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Wiseblatt AF, Testa M, Read JP. Do Risk Factors for Incapacitated and Other Sexual Assault Differ for Black and White College Women? A Preliminary Investigation. Violence Against Women 2023:10778012231216717. [PMID: 38018096 PMCID: PMC11130078 DOI: 10.1177/10778012231216717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
Heavy episodic drinking (HED) and hookups are risk factors for college women's sexual assault (SA). Black women engage in these behaviors less frequently than White women. We prospectively examined HED and hookups as mechanisms of incapacitated SA (ISA) and other SA (OSA) risks for Black and White first-year college women and sociocontextual factors that may contribute differentially to risk. In mediation analyses, Black women's less frequent HED predicted lower ISA. SA characteristics (e.g., setting) also differed by race. Mechanisms and types of assault risk may not be the same for all college women, an important consideration for intervention efforts.
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Affiliation(s)
| | - Maria Testa
- Department of Psychology, University at Buffalo, Buffalo, USA
- Clinical and Research Institute on Addictions, University at Buffalo, Buffalo, USA
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2
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Goldstein SC, Spillane NS, Schick MR, Rossi JS. Measurement Invariance and Application of an Alcohol-Related Consequence Scale for American Indian Adolescents. Assessment 2023; 30:1125-1139. [PMID: 35435000 PMCID: PMC9576817 DOI: 10.1177/10731911221089201] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
American Indian (AI) adolescents experience disproportionate alcohol-related consequences. The present study evaluated the psychometric properties and application of the American Drug and Alcohol Survey (ADAS™) alcohol-related consequence scale for AI adolescents through a secondary analysis of a large population-based sample of adolescents living on or near AI reservations. We found support for the ADAS alcohol-related consequence scale as a one-factor model, invariant discretely across race, sex assigned at birth, and age, and with good internal consistency. Evidence for construct validity was found through significant positive correlations between frequency of past 12 months of drinking, frequency of past 12 months of intoxication, and lifetime alcohol-related consequences. AI adolescents were significantly more likely to report more alcohol-related consequences than their non-Hispanic White peers. Race significantly interacted with frequency of drinking in predicting alcohol-related consequences such that these associations were stronger for AI adolescents. However, race did not significantly interact with frequency of intoxication in predicting alcohol-related consequences. Results from this study demonstrate the utility of the ADAS alcohol-related consequence scale for use across demographic groups with little risk of measurement bias.
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Li X, Clarke N, Kim SY, Ray AE, Walters ST, Mun EY. Protective behavioral strategies are more helpful for avoiding alcohol-related problems for college drinkers who drink less. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2022; 70:1493-1499. [PMID: 32870746 PMCID: PMC7917150 DOI: 10.1080/07448481.2020.1807555] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 07/27/2020] [Accepted: 08/02/2020] [Indexed: 06/11/2023]
Abstract
Objective: To examine race, gender, and alcohol use level as moderators of the association between protective behavioral strategies (PBS) and alcohol-related problems. Participants: A sample of 12,011 participants who reported recent drinking (87.7% White, 61% Women) from Project INTEGRATE, a study that combined individual participant data (IPD) from 24 brief motivational intervention trials for college students. Methods: Hierarchical regressions were conducted to determine whether there was a moderated effect of PBS on alcohol problems across alcohol use levels, and whether the moderated protective effect of PBS by alcohol use differed by gender and race. Results: The protective association between PBS and alcohol-related problems was greater for those who drank less. This moderated effect did not differ across men and women or across racial groups. Conclusions: College drinking prevention programs should ensure that students are aware of the limits of PBS as a mitigator of alcohol problems.
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Affiliation(s)
- Xiaoyin Li
- Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, USA
| | - Nickeisha Clarke
- Clarke Counseling & Psychological Services LLC, Brandon, Florida, USA
| | - Su-Young Kim
- Department of Psychology, Ewha Womans University, Seoul, South Korea
| | - Anne E. Ray
- Department of Health, Behavior & Society, College of Public Health, University of Kentucky, Lexington, USA
| | - Scott T. Walters
- Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, USA
| | - Eun-Young Mun
- Department of Health Behavior and Health Systems, School of Public Health, University of North Texas Health Science Center, Fort Worth, USA
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4
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Busto Miramontes A, Moure-Rodríguez L, Regueira A, Varela L, Corral M, Figueiras A, Caamano-Isorna F. Analysis of AUDIT Domains in Freshman Students in Spain: Three Cross-Sectional Surveys (2005, 2012 and 2016). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137799. [PMID: 35805458 PMCID: PMC9266132 DOI: 10.3390/ijerph19137799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 06/22/2022] [Accepted: 06/23/2022] [Indexed: 01/27/2023]
Abstract
Purpose: We aimed to evaluate changes in the frequency of drinking, alcohol dependence and alcohol-related harm in freshman college students from 2005, 2012 and 2016, and identify risk-associated factors. Method: A cross-sectional study involving 5009 freshman students was carried out in Spain in 2005, 2012 and 2016. The Dimensions of Alcohol Use Disorders Identification Test (frequency of drinking, symptoms of dependence and alcohol-related harm) was analysed. Adjusted relative risks (RRs) and their 95% confidence intervals were estimated using negative binomial regression. Results: Place of residence, positive expectancies and early onset of alcohol consumption continue to be crucial conditions for developing patterns of risky consumption, alcohol dependence and harm. Women and men were more vulnerable to alcohol harm and dependence when living away from home, having higher economic status and positive alcohol expectancies. Cohorts from 2012 and 2016 were at lower risk of risky alcohol consumption. Men belonging to the 2012 and 2016 cohorts were at lower risk of alcohol negative consequences compared with the 2005 cohort. However, women remained vulnerable over time to alcohol dependence and harm. Starting drinking after 16 protects them both from alcohol dependence and harm. Conclusions: Women are more vulnerable to alcohol dependence and harm in recent cohorts of freshmen. Limiting access to alcohol at a younger age and working on false positive expectancies could benefit freshmen by avoiding alcohol damage and alcohol dependence.
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Affiliation(s)
- Alicia Busto Miramontes
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (L.M.-R.); (A.R.); (L.V.); (A.F.); (F.C.-I.)
- Correspondence:
| | - Lucía Moure-Rodríguez
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (L.M.-R.); (A.R.); (L.V.); (A.F.); (F.C.-I.)
- Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain;
- Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), 28029 Madrid, Spain
| | - Alba Regueira
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (L.M.-R.); (A.R.); (L.V.); (A.F.); (F.C.-I.)
| | - Leonor Varela
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (L.M.-R.); (A.R.); (L.V.); (A.F.); (F.C.-I.)
| | - Montserrat Corral
- Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain;
- Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain
| | - Adolfo Figueiras
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (L.M.-R.); (A.R.); (L.V.); (A.F.); (F.C.-I.)
- Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain;
- Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), 28029 Madrid, Spain
| | - Francisco Caamano-Isorna
- Department of Public Health, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain; (L.M.-R.); (A.R.); (L.V.); (A.F.); (F.C.-I.)
- Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain;
- Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), 28029 Madrid, Spain
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Huh D, Li X, Zhou Z, Walters ST, Baldwin SA, Tan Z, Larimer ME, Mun EY. A Structural Equation Modeling Approach to Meta-analytic Mediation Analysis Using Individual Participant Data: Testing Protective Behavioral Strategies as a Mediator of Brief Motivational Intervention Effects on Alcohol-Related Problems. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2021; 23:390-402. [PMID: 34767159 PMCID: PMC8975788 DOI: 10.1007/s11121-021-01318-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/01/2021] [Indexed: 11/25/2022]
Abstract
This paper introduces a meta-analytic mediation analysis approach for individual participant data (IPD) from multiple studies. Mediation analysis evaluates whether the effectiveness of an intervention on health outcomes occurs because of change in a key behavior targeted by the intervention. However, individual trials are often statistically underpowered to test mediation hypotheses. Existing approaches for evaluating mediation in the meta-analytic context are limited by their reliance on aggregate data; thus, findings may be confounded with study-level differences unrelated to the pathway of interest. To overcome the limitations of existing meta-analytic mediation approaches, we used a one-stage estimation approach using structural equation modeling (SEM) to combine IPD from multiple studies for mediation analysis. This approach (1) accounts for the clustering of participants within studies, (2) accommodates missing data via multiple imputation, and (3) allows valid inferences about the indirect (i.e., mediated) effects via bootstrapped confidence intervals. We used data (N = 3691 from 10 studies) from Project INTEGRATE (Mun et al. Psychology of Addictive Behaviors, 29, 34–48, 2015) to illustrate the SEM approach to meta-analytic mediation analysis by testing whether improvements in the use of protective behavioral strategies mediate the effectiveness of brief motivational interventions for alcohol-related problems among college students. To facilitate the application of the methodology, we provide annotated computer code in R and data for replication. At a substantive level, stand-alone personalized feedback interventions reduced alcohol-related problems via greater use of protective behavioral strategies; however, the net-mediated effect across strategies was small in size, on average.
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Affiliation(s)
- David Huh
- School of Social Work, University of Washington, 4101 15th Ave NE, Box 354900, Seattle, WA, 98105-6299, USA.
| | - Xiaoyin Li
- Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Zhengyang Zhou
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Scott T Walters
- Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Scott A Baldwin
- Department of Psychology, Brigham Young University, Provo, UT, USA
| | - Zhengqi Tan
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, TX, USA
| | - Mary E Larimer
- Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA
| | - Eun-Young Mun
- Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, TX, USA
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Desalu JM, Goodhines PA, Park A. Vicarious racial discrimination, racial identity, and alcohol-related outcomes among Black young adults: An experimental approach. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2021; 35:283-294. [PMID: 33705156 PMCID: PMC8084893 DOI: 10.1037/adb0000707] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Objective: Racial discrimination is a known risk factor for alcohol-related outcomes among young Black American adults. However, vicarious racial discrimination's associations with alcohol-related outcomes and the role of racial identity in these associations remain unknown. This within-subject experiment study tested whether associations of vicarious racial discrimination with alcohol craving and attentional bias differed by three components of racial identity (centrality, private regard, and public regard). Method: Black young adult, at-risk drinkers (N = 51; Mage = 21 [SD = 3.02]; 60% female) completed two vicarious racial discrimination conditions (manipulated by video) followed by alcohol craving and attentional bias tasks. Results: Associations of vicarious discrimination with alcohol craving were exacerbated by high centrality and buffered by high private regard, but did not differ by public regard. No associations of vicarious discrimination with alcohol attention bias were found. Conclusion: Findings highlight the important role of Black racial identity in within-group differences in the impact of vicarious racial discrimination on select implicit indicators of alcohol risk among Black young adults. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Braby L, Holcomb M, Leonhard C. Examining the relationship between ethnic identity, depression, and alcohol use among students at historically black colleges/universities (HBCUs). J Ethn Subst Abuse 2020; 21:621-637. [PMID: 32697623 DOI: 10.1080/15332640.2020.1793864] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Alcohol abuse among college populations is a serious public health issue and is associated with many negative consequences; however, few studies have examined the drinking behavior of African American students at Historically Black Colleges/Universities (HBCUs). Alcohol abuse, including binge drinking, has historically been lower among African American than Caucasian college students; however, recent studies indicate that HBCU undergraduates are reporting increased rates of alcohol consumption, raising the question of which potential risk and protective factors are associated with alcohol consumption in this population. Ethnic identity has been identified as one protective factor for ethnic minorities, yet the processes that facilitate this relationship are little known. This study sought to further investigate the relationship between ethnic identity, depression, and alcohol use in a sample of 171 African American HBCU students. Participants were tightly clustered toward the desirable end on all measures, which restricted variability and thus attenuated correlational analyses to evaluate the relationships between study variables. There was a consistent pattern of high ethnic identification, minimal mental health distress, and low alcohol and substance use. Results suggest HBCU students are maintaining lower rates of alcohol consumption and binge drinking compared to nationally-stratified samples of undergraduates. Furthermore, these findings suggest African Americans attending HBCUs score highly on ethnic identity and resiliency. Cultural and social norms at HBCUs may help explain low rates of substance and alcohol misuse among HBCU students. Recommendations for culturally-informed alcohol use prevention and intervention strategies and for future research are provided.
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Affiliation(s)
- Laura Braby
- Department of Clinical Psychology, Xavier University of Louisiana, New Orleans, Louisiana
| | - Matthew Holcomb
- Department of Clinical Psychology, Xavier University of Louisiana, New Orleans, Louisiana
| | - Christoph Leonhard
- Department of Clinical Psychology, Xavier University of Louisiana, New Orleans, Louisiana
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Caamano-Isorna F, Adkins A, Aliev F, Moure-Rodríguez L, Dick DM. Population Attributable Fraction of Early Age of Onset of Alcohol Use in Alcohol Abuse and Dependence: A 3-Year Follow-Up Study in University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2159. [PMID: 32213910 PMCID: PMC7142956 DOI: 10.3390/ijerph17062159] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 03/17/2020] [Accepted: 03/19/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND we aimed to determine the risk factors and associated population attributable fractions (PAFs) for the age of onset of alcohol use and also to identify protective factors. METHODS we analyzed follow-up data collected between autumn 2011 and spring 2016 (n = 5170) from the first two cohorts (2011, 2012) of the Spit for ScienceTM project. The dependent variables were alcohol abuse and dependence, and the independent variables were age of drinking onset, residence, ethnicity, religiosity, sexual orientation and work status. We determined the odds ratios (OR) using multilevel logistic regression for repeated measures in SPSSv.20. RESULTS the early onset of alcohol use was associated with an increased risk of alcohol abuse and dependence among females (OR = 14.98; OR = 11.83) and males (OR = 7.41; OR = 6.24). The PAFs for the early onset of alcohol use in alcohol abuse and dependence were respectively 80.9% and 71.7% in females and 71.0% and 63.5% in males. Among females, being white (OR = 1.58; OR = 1.51), living off-campus (OR = 1.73; OR = 2.76) and working full-time (OR = 1.69; OR = 1.78) were also risk factors. Strong religious beliefs were found to protect males from alcohol abuse (OR = 0.58), while same-gender sexual orientation increased the risk among females (OR = 2.09). CONCLUSION delaying the age of onset by one year would reduce alcohol abuse among young adults.
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Affiliation(s)
- Francisco Caamano-Isorna
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health. Universidade de Santiago de Compostela, 15706 Santiago de Compostela, Spain
| | - Amy Adkins
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- College Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Fazil Aliev
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- College Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA 23284, USA
- Faculty of Business, Karabuk University, 78050 Karabuk, Turkey
| | - Lucía Moure-Rodríguez
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- Department of Innovation and Research. Complexo Hospitalario Universitario de Ourense, 32005 Ourense, Spain
| | - Danielle M. Dick
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- College Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA 23284, USA
- Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA 23284, USA
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Desalu JM, Kim J, Zaso MJ, Corriders SR, Loury JA, Minter ML, Park A. Racial discrimination, binge drinking, and negative drinking consequences among black college students: serial mediation by depressive symptoms and coping motives. ETHNICITY & HEALTH 2019; 24:874-888. [PMID: 28931304 PMCID: PMC5862766 DOI: 10.1080/13557858.2017.1380170] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Objectives: Experiences of racial discrimination have been associated with diverse negative health outcomes among racial minorities. However, extant findings of the association between racial discrimination and alcohol behaviors among Black college students are mixed. The current study examined mediating roles of depressive symptoms and coping drinking motives in the association of perceived racial discrimination with binge drinking and negative drinking consequences. Design: Data were obtained from a cross-sectional study of Black college students attending a predominantly White institution in the northeastern US (N = 251, 66% female, mean age = 20 years). Results: Results from path analysis showed that, when potential mediators were not considered, perceived racial discrimination was positively associated with negative drinking consequences but not frequency of binge drinking. Serial multiple mediation analysis showed that depressive symptoms and in turn coping drinking motives partially mediated the associations of perceived racial discrimination with both binge drinking frequency and negative drinking consequences (after controlling for sex, age, and negative life events). Conclusions: Perceived racial discrimination is directly associated with experiences of alcohol-related problems, but not binge drinking behaviors among Black college students. Affective responses to perceived racial discrimination experiences and drinking to cope may serve as risk mechanisms for alcohol-related problems in this population. Implications for prevention and intervention efforts are discussed.
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Affiliation(s)
- Jessica M Desalu
- Department of Psychology, Syracuse University , Syracuse , NY , USA
| | - Jueun Kim
- Department of Psychology, Syracuse University , Syracuse , NY , USA
| | - Michelle J Zaso
- Department of Psychology, Syracuse University , Syracuse , NY , USA
| | | | - Jacoby A Loury
- Department of Psychology, Syracuse University , Syracuse , NY , USA
| | - Monique L Minter
- Department of Psychology, Syracuse University , Syracuse , NY , USA
| | - Aesoon Park
- Department of Psychology, Syracuse University , Syracuse , NY , USA
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Longo LM, Martin JL, Zamboanga BL, Milroy JJ, Wyrick DL. Ethnic, gender, and seasonal difference in heavy drinking and protective behavioral strategies among student-athletes. J Ethn Subst Abuse 2018; 19:253-270. [DOI: 10.1080/15332640.2018.1520172] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Laura M. Longo
- University at Albany, State University of New York, Albany, New York
| | - Jessica L. Martin
- University at Albany, State University of New York, Albany, New York
| | | | | | - David L. Wyrick
- University of North Carolina Greensboro, Greensboro, North Carolina
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Examining interactions between genetic risk for alcohol problems, peer deviance, and interpersonal traumatic events on trajectories of alcohol use disorder symptoms among African American college students. Dev Psychopathol 2018; 30:1749-1761. [DOI: 10.1017/s0954579418000962] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
AbstractNumerous studies have demonstrated that genetic and environmental factors interact to influence alcohol problems. Yet prior research has primarily focused on samples of European descent and little is known about gene–environment interactions in relation to alcohol problems in non-European populations. In this study, we examined whether and how genetic risk for alcohol problems and peer deviance and interpersonal traumatic events independently and interactively influence trajectories of alcohol use disorder symptoms in a sample of African American students across the college years (N = 1,119; Mage= 18.44 years). Data were drawn from the Spit for Science study where participants completed multiple online surveys throughout college and provided a saliva sample for genotyping. Multilevel growth curve analyses indicated that alcohol dependence genome-wide polygenic risk scores did not predict trajectory of alcohol use disorder symptoms, while family history of alcohol problems was associated with alcohol use disorder symptoms at the start of college but not with the rate of change in symptoms over time. Peer deviance and interpersonal traumatic events were associated with more alcohol use disorder symptoms across college years. Neither alcohol dependence genome-wide polygenic risk scores nor family history of alcohol problems moderated the effects of these environmental risk factors on alcohol use disorder symptoms. Our findings indicated that peer deviance and experience of interpersonal traumatic events are salient risk factors that elevate risk for alcohol problems among African American college students. Family history of alcohol problems could be a useful indicator of genetic risk for alcohol problems. Gene identification efforts with much larger samples of African descent are needed to better characterize genetic risk for alcohol use disorders, in order to better understand gene–environment interaction processes in this understudied population.
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Desalu JM, Zaso MJ, Kim J, Belote JM, Park A. Interaction between ADH1B*3 and alcohol-facilitating social environments in alcohol behaviors among college students of african descent. Am J Addict 2018; 26:349-356. [PMID: 28494133 DOI: 10.1111/ajad.12532] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2016] [Revised: 01/30/2017] [Accepted: 02/25/2017] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Although alcohol-facilitating social environmental factors, such as alcohol offers and high perceived peer drinking norms, have been extensively studied as determinants of college drinking, their role among college students of African descent remains understudied. Furthermore, gene-environment interaction research suggests that the effects of alcohol-facilitating environments may differ as a function of genetic factors. Specifically, the alcohol dehydrogenase gene's ADH1B*3 allele, found almost exclusively in persons of African descent, may modulate the association of risky social environments with alcohol behaviors. The current study examined whether the ADH1B*3 allele attenuated the relationship between alcohol-facilitating environments (ie, alcohol offers and perceived peer drinking norms) and alcohol behaviors. METHOD Participants were 241 undergraduate students who self-identified as being of African descent (mean age = 20 years [SD = 4.11]; 66% female). RESULTS Significant interaction effects of ADH1B*3 with alcohol offers were found on alcohol use frequency (incidence rate ratio [IRR] = 1.14) and on drinking consequences (IRR = 1.21). ADH1B*3 also interacted with perceived peer norms on drinking consequences (IRR = 1.41). Carriers of the ADH1B*3 allele drank less frequently and experienced fewer negative consequences than non-carriers when exposed to lower levels of alcohol offers and perceived peer drinking. In contrast, in high alcohol-facilitating environments, no protective genetic effect was observed. DISCUSSION AND CONCLUSION This study demonstrates that ADH1B*3 may protect college students of African descent against alcohol outcomes, although only in low alcohol-facilitating environments. SCIENTIFIC SIGNIFICANCE Findings add to the growing body of knowledge regarding genetic and social determinants of alcohol behaviors among college students of African descent. (Am J Addict 2017;26:349-356).
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Affiliation(s)
- Jessica M Desalu
- Department of Psychology, Syracuse University, Syracuse, New York
| | - Michelle J Zaso
- Department of Psychology, Syracuse University, Syracuse, New York
| | - Jueun Kim
- Department of Psychology, Syracuse University, Syracuse, New York
| | - John M Belote
- Department of Biology, Syracuse University, Syracuse, New York
| | - Aesoon Park
- Department of Psychology, Syracuse University, Syracuse, New York
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13
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Zaso MJ, Desalu JM, Kim J, Suryadevara K, Belote JM, Park A. Interaction between the ADH1B*3 allele and drinking motives on alcohol use among Black college students. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2017; 44:329-338. [PMID: 28662358 DOI: 10.1080/00952990.2017.1339054] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Black young adults have lower rates of alcohol use than other racial groups. Genetic factors may protect against drinking. Specifically, the ADH1B*3 allele is present almost exclusively in Black populations and has been protective against alcohol use and alcohol use disorder. The protective effects of the ADH1B*3 allele, however, may differ as a function of alcohol-promoting cognitions. OBJECTIVES The current study examined whether ADH1B*3 moderated relations of drinking motives with alcohol consumption among Black college drinkers. METHODS Participants were 241 undergraduate students of self-identified Black race (mean age = 20 years; 66% female) who reported consuming alcohol at least once in the past 30 days. RESULTS ADH1B*3 was not significantly associated with drinking motives or drinking behaviors. However, significant, albeit small, interaction effects of ADH1B*3 with drinking motives on drinking behavior were found; the presence of an ADH1B*3 allele protected against greater drinking quantity among students with high social motives (incidence rate ratio [IRR] = 0.95, 95% CI [0.92, 0.99]) and against frequent drinking among students with low coping motives (IRR = 1.06, 95% CI [1.01, 1.11]). CONCLUSION These findings represent a novel demonstration of genetic modulation of alcohol-related cognitions within Black college drinkers, although replication is needed. Results represent an initial step toward better characterizing individual differences in associations of drinking motives with drinking behavior, with potential implications for interventions aimed at motivational processes in alcohol use.
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Affiliation(s)
- Michelle J Zaso
- a Department of Psychology , Syracuse University , Syracuse , NY , USA
| | - Jessica M Desalu
- a Department of Psychology , Syracuse University , Syracuse , NY , USA
| | - Jueun Kim
- a Department of Psychology , Syracuse University , Syracuse , NY , USA
| | | | - John M Belote
- b Center for Reproductive Evolution/Department of Biology , Syracuse University , Syracuse , NY , USA
| | - Aesoon Park
- a Department of Psychology , Syracuse University , Syracuse , NY , USA
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Pedrelli P, Collado A, Shapero BG, Brill C, MacPherson L. Different pathways explain alcohol-related problems in female and male college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2016; 64:535-44. [PMID: 27219280 PMCID: PMC5021447 DOI: 10.1080/07448481.2016.1191016] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVES Comprehensive models elucidating the intricate associations of depressive symptoms, coping motives, alcohol use, alcohol-related problems (ARPs), and gender among young adults have been scarcely examined. This study investigated relationships among these variables and the effect of gender on these pathways. METHODS College students (N = 163; 49.7% female) completed self-report measures on alcohol consumption, depressive symptoms, coping motives, and ARPs. RESULTS Structural equation modeling showed that the association between depressive symptoms and ARPs was mediated by coping motives in both females and males. However, frequency of heavy alcohol use mediated the association between depressive symptoms and ARPs in females but not in males. CONCLUSIONS Different models explain the association between depressive symptoms and ARPs in male and female college students. Prevention programs aimed at reducing ARPs should focus on increasing alcohol screening among students with depressive symptoms, teaching coping skills, and emphasizing moderation in alcohol consumption.
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Affiliation(s)
- Paola Pedrelli
- a Depression Clinical Research Program , Massachusetts General Hospital , Boston , Massachusetts , USA
| | - Anahi Collado
- b Department of Psychology , University of Maryland , College Park , Maryland , USA
| | - Benjamin G Shapero
- a Depression Clinical Research Program , Massachusetts General Hospital , Boston , Massachusetts , USA
| | - Charlotte Brill
- c Department of Psychology , University of Seattle , Seattle , Washington , USA
| | - Laura MacPherson
- b Department of Psychology , University of Maryland , College Park , Maryland , USA
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15
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Clarke N, Kim SY, Ray AE, White HR, Jiao Y, Mun EY. The association between protective behavioral strategies and alcohol-related problems: An examination of race and gender differences among college drinkers. J Ethn Subst Abuse 2015; 15:25-45. [PMID: 26114577 DOI: 10.1080/15332640.2014.1002877] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study examined race and gender differences in use of specific types of protective behavioral strategies (PBS) and the moderating effects of race and gender on the relationship between PBS use and alcohol problems, controlling for alcohol use, among a large sample of Asian, Black, and White college drinkers. There were significant racial and gender differences in the types of PBS used. Moderation analyses indicated that PBS were more protective for women than men against experiencing alcohol-related problems. There were no significant race effects or race-by-gender interaction effects on alcohol problems. Implementing PBS may be beneficial for all college students.
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Affiliation(s)
- Nickeisha Clarke
- a Rutgers, The State University of New Jersey , Piscataway , New Jersey
| | - Su-Young Kim
- b Department of Psychology , Ewha Womans University , Seoul , South Korea
| | - Anne E Ray
- a Rutgers, The State University of New Jersey , Piscataway , New Jersey
| | - Helene R White
- a Rutgers, The State University of New Jersey , Piscataway , New Jersey
| | - Yang Jiao
- a Rutgers, The State University of New Jersey , Piscataway , New Jersey
| | - Eun-Young Mun
- a Rutgers, The State University of New Jersey , Piscataway , New Jersey
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16
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Klima T, Skinner ML, Haggerty KP, Crutchfield RD, Catalano RF. Exploring heavy drinking patterns among black and white young adults. J Stud Alcohol Drugs 2015; 75:839-49. [PMID: 25208202 DOI: 10.15288/jsad.2014.75.839] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
UNLABELLED ABSTRACT. OBJECTIVE This investigation examined patterns of heavy drinking among Black and White young adults from a person-centered perspective and linked family and individual factors in adolescence to young adult drinking patterns. METHOD The analysis focuses on 331 10th-grade students (168 Whites, 163 Blacks; 51% males) who were followed into young adulthood (ages 20 and 22). Cluster analyses using heavy episodic drinking, drunkenness, and alcohol problems in young adulthood resulted in groups of drinkers with different patterns. Groups were examined across and within race. Associations between young adult drinking groups and adolescent family and individual factors were tested. RESULTS Groups followed well-established race differences, with Whites clustering into frequent drinking groups more than Blacks, and Blacks clustering into non-heavy drinking groups more than Whites. Further, Black heavy drinkers reported fewer alcohol problems than White counterparts. Parental monitoring, consistent discipline, ethnic identity, and delinquency were associated with adult heavy episodic drinking groups for both races. Monitoring and delinquency, along with parental norms, were associated with drunkenness groups for both races. However, race differences were observed for drunkenness clusters such that attachment was predictive for White clusters, and parental guidelines and discipline were predictive for Black clusters. CONCLUSIONS Large race differences in heavy drinking at young adulthood were confirmed. Family dynamics in 10th grade were identified as important for the development of different drinking patterns in the early 20s, when many individuals have left home, which suggests a key target for substance use prevention programs. (J. Stud. Alcohol Drugs, 75, 839-849, 2014).
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Affiliation(s)
- Tali Klima
- Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington
| | - Martie L Skinner
- Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington
| | - Kevin P Haggerty
- Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington
| | | | - Richard F Catalano
- Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington
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17
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Madson MB, Villarosa MC, Moorer KD, Zeigler-Hill V. Drinking Motives and Alcohol Use Behaviors among African American College Students: The Mediating Role of Protective Behavioral Strategies. J Ethn Subst Abuse 2015; 14:133-50. [PMID: 25984955 DOI: 10.1080/15332640.2014.973627] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Drinking motives are robust predictors of alcohol use behaviors among college students. However, less is known about the link between drinking motives and alcohol use behaviors among African American college students. This study explored the associations between drinking motives and alcohol use behaviors in a sample of 215 African American college students. The study also assessed whether protective behavioral strategies mediated the associations between drinking motives and alcohol use behaviors. A direct relationship emerged between enhancement motives and alcohol consumption, harmful drinking and alcohol-related negative consequences. Protective behavioral strategies mediated each of these relationships. Clinical and research implications are discussed.
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Affiliation(s)
- Michael B Madson
- a University of Southern Mississippi , Hattiesburg , Mississippi
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18
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Mun EY, de la Torre J, Atkins DC, White HR, Ray AE, Kim SY, Jiao Y, Clarke N, Huo Y, Larimer ME, Huh D. Project INTEGRATE: An integrative study of brief alcohol interventions for college students. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2014; 29:34-48. [PMID: 25546144 DOI: 10.1037/adb0000047] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This article provides an overview of a study that synthesizes multiple, independently collected alcohol intervention studies for college students into a single, multisite longitudinal data set. This research embraced innovative analytic strategies (i.e., integrative data analysis or meta-analysis using individual participant-level data), with the overall goal of answering research questions that are difficult to address in individual studies such as moderation analysis, while providing a built-in replication for the reported efficacy of brief motivational interventions for college students. Data were pooled across 24 intervention studies, of which 21 included a comparison or control condition and all included one or more treatment conditions. This yielded a sample of 12,630 participants (42% men; 58% first-year or incoming students). The majority of the sample identified as White (74%), with 12% Asian, 7% Hispanic, 2% Black, and 5% other/mixed ethnic groups. Participants were assessed 2 or more times from baseline up to 12 months, with varying assessment schedules across studies. This article describes how we combined individual participant-level data from multiple studies, and discusses the steps taken to develop commensurate measures across studies via harmonization and newly developed Markov chain Monte Carlo (MCMC) algorithms for 2-parameter logistic item response theory models and a generalized partial credit model. This innovative approach has intriguing promises, but significant barriers exist. To lower the barriers, there is a need to increase overlap in measures and timing of follow-up assessments across studies, better define treatment and control groups, and improve transparency and documentation in future single intervention studies.
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Affiliation(s)
| | | | - David C Atkins
- Department of Psychiatry and Behavioral Sciences, The University of Washington
| | | | | | - Su-Young Kim
- Department of Psychology, Ewha Womans University
| | | | | | | | - Mary E Larimer
- Department of Psychiatry and Behavioral Sciences, The University of Washington
| | - David Huh
- Department of Psychiatry and Behavioral Sciences, The University of Washington
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19
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Ray AE, Kim SY, White HR, Larimer ME, Mun EY, Clarke N, Jiao Y, Atkins DC, Huh D. When less is more and more is less in brief motivational interventions: characteristics of intervention content and their associations with drinking outcomes. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2014; 28:1026-40. [PMID: 24841183 DOI: 10.1037/a0036593] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Brief motivational interventions (BMIs) that aim to reduce alcohol use and related problems have been widely implemented in college settings. BMIs share common principles, but vary in specific content. Thus far, the variation in content has not been thoroughly understood in relation to intervention outcomes. The present study addressed this gap by examining variation in breadth of BMI content (i.e., total number of components covered), the extent to which content was personalized to participants, and the interaction between breadth and personalization in relation to treatment outcomes. Data (N = 6,047 participants across 31 separate BMI conditions) came from an integrative data analysis (IDA) study featuring individual-level data from a broad sample of 24 BMI studies of college students. Participants were assessed at baseline and at least 1 follow-up point, conducted up to 12 months postbaseline. Structural equation modeling revealed a significant interaction effect between breadth and personalization of BMI content on alcohol use and related problems at the long-term follow-up (6-12 months) but not at the short-term follow-up (1-3 months). Results indicated that "more is better" for reducing both alcohol use and related problems when BMIs were highly personalized to participants. For less personalized BMIs, coverage of more components was associated with increases in both alcohol use and problems. Findings point to the importance of strategically designing BMIs to maximize their impact on drinking outcomes in college students.
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Affiliation(s)
| | | | | | - Mary E Larimer
- Department of Psychiatry and Behavioral Sciences, University of Washington
| | | | | | | | - David C Atkins
- Department of Psychiatry and Behavioral Sciences, University of Washington
| | - David Huh
- Department of Psychiatry and Behavioral Sciences, University of Washington
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