College Binge Drinking in the 1990s: A Continuing Problem Results of the Harvard School of Public Health 1999 College Alcohol Study

Wechsler, Henry; Lee, Jae Eun; Kuo, Meichun; Lee, Hang

doi:10.1080/07448480009599305

Cited by 915 publications

(599 citation statements)

References 12 publications

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“…It is thus important to consider the behavioral attributes which may be changing in younger adult culture. We know they drink more,14, 15, 16 and they engage in riskier sexual behaviors21, 22 than earlier generations. HPV is associated with cancers in other organs,44 and we know that alcohol has a greater impact on the rectal subsite 45.…”

Section: Discussionmentioning

confidence: 95%

“…For example, a higher proportion of younger adults (ages 20‐49) report current smoking behaviors compared to screening age adults (18% vs 12%, respectively) (BFRSS). Episodic heavy alcohol use or “binge drinking” became the number one health problem affecting college students in the 1990s; a behavior which does not appear to have changed over time 14, 15. Binge drinking remains higher in younger adults at 23% compared to 9% for screening age adults; the highest proportion of self‐reported binge drinking, occurring in those ages between 20 and 29 (30%) 16.…”

Section: Introductionmentioning

confidence: 99%

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Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

et al. 2018

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Millennials (ages 18‐35) are now the largest living generation in the US, making it important to understand and characterize the rising trend of colorectal cancer incidence in this population, as well as other younger generations of Americans. Data from the New Jersey State Cancer Registry (n = 181 909) and Surveillance, Epidemiology, and End Results program (n = 448 714) were used to analyze invasive CRC incidence trends from 1979 to 2014. Age, sex, race, ethnicity, subsite, and stage differences between younger adults (20‐49) and screening age adults (≥50) in New Jersey (NJ) were examined using chi‐square; and, we compared secular trends in NJ to the United States (US). Whites, men, and the youngest adults (ages 20‐39) are experiencing greater APCs in rectal cancer incidence. Rates among younger black adults, overall, were consistently higher in both NJ and the US over time. When compared to older adults, younger adults with CRC in NJ were more likely to be: diagnosed at the late stage, diagnosed with rectal cancer, male, non‐white, and Hispanic. Invasive CRC incidence trends among younger adults were found to vary by age, sex, race, ethnicity, and subsite. Large, case‐level, studies are needed to understand the role of genetics, human papillomavirus (HPV), and cultural and behavioral factors in the rise of CRC among younger adults. Provider and public education about CRC risk factors will also be important for preventing and reversing the increasing CRC trend in younger adults.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

et al. 2018

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“…Frequency of binge drinking was the number of times males drank fi ve or more and females drank four or more alcoholic drinks in a row in the prior 30 days ( Wechsler, Lee, Kuo, & Lee, 2000 ). Participants were trichotomized as non -binge drinkers (zero times), infrequent binge drinkers (one to two times), and frequent binge drinkers (more than three times; Wechsler et al, 2000 ).…”

Section: Methodsmentioning

confidence: 99%

Transitions into and out of light and intermittent smoking during emerging adulthood

White¹,

Bray²,

Fleming³

et al. 2009

Nicotine &Amp; Tobacco Research

120

109

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Introduction: The purpose of this study was to examine transitions in smoking from adolescence into emerging adulthood and to identify factors that might infl uence these transitions, specifi cally, movement into and out of light and intermittent smoking.Methods: This study used Markov models to examine movement across three stages of smoking (nonsmoking, light and intermittent smoking, and heavy smoking) from adolescence into emerging adulthood. Biannual data were collected from 990 young men and women from the 12th grade until 2 years after high school.Results: At each timepoint, most youth were nonsmokers. Those who were heavy smokers in 12th grade had a 79% chance of also being heavy smokers 2 years after high school. Between 17% and 21% of participants were light and intermittent smokers at each timepoint, and the likelihood of remaining so at the next timepoint ranged from 56% to 72%. Less than one-half of the 12th-grade light and intermittent smokers were light and intermittent smokers 2 years later, and 3% of the sample were light and intermittent smokers across all assessments. Prevalence and transition rates did not differ by gender. College attendees reported less smoking than nonattendees before and after their transition to college, and attendees compared with nonattendees who smoked were less likely to transition from light and intermittent to heavy smoking and remain heavy smokers. Binge drinking was significantly related to 12th-grade smoking stage and to transitions from nonsmoking to smoking. Overall, few emerging adults maintained light and intermittent smoking consistently over time.

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“…In all four surveys, the administrators at each college were asked to provide a random sample of approximately 225 undergraduates drawn from the total enrollment of full-time students. Further details about the sampling, design and characteristics of the CAS have been published elsewhere [1,16,33,34].…”

Section: The Surveymentioning

confidence: 99%

College Student Binge Drinking and the “Prevention Paradox”: Implications for Prevention and Harm Reduction

Weitzman

Nelson

2004

J Drug Educ

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Considerable attention has been paid to heavy episodic or "binge" drinking among college youth in the United States. Despite widespread use, the binge measure is perceived by some as a low intervention threshold. We use data from the Harvard School of Public Health College Alcohol Study (n = 49,163) to describe patterns of consumption and harms along a continuum including the binge measure to demonstrate the validity of the binge threshold and prevention paradox in college. While the heaviest drinkers are at greatest risk for harm, they are relatively few and generate proportionately small amounts of all drinking-harms. The risk of harms is not zero among lower level drinkers in college. Because they are numerous, they account for the majority of harms. This paradoxical pattern suggests we moderate consumption among the majority using environmental approaches, the efficacy of which are described using case study data from a national prevention demonstration. Implications for prevention policy, programming, and media advocacy are discussed.

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College Binge Drinking in the 1990s: A Continuing Problem Results of the Harvard School of Public Health 1999 College Alcohol Study

Cited by 915 publications

References 12 publications

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

Trends in colorectal cancer incidence among younger adults—Disparities by age, sex, race, ethnicity, and subsite

Transitions into and out of light and intermittent smoking during emerging adulthood

College Student Binge Drinking and the “Prevention Paradox”: Implications for Prevention and Harm Reduction

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