1
|
Simpson-Rojas D, Phipps DJ, Jenkins K, Fleig L, Hagger MS, Hamilton K. Predicting alcohol consumption: Application of an integrated social cognition model of intentions, habits, and cue consistency. Appl Psychol Health Well Being 2024. [PMID: 39243197 DOI: 10.1111/aphw.12589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Accepted: 08/01/2024] [Indexed: 09/09/2024]
Abstract
Drinking alcohol in excess is associated with deleterious health outcomes, highlighting the need for research to identify potentially modifiable correlates of excessive alcohol consumption to target in behavioral interventions. The present two-wave prospective correlational study applied an integrated theoretical model that included theory of planned behavior constructs alongside habit, cue consistency, affective attitudes, and past behavior as predictors of two alcohol-related behaviors, drinking within safe limits and regular alcohol drinking, in separate samples of Australian undergraduate students (total N = 474). Structural equation models identified direct effects of habit, affective attitude, and subjective norms on intention for both behaviors. Habit at follow-up, cue consistency, and past behavior directly predicted behavior in both samples, whereas intention predicted behavior only for drinking within safe limits, and affective attitude only predicted behavior for regular drinking. Cue consistency moderated the effects of habit on behavior for both behaviors and moderated the effect of past behavior on regular drinking. Results corroborate past behavior and habit as key correlates of behavior and provide preliminary evidence of the importance of integrating cue consistency, a defining characteristic of habit, as a moderator of habit and past behavior effects an integrated theory test.
Collapse
Affiliation(s)
| | - Daniel J Phipps
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- School of Applied Psychology, Griffith University, Mount Gravatt, Queensland, Australia
| | - Kailas Jenkins
- School of Applied Psychology, Griffith University, Mount Gravatt, Queensland, Australia
| | | | - Martin S Hagger
- Department of Psychological Sciences, University of California, Merced, California, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- School of Applied Psychology, Griffith University, Mount Gravatt, Queensland, Australia
- Health Sciences Research Institute, University of California, Merced, California, USA
| | - Kyra Hamilton
- Department of Psychological Sciences, University of California, Merced, California, USA
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
- School of Applied Psychology, Griffith University, Mount Gravatt, Queensland, Australia
- Health Sciences Research Institute, University of California, Merced, California, USA
| |
Collapse
|
2
|
Camargo Júnior EB, Noivo IS, Gouvea TCC, Fernandes MNDF, Gherardi-Donato ECDS. Depression and Substance Use Among Brazilian University Students During the COVID-19 Pandemic. J Psychoactive Drugs 2024; 56:541-550. [PMID: 37551709 DOI: 10.1080/02791072.2023.2244499] [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] [Received: 02/07/2023] [Revised: 07/12/2023] [Accepted: 07/14/2023] [Indexed: 08/09/2023]
Abstract
The prevalence of depression and substance use changed significantly during the COVID-19 pandemic. The present study explored the association between the use of psychoactive substances and depression in Brazilian university students. This cross-sectional study was conducted between 2021 and 2022. A sample of 1271 students were assessed using the Patient Health Questionnaire-9 (PHQ-9) and Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Hierarchical multivariate logistic regression models were used to assess the association between tobacco use, alcohol consumption, illicit substance use, and depression. Among the participants, 424 (33.4%; 95%CI 30.7-36) screened positive for depression (PHQ-9 ≥ 10). Alcohol was the most consumed substance. Recent use of illicit substances was associated with depression (adjusted odds ratio [aOR] 1.59; CI 1.02-2.50). The pattern of moderate or high-risk tobacco use (aOR 2.11; CI 1.31-3.42), alcohol use (aOR 3.40; CI 2.29-5.06), and illicit substances (aOR 1.82; CI 1.15-2.89) were associated with higher chances of depression in adjusted models. Findings highlight the importance of implementing support for mental health among university students. These policies are crucial for addressing maladaptive behaviors, such as substance use, and for mitigating psychological distress, such as depression, which has been exacerbated during the pandemic.
Collapse
|
3
|
Daniels JK, Thielemann J, Borg C. Can Listening to a Verbal Trauma Report Induce Intrusions? - Replication of a Randomized Trial. J Trauma Dissociation 2024:1-15. [PMID: 39044421 DOI: 10.1080/15299732.2024.2374369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 06/07/2024] [Indexed: 07/25/2024]
Abstract
Recent evidence suggests that indirect verbal exposure to traumatic events can be sufficient to cause intrusions and other posttraumatic stress symptoms. In this study, we used a verbal trauma report to experimentally induce intrusions and a tactile task to manipulate the putative processes underlying intrusion development. Our findings indicate that the verbal report indeed induced intrusive recall. Moreover, the verbal report induced negative mood, state anxiety, and state dissociation, with mood and state dissociation predicting intrusion development. Additionally, the tactile task interfered with intrusion formation as indicated by the primary diary measure, but not the retrospective self-report. However, these results await further replication as this and previous trials suffered from limited statistical power. The findings support the reports by trauma therapists who experience secondary traumatization. They also challenge the assumption that all intrusions develop bottom-up from low-level sensory input via sensory representations. Future studies should explore differential processes for intrusion development based on their modality.
Collapse
Affiliation(s)
- Judith K Daniels
- Clinical Psychology, University of Groningen Netherlands, Groningen, Netherlands
| | - Jonathan Thielemann
- Department of Psychology, Catholic University of Eichstätt-Ingolstadt Germany, Eichstätt, Germany
| | - Charmaine Borg
- Clinical Psychology, University of Groningen Netherlands, Groningen, Netherlands
| |
Collapse
|
4
|
Klein AV, Roediger L, Bendau A, Viohl L, Ernst F, Helbig J, Kühne F, Petzold MB, Betzler F. Problem drinking among university students in Berlin. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:1438-1449. [PMID: 35816733 DOI: 10.1080/07448481.2022.2080503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 05/02/2022] [Accepted: 05/16/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Problem-drinking among university students is common and poses serious health-related risks. Therefore, identifying and addressing associated factors is important. PARTICIPANTS AND METHODS A large cross-sectional online-survey with 12,914 university students from Berlin was conducted from November 2016 to August 2017. Relative-risk- and correlation-analysis was used to identify factors associated with problem-drinking and regular heavy-drinking. Independent t-tests compared impulsivity and personality traits, chi-square-tests compared drinking motives between risk- and non-risk-drinkers. RESULTS Male gender, tobacco-smoking, illegal substance use, impulsivity and various sociodemographic and psychosocial variables were significantly related to problem/heavy-drinking. Extraversion was a risk, conscientiousness and agreeableness were protective factors. Drinking-motives did not differ significantly between risk- and non-risk-drinkers. Generally, the main drinking-motives were to feel elated, relax and social purposes. CONCLUSION The identified markers and related problem behaviors may serve as a tool to enhance the identification of student subgroups at risk for problem/heavy-drinking, and hence improve targeted health-intervention-programs.
Collapse
Affiliation(s)
- Andreas V Klein
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Potsdam, Potsdam, Germany
| | - Lukas Roediger
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Antonia Bendau
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
- Department of Psychology, HMU Health and Medical University Potsdam, Potsdam, Germany
| | - Leonard Viohl
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Felicitas Ernst
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Jonas Helbig
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Franziska Kühne
- Department of Psychology, Clinical Psychology and Psychotherapy, University of Potsdam, Potsdam, Germany
| | - Moritz Bruno Petzold
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| | - Felix Betzler
- Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany
| |
Collapse
|
5
|
Solka JR, Finan LJ. Narcissism and alcohol use: The mediating role of drinking motives among college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024:1-8. [PMID: 38917364 DOI: 10.1080/07448481.2024.2368000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 06/09/2024] [Indexed: 06/27/2024]
Abstract
Objective: The current study examined associations between grandiose and vulnerable subclinical narcissistic traits and alcohol use among college students and whether drinking motives mediated these associations. Methods and Participants: Young adult college students who reported past month alcohol use were invited to complete self-report online surveys (N = 406; 81% female; Mage = 20.13, SD = 1.69; 10% Hispanic; 85% White). Results: Results from path analysis using structural equation modeling indicated that there were no direct associations between grandiose or vulnerable subclinical narcissistic traits and alcohol use. However, several drinking motives mediated these associations. Specifically, the association between grandiose traits and alcohol use was mediated by enhancement and social motives. Similarly, the association between vulnerable traits and alcohol use was mediated by enhancement, social and coping motives. Conclusions: Findings highlight a potential mechanism by which personality traits may contribute to a health risk behavior among young people.
Collapse
Affiliation(s)
- Jake R Solka
- University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - Laura J Finan
- Department of Psychology, Illinois State University, Normal, Illinois, USA
| |
Collapse
|
6
|
Janota M, Pic O, Callahan S, Husky MM. Risky Alcohol Use and Romantic Relationships Among College Students: A Longitudinal Study. Subst Use Misuse 2024; 59:1683-1694. [PMID: 38914533 DOI: 10.1080/10826084.2024.2369162] [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: 06/26/2024]
Abstract
BACKGROUND Risky alcohol use is frequent among college students and can be associated with functional outcomes. Bidirectional associations have been shown between alcohol use and the stability of romantic relationships, though little is known about the longitudinal association between risky alcohol use and romantic relationships in college and about college students' perceived stress regarding one's love life. Objectives: The present study aims to explore these relationships both cross-sectionally and at one-year follow-up. METHOD Data were drawn, from the French portion of the World Mental Health International College Student Survey initiative (WMH-ICS). First-year college students who completed an online survey (n = 1,624) and a second survey at one-year follow-up (n = 727) were included. Current romantic relationship status and stress regarding one's love life, past-year risky alcohol use, lifetime presence of DSM-5 mental health disorders and sociodemographic correlates were assessed. RESULTS Risky alcohol use was cross-sectionally associated with dating in multivariate models adjusting for lifetime mental disorders (aOR = 1.70, 95%CI = 1.31-2.20), and in particular with unsteady relationships (aOR = 2.87, 95%CI = 2.01-4.10), but was no longer associated with both one year later. Risky alcohol use was, however, not associated with severe perceived stress regarding one's love life in multivariate models adjusting for lifetime mental disorders in both cross-sectional and longitudinal analyses, while it was associated in bivariate models for both analyses. CONCLUSIONS These findings extend our understanding of the association between excessive drinking and romantic relationship patterns among college students underlying the importance of comorbid disorders.
Collapse
Affiliation(s)
- Mathilde Janota
- Bordeaux Population Health Research Center, INSERM U1219, Université de Bordeaux, Bordeaux, France
| | - Océane Pic
- Bordeaux Population Health Research Center, INSERM U1219, Université de Bordeaux, Bordeaux, France
| | - Stacey Callahan
- Centre d'études et de recherches en psychopathologie et psychologie de la santé (CERPPS) EA 7411, Université de Toulouse 2-Jean Jaurès, Toulouse, France
| | - Mathilde M Husky
- Bordeaux Population Health Research Center, INSERM U1219, Université de Bordeaux, Bordeaux, France
| |
Collapse
|
7
|
Marchena-Giráldez C, Carbonell-Colomer M, Bernabéu-Brotons E. Emotional eating, internet overuse, and alcohol intake among college students: a pilot study with virtual reality. Front Nutr 2024; 11:1400815. [PMID: 38957869 PMCID: PMC11217348 DOI: 10.3389/fnut.2024.1400815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Accepted: 06/06/2024] [Indexed: 07/04/2024] Open
Abstract
Introduction The term emotional eating (EE) describes the tendency to eat as an automatic response to negative emotions and has been linked to anxiety and depression, common symptoms among the university population. The EE tendencies have also been associated with excessive internet use and an increase in alcohol intake among young university students. Methods The aim of this study is to examine the relationship between the tendency towards EE and other health-compromising behaviors, such as excessive internet use or high alcohol intake. Additionally, it aims to investigate the association of these risky behaviors with the participants' performance level in a virtual reality (VR) task that assesses their executive functioning, and to assess impulsivity and levels of anxiety and depression. Results The results associate EE with excessive internet (r = 0.332; p < 0.01). use but not with alcohol consumption. Alcohol consumption was not associated with anxiety, depression, or impulsivity, but it was related to altered executive functions in the VR task: flexibility and working memory explained 24.5% of the variance. By contrast, EE and internet overuse were not related to executive function but were associated with impulsivity, depression, and anxiety. Impulsivity and depressive symptoms accounted for 45% of the variance in EE. Depression, trait anxiety and impulsivity explained 40.6% of the variance in internet overuse. Discussion The results reveal distinct patterns of psychological and neuropsychological alterations associated with alcohol consumption compared to emotional eating (EE) and excessive internet use. These findings underscore significant differences in the contributing factors between addictions and other substance-free addictive behaviors. For a deeper understanding of the various contributing factors to EE in college students, further research is recommended.
Collapse
Affiliation(s)
| | | | - Elena Bernabéu-Brotons
- Faculty of Education and Psychology, Universidad Francisco de Vitoria (UFV), Madrid, Spain
| |
Collapse
|
8
|
Moreno-Fernández RD, Bernabéu-Brotons E, Carbonell-Colomer M, Buades-Sitjar F, Sampedro-Piquero P. Sex-related differences in young binge drinkers on the neurophysiological response to stress in virtual reality. Front Public Health 2024; 12:1348960. [PMID: 38947350 PMCID: PMC11211283 DOI: 10.3389/fpubh.2024.1348960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 06/06/2024] [Indexed: 07/02/2024] Open
Abstract
Background Stress is one of the main environmental factors involved in the onset of different psychopathologies. In youth, stressful life events can trigger inappropriate and health-damaging behaviors, such as binge drinking. This behavior, in turn, can lead to long-lasting changes in the neurophysiological response to stress and the development of psychological disorders late in life, e.g., alcohol use disorder. Our aim was to analyze the pattern of neurophysiological responses triggered with the exposition to a stressful virtual environment in young binge drinkers. Methods AUDIT-3 (third question from the full AUDIT) was used to detect binge drinking (BD) in our young sample (age 18-25 years). According to the score, participants were divided into control (CO) and BD group. Next, a standardized virtual reality (VR) scenario (Richie's Plank) was used for triggering the stress response while measuring the following neurophysiological variables: brain electrical activity by electroencephalogram (EEG) and cortisol levels through saliva samples both measurements registered before and after the stressful situation. Besides, heart rate (HR) with a pulsometer and electrodermal response (EDA) through electrodes placed on fingers were analyzed before, during and after the VR task. Results Regarding the behavior assessed during the VR task, BD group spent significantly less amount of time walking forward the table and a tendency toward more time walking backwards. There was no statistically significant difference between the BD and the CO group regarding time looking down, but when we controlled the variable sex, the BD women group displayed higher amount of time looking down than the rest of the groups. Neurophysiological measurements revealed that there was not any statistically significant difference between groups in any of the EEG registered measures, EDA response and cortisol levels. Sex-related differences were found in HR response to VR scenario, in which BD women displayed the highest peak of response to the stressor. Also, the change in heartbeat was higher in BD women than men. Conclusion Unveiling the neurophysiological alterations associated with BD can help us to prevent and detect early onset of alcohol use disorder. Also, from our data we conclude that participants' sex can modulate some stress responses, especially when unhealthy behaviors such as BD are present. Nevertheless, the moment of registration of the neurophysiological variables respect to the stressor seems to be a crucial variable.
Collapse
Affiliation(s)
| | | | | | - Francisco Buades-Sitjar
- Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain
| | - Patricia Sampedro-Piquero
- Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain
| |
Collapse
|
9
|
Iglesias López MT, Marchena-Giráldez CA, Bernabéu-Brotons E. Nutrient intake, alcohol consumption, emotional eating and anxiety in women nursing students. Heliyon 2023; 9:e22903. [PMID: 38144331 PMCID: PMC10746424 DOI: 10.1016/j.heliyon.2023.e22903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/21/2023] [Accepted: 11/22/2023] [Indexed: 12/26/2023] Open
Abstract
Objective The aim of the study was to analyze dietary habits, alcohol habits, emotional eating and anxiety in a sample of Spanish nursing students. These students appear to be essential to the field of public health and to teaching their future patients about their own good practices. Methods A cross-sectional investigation was conducted. Participants completed the Emotional Eater Questionnaire, the Alcohol Use Disorder Identification Test (AUDIT) test to evaluate alcohol intake, the State-Trait anxiety Inventory (STAI) test to measure levels of anxiety as a state and anxiety as a trait, and self-reported sociodemographic data. Following classroom instruction, three-day food records were used to gauge food intake. Results The calorie intake for the macronutrients Ca, Mg, K, and Fe were below the Recommended Dietary Intakes (DRI) and imbalanced. The percentage E of proteins was 132.7 % more than recommended, while the percentage of carbohydrates is below the recommended level. Dietary energy consumption barely equaled 78 % of the total energy consumed by this sex and age group. With respect to emotional eating, nursing women students were low emotional eater (44 %) > emotional eater (30 %) > non-emotional eater (22.7 %). The students' emotional eating is substantially connected with fast food and sweets, or less healthy food intake behaviors. According to the Alcohol Use Disorder Identification Test (AUDIT), 82.7 % of female students used alcohol on a regular basis in a low-risk manner. Conclusion The findings demonstrated a link between anxiety and dietary fat intake. Trait anxiety was negatively connected with emotional eating (EE), whereas state anxiety was positively correlated with meat consumption. It is crucial to consider these findings when creating prevention/intervention plans and profiles of harmful eating behaviors.
Collapse
|
10
|
Vanherle R, Geber S, Geusens F, Beullens K. Drinking Buddies: The Importance of Proximal Norms in Emerging Adults' Alcohol-Related Private and Public Social Media Use. HEALTH COMMUNICATION 2023; 38:3301-3315. [PMID: 36473724 DOI: 10.1080/10410236.2022.2148086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Exposure to alcohol posts on social media has been found to be associated with emerging adults' alcohol use. An important mechanism through which this association seems to occur are social norms. Thus far, however, research has not differentiated between proximal and distal norms and has not accounted for the private (e.g. Instagram private features, Snapchat) and public media outlets (e.g. Instagram public features) through which these norms might have been constructed. The results of our online survey among emerging adults (N = 789, Mage = 21.46, SDage = 1.88, 56.4% female), therefore, showed that exposure to alcohol posts on private SNS features in combination with descriptive proximal norms, instead of more public SNS features and distal norms, played an important role in emerging adults' alcohol use. As such, future research should focus more thoroughly on the interrelations between SNS private features and proximal normative perceptions and try to better understand on which social cues normative perceptions of proximal other's alcohol consumption are based.
Collapse
Affiliation(s)
| | - Sarah Geber
- Department of Communication and Media Research, University of Zurich
| | - Femke Geusens
- Leuven School for Mass Communication Research, KULeuven
- Department of Women's and Children's Health, Uppsala University
| | | |
Collapse
|
11
|
Faria MN, Dos Santos EL, Noto AR, Bedendo A, Souza-Formigoni MLO. Protective strategies and motivations to control drinking among Brazilian college students: a qualitative study. BMC Public Health 2023; 23:2390. [PMID: 38041057 PMCID: PMC10693026 DOI: 10.1186/s12889-023-16854-7] [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: 12/27/2022] [Accepted: 09/27/2023] [Indexed: 12/03/2023] Open
Abstract
BACKGROUND To develop prevention programs or early interventions to reduce alcohol consumption and related problems among college students, it is essential to understand their motivations for drinking and the spontaneous (effective and non-effective) strategies they employ to control, considering the social and cultural contexts influence. This study aimed to explore these factors and the student's application of selfcare in different situations and environments, as well as to identify their reasons for not drinking. METHODS The students were invited to participate using a snowball sampling, up to the theoretical saturation point. Qualitative individual semi-structured interviews were carried out and the interviews contents were analyzed using the NVivo software. The participants were 23 college students between 18 and 24 years old, with diverse patterns of alcohol use (low-risk to suggestive of dependence). RESULTS Data analysis highlighted three main themes: (a) Contexts (such as bars, "open bar" parties and others) and consumption patterns; (b) Protective Strategies (such as stop-drinking intervals, eating before or during drinking, returning home in the company of a friend); (c) Motivations to control drinking (such as sense of responsibility, bad previous experiences, family and religious issues). Protective strategies and motivation to control drinking were perceived to be less prominent in specific contexts that favor high alcohol consumption, as open bar parties. CONCLUSIONS Motivations and protective strategies varied according to the drinkers' profile, social situations and settings in which they consumed alcohol. The results highlight the need for preventive interventions planned for specific drinking patterns and contexts.
Collapse
Affiliation(s)
- Marina Noto Faria
- Department of Psychobiology, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Elaine Lucas Dos Santos
- Biological Sciences Center, Universidade Estadual do Norte do Paraná- UENP, Campus Luiz Meneghel, Jacarezinho, Brazil
| | - Ana Regina Noto
- Department of Psychobiology, Universidade Federal de São Paulo, São Paulo, Brazil
| | - André Bedendo
- Department of Health Sciences, University of York, York, UK
| | | |
Collapse
|
12
|
Richner KA, Sande-Martin B, Soetjoadi I, McChargue DE. Trait mindfulness weakens the relationship between Snapchat use and alcohol-related outcomes. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2200-2207. [PMID: 34469256 DOI: 10.1080/07448481.2021.1965147] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 06/03/2021] [Accepted: 07/22/2021] [Indexed: 06/13/2023]
Abstract
Objective:Previous studies identified Snapchat as the most likely social media platform for depictions of excessive drinking and consequences. We sought to further examine this relationship and the possible protective impact of trait mindfulness.Method:A sample of 838 college students completed a survey assessing self-reported alcohol use, alcohol-related consequences, trait mindfulness, and individual and peer alcohol-related Snapchat posts.Results:Viewing more peer's Snapchats was associated with increased alcohol-related consequences, except at high levels of trait mindfulness. When controlling for the individual's Snapchat posts, the significant relationship between peer's Snapchats and consequences remained at low levels of trait mindfulness but not for moderate levels. The protective effect of high levels of trait mindfulness endured.Conclusion:Increasing trait mindfulness may help buffer the negative influence of viewing peer's alcohol-related Snapchats on alcohol-related consequences. Further examining how trait mindfulness interacts with peer norms offers important avenues for future research.
Collapse
Affiliation(s)
- Kailey A Richner
- Department of Psychology, University of Nebraska, Lincoln, NE, USA
| | | | - Irenea Soetjoadi
- Department of Psychology, University of Nebraska, Lincoln, NE, USA
| | | |
Collapse
|
13
|
Torres OV, Estep JC, Gwin M, Aramovich NP, Thomas G, Villalta L. Distress symptoms and alcohol consumption: anxiety differentially mediates drinking across gender. Front Psychol 2023; 14:1191286. [PMID: 37583609 PMCID: PMC10423919 DOI: 10.3389/fpsyg.2023.1191286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 07/13/2023] [Indexed: 08/17/2023] Open
Abstract
Introduction The consumption of alcohol remains a significant health concern and represents a prevalent form of substance use worldwide. Previous research has identified sex differences in the consumption of alcohol. This study explores the relationship between drinking and the presence of distress symptoms across gender. Based on previous research, it was hypothesized that presence of distress symptoms, defined as increases in anxiety and depression, would be prominent features associated with alcohol consumption among women compared to men. Methods A sample of undergraduate students (N = 448) participated in an online-based questionnaire (71% female; M age = 22.1; 42.9% Hispanic/Latino). The questionnaire contained assessments related to demographic information and alcohol consumption over the past 30 days. Anxiety and depression symptoms were assessed using the Hospital Anxiety and Depression Scale. Results Gender differences were observed with men consuming more alcoholic drinks than women. However, women who consumed alcohol reported having more distress symptoms relative to their male counterparts. A logistic regression revealed that this gender difference was moderated by anxiety, such that greater anxiety scores associates with whether women consumed alcohol. However, an ordinary least squares regression revealed that for men, anxiety scores significantly related to the amount of drinks consumed. Gender differences were not detected in relation to alcohol consumption and depression. Conclusion Our findings contribute to the literature by indicating that the mere presence of distress symptoms reveals distinctive gender-specific differences in relation to alcohol consumption in a non-clinical population. Identifying the distinct associations linked with alcohol use for men and women can aid in reducing drinking disparities among young adults.
Collapse
Affiliation(s)
- Oscar V. Torres
- Department of Behavioral Sciences, San Diego Mesa College, San Diego, CA, United States
| | - Justin C. Estep
- Department of Behavioral Sciences, San Diego Mesa College, San Diego, CA, United States
| | - Mary Gwin
- Department of Social Sciences, San Diego Mesa College, San Diego, CA, United States
| | - Nicholas P. Aramovich
- Department of Behavioral Sciences, San Diego Mesa College, San Diego, CA, United States
- Department of Behavioral Sciences, San Diego Miramar College, San Diego, CA, United States
| | - Giovanni Thomas
- Department of Behavioral Sciences, San Diego Mesa College, San Diego, CA, United States
| | - Lan Villalta
- Department of Behavioral Sciences, San Diego Mesa College, San Diego, CA, United States
| |
Collapse
|
14
|
Rada C, Lungu M. The Involvement of Age, Gender, and Personality Variables in Alcohol Consumption during the Start of the COVID-19 Pandemic in Romanian University Students. Behav Sci (Basel) 2023; 13:519. [PMID: 37366771 DOI: 10.3390/bs13060519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 06/11/2023] [Accepted: 06/15/2023] [Indexed: 06/28/2023] Open
Abstract
This study aimed to explore the age, gender, and personality variables involved in alcohol consumption (AC) at the start of the COVID-19 pandemic in Romania among 210 bachelor's and master's students aged between 19 and 25 years. The results of the Freiburg Personality Inventory-Revised and the Alcohol Use Disorders Identification Test were examined using a logistic model and cluster analysis. The prevalence of problematic AC was relatively low (10.5%). The risk of males being part of the problematic AC cluster was 5.223 times higher than that of females (p < 0.001). Increasing age was associated with a decrease in the risk of belonging to the problematic cluster by a factor of 0.733 (p = 0.001). Increasing scores on the Frankness and Somatic Complaints personality scales were associated with a decreased risk of belonging to the problematic cluster of AC, with factors of 0.738 (95% CI, 0.643 to 0.848), Wald χ2(1) = 18.424, and p < 0.001 and 0.901 (95% CI, 0.813 to 0.999), Wald χ2(1) = 3.925, and p = 0.048, respectively. More action to prevent AC is needed in men, especially in those at the beginning of their university studies. It is necessary to intervene to decrease the interest in making a good impression (low scores on the Frankness Scale) so as to increase healthy autonomy using critical thinking and find a balance between the internal and external loci of control. Students from faculties with profiles that deal with health and its promotion are less vulnerable to problematic alcohol consumption, even if they have a withdrawn, pessimistic personality (low scores on Somatic Complaints).
Collapse
Affiliation(s)
- Cornelia Rada
- Biomedical Department, "Francisc I. Rainer" Institute of Anthropology, Romanian Academy, 050711 Bucharest, Romania
| | - Mihaela Lungu
- Argeș County Centre for Educational Resources and Assistance, 110058 Pitești, Romania
| |
Collapse
|
15
|
Walsh K, Mehta AHP, Buehler Z, Wall M, Santelli J, Hirsch JS, Mellins CA. The socio-ecological context of U.S. college student drinking: A latent class analysis. Addict Behav 2023; 141:107666. [PMID: 36821880 PMCID: PMC10336975 DOI: 10.1016/j.addbeh.2023.107666] [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: 10/13/2022] [Revised: 02/04/2023] [Accepted: 02/13/2023] [Indexed: 02/17/2023]
Abstract
BACKGROUND U.S. college student drinking typologies often consider quantity and frequency but not the socio-environmental contexts in which students obtain alcohol and drink. Understanding context could be important for preventive interventions. METHODS We used latent class analysis (LCA), a person-centered approach to understanding behavior patterns, to identify drinking typologies among 1390 college student drinkers from a representative survey at two interconnected private colleges in the Northeast. Classes were derived from drinking frequency and quantity as well as how students obtain alcohol, where they drink, and their perceptions of peer drinking. Resulting classes were correlated with demographic and developmental characteristics, participation in campus activities and connectedness, and alcohol consequences and protective behaviors. RESULTS Four distinct drinking profiles emerged. 'Tasters' (n = 290) included infrequent and low quantity drinkers who drank in dorms with alcohol provided by others. 'Bargoers' (n = 271) included low quantity and moderate frequency drinkers who purchased their own alcohol and drank at bars. 'Partiers' (n = 483) included moderate frequency and quantity drinkers who obtained alcohol from several sources and drank in many locations. 'Bingers' (n = 345) included high frequency and quantity drinkers and binge drinkers, who drank in many locations with alcohol obtained from multiple sources. Classes differed in demographics, age of first drink, campus activities and connectedness, alcohol protective behaviors, and alcohol problems. CONCLUSION Heterogeneous patterns of drinking based on quantity, frequency and social/environmental context emerged and suggested the need for different tailored interventions.
Collapse
Affiliation(s)
- Kate Walsh
- Department of Psychology, University of Wisconsin-Madison, 1202 W Johnson St, Madison, WI 53706, United States; Gender & Women's Studies, University of Wisconsin-Madison, 475 N Charter St, Madison, WI 53706, United States.
| | - Anuj H P Mehta
- Department of Psychology, University of Wisconsin-Madison, 1202 W Johnson St, Madison, WI 53706, United States
| | - Zach Buehler
- Department of Psychology, University of Wisconsin-Madison, 1202 W Johnson St, Madison, WI 53706, United States
| | - Melanie Wall
- Department of Biostatistics, Mailman School of Public Health, Columbia University, 722 West 168th St., NY, NY 10032, United States; Department of Psychiatry, Columbia University Medical Center and the New York State Psychiatric Institute, 630 W. 168th St. New York, NY 10032, United States
| | - John Santelli
- Population and Family Health and Pediatrics, Mailman School of Public Health and College of Physicians and Surgeons, Columbia University, 722 West 168th St., NY, NY 10032, United States
| | - Jennifer S Hirsch
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th St., NY, NY 10032, United States
| | - Claude A Mellins
- Division of Gender, Sexuality and Health, Departments of Psychiatry and Sociomedical Sciences, New York State Psychiatric Institute, Columbia University Medical Center, 1051 Riverside Drive, Box 15, New York, NY 10032, United States
| |
Collapse
|
16
|
McDermott KT, Noake C, Wolff R, Espina C, Foucaud J, Steindorf K, Schüz J, Thorat MA, Weijenberg M, Bauld L, Kleijnen J. Digital interventions to moderate alcohol consumption in young people: a Cancer Prevention Europe overview of systematic reviews. Front Digit Health 2023; 5:1178407. [PMID: 37288171 PMCID: PMC10243367 DOI: 10.3389/fdgth.2023.1178407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 05/02/2023] [Indexed: 06/09/2023] Open
Abstract
Background Strategies to reduce alcohol consumption would contribute to substantial health benefits in the population, including reducing cancer risk. The increasing accessibility and applicability of digital technologies make these powerful tools suitable to facilitate changes in behaviour in young people which could then translate into both immediate and long-term improvements to public health. Objective We conducted a review of systematic reviews to assess the available evidence on digital interventions aimed at reducing alcohol consumption in sub-populations of young people [school-aged children, college/university students, young adults only (over 18 years) and both adolescent and young adults (<25 years)]. Methods Searches were conducted across relevant databases including KSR Evidence, Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects (DARE). Records were independently screened by title and abstract and those that met inclusion criteria were obtained for full text screening by two reviewers. Risk of bias (RoB) was assessed with the ROBIS checklist. We employed a narrative analysis. Results Twenty-seven systematic reviews were included that addressed relevant interventions in one or more of the sub-populations, but those reviews were mostly assessed as low quality. Definitions of "digital intervention" greatly varied across systematic reviews. Available evidence was limited both by sub-population and type of intervention. No reviews reported cancer incidence or influence on cancer related outcomes. In school-aged children eHealth multiple health behaviour change interventions delivered through a variety of digital methods were not effective in preventing or reducing alcohol consumption with no effect on the prevalence of alcohol use [Odds Ratio (OR) = 1.13, 95% CI: 0.95-1.36, review rated low RoB, minimal heterogeneity]. While in adolescents and/or young adults who were identified as risky drinkers, the use of computer or mobile device-based interventions resulted in reduced alcohol consumption when comparing the digital intervention with no/minimal intervention (-13.4 g/week, 95% CI: -19.3 to -7.6, review rated low RoB, moderate to substantial heterogeneity).In University/College students, a range of E-interventions reduced the number of drinks consumed per week compared to assessment only controls although the overall effect was small [standardised mean difference (SMD): -0.15, 95% CI: -0.21 to -0.09]. Web-based personalised feedback interventions demonstrated a small to medium effect on alcohol consumption (SMD: -0.19, 95% CI: -0.27 to -0.11) (review rated high RoB, minimal heterogeneity). In risky drinkers, stand-alone Computerized interventions reduced short (SMD: -0.17, 95% CI: -0.27 to -0.08) and long term (SMD: -0.17, 95% CI: -0.30 to -0.04) alcohol consumption compared to no intervention, while a small effect (SMD: -0.15, 95% CI: -0.25 to -0.06) in favour of computerised assessment and feedback vs. assessment only was observed. No short-term (SMD: -0.10, 95% CI: -0.30 to 0.11) or long-term effect (SMD: -0.11, 95% CI: -0.53 to 0.32) was demonstrated for computerised brief interventions when compared to counsellor based interventions (review rated low RoB, minimal to considerable heterogeneity). In young adults and adolescents, SMS-based interventions did not significantly reduce the quantity of drinks per occasion from baseline (SMD: 0.28, 95% CI: -0.02 to 0.58) or the average number of standard glasses per week (SMD: -0.05, 95% CI: -0.15 to 0.05) but increased the risk of binge drinking episodes (OR = 2.45, 95% CI: 1.32-4.53, review rated high RoB; minimal to substantial heterogeneity). For all results, interpretation has limitations in terms of risk of bias and heterogeneity. Conclusions Limited evidence suggests some potential for digital interventions, particularly those with feedback, in reducing alcohol consumption in certain sub-populations of younger people. However, this effect is often small, inconsistent or diminishes when only methodologically robust evidence is considered. There is no systematic review evidence that digital interventions reduce cancer incidence through alcohol moderation in young people. To reduce alcohol consumption, a major cancer risk factor, further methodologically robust research is warranted to explore the full potential of digital interventions and to form the basis of evidence based public health initiatives.
Collapse
Affiliation(s)
| | - Caro Noake
- Kleijnen Systematic Reviews Ltd., York, United Kingdom
| | - Robert Wolff
- Kleijnen Systematic Reviews Ltd., York, United Kingdom
| | - Carolina Espina
- Environment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer/World Health Organisation (IARC/WHO), Lyon, France
| | - Jérôme Foucaud
- Institut National du Cancer (INCa), Boulogne-Billancourt, France
- Université Sorbonne Paris Nord, Laboratoire Éducations et Pratiques de Santé (UR 3412), France
| | - Karen Steindorf
- Division of Physical Activity, Prevention and Cancer, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT) Heidelberg, Heidelberg, Germany
| | - Joachim Schüz
- Environment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer/World Health Organisation (IARC/WHO), Lyon, France
| | - Mangesh A. Thorat
- Breast Services, Guy's Hospital, Guy’s and St Thomas’ NHS Foundation Trust, Great Maze Pond, London, United Kingdom
- Centre for Cancer Prevention, Wolfson Institute of Population Health, Queen Mary University of London, London, United Kingdom
- School of Cancer & Pharmaceutical Sciences, Faculty of Life Sciences & Medicine, King's College London, London, United Kingdom
| | - Matty Weijenberg
- Department of Epidemiology, GROW School for Oncology and Reproduction, Maastricht University, Maastricht, Netherlands
| | - Linda Bauld
- Usher Institute and SPECTRUM Consortium, University of Edinburgh, Edinburgh, United Kingdom
| | - Jos Kleijnen
- Kleijnen Systematic Reviews Ltd., York, United Kingdom
| |
Collapse
|
17
|
Zamboanga BL, Van Hedger K, George AM. Prologue to the special issue on predrinking and drinking game behaviors among adolescents and young adults in the United States and across the globe: Definitions and overview of prevalence rates. Addict Behav 2023; 144:107731. [PMID: 37163887 DOI: 10.1016/j.addbeh.2023.107731] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Predrinking and drinking games (DGs) are common risky drinking practices among adolescents and young adults in many different countries around the world. However, most studies on these behaviors have been conducted with university student samples in a limited number of countries. Despite the risks of negative alcohol-related consequences associated with predrinking and DGs, these activities are quite prevalent among young people. In this prologue, we provide definitions for predrinking and DGs and an extensive overview of the known prevalence rates of predrinking and DGs among young people around the world. This special issue addresses known gaps in the literature by including articles which (a) use differing methodologies to examine predrinking or DGs behavior, (b) consider psychosocial and contextual factors that influence these behaviors, and (c) examine young people's perceptions of alcohol policies and interventions. Taken together this Special Issue offers an international view on how and why young people around the world engage in these risky drinking practices, and potential ways to address these behaviors.
Collapse
Affiliation(s)
- Byron L Zamboanga
- Department of Psychological Science, University of Arkansas, United States.
| | | | - Amanda M George
- Discipline of Psychology, School of Health Sciences, University of Canberra, Australia
| |
Collapse
|
18
|
Jilajila SP, Ngidi MSC, Hlatshwayo SI, Ojo TO. An Analysis of the Prevalence and Factors Influencing Food Insecurity among University Students Participating in Alcohol Consumption in KwaZulu-Natal Province. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5314. [PMID: 37047931 PMCID: PMC10094270 DOI: 10.3390/ijerph20075314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Revised: 03/23/2023] [Accepted: 03/24/2023] [Indexed: 06/19/2023]
Abstract
Food insecurity among the student population is a prominent issue in South African university institutions. However, personal experiences and the myriad of underlying factors contributing to the issue remain poorly documented. Among other factors, these universities are characterized by the admission of a majority of their student population from poor backgrounds with limited financial capabilities, and this affects their food security status. The purpose of this study was to view the patterns of food insecurity among students, with a focus on alcohol consumption as one of the various factors influencing student food security status. Data were collected from 156 student respondents from the University of KwaZulu-Natal, Durban University of Technology, Mangosuthu University of Technology, and the University of Zululand. The Household Food Insecurity Access Scale revealed that from the total sample, only 21.79% reported themselves as food secure, whilst the remainder reported varying levels of food insecurity with 17.31% of students being food insecure, 16.03% mildly food insecure, and 44.87% severely food insecure. On the other hand, a prevalence of 73.08% (n = 114) of alcohol consumption was found among the sampled students. Ordered probit models results suggested that students' alcohol consumption prevalence was determined by gender, level of study, exercise/playing sport, marital status, and distance to campus, which all had statistically significant effects on students' alcohol consumption. Most crucially, gender, institution and campus positively affected students' food security status, while the income variable made a negative significant contribution towards student food security status. Therefore, a link between students' finances and food insecurity was evident. However, further research is required to delve into the link between the level and impact of students' alcohol consumption and its implications on their financial status, and thus food security status. This is crucial information which will help policymakers understand these underlying factors and experiences and thus find solutions for issues related with food insecurity.
Collapse
Affiliation(s)
- Senelisiwe Penelope Jilajila
- African Centre for Food Security, School of Agricultural, Earth and Environmental Sciences, College of Agriculture, Engineering and Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, Pietermaritzburg 3201, South Africa
| | - Mjabuliseni Simon Cloapas Ngidi
- African Centre for Food Security, School of Agricultural, Earth and Environmental Sciences, College of Agriculture, Engineering and Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, Pietermaritzburg 3201, South Africa
- Centre for Transformative Agricultural and Food Systems, School of Agricultural, Earth and Environmental Sciences, College of Agriculture, Engineering, and Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, Pietermaritzburg 3201, South Africa
- Department of Agricultural Extension and Rural Resource Management, School of Agricultural, Earth and Environmental Sciences, College of Agriculture, Engineering and Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, Pietermaritzburg 3201, South Africa
| | - Simphiwe Innocentia Hlatshwayo
- African Centre for Food Security, School of Agricultural, Earth and Environmental Sciences, College of Agriculture, Engineering and Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, Pietermaritzburg 3201, South Africa
- Centre for Transformative Agricultural and Food Systems, School of Agricultural, Earth and Environmental Sciences, College of Agriculture, Engineering, and Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, Pietermaritzburg 3201, South Africa
| | - Temitope Oluwaseun Ojo
- Department of Agricultural Economics, Obafemi Awolowo University, Ile-Ife 22005, Nigeria
- Disaster Management Training and Education Centre for Africa, University of the Free State, Bloemfontein 9301, South Africa
| |
Collapse
|
19
|
Sriken J, Sherman MF, Erford BT, MacInerney E, Zhou A, Smith H. Psychometric Analysis of Scores on the Alcohol Use Disorders Identification Test (AUDIT) with a University Sample. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2023. [DOI: 10.1080/07481756.2022.2160355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Affiliation(s)
| | | | | | | | - Anqi Zhou
- Vanderbilt University, Nashville, TN, USA
| | | |
Collapse
|
20
|
Zobo PC, Touré FY, Coulibaly I, Bitty-Anderson AM, Boni SP, Niangoran S, Guié A, Kouakou H, Tchounga B, Coffie PA, Ekouevi DK. Prevalence of hypertension and other cardiovascular disease risk factors among university students from the National Polytechnic Institute of Côte d'Ivoire: A cross-sectional study. PLoS One 2023; 18:e0279452. [PMID: 36602980 PMCID: PMC9815567 DOI: 10.1371/journal.pone.0279452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 12/08/2022] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Cardiovascular diseases (CVD) are the leading causes of death in the world, mainly occurring in low-and-middle income countries. The aim of this study was to estimate the prevalence of hypertension and other cardiovascular risk factors among university students at a National Polytechnic Institute in Côte d'Ivoire. METHODS A cross-sectional study was conducted among students of the National Polytechnic Institute of Côte d'Ivoire. Sample was selected using a non-probabilistic convenient sampling method. Anthropometric measurements, blood pressure and capillary blood glucose were measured. A logistic regression model allowed to determine factors associated with hypertension. RESULTS A total of 2,030 students, 79.7% males and 20.3% females, with a median age of 20 years (IQR = [19-22]) participated in the study. On hypertension knowledge, 96.9% (n = 1,968) of students reported having heard of hypertension; salty foods were reported by more than a third as a cause of hypertension (n = 734; 37.3%), while 114 (5.8%) and 157 (8.0%) selected tobacco and alcohol as causes of hypertension, respectively. The overall prevalence of hypertension was 6.0%, higher in males (6.8%) compared to females (2.7%) (p < 0.001). As for CVD risk factors, 148 (7.3%) were overweight or obese; 44.0% of males and 36.6% of females reported alcohol consumption. In multivariate analysis, being a female (OR = 4.16; CI 95% = [1.96-9.09]; p<0.001), being 25 years old and older (OR = 3.34; CI 95% = [2.01-5.55]; p = 0.001), tobacco use (OR = 2.65; CI 95% = [1.41-4.96]; p = 0.002), being overweight or obese (OR = 3.75; CI 95% = [2.13-6.59]; p<0,001) and having abnormal waist circumference (OR = 6.24; CI 95% = [1.99-19.51]; p = 0.002) were significantly associated with high blood pressure. CONCLUSION CVD risk factors are prominent among young adults in Côte d'Ivoire. Appropriate behavioural health interventions promoting a healthy lifestyle for young adults should be urgently implemented for CVD burden reduction.
Collapse
Affiliation(s)
| | - Frank Y. Touré
- PACCI Program, Abidjan, Côte d’Ivoire
- * E-mail: (FYT); (PAC)
| | - Iklo Coulibaly
- Department of Cardiology and Cardiothoracic Surgery, Training and Research Unit of Medical Sciences, Félix Houphouët Boigny University, Abidjan, Côte d’Ivoire
- Heart Institute of Abidjan, Abidjan, Côte d’Ivoire
| | | | | | | | | | | | | | - Patrick A. Coffie
- PACCI Program, Abidjan, Côte d’Ivoire
- Department of Dermatology and Infectiology, Training and Research Unit of Medical Sciences, Félix Houphouët Boigny University, Abidjan, Côte d’Ivoire
- Department of Infectious and Tropical Diseases, University Hospital Center of Treichville, Abidjan, Côte d’Ivoire
- * E-mail: (FYT); (PAC)
| | - Didier K. Ekouevi
- PACCI Program, Abidjan, Côte d’Ivoire
- Département of Public Health, University of Lomé, Lomé, Togo
- Inserm Center, 1219, University of Bordeaux, Bordeaux, France
| |
Collapse
|
21
|
O'Loughlin CM, Park Y, Ammerman BA. Suicide Ideation, Distress, and Peer Perceptions as Predictors of Substance Use. Subst Use Misuse 2023; 58:560-569. [PMID: 36762468 DOI: 10.1080/10826084.2023.2177964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
BACKGROUND Substance use and suicide ideation are common behaviors that often overlap among college students. However, clues about their temporal relationship, as well as moderating factors (e.g., distress, peer perceptions of substance use), are understudied. Indeed, those with a history of suicide ideation may use avoidance coping (including substance use) to manage distress, underscoring the possibility of substance use as a response to suicide ideation, an oft-stressful experience in and of itself. Further, as a low sense of belongingness confers risk for suicide ideation, distress may increase compliance with perceived cultural norms, thus increasing substance use behavior. This study examined the effect of the suicide ideation-distress-peer perception interaction on substance use. METHOD Participants were 3,608 undergraduate students across eleven college campuses. Measures of past month substance use frequency, general distress, peer perceptions of substance use, and past year suicide ideation were utilized. RESULTS Suicidal ideation was associated with e-cigarette, marijuana, and illicit drug use. There were main effects of suicide ideation (on e-cigarette and marijuana use) and peer perceptions of substance use (on tobacco, alcohol, e-cigarette, and marijuana use), but not distress, on past 30-day substance use. Further, the three-way interaction of suicide ideation, distress, and peer perceptions of substance use predicted frequency of past month tobacco and illicit drug use. CONCLUSIONS Suicide ideation may be temporally linked to use of specific substances. Peer perception and distress may strengthen the suicide ideation-substance use relationship. These factors should be carefully considered when treating individuals with substance use.
Collapse
Affiliation(s)
| | - Yeonsoo Park
- Department of Psychology, Notre Dame, University of Notre Dame, IN, USA
| | - Brooke A Ammerman
- Department of Psychology, Notre Dame, University of Notre Dame, IN, USA
| |
Collapse
|
22
|
Montemayor BN, Noland M, Barry AE. College students mandated to substance use courses: Age-of-onset as a predictor of contemporary polysubstance use. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022:1-8. [PMID: 36194393 DOI: 10.1080/07448481.2022.2128682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 09/09/2022] [Accepted: 09/19/2022] [Indexed: 06/16/2023]
Abstract
Objective: College campuses report alcohol and other drug policy violations as the most frequent reason students receive disciplinary referrals and, thus, are mandated to programming. This study sought to determine predictors of mandated students' alcohol use frequency, and the likelihood of early-onset alcohol using college students enrolled in mandated programming engaging in current polysubstance use. Methods and participants: Employing a purposive sampling method, n = 822 participants were recruited from a pool of students who violated their university's alcohol policy between October 2019 and July 2021. Results: Data analysis revealed early-onset alcohol use (p < .001), gender ID (p < .01), Greek Affiliation (p < .001), ethnicity (p < .05), and perceived norms (p < .001) significantly predicted alcohol frequency. Analysis also revealed engaging in early-onset alcohol use significantly predicted current participation in polysubstance use (p < 0.01), outside of controls. Conclusions: University programs should consider exploring polysubstance use targeted interventions to mitigate these harmful behaviors and associated negative consequences.
Collapse
Affiliation(s)
- Benjamin N Montemayor
- Department of Health Behavior, Texas A&M University School of Public Health, College Station, Texas, USA
| | - Melody Noland
- Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, Kentucky, USA
| | - Adam E Barry
- Department of Health Behavior, Texas A&M University School of Public Health, College Station, Texas, USA
| |
Collapse
|
23
|
Wattanapisit A, Abdul Rahman H, Car J, Abdul-Mumin KH, de la Cruz MHTO, Chia M, Rosenberg M, Ho MHR, Chaiyasong S, Mahmudiono T, Rodjarkpai Y, Dinov ID, Ottom M, Amornsriwatanakul A. The clusters of health-risk behaviours and mental wellbeing and their sociodemographic correlates: a study of 15,366 ASEAN university students. BMC Public Health 2022; 22:1840. [PMID: 36183060 PMCID: PMC9525932 DOI: 10.1186/s12889-022-14233-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 09/22/2022] [Indexed: 11/10/2022] Open
Abstract
Background This study investigated, through cluster analysis, the associations between behavioural characteristics, mental wellbeing, demographic characteristics, and health among university students in the Association of Southeast Asian Nations (ASEAN) University Network – Health Promotion Network (AUN-HPN) member universities. Methods Data were retrieved from a cross-sectional self-administered online survey among undergraduate students in seven ASEAN countries. A two-step cluster analysis was employed, with cluster labels based on the predominant characteristics identified within the clusters. The ‘healthy’ cluster was assigned as the reference group for comparisons using multinomial logistic regression analysis. Results The analytic sample size comprised 15,366 university students. Five clusters of student-types were identified: (i) ‘Healthy’ (n = 1957; 12.7%); (ii) ‘High sugary beverage consumption’ (n = 8482; 55.2%); (iii) ‘Poor mental wellbeing’ (n = 2009; 13.1%); (iv) ‘Smoker’ (n = 1364; 8.9%); and (v) ‘Alcohol drinker’ (n = 1554; 10.1%). Being female (OR 1.28, 95%CI 1.14, 1.45) and being physically inactive (OR 1.20, 95%CI 1.04, 1.39) increased the odds of belonging to the ‘High sugary beverage consumption’ cluster. Being female (OR 1.21, 95%CI 1.04, 1.41), non-membership in a sports club (OR 1.83, 95%CI 1.43, 2.34) were associated with ‘Poor mental wellbeing’. Obesity (OR 2.03, 95%CI 1.47, 2.80), inactively commuting to campus (OR 1.34, 95%CI 1.09, 1.66), and living in high-rise accommodation (OR 2.94, 95%CI 1.07, 8.07) were associated with membership in the ‘Smoker’ cluster. Students living in The Philippines, Singapore, Thailand, and Vietnam had a higher likelihood of being alcohol drinkers, compared with those who lived in Brunei. Conclusions ASEAN university students exhibited health-risk behaviours that typically clustered around a specific health behaviour and mental wellbeing. The results provided support for focusing interventions on one dominant health-risk behaviour, with associated health-risk behaviours within clusters being potential mediators for consideration.
Collapse
Affiliation(s)
- Apichai Wattanapisit
- School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.,Walailak University Hospital, Nakhon Si Thammarat, Thailand
| | - Hanif Abdul Rahman
- Institute of Health Sciences, Universiti Brunei Darussalam, Gadong, Brunei Darussalam.,University of Michigan, Ann Arbor, MI, USA
| | - Josip Car
- Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Khadizah Haji Abdul-Mumin
- Institute of Health Sciences, Universiti Brunei Darussalam, Gadong, Brunei Darussalam.,School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
| | | | - Michael Chia
- Physical Education & Sports Science, National Institute of Education, Nanyang Technological University, Singapore, Singapore
| | - Michael Rosenberg
- School of Human Sciences (Sport Science, Exercise and Health), University of Western Australia, Perth, WA, Australia.,College of Sports Science and Technology, 999 Mahidol University, Phutthamonthon Sai 4 Rd, Salaya, Phutthamonthon District, Nakhon Pathom, 73170, Thailand
| | - Moon-Ho Ringo Ho
- School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Surasak Chaiyasong
- Alcohol and Health Promotion Policy Research Unit, Faculty of Pharmacy, Mahasarakham University, Kantharawichai, Mahasarakham, Thailand
| | - Trias Mahmudiono
- Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Yuvadee Rodjarkpai
- Faculty of Public Health, Burapha University, Saen Suk, Chon Buri, Thailand
| | | | - Mohammad Ottom
- University of Michigan, Ann Arbor, MI, USA.,Department of Information Systems, Yarmouk University, Irbid, Jordan
| | - Areekul Amornsriwatanakul
- School of Human Sciences (Sport Science, Exercise and Health), University of Western Australia, Perth, WA, Australia. .,College of Sports Science and Technology, 999 Mahidol University, Phutthamonthon Sai 4 Rd, Salaya, Phutthamonthon District, Nakhon Pathom, 73170, Thailand.
| |
Collapse
|
24
|
Vujcic I, Stojilovic N, Dubljanin E, Nenadovic A, Maksimovic J, Sipetic S. Energy drinks consumption among Serbian medical students. JOURNAL OF SUBSTANCE USE 2022. [DOI: 10.1080/14659891.2022.2077248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Isidora Vujcic
- Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Belgrade, Serbia
| | | | - Eleonora Dubljanin
- Faculty of Medicine, Institute of Microbiology and Immunology, University of Belgrade, Belgrade, Serbia
| | - Aleksandar Nenadovic
- Department of Vascular Surgery, Institute of Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
| | - Jadranka Maksimovic
- Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Belgrade, Serbia
| | - Sandra Sipetic
- Faculty of Medicine, Institute of Epidemiology, University of Belgrade, Belgrade, Serbia
| |
Collapse
|
25
|
Proença Lopes C, Allado E, Essadek A, Poussel M, Henry A, Albuisson E, Hamroun A, Chenuel B. Occurrence of Alexithymia and Its Association with Sports Practice from a Sample of University Students: Results from a French Cross-Sectional Study. Healthcare (Basel) 2022; 10:healthcare10050788. [PMID: 35627924 PMCID: PMC9141175 DOI: 10.3390/healthcare10050788] [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: 03/11/2022] [Revised: 04/20/2022] [Accepted: 04/21/2022] [Indexed: 11/25/2022] Open
Abstract
Background: This study aimed to assess the prevalence of alexithymia in a sample of university students and to determine its association with specific sports practice characteristics (competition and training). Methods: In this cross-sectional study, anthropometric data and characteristics of sport practice were collected, as well as level of alexithymia (Toronto Alexithymia Scale, (TAS-20)). Results: The study included 253 French university students who completed a questionnaire specifying their regular sports practice and level of alexithymia (TAS-20). We found 76 subjects (30%) who had proven alexithymia and 92 (36.4%) who were borderline alexithymic. A significant positive relationship between alexithymia and the weekly amount of training practice was observed. It should be noted that students who engage in more than 5 h of physical activity are more prone to be borderline or alexithymic (respectively, 19.6 and 19.7% versus 7.1% for non-alexithymics; p = 0.03). Conclusion: With a 30% frequency, alexithymia is more prevalent in this context than in the general population. Furthermore, alexithymia and borderline alexithymia are most favorably associated with higher physical activity (over 5 h per week).
Collapse
Affiliation(s)
- Catarina Proença Lopes
- Development, Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control (EA 3450 DevAH), University of Lorraine, 54000 Nancy, France; (E.A.); (M.P.); (B.C.)
- Correspondence: ; Tel.: +33-6-12-21-87-42
| | - Edem Allado
- Development, Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control (EA 3450 DevAH), University of Lorraine, 54000 Nancy, France; (E.A.); (M.P.); (B.C.)
- Center of Sports Medicine and Adapted Physical Activity, CHRU-Nancy, University of Lorraine, 54000 Nancy, France
| | - Aziz Essadek
- INTERPSY (EA 4432), University of Lorraine, 54000 Nancy, France;
| | - Mathias Poussel
- Development, Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control (EA 3450 DevAH), University of Lorraine, 54000 Nancy, France; (E.A.); (M.P.); (B.C.)
- Center of Sports Medicine and Adapted Physical Activity, CHRU-Nancy, University of Lorraine, 54000 Nancy, France
| | - Audrey Henry
- Cognition, Health and Society Laboratory, University of Reims Champagne-Ardenne, 51571 Reims, France;
| | - Eliane Albuisson
- Institut Elie-Cartan de Lorraine, CNRS, Université de Lorraine, 54000 Nancy, France;
| | - Aghilès Hamroun
- Department of Public Health, Epidemiology, Health Economics and Prevention, Regional and University Hospital Center of Lille, Lille University, 59000 Lille, France;
| | - Bruno Chenuel
- Development, Adaptation and Disadvantage, Cardiorespiratory Regulations and Motor Control (EA 3450 DevAH), University of Lorraine, 54000 Nancy, France; (E.A.); (M.P.); (B.C.)
- Center of Sports Medicine and Adapted Physical Activity, CHRU-Nancy, University of Lorraine, 54000 Nancy, France
| |
Collapse
|
26
|
Frątczak M, Petko B, Sliwowska JH, Szeptycki J, Tryjanowski P. Similar Trajectories in Current Alcohol Consumption and Tick-Borne Diseases: Only Parallel Changes in Time or Links Between? Front Cell Infect Microbiol 2022; 11:790938. [PMID: 34976865 PMCID: PMC8716731 DOI: 10.3389/fcimb.2021.790938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 11/25/2021] [Indexed: 11/30/2022] Open
Abstract
In a modern world, both tick-borne diseases and alcohol consumption are among major public health threats. In the present opinion article, we pose the question, whether these two health problems: alcohol consumption and tick-borne diseases prevalence can be related. We hypothesize that it is possible due to at least three factors: outdoor places chosen for alcohol consumption, behavioral changes induced by alcohol, and possible stronger attraction of human hosts after alcohol consumption to ticks. Many important clues are coming from social studies about people’s preference of places to consume alcohol and from studies regarding the attraction of people consuming alcohol to mosquitos. These data, however, cannot be directly transferred to the case of alcohol consumption and ticks. Therefore, we suggest that more detailed studies are needed to better understand the possible individual attractiveness of people to ticks and ways alcohol may influence it.
Collapse
Affiliation(s)
- Martyna Frątczak
- Department of Zoology, Poznań University of Life Sciences, Poznań, Poland
| | - Branislav Petko
- Department of Zoology, Poznań University of Life Sciences, Poznań, Poland.,The University of Veterinary Medicine and Pharmacy in Košice, Košice, Slovakia
| | - Joanna H Sliwowska
- Department of Zoology, Poznań University of Life Sciences, Poznań, Poland
| | - Jan Szeptycki
- Department of Preclinical Sciences and Infectious Diseases, Poznań University of Life Sciences, Poznań, Poland
| | - Piotr Tryjanowski
- Department of Zoology, Poznań University of Life Sciences, Poznań, Poland
| |
Collapse
|
27
|
Lui PP, Krantz SM, Madson MB. Ethnic/Racial Differences in Alcohol Use: Does Drinking Refusal Self-Efficacy Matter? Subst Use Misuse 2022; 57:1653-1662. [PMID: 35959555 DOI: 10.1080/10826084.2022.2107669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Introduction: College students-including those of Hispanic backgrounds-are at risk for hazardous drinking. Research has shown robust group differences between Hispanic and White individuals in alcohol use outcomes. The ability to resist alcohol consumption can be leveraged to reduce hazardous drinking; however, little research has examined Hispanic-White differences and whether drinking refusal self-efficacy accounts for group differences in hazardous drinking. Considering Hispanic individuals make up the largest ethnic/racial minority group in the United States, it is important to identify malleable psychological factors that prevent and reduce drinking problems. Method: Hispanic and White college students at two predominantly White institutions (N = 389; 58.6% women, Mage= 20.22) completed measures assessing drinking refusal self-efficacy, hazardous drinking, and negative drinking consequences. Results: Hispanic students reported lower levels of hazardous drinking, alcohol-related problems, and drinking refusal self-efficacy than White students. Drinking refusal self-efficacy was found to partially explain Hispanic-White differences in the levels of hazardous drinking and drinking-related problems. Specifically, drinking refusal self-efficacy was associated with alcohol use outcomes only among White students and not Hispanic students. Conclusion: The correspondence between drinking refusal self-efficacy and actual behaviors to turn down drinks, ethnic/racial distinctiveness in ratings of self-efficacy and cultural orientations, and situational contexts that surround drinking should be examined in future research.
Collapse
Affiliation(s)
- P Priscilla Lui
- Department of Psychology, Southern Methodist University, Dallas, TX, USA
| | - Savannah M Krantz
- Department of Psychology, Southern Methodist University, Dallas, TX, USA
| | - Michael B Madson
- School of Psychology, University of Southern Mississippi, Hattiesburg, MS, USA
| |
Collapse
|
28
|
Schwebel FJ, Weinstein AP, Richards DK, Bravo AJ, Pearson MR. Examining Cross-Country and Sex Differences on a Comprehensive Assessment of Protective Behavioral Strategies for Alcohol. Subst Use Misuse 2022; 57:47-56. [PMID: 34735304 PMCID: PMC9020277 DOI: 10.1080/10826084.2021.1990330] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
OBJECTIVE Use of protective behavioral strategies (PBS) has been associated with reduced alcohol-related harms among college students. However, most of this research has been conducted among U.S. samples. The present study examines the use of PBS in an international context. METHOD Participants (n = 1512) were recruited from universities in Spain (n = 298), Argentina (n = 439), and the U.S. (n = 775) to determine if there are differences in PBS use across countries and/or across sex. Further, we examined whether the association between PBS use and negative consequences differ across country and sex. RESULTS We found that U.S. students reported the most frequent use of Stopping/Limiting Drinking PBS (M = 3.32, SD = 1.23) compared to Argentine (M = 2.89, SD = 0.97) and Spanish (M = 2.83, SD = 0.94) students. Argentine students reported the least frequent use of Serious Harm Reduction PBS (M = 4.57, SD = 0.99) compared to U.S. (M = 5.09, SD = 0.98) and Spanish (M = 5.03, SD = 0.78) students. Elastic net regression analyses stratified by country indicated most individual PBS predicted decreased negative alcohol-related consequences, although two items consistently predicted increased consequences and we observed some variability in the most predictive specific strategies in each country. Across each subscale and for 32 of 40 individual items, females reported more frequent use of PBS than males (ps<.05). CONCLUSIONS From the perspective of developing and adapting interventions, we recommend the cultural context in which PBS are used is taken into account. Although future work is needed to delineate cultural factors underlying the country-level differences we found, these findings have implications for the most promising PBS to target for college students in each country.
Collapse
Affiliation(s)
- Frank J Schwebel
- Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico, Albuquerque, New Mexico, USA
| | | | - Dylan K Richards
- Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico, Albuquerque, New Mexico, USA
| | - Adrian J Bravo
- Department of Psychological Sciences, William & Mary, Williamsburg, Virginia, USA
| | - Matthew R Pearson
- Center on Alcohol, Substance use, And Addictions (CASAA), University of New Mexico, Albuquerque, New Mexico, USA
| |
Collapse
|
29
|
Phinyo P, Ungrungseesopon N, Namsongwong N, Visavakul O, Chaiya S, Wattananukorn T, Buglio SL, Chotirosniramit S, Wannatung A, Dilokkhamaruk E, Angkurawaranon C, Jiraporncharoen W, Yingchankul N. Pre-screening Ability of the Functional-Belief-Based Alcohol Use Questionnaire (FBAQ) among Chiang Mai University Undergraduates: An External Validation Study. Drug Alcohol Depend 2021; 227:109002. [PMID: 34488075 DOI: 10.1016/j.drugalcdep.2021.109002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 08/11/2021] [Accepted: 08/11/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND High-risk drinking behavior is common in university students, which often leads to negative consequences. Several standard screening tools to identify high-risk drinkers have been validated in this domain. However, most tools rely on drinking frequency and require standard drink calculations. The Functional-Belief-Based Alcohol use Questionnaire (FBAQ) was recently proposed as a pre-screening tool for high-risk drinkers in the young adult population. We aimed to validate the pre-screening accuracy of the FBAQ when applied to external data of university undergraduates. METHODS Data from two prospective cross-sectional surveys of Chiang Mai University undergraduates were used for validation of the FBAQ. A high-risk drinker was defined as a person with the 12-month AUDIT score ≥ 8. Pre-screening performance and accuracy indices were presented separately for dataset I, dataset II, and the combined dataset. The pooled area under the receiver operating characteristic curve (AuROC), sensitivity, and specificity were estimated using individual patient data meta-analysis methods. RESULTS From the two datasets, 1641 students were included, 811 students in 2019 and 830 students in 2020. Of these, 387 (23.6 %) students were classified as high-risk drinkers. The combined AuROC of the FBAQ score was 0.83 (95 %CI 0.75-0.92) in discriminating high-risk drinkers. The pooled sensitivity and specificity at the FBAQ score cutoff ≥ 6 were 92.8 % (95 %CI 88.0-95.7 %) and 51.6 % (95 %CI 41.1-62.0 %). CONCLUSIONS In this external validation, the FBAQ shows excellent discriminative ability and is proven to be highly sensitive in detecting high-risk drinkers among Chiang Mai University undergraduates. Therefore, incorporating the FBAQ as a pre-screening tool to the AUDIT could make the initiation of the screening process easier and reduce extensive AUDIT evaluations in students with low risk.
Collapse
Affiliation(s)
- Phichayut Phinyo
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand; Center for Clinical Epidemiology and Clinical Statistics, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand; Muskuloskeletal Science and Translational Research (MSTR), Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Nat Ungrungseesopon
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Nutthida Namsongwong
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Onwara Visavakul
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Sirawit Chaiya
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Thanatat Wattananukorn
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Sirada Lo Buglio
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Supawitch Chotirosniramit
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Apitchaya Wannatung
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Ekkamon Dilokkhamaruk
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Chaisiri Angkurawaranon
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Wichuda Jiraporncharoen
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| | - Nalinee Yingchankul
- Department of Family Medicine, Faculty of Medicine, Chiang Mai University, 110 Intawaroros, Sriphum, Mueng, Chiang Mai 50200, Thailand.
| |
Collapse
|
30
|
Vera BDV, Carmona-Márquez J, Lozano-Rojas ÓM, Parrado-González A, Vidal-Giné C, Pautassi RM, Fernández-Calderón F. Changes in Alcohol Use during the COVID-19 Pandemic among Young Adults: The Prospective Effect of Anxiety and Depression. J Clin Med 2021; 10:4468. [PMID: 34640485 PMCID: PMC8509511 DOI: 10.3390/jcm10194468] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 09/20/2021] [Accepted: 09/24/2021] [Indexed: 01/06/2023] Open
Abstract
Health measures instantiated to reduce the spread of COVID-19 have imposed significant constraints for the population and impacted on drinking habits and mental health. This study longitudinally compared changes in alcohol consumption before and after the COVID-19 outbreak and the impact of sociodemographic and mental health variables on such changes among a community sample of young adults. Data were collected in the context of a larger, ongoing longitudinal study. The sample consisted of 305 young adults from Spain aged between 18 and 26 years (mean age = 21.27, (SD = 2.21), female = 53.4%; college students = 61.6%) who completed first (November-2019 and February-2020; i.e., before the outbreak of COVID-19) and second follow-up questionnaires (March 2021, a year after the COVID-19 outbreak). Alcohol use (quantity and drinking frequency), depression and anxiety symptoms were measured. Quantity and frequency of alcohol use decreased from the pre- to post-COVID-19 period. A decrease in drinking frequency was observed among college students, but not in noncollege peers. Although we found no effect of pre-COVID-19 anxiety on alcohol use changes, those with more depressive symptoms at the pre-COVID assessment were more resistant to decreasing their drinking quantity and frequency after the COVID-19 outbreak. This information will be of value when designing interventions aimed at reducing harmful alcohol use and highlights the role of mental health status when identifying high risk populations of young-adults during this, and future, public health crises.
Collapse
Affiliation(s)
- Belén del Valle Vera
- Faculty of Psychology, National University of Córdoba, Córdoba X5000HUA, Argentina; (B.d.V.V.); (R.M.P.)
- Institute of Psychological Research, IIPsi-CONICET-UNC, Córdoba X5000HUA, Argentina
| | - José Carmona-Márquez
- Department of Clinical and Experimental Psychology, University of Huelva, 21071 Huelva, Spain; (J.C.-M.); (Ó.M.L.-R.); (A.P.-G.)
- Research Center on Natural Resources, Health and the Environment, University of Huelva, 21071 Huelva, Spain
| | - Óscar Martín Lozano-Rojas
- Department of Clinical and Experimental Psychology, University of Huelva, 21071 Huelva, Spain; (J.C.-M.); (Ó.M.L.-R.); (A.P.-G.)
- Research Center on Natural Resources, Health and the Environment, University of Huelva, 21071 Huelva, Spain
| | - Alberto Parrado-González
- Department of Clinical and Experimental Psychology, University of Huelva, 21071 Huelva, Spain; (J.C.-M.); (Ó.M.L.-R.); (A.P.-G.)
| | - Claudio Vidal-Giné
- Non-Governmental Organization Welfare and Development, Energy Control, 29200 Antequera, Spain;
| | - Ricardo Marcos Pautassi
- Faculty of Psychology, National University of Córdoba, Córdoba X5000HUA, Argentina; (B.d.V.V.); (R.M.P.)
- Instituto de Investigación Médica M. y M. Ferreyra (INIMEC–CONICET-Universidad Nacional de Córdoba), Córdoba X5016NST, Argentina
| | - Fermín Fernández-Calderón
- Department of Clinical and Experimental Psychology, University of Huelva, 21071 Huelva, Spain; (J.C.-M.); (Ó.M.L.-R.); (A.P.-G.)
- Research Center on Natural Resources, Health and the Environment, University of Huelva, 21071 Huelva, Spain
| |
Collapse
|
31
|
Wolter C, Lesener T, Thomas TA, Hentschel AC, Gusy B. Finding the Right Balance: A Social Norms Intervention to Reduce Heavy Drinking in University Students. Front Public Health 2021; 9:653435. [PMID: 34178916 PMCID: PMC8222818 DOI: 10.3389/fpubh.2021.653435] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 05/18/2021] [Indexed: 11/18/2022] Open
Abstract
Introduction: Heavy alcohol consumption constitutes a major health risk among University students. Social relationships with peers strongly affect University students' perception of the drinking behavior of others, which in turn plays a crucial role in determining their own alcohol intake. University students tend to overestimate their peers' alcohol consumption – a belief that is associated with an increase in an individual's own consumption. Therefore, we implemented a social norms intervention with personalized normative feedback at a major University in Germany to reduce and prevent excessive drinking among University students. Methods: Our intervention was part of a regular health monitoring survey. We invited all enrolled University students to take part in this survey on two occasions. A total of 862 University students completed the questionnaire, 563 (65.3%) of which received e-mail-based feedback upon request concerning their peers' and their own alcohol consumption. For the intervention group (n = 190) as well as the control group (no feedback requested; n = 101), we included only University students in the evaluation who overestimated their peers' alcohol use and indicated above average consumption of the peers. We applied analyses of variance to assess intervention effects with regard to the correction of overestimated group norms as well as University students' drinking behavior. Results: Within the intervention group, we observed a significantly larger reduction of the previously overestimated behavioral norms compared to the control group (p < 0.001; ηp2 = 0.06). With regard to behavioral outcomes the intervention group showed a significantly larger reduction in the AUDIT-C score (p = 0.020; ηp2 = 0.03). Discussion: Our study confirms previous research whereupon personalized, gender-specific and selective normative feedback is effective for alcohol prevention among University students. However, University students still overestimated their peers' alcohol intake after the intervention. Furthermore, we did not reach high-risk groups (University students with the highest alcohol intake) since no feedback was requested. Future studies should address factors influencing the impact of the intervention and reachability of selective groups.
Collapse
Affiliation(s)
- Christine Wolter
- Division of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Tino Lesener
- Division of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Tobias Alexander Thomas
- Institute for Experimental Psychology, Faculty of Mathematics and Natural Sciences, Heinrich-Heine-Universität, Düsseldorf, Germany.,Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hanover, Germany
| | - Alicia-Carolin Hentschel
- Division of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Burkhard Gusy
- Division of Public Health: Prevention and Psychosocial Health Research, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| |
Collapse
|
32
|
Aguocha CM, Nwefoh E. Prevalence and correlates of substance use among undergraduates in a developing country. Afr Health Sci 2021; 21:875-883. [PMID: 34795747 PMCID: PMC8568244 DOI: 10.4314/ahs.v21i2.49] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Background Psychoactive substance use is a major global public health issue. Use of psychoactive substances has been associated with negative consequences among students. Objective The study assessed the prevalence and socio-demographic correlates of psychoactive substance use among undergraduate students in a Nigerian university. Materials and Methods This was a cross-sectional descriptive study of 763 undergraduate students of Imo State University, Owerri, Nigeria, recruited using multi-stage sampling technique. Data on the socio-demographic characteristics and pattern of psychoactive substance use were collected using a structured questionnaire. Results The lifetime rate of psychoactive substance use was 84.5%. Alcohol had the highest rate of lifetime (82.5%) and 12-month (61.1%) use. There was a similar rate of lifetime use of psychoactive substances among males (86.1%) and females (83.4%). Age (p<0.05) and place of residence (p<0.05) were significantly associated with lifetime psychoactive substance use. Catholics (OR:1.43; 1.03 – 1.99), whose friend (OR:1.94; 1.39 – 2.71), roommate (OR:3.06; (1.62 – 5.78) or brother (OR:1.22; 0.77 – 1.93) uses psychoactive substances were significantly more likely to have used substances in the past 12-months. Conclusion There is a high rate of psychoactive substance use among the students. Age, religion, place of residence, family and peer use of substances are important determinants of psychoactive substance use.
Collapse
Affiliation(s)
| | - Emeka Nwefoh
- Department of Medicine, Imo state University, Owerri, Imo state
| |
Collapse
|
33
|
Ryerson NC, Wilson OWA, Pena A, Duffy M, Bopp M. What happens when the party moves home? The effect of the COVID-19 pandemic on U.S. college student alcohol consumption as a function of legal drinking status using longitudinal data. Transl Behav Med 2021; 11:772-774. [PMID: 33598696 PMCID: PMC7928597 DOI: 10.1093/tbm/ibab006] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Many young adults in the United States (U.S.) moved from college accommodations to live with their parents/family during the Spring 2020 semester due to the COVID-19 pandemic. While alcohol consumption fluctuates during a typical semester among students, the impact of the sudden changes stemming from the pandemic on students' alcohol consumption patterns is unclear. To examine the impact of the COVID-19 pandemic on college student alcohol consumption while accounting for legal drinking age and living situation. Data were collected from students (n = 302) at a large, northeastern U.S. university at the beginning and end of the of the 2019 and 2020 Spring semesters via an online survey that assessed socio-demographic characteristics (age, gender, race/ethnicity, living situation) and alcohol consumption using the daily drinking questionnaire. Data were analyzed using a 2 (cohort group: COVID-19 vs. normal) × 2 (age group: above 21 vs. under 21) × 2 (time: beginning vs. end of the semester) mixed model ANOVA. There was a significant three-way interaction. Students over the legal drinking age impacted by the pandemic demonstrated a drastic decrease in alcohol consumption by the end of the semester compared to those under normal circumstances. Change in living situation as a result of the pandemic drastically impacted the alcohol consumption patterns of students over the legal drinking age. Suggestions for future research on the continuing effects of the pandemic on students are discussed.
Collapse
Affiliation(s)
- Nicole C Ryerson
- Department of Psychology, Pennsylvania State University, Center Valley, PA, USA
| | - Oliver W A Wilson
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
| | - Alejandra Pena
- Department of Psychology, Pennsylvania State University, Center Valley, PA, USA
| | - Michele Duffy
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
| | - Melissa Bopp
- Department of Kinesiology, Pennsylvania State University, University Park, PA, USA
| |
Collapse
|
34
|
Bomfim IG, Dos Santos SD, Ruggiero CM, Napoleão AA. Factors associated with sexually transmitted infection/HIV diagnosis among a predominantly university population in Brazil. Int J STD AIDS 2021; 32:821-829. [PMID: 33769913 DOI: 10.1177/0956462421997251] [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] [Indexed: 11/17/2022]
Abstract
In Brazil, the increasing prevalence of HIV infection in young people makes it critical to know its distribution in university communities. In this cross-sectional study, we evaluated the impact of STI/HIV testing campaigns on university campuses from 2013 to 2017. The participants took part in rapid testing for HIV, syphilis, hepatitis B and C, and counseling sessions. A total of 2691 people participated in the campaigns. Of these, 79.4% were single, and 50.3% were women. The median age was 24 years old, and 77.9% of participants had ≥12 years of formal education. Most reported having unprotected sex in the last year (87.4%). The positivity rates for HIV, syphilis, hepatitis B virus, and hepatitis C virus were 0.56%, 1.20%, 0.19%, and 0.11%, respectively. The characteristics associated with HIV infection were being men who have sex with men (MSM) (aOR = 12.06; 95% CI = 3.83-37.99) and having <12 years of schooling (aOR = 3.28; 95% CI = 1.03-10.38). Factors associated with syphilis seropositivity were older age (aOR = 1.06; 95% CI = 1.03-1.09), multiple partners (aOR = 2.44; 95% CI = 1.08-5.50), and being MSM (aOR = 5.40; 95% CI = 2.49-11.72). Positivity for hepatitis B tended to decrease with the years of testing (p = 0.023) and for hepatitis C to increase with age (p = 0.035). Our study observed a high vulnerability to HIV and syphilis infection in a university community, which needs an early prevention strategy, including regular testing, continuing sexual education, easy access to condoms, and pre- and postexposure HIV prophylaxis.
Collapse
Affiliation(s)
- Isabella Go Bomfim
- Nursing Department, 122251Universidade Federal de São Carlos Center of Biological Sciences and Health, São Carlos, Brazil
| | - Sigrid Ds Dos Santos
- Department of Medicine, 122251Universidade Federal de São Carlos Center of Biological Sciences and Health, São Carlos, Brazil
| | | | - Anamaria A Napoleão
- Nursing Department, 122251Universidade Federal de São Carlos Center of Biological Sciences and Health, São Carlos, Brazil
| | | |
Collapse
|
35
|
Rababah JA, Al‐Hammouri MM, Drew BL. The association between mindfulness and health promotion in undergraduate nursing students: A serial multiple mediator analysis. J Adv Nurs 2020; 76:3464-3472. [DOI: 10.1111/jan.14556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 07/18/2020] [Accepted: 08/10/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Jehad A. Rababah
- Adult Health Nursing Department Faculty of Nursing Jordan University of Science and Technology Irbid Jordan
| | - Mohammed M. Al‐Hammouri
- Community and Mental Health Department Faculty of Nursing Jordan University of Science and Technology Irbid Jordan
| | | |
Collapse
|
36
|
A Social Ecological Approach to Hazardous Alcohol Use among Flemish Higher Education Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17218288. [PMID: 33182481 PMCID: PMC7720127 DOI: 10.3390/ijerph17218288] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 10/30/2020] [Accepted: 11/01/2020] [Indexed: 11/17/2022]
Abstract
Hazardous use of alcohol is a global public health concern. Statistics suggest that this is particularly common in Europe, and among higher education students. Although it has been established that various factors—ranging from the individual to the overarching societal level—are associated with misuse of alcohol, few studies take multiple levels of influence into account simultaneously. The current study, therefore, used a social ecological framework to explore associations between variables from multiple levels of influence and the hazardous use of alcohol. Data were obtained from a representative sample of higher education students from Flanders, Belgium (n = 21,854), and explored using hierarchical multiple regression analyses. The results demonstrated that the individual, interpersonal, organizational, community, and policy levels, were all associated with risky alcohol consumption. When devising interventions, policymakers should, therefore, take into consideration that variables from multiple levels of influence are at play. Students’ capacities to change or maintain their alcohol consumption behaviors may be undermined if social settings, overarching environments, social norms, and policies are not conducive to their motivations and social expectations.
Collapse
|
37
|
Hayes NL, Marsee MA, Russell DW. Latent Profile Analysis of Traditional and Cyber-Aggression and Victimization: Associations with Dark Triad Traits and Psychopathology Symptoms. JOURNAL OF PSYCHOPATHOLOGY AND BEHAVIORAL ASSESSMENT 2020. [DOI: 10.1007/s10862-020-09835-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
38
|
Tesfaye Y, Agenagnew L. Knowledge, Attitude, and Practices of Jimma Teacher Training College Students Toward Risky Sexual Behaviors, Jimma, Ethiopia. Sex Med 2020; 8:554-564. [PMID: 32499211 PMCID: PMC7471066 DOI: 10.1016/j.esxm.2020.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/25/2020] [Accepted: 04/19/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND College students represent the huge section of teenagers in Ethiopia, and a growing number of them practice unsafe sex and hence face unwanted sexual health outcomes. Despite this, little has been explored about the college students' knowledge, attitude, and practice toward risky sexual behaviors (RSBs) in the study area. Therefore, this study aimed to assess the knowledge, attitude, and the practice of Jimma teacher training college students toward RSBs, Jimma town, southwest Ethiopia, in 2018. METHODS An institution-based quantitative cross-sectional study was conducted. Data were collected through a pretested, structured, and self-administered questionnaire. A total of 395 respondents were selected using a simple random sampling technique. The collected data were checked manually for completeness and consistency, entered into Epi-data, version 3.1, data entry software, and exported to SPSS, version 20, statistical software for analysis. Descriptive statistics were used to summarize the outcome and explanatory variables. RESULTS Among the total 360 respondents, 140 (38.9%) had poor knowledge of RSBs. The majority 78 (36.6%) of the respondents described radio as their main source of information about RSBs. More than three-quarters, 163 (76.6%) respondents define practicing oral and/or anal sex as RSBs and 194 (91%) reported sexually transmitted infections including HIV/AIDS as the main consequence of RSBs. This study also revealed 156 (43.4%) participants had an unfavorable attitude toward RSBs. 60 (16.7%) participants disagree with the idea that condoms prevent HIV/AIDS and nearly all respondents (340 [94.5%]) agreed homosexuality brings sexual risks. Among those who had sexual experience, 83 (32.4%) had 2 or more sexual partners, more than two-third (176 [68.8%]) had sexual practice after drinking alcohol, and 90 (35.1%) participants reported they did not use a condom when they had sex. CONCLUSION A significant percentage of the students have poor knowledge, attitude, and practice toward RSBs. Tesfaye Y, Agenagnew L. Knowledge, Attitude, and Practices of Jimma Teacher Training College Students Toward Risky Sexual Behaviors, Jimma, Ethiopia. Sex Med 2020;8:554-564.
Collapse
Affiliation(s)
- Yonas Tesfaye
- Department of Psychiatry, Jimma University, Jimma, Ethiopia.
| | | |
Collapse
|
39
|
Alemu D, Soboka M, Tesfaye E, Ahmed G, Tesfaye Y. Alcohol Use Disorder and Associated Factors Among Jimma University Undergraduate Students. Psychol Res Behav Manag 2020; 13:609-618. [PMID: 32801958 PMCID: PMC7394589 DOI: 10.2147/prbm.s251510] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Accepted: 07/10/2020] [Indexed: 01/21/2023] Open
Abstract
Purpose Harmful alcohol use among University students is a problem throughout the world. However, little is known about alcohol use disorders among JFD university students in Ethiopia. Therefore, this study aimed to assess the prevalence and associated factors of alcohol use disorder (AUD) among Jimma University undergraduate students. Methods Institution-based cross-sectional study was conducted among Jimma university students. Data were collected from 741 sampled students who were selected through a multi-stage stratified sampling technique. Alcohol Use Disorder Identification Test (AUDIT), Oslo 3 items social support scale (OSS-3), and Kessler-6 (K6) tools were used to assess alcohol use disorders, social support, and psychological distress, respectively. Data were analyzed through SPSS version 20.0. Bivariate and multivariate logistic regression analyses were conducted and adjusted odds ratio (AOR) at a 95% confidence interval (CI) was used to determine the independently associated factors of AUD. Results The overall prevalence of AUD among Jimma University undergraduate students was 26.5%. There was a positive and independent association between AUDs and being single AOR= 1.98, 95% CI [1.21, 3.22], having a history of mental illness AOR= 1.98, 95% CI [1.04, 3.75], having a history of suicidal attempt AOR= 3.63, 95% CI [1.18, 11.11], smoking cigarette AOR= 5.04, 95% CI [2.02, 12.57], having peer pressure to drink alcohol AOR= 2.72, 95% CI [1.76, 4.19] and presence of mental distress AOR= 2.81, 95% CI [1.83, 4.32]. Conclusion The findings of this study showed that the prevalence of AUD was high in the sampled undergraduate students of Jimma University. AUD was positively associated with mental, substance, and behavioral risk factors. Therefore, concerted actions needed to emplace to increase the student's awareness of the effect of harmful alcohol use. Moreover, it is recommended that further studies need to be conducted to develop strategies for evidence-based interventions.
Collapse
Affiliation(s)
- Daniel Alemu
- Department of Psychiatry, Haramaya University, Harar, Harari, Ethiopia
| | - Matiwos Soboka
- Department of Psychiatry, Jimma University, Jimma, Oromia, Ethiopia
| | - Elias Tesfaye
- Department of Psychiatry, Jimma University, Jimma, Oromia, Ethiopia
| | - Gutema Ahmed
- Department of Psychiatry, Jimma University, Jimma, Oromia, Ethiopia
| | - Yonas Tesfaye
- Department of Psychiatry, Jimma University, Jimma, Oromia, Ethiopia
| |
Collapse
|
40
|
Carlos M, Elena B, Teresa IM. Are Adherence to the Mediterranean Diet, Emotional Eating, Alcohol Intake, and Anxiety Related in University Students in Spain? Nutrients 2020; 12:E2224. [PMID: 32722507 PMCID: PMC7468871 DOI: 10.3390/nu12082224] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 07/18/2020] [Accepted: 07/23/2020] [Indexed: 12/15/2022] Open
Abstract
Research has suggested that university students are at risk from certain unhealthy habits, such as poor diet or alcohol abuse. At the same time, anxiety levels appear to be higher among university students, which may lead to high levels of emotional eating. The aim of this study was to analyze the degree of adherence to the Mediterranean diet (AMD), emotional eating, alcohol intake, and anxiety among Spanish university students, and the interrelationship of these variables. A total of 252 university students filled out the Mediterranean Diet Quality Index (KIDMED) questionnaire for Mediterranean diet adherence, an Alcohol Use Disorders Identification Test, a State-Trait Anxiety Inventory and the Emotional Eater Questionnaire. We analyzed descriptive data, a t-test and analysis of variance (ANOVA) for differences, a Pearson correlation, and multiple regression tests. Results showed low levels of AMD among university students (15.5%) and considerable levels of emotional eating (29%) and anxiety (23.6%). However, levels of alcohol dependence were low (2.4%). State-anxiety was a predictor of the emotional eater score and its subscales, and sex also was predictive of subscale guilt and the total score. However, AMD was predicted only by trait-anxiety. These models accounted for between 1.9% and 19%. The results suggest the need for the implementation of educational programs to promote healthy habits among university students at risk.
Collapse
Affiliation(s)
- Marchena Carlos
- Faculty of Education and Psychology, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | - Bernabéu Elena
- Faculty of Education and Psychology, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| | - Iglesias M. Teresa
- Faculty of Health Sciences, Universidad Francisco de Vitoria, 28223 Madrid, Spain
| |
Collapse
|
41
|
Allen Rose P, Erik Schuckman H, Oh SS, Park EC. Associations between Gender, Alcohol Use and Negative Consequences among Korean College Students: A National Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17145192. [PMID: 32708392 PMCID: PMC7400016 DOI: 10.3390/ijerph17145192] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Revised: 07/08/2020] [Accepted: 07/14/2020] [Indexed: 12/28/2022]
Abstract
This study examines Korean college students’ rates and the severity of various negative consequences resulting from the frequency and quantity of alcohol consumption and the unique factors that are affecting this problem in the Korean context in comparison to other countries. It assesses how much gender, age and other associated respondent characteristics mediate alcohol use and the resulting negative consequences among the population. A stratified representative sample of 4803 valid student respondents attending 82 colleges participated in the alcohol consumption survey, of which 95% reported drinking in past 12 months. Drinking is measured by the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) screening tool. Based on this test, composite scores for each participant were computed and students were grouped into four risk groups: (a) nondrinkers, (b) light drinkers, (c) moderate drinkers and (d) heavy drinkers. Outcome measures include 21 validated items evaluating self-reported alcohol-related negative consequences. Rates of negative consequences are reported for each drinking risk group stratified by gender. Descriptive statistics, stepwise regression, multivariate linear regression and MANOVA tests were used to analyze the data. The study found that female respondents in the sample who consumed alcohol in the past 12 months drank 11.5 percent less than males (AUDIT-C score μ = 6.0 and 6.7, respectively), and there was a greater proportion of females (5.1 percent) who were nondrinkers than males (4.6 percent). Yet, when females drank, they experienced 11.8 percent more negative consequences on average than males (μ = 1.9 and 1.7, respectively). The study attempts to explain this apparent contradiction. The self-reported rates for many individual negative consequences also varied discernibly by gender. The study concludes with suggestions for how alcohol prevention on Korean college campuses would benefit from targeting females and males differently.
Collapse
Affiliation(s)
- Patrick Allen Rose
- Department of Technology and Society, State University of New York-Korea, 119 Songdo Moonhwa-Ro, Incheon 21985, Korea
- Correspondence:
| | - Hugh Erik Schuckman
- Department of Writing and Rhetoric, University of Utah Asia Campus; 119 Songdo Moonhwa-Ro Yeongsu-Gu, Incheon 21985, Korea;
| | - Sarah Soyeon Oh
- Institute of Health Services Research, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea; (S.S.O.); (E.-C.P.)
| | - Eun-Cheol Park
- Institute of Health Services Research, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea; (S.S.O.); (E.-C.P.)
| |
Collapse
|
42
|
Nekgotha TK, Nel K, Govender S. Stress levels and alcohol use amongst beginning students at a peri-urban South African university: A brief report. JOURNAL OF PSYCHOLOGY IN AFRICA 2020. [DOI: 10.1080/14330237.2020.1777021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - Kathryn Nel
- Research, Administration and Development, University of Limpopo, South Africa
| | | |
Collapse
|
43
|
Vera BDV, Pilatti A, Pautassi RM. ELSA 2014 Cohort: Risk Factors Associated With Heavy Episodic Drinking Trajectories in Argentinean College Students. Front Behav Neurosci 2020; 14:105. [PMID: 32625071 PMCID: PMC7311794 DOI: 10.3389/fnbeh.2020.00105] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 05/27/2020] [Indexed: 11/23/2022] Open
Abstract
Heavy episodic drinking (HED) is highly prevalent in college students. In Argentina, there is a notable lack of longitudinal studies examining drinking trajectories. The present study identified HED trajectories in Argentinean college students during the first 3 years of college (seven waves) and examined the association between risk factors for alcohol use and HED trajectories. The sample was composed of 1,240 college students [63.1% women, aged 18–25 years (M = 19.1 ± 1.7)] who completed at least three waves (the first data collection and ≥2 follow-ups). For 3 years, participants completed seven surveys that measured HED frequency, age of drinking onset, drunkenness occurrence, trait impulsivity, family history of alcohol abuse, stressful life events, and perceived peer’s drinking. Latent Class Growth Analysis (LCGA) and Multinomial Logistic Regression (MLR) were used to identify the pattern and number of HED trajectories and to explore which risk factors better distinguished between the trajectories, respectively. Six HED trajectories were identified: Heavy Stable Frequency, Moderate Stable Frequency, Moderate Decreasing Frequency, Stable Infrequent, Decreasing Infrequent, and No-HED. Younger age of drinking onset, alcohol intoxication, greater perception of peer drinking frequency and higher levels of impulsivity (i.e., sensation seeking, lack of premeditation, and positive urgency) increased the probability of belonging to the trajectories with more frequent HED. These trajectories partially coincide with those identified in studies from other cultures. Unlike previous studies, we did not find a trajectory with increasing/ascending HED frequency. This may be related to contextual/cultural variables unique to Argentina, like differences in the age when the peak in alcohol consumption is reached or the legal minimum age to buy alcoholic beverages in this country, and the idiosyncratic elements that characterize college life in Argentina. This work represents a step forward in the identification of risk factors differentiating between different HED trajectories, and help understand changes in alcohol use during college, in an understudied population.
Collapse
Affiliation(s)
- Belén del Valle Vera
- Facultad de Psicología, Universidad Nacional de Córdoba, Córdoba, Argentina
- Instituto de Investigaciones Psicológicas, IIPSI, UNC-CONICET, Córdoba, Argentina
- *Correspondence: Belén del Valle Vera Angelina Pilatti
| | - Angelina Pilatti
- Facultad de Psicología, Universidad Nacional de Córdoba, Córdoba, Argentina
- Instituto de Investigaciones Psicológicas, IIPSI, UNC-CONICET, Córdoba, Argentina
- *Correspondence: Belén del Valle Vera Angelina Pilatti
| | - Ricardo Marcos Pautassi
- Facultad de Psicología, Universidad Nacional de Córdoba, Córdoba, Argentina
- Instituto de Investigación Médica M. y M. Ferreyra, INIMEC-CONICET, Universidad Nacional de Córdoba, Córdoba, Argentina
| |
Collapse
|
44
|
Yoo HH, Cha SW, Lee SY. Patterns of Alcohol Consumption and Drinking Motives Among Korean Medical Students. Med Sci Monit 2020; 26:e921613. [PMID: 32315293 PMCID: PMC7191952 DOI: 10.12659/msm.921613] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background Physicians who have healthy lifestyles can provide quality healthcare to their patients and keep themselves healthy. There is little data on the prevalence of drinking behaviors and problems among East Asian medical students. Here, we explored alcohol use and drinking motives among medical students in Korea. Material/Methods A questionnaire-based, multicenter, cross-sectional study was carried out in 323 students from 5 medical colleges in Korea between July and October 2016. We used the Korean version of the Alcohol Use Disorders Identification Test (AUDIT) and an anonymous, self-administered questionnaire that included demographic characteristics, smoking status, consumption of alcohol, and drinking motives. Results The mean AUDIT score was 9.8±7.5 for males and 6.3±5.4 for females. Heavy drinking (75.9%) and binge drinking (56.0%) were very high among Korean medical students. Female medical students drank as much as male students, and much more than other women. The probability that a student would be a binge drinker was 2.72 times higher for a smoker than a non-smoker. The scores for drinking frequency, alcohol intake at one time, heavy drinking, binge drinking, and alcohol dependence symptoms were highest in the group who had “enhancement drinking motives”. Conclusions Heavy drinking and binge drinking are common among both male and female medical students in Korea and this behavior is associated with smoking and enhancement drinking motives. Medical schools should consider implementing effective interventions to prevent and reduce problem drinking among medical students.
Collapse
Affiliation(s)
- Hyo Hyun Yoo
- Department of Medical Education, Chonbuk National University School of Medicine, Jeonju, South Korea
| | - Sung Wook Cha
- Family Medicine Clinic, Obesity, Metabolism and Nutrition Center and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea.,Department of Medical Education, Pusan National University School of Medicine, Yangsan, South Korea
| | - Sang Yeoup Lee
- Family Medicine Clinic, Obesity, Metabolism and Nutrition Center and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, South Korea.,Department of Medical Education, Pusan National University School of Medicine, Yangsan, South Korea
| |
Collapse
|
45
|
El Ansari W, Salam A, Suominen S. Is Alcohol Consumption Associated with Poor Perceived Academic Performance? Survey of Undergraduates in Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041369. [PMID: 32093287 PMCID: PMC7068310 DOI: 10.3390/ijerph17041369] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 02/12/2020] [Accepted: 02/17/2020] [Indexed: 12/12/2022]
Abstract
The relationship between academic performance and alcohol consumption among students remains inconsistent. We assessed this relationship, controlling for sociodemographic characteristics across seven faculties at the University of Turku (1177 undergraduates). An online questionnaire assessed: seven sociodemographic characteristics (age, gender, year/discipline of study, accommodation type, being in intimate relationship, parental education, and income sufficiency); two perceived academic performance (students’ subjective importance of achieving good grades and students’ appraisal of their academic performance compared to peers); and six alcohol consumption behaviors (length of time, amount consumed, frequency, heavy episodic drinking, problem drinking, and possible alcohol dependence). Simple logistic regression assessed relationships between sociodemographic and academic variables with alcohol consumption behaviors; multiple logistic regression assessed the same relationships after controlling for all other variables. Students reported long duration and large amount of drinking (46% and 50%), high frequency of drinking (41%), heavy episodic drinking (66%), problem drinking (29%), and possible alcohol dependence (9%). After controlling, gender was associated with all alcohol consumption behaviors, followed by religiosity (associated with four alcohol behaviors), living situation, marital status, age (each associated with two alcohol behaviors), and parental education and year of study (each associated with one alcohol behavior). Study discipline, income sufficiency, importance of achieving good grades, and academic performance compared to peers were not associated with any alcohol behaviors. Universities need to assess problem drinking and alcohol use disorders among students. Prevention strategies are required to reduce risk. Health promotion efforts could focus on beliefs and expectations about alcohol and target student groups at risk for more efficient and successful efforts.
Collapse
Affiliation(s)
- Walid El Ansari
- Department of Surgery, Hamad General Hospital, Doha 3050, Qatar
- College of Medicine, Qatar University, Doha 3050, Qatar
- School of Health and Education, University of Skovde, 541 28 Skövde, Sweden;
- Correspondence:
| | - Abdul Salam
- Neuroscience Institute, Hamad General Hospital, Doha 3050, Qatar;
| | - Sakari Suominen
- School of Health and Education, University of Skovde, 541 28 Skövde, Sweden;
| |
Collapse
|
46
|
King SC, Richner KA, Tuliao AP, Kennedy JL, McChargue DE. A comparison between telehealth and face-to-face delivery of a brief alcohol intervention for college students. Subst Abus 2019; 41:501-509. [DOI: 10.1080/08897077.2019.1675116] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Affiliation(s)
- Sarah C. King
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - Kailey A. Richner
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - Antover P. Tuliao
- Community, Family, and Addiction Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Joseph L. Kennedy
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| | - Dennis E. McChargue
- Department of Psychology, University of Nebraska-Lincoln, Lincoln, Nebraska, USA
| |
Collapse
|
47
|
Abstract
Hazardous alcohol use among Hispanics makes for a critical public health issue that warrants empirical examination. Whereas research shows positive associations between alcohol-related outcomes and acculturation, it is unclear how enculturation and acculturation x enculturation are linked to alcohol use. Hispanic American undergraduate and graduate students (N = 348, 61.8% women, Mage = 21.82, 83.3% undergraduates) completed questionnaires assessing their levels of acculturation, enculturation, and alcohol use. Enculturation was negatively associated with social drinking-related consequences. Acculturation was positively associated with alcohol consumption, and enculturation buffered this association. Findings highlight the utility of considering acculturation profiles in understanding Hispanic alcohol use.
Collapse
Affiliation(s)
- Savannah Pham
- Department of Psychology, Southern Methodist University , Dallas , TX
| | - P Priscilla Lui
- Department of Psychology, Southern Methodist University , Dallas , TX
| |
Collapse
|
48
|
Schmidt V, Martucci F, Puglia GD, Lo Giusto O, Rijana I, Iturain AA. [Qualitative study on risk and care practices in nightlife settings with massive presence of people in Buenos Aires City]. Salud Colect 2019; 15:e2171. [PMID: 32022127 DOI: 10.18294/sc.2019.2171] [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] [Received: 02/08/2019] [Revised: 07/18/2019] [Accepted: 08/30/2019] [Indexed: 11/24/2022] Open
Abstract
The aim of the present study was to investigate care and risk practices carried out in nightlife settings with massive presence of people in the Autonomous City of Buenos Aires. In addition to this, the perceived reasons behind the consumption of psychoactive substances were investigated. For this purpose, 16 young people between 21 and 35 years of age were interviewed. The data was analyzed following the approach proposed in the grounded theory and using the Atlas.Ti program. Practices were studied at individual, group and environmental levels. Among the risk practices, substance availability, excessive intake and substance mixing were frequently mentioned. Regarding care practices, the value of the group was highlighted by keeping together and providing help to its members. Practical implications of these results are discussed, and limitations and future lines of research are presented.
Collapse
Affiliation(s)
- Vanina Schmidt
- Doctora en Psicología. Investigadora Independiente del Consejo Nacional de Investigaciones Científicas y Técnicas. Profesora titular regular, Universidad Abierta Interamericana, Ciudad Autónoma de Buenos Aires, Argentina.
| | - Florencia Martucci
- Licenciada en Psicología. Investigadora, Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
| | - Gabriela Di Puglia
- Licenciada en Psicología. Becaria, Ministerio de Salud, Gobierno de la Ciudad de Buenos Aires. Profesora Interina e investigadora, Universidad Abierta Interamericana, Ciudad Autónoma de Buenos Aires, Argentina.
| | - Ornella Lo Giusto
- Licenciada en Psicología. Ayudante de Trabajos Prácticos, Universidad de Buenos Aires. Investigadora, Universidad Abierta Interamericana. Ciudad Autónoma de Buenos Aires, Argentina.
| | - Ignacio Rijana
- Licenciado en Psicología. Profesor e investigador, Universidad de Buenos Aires. Investigador, Universidad Abierta Interamericana. Ciudad Autónoma de Buenos Aires, Argentina.
| | - Analia Alvarez Iturain
- Licenciada en Psicología. Ayudante de Trabajos Prácticos, Universidad de Buenos Aires. Profesora Interina e investigadora, Universidad Abierta Interamericana. Ciudad Autónoma de Buenos Aires, Argentina.
| |
Collapse
|
49
|
Nguyen TTH, Sendall MC, Young RM, White KM. Binge drinking among male medical students in Viet Nam: a qualitative exploration of norms. J Ethn Subst Abuse 2019; 20:543-558. [PMID: 31596186 DOI: 10.1080/15332640.2019.1670768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Alcohol is a commonly used substance among Vietnamese medical students, especially males. Vietnamese male medical students drink more alcohol, report more intentions to binge drink, and experience more alcohol-related problems than females. As medical students' alcohol consumption may influence their attitudes and medical practice relating to alcohol counseling and prevention, research about the cultural and drinking norms underlying the drinking behavior of Vietnamese male medical students is warranted. This study aims to explore the norms underlying drinking behavior of Vietnamese male medical students. A qualitative study including 32 in-depth interviews with Vietnamese male medical students at a medical university. Thematic analysis was used to analyze the data. This study found Vietnamese male medical students considered alcohol consumption as a way to show their masculinity and become accepted by groups. Given these beliefs and adherence to norms, they followed rules to force others to consume more alcohol or be intoxicated in drinking occasions among medical students. This study showed the importance of gender and group norms in influencing Vietnamese male medical students' alcohol consumption. These norms should be considered in future research and interventions addressing alcohol use among this target population.
Collapse
Affiliation(s)
- Thi Thu Huong Nguyen
- School of Psychology and Counselling, Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Australia
| | - Marguerite C Sendall
- School of Public Health and Social Work and Institute of Health and Biomedical Innovation, Faculty of Health, Queensland University of Technology , Kelvin Grove , Australia
| | - Ross McD Young
- Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Australia
| | - Katherine M White
- School of Psychology and Counselling, Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology , Kelvin Grove , Australia
| |
Collapse
|
50
|
Buckner JD, Neighbors C, Walukevich-Dienst K, Young CM. Online personalized normative feedback intervention to reduce event-specific drinking during Mardi Gras. Exp Clin Psychopharmacol 2019; 27:466-473. [PMID: 30777772 PMCID: PMC6746610 DOI: 10.1037/pha0000259] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
High-risk drinking events (e.g., Mardi Gras) are associated with heavy and problematic drinking behaviors in college students. Online personalized normative feedback (PNF) interventions have been found to reduce college drinking, yet few studies have investigated the effect of event-specific PNF on drinking. The present study investigated the impact of a Mardi Gras-specific PNF intervention on Mardi Gras drinking and normative beliefs. Undergraduate students who reported intending to drink during Mardi Gras were randomly assigned to receive PNF (n = 74) or nondrinking control feedback (n = 73), both delivered online. Compared to those in the control condition, those in the PNF condition reported lower normative beliefs at follow-up. Follow-up beliefs mediated the relation between condition and peak estimated blood alcohol content (eBAC) during Mardi Gras such that the PNF condition was related to lower follow-up maximum estimated eBAC via lower follow-up normative beliefs. Baseline drinking moderated treatment effects such that the PNF was related to lower follow-up eBAC among heavier but not lighter baseline drinkers. This is the first known study to find that an event-specific stand-alone PNF intervention administered online in anticipation of a university-wide holiday associated with drinking can result in decreased event-specific drinking via changes in event-specific normative beliefs. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Collapse
|