ENVIRONMENTAL PREVENTION OF COLLEGE ALCOHOL PROBLEMS

本申请响应NIAAA的号召，通过发起和评估圣地亚哥州立大学（SDSU）的一个全面的环境预防项目，研究干预措施，以减少大学生，严重的偶发性饮酒和由此产生的酒精问题。SDSU社区酒精合作计划是一个“城镇长袍”联盟，旨在实施该计划。在NIAAA资助的社区公共卫生预防项目的研究中，提出了一个校园酒精问题模型，指导了这项为期多年的五要素工作。它实施了一套全面的校园环境政策和项目，这些政策和项目是由酒精和其他药物预防高等教育中心推荐的。本研究设计以新墨西哥州立大学为对照地进行准实验研究。该提案的特殊特点包括：(1)数据驱动的分阶段计划，该计划使用来自大量过程、中间和结果变量的反馈来修改和完善计划；(2)对两所大学的跨境（墨西哥）酗酒学生进行的持续调查，作为衡量校园饮酒置换和项目有效性的措施，挑战项目设计者寻找高风险饮酒行为的解决方案；(3)除了采用学生饮酒自述调查作为结果测量外，建议在校园进行自愿呼气测试调查，以提供客观的影响测量；最后，(4)利用丰富的档案结果指标，包括来自校园警察、学生咨询中心和学生宿舍的记录。

This application responds to the NIAAA call for research on interventions to reduce college student, heavy episodic drinking and resulting alcohol problems by proposing the initiation and evaluation of a comprehensive environmental prevention program at San Diego State University (SDSU). The SDSU Community Alcohol Partnership Program, a "Town-Gown" consortium, is in place to implement the program. The proposed five element, multiyear effort is guided by a model of campus alcohol problems growing out of research on community public health prevention programs funded by the NIAAA. It implements a comprehensive set of campus environmental policies and programs that have been recommended by the Higher Education Center for Alcohol and Other Drug Prevention. The research design provides for a quasi- experimental study employing New Mexico State University as a comparison site. Special features of interest in the proposal include: (1) a data-driven phased program that uses the feedback from an extensive set of process, intermediate, and outcome variables to modify and perfect programs; (2) an ongoing survey of cross-border (Mexico) binge drinking of students at the two universities as a measure of campus drinking displacement and program effectiveness, challenging program designers to find solutions to high-risk drinking behavior; (3) in addition to employing student self-report surveys of drinking as an outcome measure, voluntary breath-test surveys conducted on campus are proposed to provide an objective impact measure; and finally, (4) the utilization of a rich set of archival outcome measures including records from the campus police, student counseling centers, and student residence hall records.