Persistence of Heavy Drinking and Ensuing Consequences at Heavy Drinking Colleges
Persistence of Heavy Drinking and Ensuing Consequences at Heavy Drinking Colleges
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DOI：
10.15288/jsad.2009.70.726
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发表时间：
2009-09-01
影响因子：
3.4
通讯作者：
Wechsler, Henry
中科院分区：
文献类型：
--
作者：
Nelson, Toben F.;Xuan, Ziming;Wechsler, Henry
目的：本研究的目的是调查1993-2005年间饮酒水平较高的高校在1993-2005年间的饮酒水平、相关危害和饮酒的二手影响。方法：对1993年哈佛大学公共卫生学院酒精研究中18所高饮酒率(占50%以上)的学生(n=4,518)进行调查。通过邮寄和基于网络的问卷收集的数据与1993年、1997年、1999年和2001年(N=13,254)同一学校的学生的回复进行了时间趋势分析比较。结果：总体而言，在大量饮酒的大学就读的学生中，饮酒水平、问题体验和二手效应水平仍然很高。在这些学校，超过五分之四的学生饮酒(范围：85%-88%)。超过一半的人有大量饮酒(范围：53%-58%)。饮酒行为的稳定性也出现在学生亚组中，少数有统计学意义的变化主要发生在1993-1997年间。在1997至2005年间，酒后驾车的人数有所下降，但在其他两项酒后驾车测试中没有发现类似的下降。结论：在最需要干预的大学里，酗酒和相关问题继续有增无减，几乎没有例外：那些重度饮酒的大学。在大量饮酒的大学解决学生饮酒问题可能需要更强有力、更一致、更全面的方法，并更加重视酒精环境。(J螺柱.酒精类毒品70：726-734,2009)
Objective: The purpose of this study was to examine drinking levels, related harms, and secondhand effects of alcohol use at heavy drinking colleges between 1993 and 2005 at colleges with high levels of drinking in 1993. Method: Students attending 18 colleges with high levels of heavy episodic drinking (50% of Students or more) from the 1993 Harvard School of Public Health College Alcohol Study were surveyed in 2005 (n = 4,518). Data collected through mailed and Web-based questionnaires were compared with responses from Students at the same schools in 1993, 1997, 1999, and 2001 (N = 13,254) using time trend analyses. Results: Overall, levels of alcohol consumption, experience of problems, and levels of secondhand effects remained high among students attending heavy drinking colleges. More than four of five students at these schools drank alcohol (range: 85%-88%). and more than half engaged in heavy episodic drinking (range: 53%-58%). The stability of drinking behavior occurred among subgroups of students as well, The few statistically significant changes occurred mainly between 1993 and 1997. A decline in driving after any drinking between 1997 and 2005 was observed, but no similar decline was found in two other measures of drinking and driving. Conclusions: Heavy drinking and associated problems continue unabated, with few exceptions, at colleges that are most in need of intervention: those with high levels of heavy episodic drinking. Addressing student alcohol use at heavy drinking colleges may require stronger, more consistent, and more comprehensive approaches, with increased emphasis on the alcohol environment. (J Stud. Alcohol Drugs 70: 726-734, 2009)