Implementation of NIAAA College Drinking Task Force Recommendations: How Are Colleges Doing 6 Years Later?
Implementation of NIAAA College Drinking Task Force Recommendations: How Are Colleges Doing 6 Years Later?
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DOI：
10.1111/j.1530-0277.2010.01268.x
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发表时间：
2010-10-01
影响因子：
3.2
通讯作者：
Winters, Ken C.
中科院分区：
文献类型：
--
作者：
Nelson, Toben F.;Toomey, Traci L.;Winters, Ken C.
背景：2002年，国家酒精滥用和酒精中毒研究所（NIAAA）大学饮酒工作组发布了减少大学生大量饮酒的建议，但对这些建议的实施知之甚少。目前的讨论最好的策略，以减少学生饮酒更集中于降低最低法律的饮酒年龄主张由一组学院和大学校长称为紫水晶倡议比NIAAA recommendations.Methods：一个具有全国代表性的调查管理人员进行了351 4年制大学在美国，以确定熟悉和进展的NIAAA建议的实施。实施进行了比较招生规模，公共或私人的地位，以及学校校长是否签署了紫水晶Initiative.Results：管理人员在大多数高校都熟悉NIAAA的建议，虽然超过1在5（22%）不。几乎所有的大学都使用教育计划来解决学生饮酒问题（98%）。一半的大学（50%）为酒精问题高危学生提供了有记录的有效干预计划。很少有大学报告说，经验支持，以社区为基础的酒精控制策略，包括进行合规检查，以监测非法酒精销售（33%），制定强制性负责任的饮料服务（RBS）培训（15%），限制酒精出口密度（7%），或提高酒精价格（2%）在他们的社区。不到一半的学校与苏格兰皇家银行的培训和遵守检查在他们的社区积极参与这些干预措施。大型高校更有可能有RBS的培训和合规检查，但在实施中没有差异，发现跨公共/私人状态或大学校长是否签署了紫水晶Initiative.Conclusions：许多高校提供经验支持的高风险饮酒者的计划，但很少有实施其他战略建议NIAAA解决学生饮酒。通过实施现有的、基于经验的战略，有机会减少学生饮酒。
Background:In 2002, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) College Drinking Task Force issued recommendations to reduce heavy drinking by college students, but little is known about implementation of these recommendations. Current discussion about best strategies to reduce student drinking has focused more on lowering the minimum legal drinking age as advocated by a group of college and university presidents called the Amethyst Initiative than the NIAAA recommendations.Methods:A nationally representative survey of administrators was conducted at 351 4-year colleges in the United States to ascertain familiarity with and progress toward implementation of NIAAA recommendations. Implementation was compared by enrollment size, public or private status, and whether the school president signed the Amethyst Initiative.Results:Administrators at most colleges were familiar with NIAAA recommendations, although more than 1 in 5 (22%) were not. Nearly all colleges use educational programs to address student drinking (98%). Half the colleges (50%) offered intervention programs with documented efficacy for students at high risk for alcohol problems. Few colleges reported that empirically supported, community-based alcohol control strategies including conducting compliance checks to monitor illegal alcohol sales (33%), instituting mandatory responsible beverage service (RBS) training (15%), restricting alcohol outlet density (7%), or increasing the price of alcohol (2%) were operating in their community. Less than half the colleges with RBS training and compliance checks in their communities actively participated in these interventions. Large colleges were more likely to have RBS training and compliance checks, but no differences in implementation were found across public/private status or whether the college president signed the Amethyst Initiative.Conclusions:Many colleges offer empirically supported programs for high-risk drinkers, but few have implemented other strategies recommended by NIAAA to address student drinking. Opportunities exist to reduce student drinking through implementation of existing, empirically based strategies.