Examining the impact of early college experiences on the cumulative number of alcohol-related consequences

Glenn, Shannon D.; Turrisi, Rob; Waldron, Katja A.; Mallett, Kimberly A.; Russell, Michael A.; Reavy, Racheal

doi:10.1016/j.addbeh.2022.107357

Cited by 6 publications

(5 citation statements)

References 52 publications

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“…College drinking and related problems are a public health concern across the U.S. college students report frequent, risky alcohol use (e.g., one-third of students report binge drinking) at high rates compared to the general population (Hingson et al, 2017; Patrick et al, 2020; Substance Abuse and Mental Health Services Administration, 2019). Subsequently, students report high levels of alcohol-related problems (Glenn et al, 2022; Hingson et al, 2017; Patrick et al, 2020), such as having trouble limiting their drinking (>50%) and blacking out from drinking at least once (80%; Glenn et al, 2022). Studies show college students are significantly more likely than young adults not attending college to report negative consequences from drinking (Patrick et al, 2020).…”

Section: Racial Differences In Pbs Use and Drinkingmentioning

confidence: 99%

A cross-sectional examination of race, gender, and intersectionality on protective behavioral strategies and alcohol outcomes among Black and White college students.

Ayala Guzman,

Bolts,

Shipley

et al. 2024

Experimental and Clinical Psychopharmacology

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College students consistently report problematic alcohol use (e.g., excessive drinking). Protective behavioral strategies (PBS) are behaviors for reducing alcohol use and/or problems and are negatively associated with alcohol misuse among college students. Studies suggest PBS are used more often and/or more effectively by female individuals. Additionally, examinations specifically between Black and White students have yielded mixed findings and are typically underpowered. Scant studies have investigated the intersectionality between race and gender or examined perceived effectiveness of PBS use related to alcohol outcomes. The current cross-sectional study examined if (a) race, (b) gender, and (c) their interaction moderate the associations between perceived effectiveness of PBS use on PBS use (a path) and between PBS use on alcohol outcomes (i.e., alcohol quantity, peak drinks, and problems; b path). A sample size of N = 528 college drinkers ages 18-24 years old (M age = 19.85; 52.5%, Black, 40.3% White) completed an online survey and were used for analyses. A series of moderated mediation models were conducted. Race did not moderate the a or b paths. The positive association for the a path as well as the indirect effect of PBS perceived effectiveness on lower alcohol outcomes through PBS use were stronger for female students than male students. The intersectionality examination indicated a stronger association between more PBS use and lower consumption, specifically for White male students, and lower problems for Black female students. More attention is needed toward considering intersectionality when identifying at-risk groups and tailoring alcohol intervention efforts. Public Health SignificanceThis study suggests there are differences across racial and gender identities in how protective behavioral strategies used to reduce alcohol problems and their perceived effectiveness may be associated with alcohol outcomes. The potential usefulness of these strategies may be more observable for Black female and White male students. It may be important to consider intersectionality between racial and gender identities when identifying at-risk groups and tailoring alcohol intervention efforts.

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Section: Racial Differences In Pbs Use and Drinkingmentioning

confidence: 99%

A cross-sectional examination of race, gender, and intersectionality on protective behavioral strategies and alcohol outcomes among Black and White college students.

Ayala Guzman,

Bolts,

Shipley

et al. 2024

Experimental and Clinical Psychopharmacology

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“…What makes these statistics even more concerning is the frequency in which student drinkers report experiencing an AIB. In a longitudinal study of more than 1700 college students, approximately 80% reported at least one AIB during college ( Glenn et al, 2022 ). Upon closer examination, these same students experienced an average of eight AIBs during college ( Glenn et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

Transdermal alcohol concentration features predict alcohol‐induced blackouts in college students

Richards,

Glenn,

Turrisi

et al. 2024

Alcohol, Clinical and Experimental Research

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BackgroundAlcohol‐induced blackouts (AIBs) are common in college students. Individuals with AIBs also experience acute and chronic alcohol‐related consequences. Research suggests that how students drink is an important predictor of AIBs. We used transdermal alcohol concentration (TAC) sensors to measure biomarkers of increasing alcohol intoxication (rise rate, peak, and rise duration) in a sample of college students. We hypothesized that the TAC biomarkers would be positively associated with AIBs.MethodsStudents were eligible to participate if they were aged 18–22 years, in their second or third year of college, reported drinking 4+ drinks on a typical Friday or Saturday, experienced ≥1 AIB in the past semester, owned an iPhone, and were willing to wear a sensor for 3 days each weekend. Students (N = 79, 55.7% female, 86.1% White, Mage = 20.1) wore TAC sensors and completed daily diaries over four consecutive weekends (89.9% completion rate). AIBs were assessed using the Alcohol‐Induced Blackout Measure‐2. Logistic multilevel models were conducted to test for main effects.ResultsDays with faster TAC rise rates (OR = 2.69, 95% CI: 1.56, 5.90), higher peak TACs (OR = 2.93, 95% CI: 1.64, 7.11), and longer rise TAC durations (OR = 4.16, 95% CI: 2.08, 10.62) were associated with greater odds of experiencing an AIB.ConclusionsIn a sample of "risky" drinking college students, three TAC drinking features identified as being related to rising intoxication independently predicted the risk for daily AIBs. Our findings suggest that considering how an individual drinks (assessed using TAC biomarkers), rather than quantity alone, is important for assessing risk and has implications for efforts to reduce risk. Not only is speed of intoxication important for predicting AIBs, but the height of the peak intoxication and the time spent reaching the peak are important predictors, each with different implications for prevention.

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“…Alcohol‐induced blackouts are among one of the most common alcohol‐related consequences (ARCs) experienced by student drinkers, with over 80% reporting at least one during college (Glenn et al, 2022). The frequency in which AIBs are reported is especially concerning given their association with other ARCs ranging from social regret to sexual assault (Hingson et al, 2016; Merrill et al, 2019; Mundt et al, 2012; Valenstein‐Mah et al, 2015; Voloshyna et al, 2018; Wilhite & Fromme, 2015).…”

Section: Introductionmentioning

confidence: 99%

Does it really matter that I do not remember my night? Consequences related to blacking out among college student drinkers

Richards,

Glenn,

Turrisi

et al. 2023

Alcohol: Clinical and Experimental Research

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BackgroundAlcohol‐induced blackouts (AIBs) are experienced frequently by college student drinkers and are more likely to occur on days with high‐intensity drinking (HID; 8+ for females/10+ for males) compared to non‐HID days. Research suggests that AIBs are associated with experiencing other alcohol‐related consequences (ARCs), including more severe ARCs (SARCs; e.g., legal and sexual consequences), but we do not know whether individuals experience more ARCs and more SARCs on occasions when they black out versus do not black out. This study examines the associations between AIBs and a) total number of ARCs and b) SARCs.MethodsStudents (N=462, 51.7% female, 87.7% White, Mage=20.1) were assessed across 6 weekends via e‐surveys (80‐97% response rate). Multilevel models were conducted to test for main effects, controlling for drinking (HID or estimated blood alcohol concentration; eBAC) and sex.ResultsDrinking days when an AIB was experienced resulted in greater total ARCs (b=3.54, 95% CI: 3.10, 3.99) and greater SARCs (b=0.77, 95% CI: 0.60, 0.95) per day compared to non‐AIB days. The more frequently a person experienced an AIB, the more total ARCs (b=5.33, 95% CI: 4.40, 6.25) and SARCs (1.05, 95% CI: 0.80, 1.30) they reported on average.ConclusionAIB days were associated with higher levels of harm than non‐AIB days, even at the same levels of drinking. Interventions that focus on reducing the occurrence of AIBs and factors that contribute to AIBs, in addition to drinking alcohol, may help reduce total harm associated with drinking among college students.

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Examining the impact of early college experiences on the cumulative number of alcohol-related consequences

Cited by 6 publications

References 52 publications

A cross-sectional examination of race, gender, and intersectionality on protective behavioral strategies and alcohol outcomes among Black and White college students.

A cross-sectional examination of race, gender, and intersectionality on protective behavioral strategies and alcohol outcomes among Black and White college students.

Transdermal alcohol concentration features predict alcohol‐induced blackouts in college students

Does it really matter that I do not remember my night? Consequences related to blacking out among college student drinkers

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