Substance Use Behaviors Among College Students

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Significance of Problem A serious public health concern among college students is misuse of alcohol. Drinking on college campuses is a unique culture and changing this culture is a top priority. (Task Force of the National Advisory Council on Alcohol Abuse and Alcoholism, 2002) Binge drinking, a growing problem, has been correlated with high-risk behaviors, such as unsafe sex, sexual assault, injuries, and even death. (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2013) - Binge drinking = 5 or more drinks within a few hours for males and 4 or more drinks for females - Drink = bottle/can of beer, glass of wine, wine cooler, shot glass of liquor, or mixed drink College students tend to overestimate the amount of alcohol their peers consume, which leads to the problem of normalizing dangerous drinking behaviors. (Doumas, McKinley, & Book, 2008) Substance Use Behaviors Among College Students Taylor Thompson and Jessica Mueller, BSN Students Christine P. Kurtz, DNP, RN, PMHCNS-BC Theresa A. Kessler, PhD, RN, ACNS-BC College of Nursing & Health Professions Valparaiso University Methods Approval: Valparaiso University IRB Setting: Valparaiso University Sample: Undergraduate students, Fall 2014 N = 3,052 Design: Cross-sectional Survey: Emailed via SurveyMonkey® Modified version of the Core Alcohol and Drug Survey: Long Form Analysis: Data analyzed using descriptive statistics Summary of Evidence Upon entering college, students should be screened for alcohol use. (Scott-Sheldon et. al., 2014) Reductions in drinking are associated with web-based interventions with personalized, normative feedback. (Doumas, McKinley, & Book, 2008; Scott-Sheldon et. al., 2014) Young drinkers respond better to electronic feedback than in-person feedback. (Doumas, McKinley, & Book, 2008) Interventions should target high-risk events such as freshmen year, spring break, and 21 st birthday. (Scott-Sheldon et. al., 2014; Tanner-Smith & Lipsey, 2015) Interventions are more successful when based on theoretical models such as Theory of Planned Behavior Change, Social Ecological Framework, and Motivational Interviewing. Funding provided by the Dr. Robert Good Grant Purpose The main objectives of this study were to: evaluate evidence about drinking behaviors among college students, assess substance use behaviors among undergraduate students at Valparaiso University, and identify factors that are associated with drinking on the college campus. Sample Characteristics ( n = 1,095) Gender: Female = 62% Male = 38% Greek-affiliation: Yes = 27% No = 73% Student athlete: Yes = 12% No = 88% Drink alcohol: Yes = 63% No = 37% Where students Where you live = 72%, Off-campus housing= 61%, drink: Bar/restaurant = 58%, Residence halls = 51%, Fraternity/sorority = 47%, On-campus events = 20% Conclusions Majority of students on this campus drink alcohol Students mostly drink where they live, in off- campus housing, and in bars and restaurants Percentage of males and females who drink is the same at Valpo; however more Greek-affiliated students engage in drinking versus non-Greek students for both males and females Athletes drink significantly more than non-athletes Binge drinking is a significant problem, particularly among males and those associated with Greek life Recommendations Develop evidence-based interventions to support a change in the drinking culture on this campus Target binge drinking, Greek-affiliation, spring break and Halloween as high-risk situations Collaborate with Office of Alcohol and Drug Education to build on current strategies Key Findings Drinking 84% of Greek-affiliated students drink compared to 57.3% of non-Greek (X 2 = 66.001, p < .001) 83.5% in fraternities drink compared to 55.6% not in fraternities (X 2 = 28.521, p < .001) 84.3% in sororities drink compared to 58.5% not in sororities (X 2 = 37.306, p < .001) 75% of athletes drink compared to 63% of non- athletes (X 2 = 6.582, p = .001) Binge drinking 71.7% of drinkers engaged in binge drinking during the past 30 days 76.5% of males binge drink compared to 58.4% of females (X 2 = 50.800, p = .001) 75.3% of Greek-affiliated students engaged in binge drinking compared to 60.3% of non-Greek 71.6% of athletes engage in binge drinking compared to 64.4% of non-athletes (X 2 = 20.281, p = .625) Top 3 reasons for drinking 86.5% “to have fun” 75.2% “to feel good and relax” 46.8% “makes it easier to socialize” 1% 18% 36% 32% 13% Frequency of Binge Drinking (n = 632) Every day 3-5 times/week Once/week 1-2 times/month 1-6 times/year 8% 3% 53% 35% 1% Alcohol Use (n = 1,065) Daily Monthly Socially Weekends Never High - Risk Behaviors/Consequences of Drinking 0% 5% 10% 15% 20% 25% 30% 35% 40% Sexual intercourse without protection One-night stand Missed class Got into argument/fight Driven car under influence Memory loss/blackout Been injured/hurt

Transcript of Substance Use Behaviors Among College Students

Significance of Problem A serious public health concern among college

students is misuse of alcohol. Drinking on college campuses is a unique culture

and changing this culture is a top priority. (Task Force of the

National Advisory Council on Alcohol Abuse and Alcoholism, 2002)

Binge drinking, a growing problem, has been correlated with high-risk behaviors, such as unsafe sex, sexual assault, injuries, and even death. (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2013)

- Binge drinking = 5 or more drinks within a few hours for males and 4 or more drinks for females

- Drink = bottle/can of beer, glass of wine, wine cooler, shot glass of liquor, or mixed drink

College students tend to overestimate the amount of alcohol their peers consume, which leads to the problem of normalizing dangerous drinking behaviors. (Doumas, McKinley, & Book, 2008)

Substance Use Behaviors Among

College Students

Taylor Thompson and Jessica Mueller, BSN Students

Christine P. Kurtz, DNP, RN, PMHCNS-BC

Theresa A. Kessler, PhD, RN, ACNS-BC

College of Nursing & Health Professions

Valparaiso University

MethodsApproval: Valparaiso University IRB

Setting: Valparaiso University

Sample: Undergraduate students, Fall 2014

N = 3,052

Design: Cross-sectional

Survey: Emailed via SurveyMonkey®

Modified version of the Core Alcohol and Drug Survey:

Long Form

Analysis: Data analyzed using descriptive statistics

Summary of Evidence Upon entering college, students should be screened for

alcohol use. (Scott-Sheldon et. al., 2014)

Reductions in drinking are associated with web-based interventions with personalized, normative feedback. (Doumas, McKinley, & Book, 2008; Scott-Sheldon et. al., 2014)

Young drinkers respond better to electronic feedback than in-person feedback. (Doumas, McKinley, & Book, 2008)

Interventions should target high-risk events such as freshmen year, spring break, and 21st birthday. (Scott-Sheldon

et. al., 2014; Tanner-Smith & Lipsey, 2015)

Interventions are more successful when based on theoretical models such as Theory of Planned Behavior Change, Social Ecological Framework, and Motivational Interviewing.

Funding provided by the Dr. Robert Good Grant

Funding Received from: Wheat Ridge Foundation, Dr. Robert Good,

The Tobacco Education & Prevention Coalition of Porter County Indiana

PurposeThe main objectives of this study were to:

evaluate evidence about drinking behaviors among college students,

assess substance use behaviors among undergraduate students at Valparaiso University, and

identify factors that are associated with drinking on the college campus.

Sample Characteristics (n = 1,095)

Gender: Female = 62% Male = 38%

Greek-affiliation: Yes = 27% No = 73%

Student athlete: Yes = 12% No = 88%

Drink alcohol: Yes = 63% No = 37%Where students Where you live = 72%, Off-campus housing= 61%, drink: Bar/restaurant = 58%, Residence halls = 51%,

Fraternity/sorority = 47%, On-campus events = 20%

Conclusions Majority of students on this campus drink alcohol

Students mostly drink where they live, in off-campus housing, and in bars and restaurants

Percentage of males and females who drink is the same at Valpo; however more Greek-affiliated students engage in drinking versus non-Greek students for both males and females

Athletes drink significantly more than non-athletes

Binge drinking is a significant problem, particularly among males and those associated with Greek life

Recommendations Develop evidence-based interventions to support a

change in the drinking culture on this campus

Target binge drinking, Greek-affiliation, spring break and Halloween as high-risk situations

Collaborate with Office of Alcohol and Drug Education to build on current strategies

Key Findings Drinking 84% of Greek-affiliated students drink compared

to 57.3% of non-Greek (X2 = 66.001, p < .001) 83.5% in fraternities drink compared to 55.6% not

in fraternities (X2 = 28.521, p < .001) 84.3% in sororities drink compared to 58.5% not in

sororities (X2 = 37.306, p < .001) 75% of athletes drink compared to 63% of non-

athletes (X2 = 6.582, p = .001)Binge drinking 71.7% of drinkers engaged in binge drinking during

the past 30 days 76.5% of males binge drink compared to 58.4% of

females (X2 = 50.800, p = .001) 75.3% of Greek-affiliated students engaged in

binge drinking compared to 60.3% of non-Greek 71.6% of athletes engage in binge drinking

compared to 64.4% of non-athletes (X2 = 20.281, p= .625)

Top 3 reasons for drinking 86.5% “to have fun” 75.2% “to feel good and relax” 46.8% “makes it easier to socialize”

1%18%

36%

32%

13%

Frequency of Binge Drinking (n = 632)

Every day 3-5 times/week Once/week

1-2 times/month 1-6 times/year

8%3%

53%

35%

1%

Alcohol Use(n = 1,065)

Daily Monthly SociallyWeekends Never

High-Risk Behaviors/Consequences of Drinking

0%

5%

10%

15%

20%

25%

30%

35%

40%

Sexual intercoursewithout protection

One-night stand Missed class Got intoargument/fight

Driven car underinfluence

Memory loss/blackout Been injured/hurt