the potential efficacy of alcohol prevention programmes. Despite the perceived pervasiveness of alcohol, the study pointed to heterogeneity in drinking practices among the participants. Moreover, the study participants expressed divergent views when asked whose responsibility it was to control student alcohol consumption. Conclusions: Viewing the findings through a social-ecological lens, students seemed to collectively acknowledge the different layers of influence on student drinking, acknowledging the complex nature of this issue. Providing a greater variety of leisure spaces, including alcohol-free environments, was viewed particularly favourably by the student participants in terms of solutions proposed.
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25
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Ford JV, Choi J, Walsh K, Wall M, Mellins CA, Reardon L, Santelli J, Hirsch JS, Wilson PA. Using a Daily Diary Approach to Examine Substance Use and Negative Sexual Experiences Among College Students. ARCHIVES OF SEXUAL BEHAVIOR 2021; 50:277-287. [PMID: 32394112 DOI: 10.1007/s10508-020-01714-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 04/08/2020] [Accepted: 04/10/2020] [Indexed: 06/11/2023]
Abstract
This article examined substance use and sexual behavior by conducting an analysis of college students' reported behaviors using a daily diary approach. By isolating particular sexual events across a 2-month period, we examined situational predictors of engagement in sex and of negative sexual experiences (coerced sex and/or sex that lacks perceived control) for college men and women. Data come from the daily diary sub-study of the Sexual Health Initiative to Foster Transformation. These data include 60 days of daily responses from 420 undergraduates at one New York City institution. This was a relatively diverse sample comprised of 49% women, 28% identifying as non-heterosexual, 60% non-white, and a roughly equal number of college freshman, sophomores, juniors, and seniors. Analyses examined the effects of alcohol use, binge drinking, marijuana use, and other drug use on sexual experiences. Between-person and within-person substance uses were related to an increased likelihood of having at least one sexual encounter during the study period. After adjusting for each participants' average substance use, both the number of alcoholic drinks consumed (AOR 1.13 (1.05-1.21)) and binge drinking scores (AOR 2.04 (1.10-3.79)) increased the likelihood of negative sex. Interaction analyses showed that compared to men, women were more likely to use alcohol and marijuana prior to sexual encounters. Given that sex and substance use are co-occurring, current prevention approaches should be paired with strategies that attempt to prevent negative sexual experiences, including sexual assault, more directly. These include consent education, bystander training, augmentation of sexual refusal skills, and structural change. Efforts promoting increased sex positivity might also help make all students, and women in particular, less likely to use substances in order to facilitate sex.
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Affiliation(s)
- Jessie V Ford
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168 St., New York, NY, 10032, USA.
| | - Jean Choi
- Mental Health Data Science, Departments of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute, New York, NY, USA
| | - Kate Walsh
- Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, USA
- Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Melanie Wall
- Mental Health Data Science, Departments of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute, New York, NY, USA
| | - Claude Ann Mellins
- Division of Gender, Sexuality and Health, Department of Psychiatry, Columbia University Medical Center, New York, NY, USA
| | - Leigh Reardon
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168 St., New York, NY, 10032, USA
| | - John Santelli
- Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA
| | - Jennifer S Hirsch
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168 St., New York, NY, 10032, USA
| | - Patrick A Wilson
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 W. 168 St., New York, NY, 10032, USA
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Pereira CDO, Pimentel RMM, Leitão FNC, Moraes SDTDA, Maia PCGGS, Santos EVDL, de Freitas MNR, Trigueiro GPDS, Gouveia Filho PS, de Abreu LC. Sexual Violence against Children and Adolescents Taking Place in Schools: An Integrative Review. CHILDREN-BASEL 2020; 7:children7120258. [PMID: 33256055 PMCID: PMC7761016 DOI: 10.3390/children7120258] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 11/18/2020] [Accepted: 11/19/2020] [Indexed: 11/29/2022]
Abstract
Sexual violence against children and adolescents is considered a public health problem of worldwide scope. The objective is to analyze the findings in the literature that address the phenomenon of sexual violence against children and adolescents in the school environment; is an integrative literature review that has as its element-problem of interest children and adolescent victims of sexual violence in schools. The research filters used were: the availability of the text (free full text) and publication date (in the last five years); Initially, 1199 studies were identified, then, after application of filters and the removal of duplicated studies, a total of 175 studies was reached. Subsequently, the selection of articles occurred with the sieve of the titles, resulting in 20 studies. From these, 13 proceeded to the eligibility stage, with three being excluded after a full reading. Therefore, nine studies composed the final sample. One of the factors related to the occurrence of sexual violence against children and adolescents in schools is the absence of educational spaces on the subject, being the main parameter for approaching the outline of identification and prevention strategies, with the insertion of sexual education on the school routine, with the participation of the family.
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Affiliation(s)
- Charlene de Oliveira Pereira
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Renata Macedo Martins Pimentel
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Francisco Naildo Cardoso Leitão
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Sandra Dircinha Texeira de Araújo Moraes
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Paula Christianne Gomes Gouveia Souto Maia
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Everson Vagner de Lucena Santos
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Maria Nathallya Rodrigues de Freitas
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Gildenia Pinto dos Santos Trigueiro
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Petronio Souto Gouveia Filho
- Laboratory of Study Design and Scientific Writing (LaDEEC), The ABC University Health Center (FMABC), Santo André 09060-590, Brazil; (C.d.O.P.); (R.M.M.P.); (F.N.C.L.); (S.D.T.d.A.M.); (P.C.G.G.S.M.); (E.V.d.L.S.); (M.N.R.d.F.); (G.P.d.S.T.); (P.S.G.F.)
| | - Luiz Carlos de Abreu
- Department of Integrated Health Education, Federal University of Espírito Santo (UFES), Vitória 29040-090, Brazil
- Correspondence:
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Miller MB, Davis CN, Merrill JE, DiBello AM, Carey KB. Intentions and motives to experience alcohol-induced blackout among young adults in college. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2020; 34:690-698. [PMID: 32162962 PMCID: PMC7483153 DOI: 10.1037/adb0000572] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Blackouts are typically considered a negative consequence of alcohol use. Yet some college students report consuming alcohol with the intention of blacking out. This study examined intentions and motives for blackout drinking among young adults in college. College students with a past-year history of blackout (N = 350, 56% female, 73% White) completed an anonymous online survey. Descriptive statistics were used to examine the incidence of blackout intentions, and individuals who did and did not report future blackout intentions were then compared on drinking patterns, depressive symptoms, social norms, and outcome expectancies. Overall, 135 participants (39%) reported consuming alcohol in the past 30 days with the intention of losing memory of the night's events, and 107 (31%) reported blackout intentions in the next 30 days. When asked (via open text box) to indicate their motives for past blackout intentions, the majority of participants provided responses that fit with coping, social, or enhancement drinking motives. A larger proportion of men than women reported blackout intentions. As a group, those reporting future blackout intentions reported heavier, more frequent, and more problematic drinking, as well as more symptoms of depression and more positive (but not negative) outcome expectancies. A substantial subset of college students reporting a blackout in the past year also endorsed intentions to experience a blackout in the next 30 days. Given strong associations between intentions and subsequent behavior, interventions targeting blackout styles of drinking are warranted. The extent to which "blackout" drinking motives differ from traditional drinking motives is unclear. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
- Mary Beth Miller
- Department of Psychiatry, University of Missouri, 1 Hospital Dr DC067.00, Columbia, MO 65212, USA,Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA
| | - Christal N. Davis
- Department of Psychological Sciences, University of Missouri, 210 McAlester Hall, Columbia, MO 65211, USA
| | - Jennifer E. Merrill
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA
| | - Angelo M. DiBello
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA,Department of Psychology, City University of New York, Brooklyn College, 2900 Bedford Ave, Brooklyn, NY 11210, USA
| | - Kate B. Carey
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912, USA
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Munro NA. Alcohol and Parasomnias: The Statistical Evaluation of the Parasomnia Defense in Sexual Assault, Where Alcohol is Involved. J Forensic Sci 2020; 65:1235-1241. [PMID: 32259289 DOI: 10.1111/1556-4029.14322] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Revised: 02/18/2020] [Accepted: 03/03/2020] [Indexed: 12/28/2022]
Abstract
Sleep sex may be a defense for alleged sexual assault. The International Classification of Sleep Disorders (ICSD3) states: "Disorders of arousal should not be diagnosed in the presence of alcohol intoxication… The former [alcohol blackouts] are exponentially more prevalent." A panel member of ICSD3, quoting ICSD3 asserts: "alcohol intoxication should rule out a sleep-walking defense". This implies extremely strong support for a prosecution hypothesis (Hp ) over a defense hypothesis (Hd ). I use Bayesian methodology to evaluate the evidential probity of alcohol intoxication. The likelihood ratio, LR, measures the amplification of prior odds of guilt, LR = Posterior odds of guilt after considering alcohol intoxication /Prior odds of guilt before considering alcohol intoxication . By Bayes' theorem, LR = p ( alcohol intoxication, given H p ) / p ( alcohol intoxication, given H d ) . I use data from cross-sectional studies of sexual assault and prevalence of alcohol use, in college students, with data from longitudinal studies, and data from the epidemiology of parasomnias to evaluate LR (alcohol). LR ~1.5 or 5, depending whether alcohol does, or does not, increase the risk of parasomnias. The proposition of extremely strong support for Hp implies a LR ~1,000,000, so the proposition in ICSD3 is not supported by formal analysis. The statistical reasoning in ICSD3 is unclear. There appears to be inversion of the Bayesian conditional (confusing intoxication given assault, and assault given intoxication) and failure to evaluate alcohol intoxication in Hd . Similar statistical errors in R. v Sally Clark are discussed. The American Academy of Sleep Medicine should review the statistical methodology in ICSD3.
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Affiliation(s)
- Neil A Munro
- East Grinstead Sleep Centre, Queen Victoria Hospital NHS Foundation Trust, Holtye Rd, East Grinstead, RH19 3DZ, U.K.,Neurology Department, King's College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS, U.K.,East Kent University NHS Foundation Trust, Ethelbert Road, Canterbury, Kent, CT1 3NG, U.K
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Hequembourg AL, Blayney JA, Livingston JA, Bostwick W, Auerbach S. A mixed methods investigation of sexual victimisation and coping among sexual minority compared to heterosexual women. PSYCHOLOGY & SEXUALITY 2019. [DOI: 10.1080/19419899.2019.1678193] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Amy L. Hequembourg
- School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Jessica A. Blayney
- Department of Psychology, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Jennifer A. Livingston
- School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
| | - Wendy Bostwick
- College of Nursing, University of Illinois Chicago, Chicago, IL, USA
| | - Samantha Auerbach
- School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY, USA
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Wilhite ER, Fromme K. Swiping right: Alcohol, online dating, and sexual hookups in postcollege women. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2019; 33:552-560. [PMID: 31368722 PMCID: PMC6894730 DOI: 10.1037/adb0000493] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The development of online dating has created a cultural shift in how emerging adults approach dating. The present study examined retrospective and event-level associations between alcohol, online dating, and sexual hookups among a sample of single, postcollege women. Participants completed baseline and 24 electronic daily diary surveys on alcohol use, sexual behavior, and method for meeting their sexual partners. We examined the influence of alcohol on sexual hookups, and how method of meeting a partner, and location prior to the hookup influenced level of intoxication during a sexual hookup. There was a within-person effect of alcohol on likelihood of engaging in a sexual hookup whereby hookups were more likely on days when women reported higher levels of intoxication relative to their average drinking. Spending time at bar/party prior to a sexual hookup was associated with higher levels of intoxication prior to a sexual hookup relative to being at other locations. Measured in the daily diary surveys, meeting a sexual hookup partner online was associated with lower levels of intoxication during the hookup relative to when meeting at bars/parties, even when including location just prior to the hookup in the model. The baseline retrospective analyses also indicated that meeting a partner online was associated with drinking less frequently before a sexual hookup relative to meeting a partner at a bar/party. Interventions to address alcohol use, method for meeting a partner, and location prior to hookups could be effective in decreasing potential negative consequences of alcohol-related sexual behavior in emerging adult women. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Tirone V, Katz J. When Do Motives to Sexually Please a Male Partner Benefit Women’s Own Sexual Agency? SEX ROLES 2019. [DOI: 10.1007/s11199-019-01057-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Haas AL, Lorkiewicz S, Zamboanga BL. Replication of factors related to blackout incidence in U.S. high school students: A brief report. Addict Behav 2019; 93:104-107. [PMID: 30703664 DOI: 10.1016/j.addbeh.2019.01.035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 01/22/2019] [Accepted: 01/23/2019] [Indexed: 12/28/2022]
Abstract
Alcohol-related blackouts are a common, yet serious consequence that can result from heavy alcohol intake. This study tested a model examining whether factors identified in related samples (i.e., adolescents residing in the U.K. and U.S. college students) predicted blackouts in community-dwelling U.S. high school youth. Participants from a Northeastern U.S. high school with prior alcohol use (Mage = 16.0 years; 48.2% male, 78.0% White) completed a paper-and-pencil assessment including measures of demographics, alcohol and other substance use, externalizing behaviors, and injunctive norms about risky drinking behaviors. Hierarchical logistic regression examined which factors identified for U.K. residing adolescents (Block 1) replicated in the U.S. sample, and whether factors identified in samples of U.S. college students added additional explained variance (Block 2). Blackouts were reported by 35.6% of students. Regression results indicated that two variables previously identified in adolescents, female gender (OR = 3.26) and increased alcohol use (OR = 1.27) were associated with blackouts. College student risk factors of drinking game (DG) participation and, to a lesser degree injunctive norms for passing out, emerged as additional risk factors (ORs = 2.85 and 1.32, respectively), with the final model explaining 39% of the variance in blackouts. This study advances our understanding of blackouts in younger drinkers and identifies the importance of addressing blackouts within the context of intervention programming that addresses cognitions and high risk drinking practices like DGs.
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George WH. Alcohol and Sexual Health Behavior: "What We Know and How We Know It". JOURNAL OF SEX RESEARCH 2019; 56:409-424. [PMID: 30958036 DOI: 10.1080/00224499.2019.1588213] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Alcohol, despite salutary associations with sexuality, has been implicated in sexual health problems. This review examines the relationship between alcohol and outcomes related to sexual health. Methodological considerations limiting causal assertions permissible with nonexperimental data are discussed, as are advantages of experimental methods. Findings from laboratory experiments are reviewed evaluating causal effects of acute alcohol intoxication on a variety of outcomes, including sexual arousal, sexual desire, orgasm, and sexual risk behaviors related to sexually transmitted infections (STIs) and human immunodeficiency virus (HIV). Several variables exerting mediating and moderating influences are identified. It is concluded that acute alcohol intoxication is capable of exerting a causal impact on multiple constituent components of sexual responding related to sexual health. Both alcohol expectancy and alcohol myopia theories have been supported as explanations for these causal effects. Furthermore, for sexual risk behavior, noteworthy recent developments include research highlighting the importance of women's sexual victimization history and men's condom use resistance. Limitations and implications associated with this body of research are also discussed.
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Trangenstein P, Wall P, Jernigan D. Collateral damage from college drinking: A conceptual framework for alcohol's harms to others among US college students. Subst Use Misuse 2019; 54:1297-1308. [PMID: 31008671 PMCID: PMC6510638 DOI: 10.1080/10826084.2019.1573836] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
BACKGROUND A growing literature shows that drinkers can harm bystanders through alcohol-related harms to others (HTO). The burden of HTO is particularly consequential in college environments, where heavy alcohol consumption and related harms are highly prevalent. A key limitation to the current literature on HTO among college students is that the determinants of HTO in college settings are not well-described. OBJECTIVE This article presents an evidence- and theory-based conceptual framework of HTO among United States college students. METHODS This study used a literature review in Embase, PsycInfo, PubMed, and Web of Science to determine the prevalence of HTO among college students and literature gaps. Researchers supplemented college HTO literature with broader HTO literature to develop a conceptual framework. RESULTS Prevalence estimates for HTO among college populations range from 59% to 84%. Literature on HTO among college students is mostly confined to brief sections of larger surveys. The college HTO literature lacks the level of detail necessary to support methodologically rigorous research. CONCLUSIONS HTO are prevalent among college populations but their prevalence and etiology are not well understood. This likely leads to systematic undercounting of the impact of alcohol in college settings, exacerbating the "translation" gap between what the research says is effective and what colleges actually do. Better understanding of HTO mechanisms through which drinkers harm those around them would inform alcohol research and policy on college campuses, and lead to more accurate assessments of the degree to which stronger alcohol policies could benefit all students, regardless of their drinking patterns.
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Affiliation(s)
| | - Payton Wall
- Johns Hopkins University, Public Health Studies Department, Baltimore, Maryland
| | - David Jernigan
- Boston University School of Public Health, Department of Health Law, Policy and Management, Boston, Massachusetts
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