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OVERVIEW of COLLEGE STUDENT DRINKING Nancy H. Brand, M.Ed. Doctoral Student in Clinical Psychology University of Rhode Island. “College Students” defined herein as full-time students between the ages of 18-24 attending 2 or 4-year colleges or universities. SCOPE OF THE PROBLEM.
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OVERVIEW of COLLEGE STUDENT DRINKING Nancy H. Brand, M.Ed. Doctoral Student in Clinical Psychology University of Rhode Island
“College Students” defined herein as full-time students between the ages of 18-24 attending 2 or 4-year colleges or universities
SCOPE OF THE PROBLEM • Nationwide, 44% of college students engage in heavy episodic drinking or “binge” drinking defined as: MEN: as 5 or more drinks in a row over the past 2 weeks WOMEN: 4 or more drinks in a row over the past 2 weeks • Since 1980, estimates of heavy drinking have remained stable between 40-45 percent of college students. • College students drink more than than same age noncollege peers • (source: www.collegedrinkingprevention.gov)
Heaviest Drinkers tend to be: • Males • whites • members of fraternities and sororities • athletes • first-year students • (source: www.collegedrinkingprevention.gov)
Students who drink the least are likely to attend: • 2-year institutions • religious schools • commuter schools • historically Black colleges and universities • source: www.collegedrinkingprevention.gov)
INDIVIDUAL FACTORS AFFECTING DRINKING BEHAVIOR • Genetic and biological predisposition to use alcohol • Family history of alcohol and drug use • Personality factors (e.g., sensation seeking and impulsivity) • Belief systems (e.g. you can’t have fun without alcohol) • Expectations about the Effects of Alcohol (e.g., drinking will make me more sociable and attractive to others) (source: www.collegedrinkingprevention.gov)
ENVIRONMENTAL FACTORS AFFECTING DRINKING BEHAVIOR • Geographical Location • Size of student body • Importance of Athletics on Campus • Availability of Alcohol in surrounding community (source: www.collegedrinkingprevention.gov)
SO WHAT! WHAT’S THE BIG DEAL??
THE U.S. SURGEON GENERAL AND THE DEPT. OF HEALTH AND HUMAN SERVICES HAVE DECLARED THAT HEAVY DRINKING IS THE NUMBER ONE HEALTH PROBLEM AFFECTING COLLEGE STUDENTS (source: www.collegedrinkingprevention.gov)
Alcohol-Related Consequences • DEATH: 1400 college students die in alcohol-related accidents a year • ASSAULT: 600,000 students are assaulted by others who are under the influence of alcohol • INJURY: 500,000 students are unintentionally injured because of heavy drinking • SEXUAL ABUSE: 70,000 students are victims of alcohol-related sexual assault or date rape • (source: www.collegedrinkingprevention.gov)
Alcohol-Related Consequences (cont.) • Academic Performance: 25% report academic consequences as a result of drinking such as missing class, performing poorly on exams and papers, and falling behind • Health problems: 150,000 develop health related problems • Unsafe sex: 400,000 students had unprotected sex and more than 100,000 students reported being too drunk to know if they consented to sex • (source: www.collegedrinkingprevention.gov)
APPROXIMATELY 55% of STUDENTS WHO ABSTAIN or DRINK IN MODERATION ARE AFFECTED BY SOMEONE ELSE’S DRINKING such as: • being humiliated or assaulted • having property damaged • experiencing unwanted sexual advance • (source: www.collegedrinkingprevention.gov)
THE NATIONAL INSTITUTE ON ALCOHOL ABUSE and ALCOHOLISM (NIAAA) TASK FORCE ON COLLEGE STUDENT DRINKING EMPHASIZES THE NEED TO CHANGE THE CULTURE OF COLLEGE STUDENT DRINKING BY TARGETING: 1. The college and it’s surrounding community 2. The student population as a whole 3. Individuals, including at-risk or alcohol-dependent drinkers (source: www.collegedrinkingprevention.gov)
PROMISING INTERVENTIONS: The college and its surrounding community (environmental strategies) • Provide Alcohol-free options for recreational, social and cultural events and venues • Restrict alcohol availability and advertising on and off-campus • Social Norms Correction • Develop and enforce campus policies and and local, state and federal laws (source: DeJong & Langford, 2002)
PROMISING INTERVENTIONS: GROUP and INDIVIDUAL SESSIONS • Expectancy challenge procedures • Brief motivational feedback interviews • Alcohol skills training (source: DeJong & Langford, 2002)
LESS EFFECTIVE INTERVENTIONS • Standard Alcohol Awareness Education Programs(e.g., alcohol awareness weeks, freshman orientation, and curriculum infusion where faculty introduce alcohol-related factors and issues into courses) • Values Clarification Programs
RATIONALE: • Harm reduction (vs. abstinence) • Strategies to encourage students to drink in moderation in order to avoid the consequences of risky drinking • In other words, help students enjoy the good things about drinking (socializing, having fun) while avoiding the bad things about drinking (hangovers, DUIs, unplanned sex)
BLOOD ALCOHOL LEVELS (BAL) < .055 (legal driving limit (.08) in most states) Biphasic effect of Alcohol: Stimulating effects up to .055 (approximately 1-2 drinks for women and 2-3 for men over several hours depending on weight) . Most people report feeling relaxed and happy at these levels. Depressant effects beyond .055 (3 or more and 4 or more for men depending on weight). These lead to impaired judgement, motor coordination, as well as hangovers and other unwanted consequences
Biphasic effect of Alcohol • Happy • Outgoing • Energetic .055 >.10 BAL levels .055 • Hangovers • Missing class or work • Sex w/ scary people Feelings/effects BAL(F) BAL(M)
MODERATION • YOU AVOID: • hangovers • embarrassment • weight gain • pressure from family/schoo about grades • long-term health consequences • tolerance and heavy drinking • regrettable sexual encounters • YOU GAIN: • Save $$ • maintain control • maintain desired academic performance • Maintain healthy relationships with others
STRATEGIES FOR MODERATED DRINKING • Eat before drinking (can cut BAL’s up to 50%!! • Space your drinks • Alternate alcoholic drinks w/ non-alcoholic drinks • avoid drinking games • experiment with drinking less and refusing drinks • drink reduced alcohol beer instead of stronger spirits • drink slower
FACT or MYTH: Heavy drinking is the norm on most college campuses
Believe it or not…. • Moderate drinking is the norm on nearly all campuses!!! (55-60% of college students drink in moderation. • The average female college student drinks 5/week • The average male college student drinks 10/week. • IN both cases, BAL levels are about .05 per week. • FURTHERMORE, students drinking in these ranges report very few-- if any alcohol related consequences!
PART 2: HOW TO EVALUATE THIS INFORMATION WHEN IT SEEMS LUDICROUS