Understanding the Social Gifts of Drinking Rituals: An Alternative Framework for PSA Developers

Binge drinking behavior has been described as the most significant health hazard on college campuses today. Using definitions of ritual behavior drawn from the literature, the authors conducted focus groups, depth interviews, and participant observations to explore the ritualized nature of alcohol beverage consumption among college students at two large universities. The themes that emerged provide an understanding of the rituals associated with college student drinking. With the drinking-as-ritual interpretation as a theoretical framework, the authors discuss how developers of public service announcements (PSAs) could capture and contextualize drinking rituals and thus make PSAs more relevant to the target audience. They provide examples of PSAs that could be tested

Drinking Behaviors and Health in Old Age

Alcohol abuse among the elderly population is rapidly becoming a widespread public health concern. As it goes undetected and undiagnosed in many within this age cohort, there is an increased need to further examine the effects of alcohol consumption on physical and mental health. This study investigated how and to what extent drinking behaviors affect physical and mental health in older people. Data came from the 2012 and 2014 Health and Retirement study, a nationally representative survey of Americans aged 51 and older. Our sample was restricted to people who participated in both waves of the survey from 2012 and 2014 (N=19,719). Drinking behavior was split into three groups: non-drinker, moderate drinker, and binge drinker. Three independent variables were examined to explore overall health of respondents: self-rated health, chronic conditions, and depression. Chi-squares and ANOVA testing were used to determine characteristics of binge drinkers in old age. OLS regression was used to examine how drinking behavior affected self-rated health and chronic conditions and logistic regression was used to explore how drinking behavior affected depression in old age. We found that non-drinkers have the worst physical and mental health with a self-rated health score of 3.09 (SD = 1.07) and the highest number of chronic conditions (2.47; SD = 1.58). Moderate drinkers were found to be the most depressed (1.94, SD = 1.80). Binge drinkers were most likely to be Hispanic (26.16%), male (97.93%), unmarried (98.09%) elders. Additionally, binge drinkers were the youngest group of respondents (60.88, SD = 7.98) and had the least amount of education (11.81 years, SD = 2.86). The findings of this study once again suggest further research into the affects of drinking behavior on health in old age is needed to better serve this populatio

Are There Differential Effects of Price and Policy on College Students' Drinking Intensity?

This paper investigates whether college students' response to alcohol price and policies differ according to their drinking intensity. Individual level data on drinking behavior, price paid per drink, and college alcohol policies come from the student and administrator components of the 1997 and 1999 waves of the Harvard School of Public Health (HSPH) College Alcohol Study (CAS). Students drinking behavior is classified on the basis of the number of drinks they typically consume on a drinking occasion, and the number of times they have been drunk during the 30 days prior to survey. A generalized ordered logit model is used to determine whether key variables impact differentially the odds of drinking and the odds of heavy drinking. We find that students who faced a higher money price for alcohol are less likely to make the transition from abstainer to moderate drinker and moderate drinker to heavy drinker, and this effect is equal across thresholds. Campus bans on the use of alcohol are a greater deterrent to moving from abstainer to moderate drinker than moderate drinker to heavy drinker.

Intimate Partner Violence, Anxiety Diagnosis, and Binge Drinking Behavior Among College Students

Drinking behavior is common among students at colleges and universities, and binge drinking is particularly problematic due to its association with a variety of unwanted, negative experiences including anxiety (Thomas, Randall, Book, & Randall, 2008), unwanted intimate encounters (Lefkowitz, Waterman, Morgan, & Maggs, 2016) and intimate partner violence (IPV) (Rizo, 2015). The present study sought to determine if there were significant differences in college student drinking based on their experience of IPV, anxiety and its treatment. Archival data from the National College Health Assessment was used in this study. A randomly selected sample of 800 college students was analyzed. Results failed to find significant differences in binge drinking based on experience of IPV or anxiety diagnosis and treatment

Youth Alcohol Access, Consumption, and Consequences in Anchorage, Alaska: 2012 Update

Updates prior report, Youth Alcohol Access, Consumption, and Consequences in Anchorage, Alaska: Identification of Indicators by Marny Rivera and Jennifer McMullen. Report prepared for the Volunteers of America CMCA Project. Anchorage, AK: Justice Center, University of Alaska Anchorage, 15 Dec 2010. (JC 1010.01). (https://scholarworks.alaska.edu/handle/11122/3760).This report identifies indicators of underage drinking in Anchorage, Alaska, which can be used in assessing changes brought about by strategies designed to reduce underage access to alcohol and consequences associated with underage drinking. Indicators are addressed under the categories of underage access to alcohol, social norms and perceptions associated with underage drinking, alcohol consumption patterns, and consequences of underage drinking. Consequences examined include school-related consequences, risky behavior, and legal consequences of underage drinking. Alcohol abuse by people under 21 years of age requiring substance abuse treatment, health and safety consequences of underage drinking, and economic consequences of underage drinking are also discussed.Substance Abuse and Mental Health Services Administration. Grant No. 1U79SP013910-01Acknowledgements / Executive Summary / Introduction / Youth Access to Alcohol / Compliance Checks / Social Norms and Perceptions / Consequences (School-Related Consequences; Risky Behavior and Underage Drinking; Underage Drinking and Driving: Traffic Tickets, Crashes, Injuries and Fatalities; Legal Consequences of Underage Drinking; Alcohol Abuse Requiring Treatment; Health and Safety Consequences of Underage Drinking; Economic Consequences of Underage Drinking) / Data Gap Analysis / References / Appendix - Annotated Bibliography of Survey Source

When wanting to change is not enough: automatic appetitive processes moderate the effects of a brief alcohol intervention in hazardous-drinking college students.

BACKGROUND: Research indicates that brief motivational interventions are efficacious treatments for hazardous drinking. Little is known, however, about the psychological processes that may moderate intervention success. Based on growing evidence that drinking behavior may be influenced by automatic (nonvolitional) mental processes, the current study examined whether automatic alcohol-approach associations moderated the effect of a brief motivational intervention. Specifically, we examined whether the efficacy of a single-session intervention designed to increase motivation to reduce alcohol consumption would be moderated by the strength of participants' automatic alcohol-approach associations. METHODS: Eighty-seven undergraduate hazardous drinkers participated for course credit. Participants completed an Implicit Association Test to measure automatic alcohol-approach associations, a baseline measure of readiness to change drinking behavior, and measures of alcohol involvement. Participants were then randomly assigned to either a brief (15-minute) motivational intervention or a control condition. Participants completed a measure of readiness to change drinking at the end of the first session and returned for a follow-up session six weeks later in which they reported on their drinking over the previous month. RESULTS: Compared with the control group, those in the intervention condition showed higher readiness to change drinking at the end of the baseline session but did not show decreased drinking quantity at follow-up. Automatic alcohol-approach associations moderated the effects of the intervention on change in drinking quantity. Among participants in the intervention group, those with weak automatic alcohol-approach associations showed greater reductions in the amount of alcohol consumed per occasion at follow-up compared with those with strong automatic alcohol-approach associations. Automatic appetitive associations with alcohol were not related with change in amount of alcohol consumed per occasion in control participants. Furthermore, among participants who showed higher readiness to change, those who exhibited weaker alcohol-approach associations showed greater reductions in drinking quantity compared with those who exhibited stronger alcohol-approach associations. CONCLUSIONS: The results support the idea that automatic mental processes may moderate the influence of brief motivational interventions on quantity of alcohol consumed per drinking occasion. The findings suggest that intervention efficacy may be improved by utilizing implicit measures to identify those who may be responsive to brief interventions and by developing intervention elements to address the influence of automatic processes on drinking behavior.Published versio

Sexual Orientation Differences in the Relationship Between Victimization and Hazardous Drinking Among Women in the National Alcohol Survey

This study examined relationships between past experiences of victimization (sexual abuse and physical abuse in childhood, sexual abuse and physical abuse in adulthood, and lifetime victimization) and hazardous drinking among sexual minority women compared to exclusively heterosexual women. Data were from 11,169 women responding to sexual identity and sexual behavior questions from three National Alcohol Survey waves: 2000 (n = 3,880), 2005 (n = 3,464), and 2010 (n = 3,825). A hazardous drinking index was constructed from five dichotomous variables (5+ drinking in the past year, drinking two or more drinks daily, drinking to intoxication in the past year, two or more lifetime dependence symptoms, and two or more lifetime drinking-related negative consequences). Exclusively heterosexual women were compared with three groups of sexual minority women: lesbian, bisexual, and women who identified as heterosexual but reported same-sex partners. Each of the sexual minority groups reported significantly higher rates of lifetime victimization (59.1% lesbians, 76% bisexuals, and 64.4% heterosexual women reporting same-sex partners) than exclusively heterosexual women (42.3%). Odds for hazardous drinking among sexual minority women were attenuated when measures of victimization were included in the regression models. Sexual minority groups had significantly higher odds of hazardous drinking, even after controlling for demographic and victimization variables: lesbian (OR [sub]adj[sub] = 2.0, CI = 1.1–3.9, p \u3c .01; bisexual (OR [sub]adj[sub] = 1.8, CI = 1.0–3.3, p \u3c .05; heterosexual with same-sex partners (ORadj = 2.7; CI = 1.7–4.3, p \u3c .001). Higher rates of victimization likely contribute to, but do not fully explain, higher rates of hazardous drinking among sexual minority women. (PsycINFO Database Record (c) 2013 APA, all rights reserved) (journal abstract)

Fraternity Membership and Binge Drinking

This paper examines the relationship between membership in social fraternities and sororities and binge drinking among 18–24 year old full-time four-year college students who participated in the 1995 National College Health Risk Behavior Survey. To deal with unobserved heterogeneity in binge drinking incidence and frequency regressions, I enter as explanatory variables various measures of situational and overall alcohol use. When these are added, the fraternity membership coefficient is substantially reduced in size, but remains large and highly significant. This suggests that fraternity membership increases binge drinking. If not, it identifies a very specific mechanism underlying the decision to join a fraternity: members drink more intensely than non-members even while doing so in similar frequencies and situations and for similar lengths of time. Particularly notable is that behavior by underage students appears to drive the relationship.

The role of peers and parents in predicting alcohol consumption among Chilean youth

This study estimated marginal associations of parent- and peer-related measures to examine the different patterns of lifetime ever-use and frequency of alcohol consumption among adolescents in Santiago, Chile (N=918). Probit and negative binomial models were applied to predict the probability of ever-use and the average number of drinks consumed in the past 30 days. Results supported the profound role of peer-relationships in the development of youth drinking behavior. Particularly, peer pressure seemed more important in predicting alcohol ever-use than the frequency of drinking. Simultaneously, parents, especially fathers, played a crucial protective role. Policies aimed at preventing various drinking patterns may be more effective if they not only focus on the targeted adolescents, but also reach out to peers and parents.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3906685/Accepted manuscrip

The effects of the social norm on cigarette consumption: evidence from Japan using panel data

Using Japan’s prefecture-level panel data from 1989-2001, this paper examines the influence of the social norm on a person’s smoking behavior when the complementary relationship between smoking and drinking is taken into account. The key findings through a dynamic panel model controlling for unobserved prefecture-specific fixed effects are as follows: (1) Influence from others is stronger when people live more closely and cohesively. A tightly knit society results in a reduction of smoking through smoking-related interaction. (2) Smoking and drinking have a complementary relationship: greater initial consumption of alcohol results in larger consumption of cigarettes. (3) The complementary relationship between smoking and dinking is attenuated if the cost of committing the annoying conduct (i.e., smoking) is high. Overall, this empirical study provides evidence that the psychological effect of the presence of surrounding people has a direct significant effect upon smoking behavior and, furthermore, that it attenuates the complementary relationship between smoking and drinking, thereby reducing cigarette consumption. These results indicate that not only formal rules but also tacitly formed informal norms are effective deterrents to smoking.Smoking behavior, Social norm