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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.
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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
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Haywood D, Pantaleo A, Mullan BA, Heslop KR, Baughman FD. Do Dimensional Measures of Mental Health Symptoms Predict Level of Alcohol Involvement in the General Population? Subst Use Misuse 2023; 58:629-636. [PMID: 36790047 DOI: 10.1080/10826084.2023.2177962] [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: 02/16/2023]
Abstract
Background: There is a limited understanding of what specific mental health symptoms are associated to alcohol involvement. It is important to understand how the severity of different mental health dimensions may differ, and distinguish between, levels of alcohol involvement. Objectives: (a) explore for differences in severity of mental health symptoms between those with lower, and moderate/high alcohol involvement, (b) assess the degree to which mental health dimensions can distinguish between those with lower, and moderate/high alcohol involvement, and (c) examine what mental health dimensions are related to the highest risk of moderate/high alcohol involvement. Results: 400 participants representative of the general population in the USA were recruited online through Prolific and completed the Alcohol, Smoking and Substance Involvement Screening Test and Brief Symptom Inventory. Each of the nine mental health symptom dimensions significantly differed between lower and moderate/high alcohol involvement, with the moderate/high alcohol involvement group reporting greater severity symptoms. The nine symptom dimensions in combination also significantly distinguished lower and moderate/high alcohol involvement, however only somatization offered unique predictive utility. Lastly, global distress was also able to significantly distinguish the alcohol involvement groups, albeit to a lesser accuracy compared to the collection of individual symptom dimensions. Conclusions: These findings suggest that overall mental health distress may be important to understanding alcohol involvement, however individual symptom dimensions can add further explanatory variance. In particular, somatic symptoms may offer unique utility in understanding the relationship between mental health and alcohol involvement.
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Affiliation(s)
- Darren Haywood
- Turner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Clayton, Australia.,Department of Mental Health, St. Vincent's Hospital Melbourne, Fitzroy, Australia
| | - Ashleigh Pantaleo
- School of Population Health, Curtin University, Perth, Australia.,WA Cancer Prevention Research Unit, Curtin University, Perth, Australia
| | - Barbara A Mullan
- School of Population Health, Curtin University, Perth, Australia.,WA Cancer Prevention Research Unit, Curtin University, Perth, Australia
| | - Karen R Heslop
- Curtin School of Nursing, Curtin University, Perth, Australia
| | - Frank D Baughman
- School of Population Health, Curtin University, Perth, Australia
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Romero-Rodríguez E, Amezcua-Prieto C, Morales Suárez-Varela M, Ayán-Pérez C, Mateos-Campos R, Martín-Sánchez V, Ortíz-Moncada R, Redondo-Martín S, Alguacil Ojeda J, Delgado-Rodríguez M, Blázquez Abellán G, Alonso-Molero J, Cancela-Carral JM, Valero Juan LF, Fernández-Villa T. Patterns of Alcohol Consumption and Use of Health Services in Spanish University Students: UniHcos Project. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6158. [PMID: 35627695 PMCID: PMC9141368 DOI: 10.3390/ijerph19106158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 05/10/2022] [Accepted: 05/16/2022] [Indexed: 11/28/2022]
Abstract
The aim of the study was to examine the association of alcohol consumption patterns (hazardous alcohol use and binge drinking) and the use of emergency services and primary care consultations in university students. An observational, descriptive, cross-sectional study was conducted at eleven Spanish universities collaborating within the uniHcos Project. University students completed an online questionnaire that assessed hazardous alcohol use and binge drinking using the AUDIT questionnaire and evaluated the use of emergency services and primary care. A descriptive analysis of the data was performed, as well as the chi-squared test and Student’s t-test and nonconditional logistic regression models to examine this association. Results: There were 10,167 participants who completed the questionnaire. The prevalence of hazardous alcohol use was 16.9% (95% CI: 16.2−17.6), while the prevalence of binge drinking was 48.8% (95% CI: 47.9−49.8). There were significant differences in the use of emergency services in those surveyed with hazardous alcohol use (p < 0.001) or binge drinking pattern (p < 0.001). However, no significant differences were observed in terms of attendance during primary care visits in individuals with hazardous alcohol use (p = 0.367) or binge drinking pattern (p = 0.755). The current study shows the association between university students with a pattern of hazardous alcohol use or binge drinking and greater use of emergency services. However, no significant association was observed between the said consumption patterns and the use of primary care services.
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Affiliation(s)
- Esperanza Romero-Rodríguez
- Maimonides Biomedical Research Institute, Reina Sofia University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | - Carmen Amezcua-Prieto
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
| | - María Morales Suárez-Varela
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Preventive Medicine and Public Health, Food Sciences, Toxicology and Legal Medicine, University of Valencia, 46100 Valencia, Spain
| | - Carlos Ayán-Pérez
- Well-Move Research Group, Department of Special Didactics, University of Vigo, 36310 Vigo, Spain;
| | - Ramona Mateos-Campos
- Area of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain; (R.M.-C.); (L.F.V.J.)
| | - Vicente Martín-Sánchez
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Biomedical Sciences, University of León, 24071 León, Spain
- The Research Group in Gene-Environment and Health Interactions, Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain
| | - Rocío Ortíz-Moncada
- Public Health Research Group, Food and Nutrition Research Group, University of Alicante, 03550 Alicante, Spain;
| | - Susana Redondo-Martín
- Department of Preventive Medicine and Public Health, University of Valladolid, 47005 Valladolid, Spain;
| | - Juan Alguacil Ojeda
- Department of Clinical and Experimental Psychology, University of Huelva, 21071 Huelva, Spain;
| | - Miguel Delgado-Rodríguez
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Health Sciences, University of Jaén, 23071 Jaén, Spain
| | - Gemma Blázquez Abellán
- Department of Medical Sciences, School of Pharmacy, University of Castilla-La Mancha, 02008 Albacete, Spain;
| | - Jéssica Alonso-Molero
- Department of Preventive Medicine and Public, University of Cantabria-IDIVAL, 39008 Santander, Spain;
| | - José María Cancela-Carral
- Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, Spain;
- Department of Specials Didactics, University of Vigo, 36310 Vigo, Spain
| | - Luis Félix Valero Juan
- Area of Preventive Medicine and Public Health, University of Salamanca, 37007 Salamanca, Spain; (R.M.-C.); (L.F.V.J.)
| | - Tania Fernández-Villa
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain; (C.A.-P.); (M.M.S.-V.); (V.M.-S.); (M.D.-R.)
- Department of Biomedical Sciences, University of León, 24071 León, Spain
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Corney T, du Plessis K. Australian first-year university college residents’ alcohol consumption and alcohol-related harms. NORDIC STUDIES ON ALCOHOL AND DRUGS 2022; 39:406-417. [PMID: 36003122 PMCID: PMC9379294 DOI: 10.1177/14550725221090037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 03/10/2022] [Indexed: 11/30/2022] Open
Abstract
Aim: The study sought to develop an understanding of Australian first-year university residential college students’ alcohol consumption, their experience of alcohol-related harms and their alcohol knowledge. Method: Students were surveyed during Orientation Week in 2015 (N = 84, men 36%) and again in 2017 (N = 97, men = 45%) using the Alcohol Use Disorders Identification Test (AUDIT) to measure alcohol consumption, and purpose-designed measures of alcohol-related harms and alcohol knowledge. Results: The mean AUDIT score across the two cohorts was 10.79, placing these first-year college residents at much riskier consumption levels than their Australian undergraduate and international peers. Three-quarters were consuming alcohol at hazardous/harmful levels. They reported frequent occurrence of alcohol-related harms and, given the higher levels of drinking, these were for the most part more pronounced than in other studies: vomiting (73%), memory loss (55%), regretting their actions when drinking (41%), not having enough money because of money spent on alcohol (31%), doing something dangerous just for fun (29%), being injured (27%), poor performance at work (22%), poor physical health (21%), loss of consciousness (20%), and having sexual encounters they later regretted (19%). Poor knowledge of standard drink measures, particularly in relation to blood alcohol concentration, was also indicated. Conclusions: The study highlights the worrying occurrence of hazardous/harmful drinking in Australian first-year university residential college students and high levels of alcohol-related harms experienced by these residents. It also highlights poor alcohol knowledge and the need for early intervention prior to and within university college residences to minimise harm.
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Affiliation(s)
- Tim Corney
- College of Arts and Education, Institute of Sustainable Industries and Livable Cities, Victoria University, Australia
| | - Karin du Plessis
- Institute of Sustainable Industries and Livable Cities, Victoria University, Australia
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Wamamili B, Stewart P, Wallace-Bell M. Factors Associated with Having Family/Whānau or Close Friends Who Used Alcohol or Other Drugs in Harmful Ways among University Students in New Zealand. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:243. [PMID: 35010503 PMCID: PMC8751203 DOI: 10.3390/ijerph19010243] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 12/22/2021] [Accepted: 12/23/2021] [Indexed: 06/14/2023]
Abstract
The consequences of alcohol and other drug (AoD) use are well documented. This study investigated factors associated with having family/whānau or close friend who used AoD in harmful ways in New Zealand. Data came from a July-August 2020 cross-sectional survey of students from eight universities (n = 946). Participants were asked if they had family/whānau or close friends in New Zealand who consumed alcohol or used other drugs (cannabis, ecstasy/MDMA, methamphetamine, cocaine, heroin, prescription drugs, inhalants, or other) in a way that negatively impacted them, their family, or close friends in the last 12 months. Logistic regression assessed associations of having family/whānau or close friend who used AoD harmfully with student characteristics. Of respondents, 36.2% (33.1-39.4) had family/whānau or close friend who had consumed alcohol harmfully, and 42.9% (39.5-46.3) had family/whānau or close friend who had used at least one drug harmfully. Respondents' age and ethnicity were significantly associated with having family/whānau or close friend who used AoD harmfully. The results suggest widespread harmful AoD use and potentially significant second-hand effects of AoD use in New Zealand. These data can be used to supplement information from traditional in-person surveys of individuals using alcohol and other drug (e.g., the New Zealand Health Survey).
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Affiliation(s)
- Ben Wamamili
- School of Health Sciences, University of Canterbury, Christchurch 8041, New Zealand;
| | - Pauline Stewart
- Family Drug Support Aotearoa, Christchurch 8011, New Zealand;
| | - Mark Wallace-Bell
- School of Health Sciences, University of Canterbury, Christchurch 8041, New Zealand;
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6
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Moagi MM, van der Wath AE. Demand for alcohol use among students at higher education institutions: an integrative literature review. JOURNAL OF SUBSTANCE USE 2021. [DOI: 10.1080/14659891.2021.2006345] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Miriam Mmamphamo Moagi
- School of Health Sciences, Department of Nursing Science, North West University, Mahikeng, South Africa
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7
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The Mediating Role of Spirituality on Depression, Alcohol Use Disorder, and Problem Gambling Among Korean College Students: A Multiple-Mediation Analysis. J Addict Nurs 2021; 32:79-87. [PMID: 34060758 DOI: 10.1097/jan.0000000000000394] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Excessive alcohol use and gambling problems among Korean college students in Korea have been recognized as significant public health issues. The purpose of this study was to identify the direct, indirect, and total influence of depression on alcohol use disorder and problem gambling to determine relative magnitudes of the specific mediating effects of spirituality. A cross-sectional correlational survey was conducted in South Korea with 239 college students. Study variables included the Center for Epidemiological Studies Depression Scale, a Spirituality Scale for Koreans, the Alcohol Consumption Questions, and the Korean version of the Canadian Problem Gambling Severity Index. Multiple-mediation analyses were performed. The results found that depression has a negative effect on each of the six subgroups of spirituality. In terms of the effects of spirituality on alcohol use disorder and problem gambling, spirituality was found to have a positive effect only on alcohol use disorder. The relationship between depression and those two addictive behaviors was significantly mediated by spirituality. Bootstrapping revealed that transcendence and connectedness were significantly mediating the relationship between depression and alcohol use disorder. For problem gambling, compassion and connectedness were found to be mediators affecting the relationship between depression and problem gambling. The finding suggests that spirituality's subscales affect two specific addiction problems in different ways. College students' excessive drinking and problem gambling can be prevented by developing and applying an intervention program that strengthens the connectedness of spirituality's subscales.
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Soe-Agnie SE, Paap MCS, Nijman HLI, De Jong CAJ. Psychometric Properties of the Externalizing Spectrum Inventory: Replication and Extension across Clinical and Non-Clinical Samples. J Pers Assess 2020; 103:332-341. [PMID: 32329635 DOI: 10.1080/00223891.2020.1753752] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The Externalizing Spectrum Inventory aims at assessing personality features that underlie externalizing disorders such as substance abuse and antisocial behaviors. The objective was to replicate the psychometric properties of the 160-item Externalizing Spectrum Inventory in Dutch clinical and non-clinical samples. First, Cronbach's alpha, test-retest reliability and the factor structure were analyzed on a mixed sample of inpatients (n = 149), undergraduates (n = 227), and community participants (n = 178). The factor structure was evaluated through confirmatory and exploratory factor analyses; for the latter Parallel Analysis was used, based on Minimum Rank Factor Analysis. Next, the criterion validity was analyzed using the Aggression Questionnaire and the NEO-Five Factor Inventory as external measures. The Dutch Externalizing Spectrum Inventory subscales showed sufficient reliability (α=.68-.94; ICC=.68-.91), except in the undergraduate sample (α=.49-.96; ICC=.43-.97). The factor structure of the Externalizing Spectrum Inventory was not confirmed and the exploratory analysis yielded different factor solutions across samples. The criterion validity was supported with regard to trait aggression and partly supported with regard to the Five Factor Model. The results suggest that the ESI-160 and its original factor model can be used for prediction purposes. However, further research of the factor structure is strongly recommended.
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Affiliation(s)
- Sabrina E Soe-Agnie
- Behavioural Science Institute (BSI), Faculty of Clinical Psychology, Radboud University, Nijmegen, The Netherlands
| | - Muirne C S Paap
- Nieuwenhuis Institute for Educational Research, Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, The Netherlands.,Clinic Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
| | - Henk L I Nijman
- Behavioural Science Institute (BSI), Faculty of Clinical Psychology, Radboud University, Nijmegen, The Netherlands.,Forensic psychiatric institute Fivoor, Den Dolder, The Netherlands
| | - Cornelis A J De Jong
- Behavioural Science Institute (BSI), Faculty of Clinical Psychology, Radboud University, Nijmegen, The Netherlands.,Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Radboud University, Nijmegen, The Netherlands
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Murray KS, Mullan B. Can temporal self-regulation theory and 'sensitivity to reward' predict binge drinking amongst university students in Australia? Addict Behav 2019; 99:106069. [PMID: 31494454 DOI: 10.1016/j.addbeh.2019.106069] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 07/30/2019] [Accepted: 07/30/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Many university students consume more alcohol than their non-student peers, engaging in binge drinking episodes that increase the likelihood of experiencing both mental and physical harm. The aim of the current study was to test the predictive utility of temporal self-regulation theory (TST), and the additional construct of 'sensitivity to reward', in accounting for variance in binge drinking behavior amongst Australian university students. DESIGN A prospective correlational design with two time points one week apart. METHODS A convenience sample of 491 university students were recruited to an online survey. At time one, participants completed self-report measures assessing TST constructs (intention, behavior prepotency, self-regulation), as well as 'sensitivity to reward'. One week later at time two, 392 participants (18-62 years, 76.8% female) completed an online account of their alcohol use over the previous seven days. RESULTS Using hierarchical multiple regression analyses, TST significantly predicted binge drinking behaviors (binge drinking episodes: R2 = 0.41, p < .001; peak consumption: R2 = 0.41, p < .001), with equally large effect sizes for both, f2 = 0.69. 'Sensitivity to reward' did not account for significant variance. Intention and behavioral prepotency independently predicted binge drinking behaviors with different components of behavioral prepotency predicting different behaviors. There were no moderation effects. CONCLUSIONS Results indicated TST, incorporating deliberate and automatic processes, provided a good understanding of behavior. Behavior prepotency (habit, cues to action, past behavior) also impacted the two binge drinking behaviors differently. Finally, this study offers direction into future research regarding interventions surrounding habitual drinking behaviors whilst studying at university.
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Rani A, Jaisoorya TS, Menon PG, Nair BS, Jeevan CR, Radhakrishnan KS, Jayarajan D, Adhin B, Thennarasu K, Benegal V. Harm from other people's drinking among college students in India. Drug Alcohol Rev 2019; 38:774-780. [PMID: 31469203 DOI: 10.1111/dar.12970] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Accepted: 07/09/2019] [Indexed: 01/28/2023]
Abstract
INTRODUCTION AND AIMS There is a paucity of studies on the harms experienced by college students from India due to others' drinking, despite their increased risk. We studied the prevalence and correlates of harm from others' drinking among college students in the state of Kerala, India. DESIGN AND METHODS A total of 5784 students from 58 colleges completed a self-administered questionnaire, which included the World Health Organization-Thai Health Harm to Others from Drinking Master Protocol and other structured instruments to assess correlates. The frequencies of various harms were determined and a mixed effect multivariable negative binomial regression model was used to identify the factors responsible for harms. RESULTS Of the 4487 valid responses, 68.3% were females. The mean age of the sample was 19.5 years. Harm from others' drinking was reported by 68.7% of respondents. Among various harm domains, psychological harm was reported by 65.7%, physical by 15.2%, financial by 20.9%, and property harm by 5.0%. Strangers were the most common perpetrators. Being male and having a part-time job increased harms. Increasing age, urban residence, and staying in a hostel were correlated with psychological-but not physical-harm. Subjects who reported harm had higher odds of reporting alcohol use and psychological distress. 'Any harm' or psychological harm was associated with suicidal thoughts; only physical harm was correlated with suicidal attempts. DISCUSSION AND CONCLUSIONS The high prevalence of harms from others' drinking and its negative correlates underscore the need for colleges to focus on second-hand effects in programs for tackling alcohol use.
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Affiliation(s)
- Anjana Rani
- Department of Psychiatry, Government Medical College, Ernakulam, India
| | - T S Jaisoorya
- National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Priya G Menon
- Department of Psychiatry, Government Medical College, Ernakulam, India
| | | | - C R Jeevan
- Department of Psychiatry, Government Medical College, Ernakulam, India
| | - K S Radhakrishnan
- Department of Psychiatry, Government Medical College, Ernakulam, India
| | - Deepak Jayarajan
- National Institute of Mental Health and Neurosciences, Bangalore, India
| | - B Adhin
- National Institute of Mental Health and Neurosciences, Bangalore, India
| | - K Thennarasu
- National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Vivek Benegal
- Centre of Addiction Medicine, National Institute of Mental Health and Neurosciences, Bangalore, India
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11
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Dumbili EW. Drinking practices and alcohol-related problems among Nigerian students. DRUGS: EDUCATION, PREVENTION AND POLICY 2019. [DOI: 10.1080/09687637.2019.1615035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Emeka W. Dumbili
- Sociology and Anthropology, Nnamdi Azikiwe University, Awka, Nigeria
- Social and Political Sciences, College of Business, Arts and Social Sciences, Brunel University London, London, UK
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12
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Caudwell KM, Keech JJ, Hamilton K, Mullan BA, Hagger MS. Reducing alcohol consumption during pre-drinking sessions: testing an integrated behaviour-change model. Psychol Health 2019; 34:106-127. [DOI: 10.1080/08870446.2018.1518527] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Kim M. Caudwell
- Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - Jacob J. Keech
- School of Applied Psychology, Griffith University, Mt. Gravatt, Brisbane, Queensland, Australia
| | - Kyra Hamilton
- Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
- School of Applied Psychology, Griffith University, Mt. Gravatt, Brisbane, Queensland, Australia
| | - Barbara A. Mullan
- Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
- School of Psychology, University of Sydney, Sydney, New South Wales, Australia
| | - Martin S. Hagger
- Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, Australia
- School of Applied Psychology, Griffith University, Mt. Gravatt, Brisbane, Queensland, Australia
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13
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McAndrew R, Drennan J, Russell-Bennett R, Rundle-Thiele S. Group-level motives for alcohol consumption in a young adult sample. HEALTH EDUCATION 2019. [DOI: 10.1108/he-01-2018-0003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeCollective motives for alcohol consumption represent a nascent field, with individual-level attributes, peer pressure and broad-level environmental elements being at the forefront of research. The purpose of this paper is to explore the role of friendships in the context of alcohol consumption and determine what group-level motives exist for alcohol consumption.Design/methodology/approachSemi-structured interviews were conducted with 18 participants aged 18–30, these discussed the role the participant’s friendship group played in alcohol consumption and helped to elucidate what collective and group-level motives existed.FindingsGroup-level motives can steer a collective’s alcohol consumption by either endorsing it or degrading it, the findings revealed four group-level motives: these were, competition, conformity, hedonism, with opportunity cost receptiveness acting as a buffer.Research limitations/implicationsThe small sample and qualitative nature of the study means external validity still needs to be established to generalize the research to other audiences.Practical implicationsBy unpacking group-level motives researchers can develop group-level strategies and match specialized interventions with the right priority group.Originality/valueThis paper is the first to address group-level motives for alcohol consumption and makes an important contribution to understanding how group-level factors can impact individuals.
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Caudwell KM, Mullan BA, Hagger MS. Testing an Online, Theory-Based Intervention to Reduce Pre-drinking Alcohol Consumption and Alcohol-Related Harm in Undergraduates: a Randomized Controlled Trial. Int J Behav Med 2018; 25:592-604. [DOI: 10.1007/s12529-018-9736-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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George AM, Zamboanga BL. Drinking game participation and outcomes in a sample of Australian university students. Drug Alcohol Rev 2018; 37:599-606. [DOI: 10.1111/dar.12811] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 03/29/2018] [Accepted: 04/04/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Amanda M. George
- Centre for Applied Psychology, Faculty of Health; University of Canberra; Canberra Australia
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Riordan BC, Conner TS, Flett JAM, Droste N, Cody L, Brookie KL, Riordan JK, Scarf D. An intercept study to measure the extent to which New Zealand university students pre-game. Aust N Z J Public Health 2017; 42:30-34. [PMID: 29281165 DOI: 10.1111/1753-6405.12754] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 08/01/2017] [Accepted: 10/01/2017] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE We aimed to quantify the degree to which students pre-gamed in New Zealand, using self-report and breathalysers. METHODS A total of 569 New Zealand undergraduate students were interviewed (men = 45.2%; first year = 81.4%) entering three university-run concerts. We asked participants to report how many drinks they had consumed, their self-reported intoxication and the duration of their pre-gaming session. We then recorded participants' Breath Alcohol Concentration (BrAC; µg/L) and the time they arrived at the event. RESULTS The number of participants who reported consuming alcohol before the event was 504 (88.6%) and the number of standard drinks consumed was high (M=6.9; median=6.0). A total of 237 (41.7%) participants could not have their BrAC recorded due to having consumed alcohol ≤10 minutes before the interview. The remaining 332 participants (57.3%) recorded a mean BrAC of 288.8µg/L (median=280.0 µg/L). Gender, off-campus accommodation, length of pre-gaming drinking session, and time of arrival at the event were all associated with increased pre-gaming. Conclusion and implications for public health: Pre-gaming was the norm for students. Universities must take pre-gaming into account; policy implications include earlier start times of events and limiting students' access to alcohol prior to events.
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Affiliation(s)
| | | | | | - Nic Droste
- School of Psychology, Faculty of Health, Deakin University, Victoria
| | - Louise Cody
- Department of Psychology, University of Otago, New Zealand
| | - Kate L Brookie
- Department of Psychology, University of Otago, New Zealand
| | | | - Damian Scarf
- Department of Psychology, University of Otago, New Zealand
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Tembo C, Burns S, Kalembo F. The association between levels of alcohol consumption and mental health problems and academic performance among young university students. PLoS One 2017; 12:e0178142. [PMID: 28658300 PMCID: PMC5489147 DOI: 10.1371/journal.pone.0178142] [Citation(s) in RCA: 58] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 05/08/2017] [Indexed: 11/19/2022] Open
Abstract
PURPOSE Mental health problems and harmful alcohol consumption have been found to be high among young university students compared to the general population in Australia. This research aimed to investigate the association between levels of drinking and mental health problems and academic performance among university students aged 18 to 24 years. METHODS This study used a quantitative cross-sectional design using data that were collected in 2014 as part of the Youth Alcohol Project (YAP). Participants were randomly drawn from a cross sectional sample of 6000 undergraduate students. Included in the study were only students who were within the age of 18-24, undergraduate, and internally enrolled at the main campus. A total of 2518 undergraduate students aged 18 to 24 years who were enrolled internally at Curtin University Bentley campus were randomly recruited. Data were collected through an online survey. Students were invited to participate in the study through their student email address. The email invitations coincided with the release of semester results to increase the likelihood of students accessing their emails. A further 628 students were randomly recruited through face to face intercept survey during the campus market days. Data were collected by trained research assistants. Validated instruments were used to collected data on levels of alcohol consumption, mental health, and academic performance. RESULTS A considerable proportion of participants (44%) reported consuming alcohol at hazardous or harmful levels. Multiple logistic regression analysis showed that students who were consuming alcohol at hazardous levels were 1.2 times more likely to report psychological distress than those with lower levels of alcohol consumption (aOR 1.2, 95% CI: 1.1-1.5). In addition, being late for class (aOR 1.7, 95% CI:1.1-2.4), missing classes (aOR = 2.6, 95% CI: 1.9-2.6), inability to concentrate in class (aOR = 2.6, 95% CI: 1.9-3.4), and inability to complete assignments (aOR = 3.5, 95% CI 2.0-6.0) independently predicted for moderate or hazardous alcohol consumption. CONCLUSION The study shows that a considerable proportion of undergraduate students at university consume alcohol at hazardous or harmful levels. In addition, high levels of alcohol consumption are associated with poor academic performance and mental health outcomes among students. The results of the study warrant multi-strategy interventions that focus on policy, organisational, educational, environmental and economic strategies that will help to reduce alcohol related harms among university students.
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Affiliation(s)
- Chimwemwe Tembo
- Saint. John of God Hospitaller Services, Lilongwe, Malawi
- * E-mail:
| | - Sharyn Burns
- School of Public Health, Curtin University, Perth, Western Australia
| | - Fatch Kalembo
- Faculty of Health Sciences, Mzuzu University, Mzuzu, Malawi
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Burns S, Crawford G, Hallett J, Hunt K, Chih HJ, Tilley PM. What's wrong with John? a randomised controlled trial of Mental Health First Aid (MHFA) training with nursing students. BMC Psychiatry 2017; 17:111. [PMID: 28335758 PMCID: PMC5364573 DOI: 10.1186/s12888-017-1278-2] [Citation(s) in RCA: 47] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/27/2016] [Accepted: 03/18/2017] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The prevalence of mental health problems have been found to be higher among university students compared to their non-student peers. Nursing students in particular face a range of additional stressors which may impact their undergraduate performance and their careers. Mental Health First Aid (MHFA) aims to increase mental health literacy and to reduce stigma and may positively impact on the student population. This paper describes a MHFA randomised controlled trial targeting nursing students at a large Australian university. This study aimed to measure the impact of the MHFA course on mental health literacy, mental health first aid intentions, confidence in helping someone with a mental health problem and stigmatising attitudes including social distance. METHODS Participants were first year nursing students (n = 181) randomly allocated to the intervention (n = 92) or control (n = 89) group. Intervention group participants received the standardised MHFA course for nursing students. Online self-report questionnaires were completed at three time intervals: baseline (one week prior to the intervention: T1) (n = 140), post intervention (T2) (n = 120), and two months post intervention (T3) (n = 109). Measures included demographics, mental health knowledge, recognition of depression, confidence in helping, mental health first aid intentions and stigmatising attitudes including social distance. Repeated measures ANOVA was computed to measure if the impact of time (T1, T2, T3) and group (intervention and control) on the outcome variables. RESULTS There was a significant improvement among intervention compared to control group participants across the three time periods for knowledge scores (p < 0.001), confidence in helping (p < 0.001), mental health first aid intentions (p < 0.001), total personal stigma (p < 0.05), personal dangerous/unpredictable stigma (p < 0.05) and social distance (p < 0.05) scores. CONCLUSION MHFA is useful training to embed in university courses and has the potential to enhance mental health literacy and reduce stigmatising attitudes and social distance. While this course has particular salience for nursing and other health science students, there are broader benefits to the general university population that should be considered and opportunities accordingly explored for all students to complete the course. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ACTRN12614000861651 . Retrospectively registered 11 August 2014.
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Affiliation(s)
- Sharyn Burns
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
| | - Gemma Crawford
- 0000 0004 0375 4078grid.1032.0Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Jonathan Hallett
- 0000 0004 0375 4078grid.1032.0Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Kristen Hunt
- 0000 0004 0375 4078grid.1032.0Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Hui Jun Chih
- 0000 0004 0375 4078grid.1032.0School of Public Health, Faculty of Health Sciences, Curtin University, Perth, Australia
| | - P.J. Matt Tilley
- 0000 0004 0375 4078grid.1032.0Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
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Hart E, Burns S. The relationship between alcohol consumption and related harm among young university students. Health Promot J Austr 2017; 27:15-20. [PMID: 26827614 DOI: 10.1071/he15086] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Accepted: 11/04/2015] [Indexed: 11/23/2022] Open
Abstract
Issue addressed Research has shown that Australian university students consume alcohol at a higher level than their peers from the general population and are therefore more likely to witness and experience alcohol-related harm. This study measured the prevalence of alcohol consumption among 18-24-year-old university students and the association between alcohol consumption and witnessed and experienced harms. Methods A random cross-sectional sample of university students aged 18-24 years (n=2466) was recruited via the University Survey Office and through random intercept at campus market day. All participants completed an online survey that included the Alcohol Use Disorders Identification Test, Alcohol Problems Scale and an additional scale measuring witnessed harm. Results Principal Components Analysis revealed three factors within the Alcohol Problems Scale; i.e. Criminal and Aggressive Behaviour, Health and Emotional Harms and Sexual Harms. Students who consume alcohol at high-risk levels were significantly more likely to score highly on each factor, 1.6 times more likely to experience harm and 1.1 times more likely to witness harm than students who consume alcohol at low-risk levels. Conclusions The positive association between alcohol consumption and alcohol-related harm supports previous findings. This study adds previous research through the categorisation of harm into factors. So what? Integrated and comprehensive interventions addressing alcohol consumption among young university students that are informed by evidence-based research can be tailored to ensure that they meet the needs of the target group.
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Affiliation(s)
- Ellen Hart
- Collaboration for Evidence, Research, and Impact in Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia
| | - Sharyn Burns
- Collaboration for Evidence, Research, and Impact in Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia
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Burns S, Jancey J, Crawford G, Hallett J, Portsmouth L, Longo J. A cross sectional evaluation of an alcohol intervention targeting young university students. BMC Public Health 2016; 16:610. [PMID: 27439308 PMCID: PMC4955165 DOI: 10.1186/s12889-016-3314-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Accepted: 07/15/2016] [Indexed: 11/23/2022] Open
Abstract
Background Hazardous drinking has been found to be higher among young university students compared to their non-university peers. Although young university students are exposed to new and exciting experiences, including greater availability and emphasis on social functions involving alcohol there are few multi strategy comprehensive interventions aimed at reducing alcohol-related harms. Methods Random cross sectional online surveys were administered to 18–24 year old students studying at the main campus of a large metropolitan university in Perth, Western Australia. Prior to the completion of the second survey an alcohol intervention was implemented on campus. Completed surveys were received from 2465 (Baseline; T1) and 2422 (Post Year 1: T2) students. Students who consumed alcohol in the past 12 months were categorised as low risk or hazardous drinkers using the Alcohol Use Disorders Identification Test (AUDIT). Due to the cross sectional nature of the two samples two-tailed two-proportion z-test and two sample t-tests were employed to determine statistical significance between the two time periods for categorical and continuous variables respectively. Results At T1 and T2 89.1 % and 87.2 % of the total sample reported drinking alcohol in the past month respectively. Hazardous levels of alcohol consumption reduced slightly between T1 (39.7 %) and T2 (38 %). In both time periods hazardous drinkers reported significantly higher mean scores for experienced harm, second-hand harm and witnessed harm scores compared to low risk drinkers (p <0.001). Hazardous drinkers were significantly more likely to experience academic problems due to their alcohol consumption and to report more positive alcohol expectations than low risk drinkers at both time periods (p <0.001). Conclusions Harms and problems for students who report hazardous drinking are of concern and efforts should be made to ensure integrated and targeted strategies reach higher risk students and focus on specific issues such as driving while intoxicated and alcohol related unplanned sexual activity. However there is also a need for universal strategies targeting all students and low risk drinkers as they too are exposed to alcohol harms within the drinking and social environment. Changing the culture of the university environment is a long term aim and to effect change a sustained combination of organisational actions, partnerships and educational actions is required.
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Affiliation(s)
- Sharyn Burns
- School of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia.
| | - Jonine Jancey
- School of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia
| | - Gemma Crawford
- School of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia
| | - Jonathan Hallett
- School of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia
| | - Linda Portsmouth
- School of Public Health, Curtin University, GPO Box U1987, Perth, WA, 6845, Australia
| | - Janelle Longo
- South Metropolitan Population Health Unit, Department of Health, PO Box 546, Fremantle, WA, 6959, Australia
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Mulligan EJ, George AM, Brown PM. Social anxiety and drinking game participation among university students: the moderating role of drinking to cope. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2016; 42:726-734. [DOI: 10.1080/00952990.2016.1188934] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Ellen J. Mulligan
- Centre for Applied Psychology, University of Canberra, Canberra, ACT, Australia
| | - Amanda M. George
- Centre for Applied Psychology, University of Canberra, Canberra, ACT, Australia
| | - Patricia M. Brown
- Centre for Applied Psychology, University of Canberra, Canberra, ACT, Australia
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Burns S, Hart E, Jancey J, Hallett J, Crawford G, Portsmouth L. A cross sectional evaluation of a total smoking ban at a large Australian university. BMC Res Notes 2016; 9:288. [PMID: 27230617 PMCID: PMC4882868 DOI: 10.1186/s13104-016-2090-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2016] [Accepted: 05/15/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Total smoking bans have been found to contribute positively to the health of non-smokers by reducing exposure to second-hand smoke, and to enhance the likelihood of cessation among smokers. METHODS Two cross-sectional electronic surveys of staff and students at a large Australian university were conducted prior (n = 969) and 1 year post (n = 670) the implementation of a smoke free campus policy. Demographics, tobacco use, intention to quit, attitudes towards smoking and smoking restrictions and awareness of and attitudes towards the campus smoking policy were measured. RESULTS Exposure to second-hand smoke (SHS) reduced significantly (p < 0.001) one year after policy implementation. Smoking prevalence was similar at both time periods (T1 9.3 %; T2 8.4 %) and over half of smokers indicated they were planning to quit smoking in the future (T1 65.5 vs T2 62.3 %). There was a significant increase in positive responses to the statement the campus should be totally smoke free including all outdoor areas at T2 compared to T1 (T1 60.8 vs T2 71.4 %; p < 0.001), however respondents felt there should be places on campus for smokers to smoke (T1 53.6 vs T2 47 %; p < 0.05). CONCLUSIONS This study found a significant positive difference in exposure SHS after implementation of the total ban. Although prevalence of smoking in this study was low, the proportion of respondents who were contemplating smoking cessation suggests support for smokers would be beneficial. Continued awareness raising, education and enforcement is likely to enhance the long term outcomes of the total ban.
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Affiliation(s)
- Sharyn Burns
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Ellen Hart
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Jonine Jancey
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Jonathan Hallett
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Gemma Crawford
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
| | - Linda Portsmouth
- Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Curtin University, GPO Box U1987, Perth, WA 6845 Australia
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Kim J, Park S. Association between protective behavioral strategies and problem drinking among college students in the Republic of Korea. Addict Behav 2015; 51:171-6. [PMID: 26275844 DOI: 10.1016/j.addbeh.2015.07.017] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2015] [Revised: 07/20/2015] [Accepted: 07/22/2015] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The literature indicates that protective behavioral strategies (PBS) have been effective in addressing problem drinking among college students. However, the effects of PBS on problem drinking have not been thoroughly investigated among Korean college students. Thus, the two study aims were to (a) examine drinking behavior among Korean college students and (b) investigate the effects of PBS on problem drinking. METHODS A pilot study was first conducted to obtain information needed to determine a sample size and to examine the understandability and reliability of seven instruments. The instruments were then used to collect data from full-time college students (N=479). The data were analyzed using (a) descriptive statistics such as frequencies and means for the first aim and (b) multivariate logistic regression for the second aim. RESULTS Approximately 93% of the respondents had drunk alcohol during the month before the survey, and 72.7% were problem drinkers. The use of PBS significantly decreased the odds of problem drinking (odds ratio [OR]=0.90 [95% CI, 0.87-0.93]). In addition, male gender and positive alcohol expectancy were associated with increased odds of problem drinking (ORs=3.32 [95% CI, 1.59-6.94] and 1.04 [95% CI, 1.01-1.08]), whereas greater age of drinking onset was associated with decreased odds of problem drinking (OR=0.81 [95% CI, 0.70-0.94]). CONCLUSIONS Given the prevalence of the drinking problem among Korean college students, it is important to develop and implement interventions that will encourage students to use PBS in order to avoid problem drinking and its negative consequences.
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