HEALTH AND BEHAVIORAL CONSEQUENCES OF BINGE-DRINKING IN COLLEGE - A NATIONAL SURVEY OF STUDENTS AT 140 CAMPUSES
HEALTH AND BEHAVIORAL CONSEQUENCES OF BINGE-DRINKING IN COLLEGE - A NATIONAL SURVEY OF STUDENTS AT 140 CAMPUSES
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DOI：
10.1001/jama.272.21.1672
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发表时间：
1994-12-07
影响因子：
120.7
通讯作者：
CASTILLO, S
中科院分区：
文献类型：
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作者：
WECHSLER, H;DAVENPORT, A;CASTILLO, S
目标：调查大学生酗酒的程度，以及酗酒者在校园里给自己和他人造成的健康和行为问题。设计-邮寄给具有全国代表性的美国四年制大学生样本的自我管理调查。设置-1993年140所美国四年制大学的参与者。-总共17 592名大学生。主要结果衡量标准。-关于饮酒行为、与酒精相关的健康问题和其他问题的自我报告。结果-几乎一半(44%)的受访大学生是酗酒者，其中近五分之一(19%)的学生经常酗酒。经常酗酒的人比其他学生更有可能因饮酒行为而经历严重的健康和其他后果。自学年开始以来，几乎一半(47%)经常酗酒的人经历了五次或更多不同的与饮酒有关的问题，包括受伤和进行计划外的性行为。大多数酗酒者并不认为自己是酗酒者，也没有因酒精问题而寻求治疗。酗酒者会给不酗酒的同学带来麻烦。在酗酒率较高的学校，不酗酒的学生比酗酒率较低的学校的学生更有可能遇到诸如被推、被打、被攻击或经历不受欢迎的性侵犯等问题。结论-酗酒在大学校园里很普遍。旨在减少这一问题的计划应该把重点放在经常酗酒的人身上，让他们接受治疗或教育计划，并强调他们对不酗酒的学生造成的伤害。
Objective.-To examine the extent of binge drinking by college students and the ensuing health and behavioral problems that binge drinkers create for themselves and others on their campus.Design.-Self-administered survey mailed to a national representative sample of US 4-year college students.Setting.-One hundred forty US 4-year colleges in 1993.Participants.-A total of 17 592 college students.Main Outcome Measures.-Self-reports of drinking behavior, alcohol-related health problems, and other problems.Results.-Almost half (44%) of college students responding to the survey were binge drinkers, including almost one fifth (19%) of the students who were frequent binge drinkers. Frequent binge drinkers are more likely to experience serious health and other consequences of their drinking behavior than other students. Almost half (47%) of the frequent binge drinkers experienced five or more different drinking-related problems, including injuries and engaging in unplanned sex, since the beginning of the school year. Most binge drinkers do not consider themselves to be problem drinkers and have not sought treatment for an alcohol problem. Binge drinkers create problems for classmates who are not binge drinkers. Students who are not binge drinkers at schools with higher binge rates were more likely than students at schools with lower binge rates to experience problems such as being pushed, hit, or assaulted or experiencing an unwanted sexual advance.Conclusions.-Binge drinking is widespread on college campuses. Programs aimed at reducing this problem should focus on frequent binge drinkers, refer them to treatment or educational programs, and emphasize the harm they cause for students who are not binge drinkers.