Implications of state alcohol policy for college students' binge drinking, suicidal behavior, and sexual assault victimization

国家酒精政策对大学生酗酒、自杀行为和性侵犯受害的影响

• 批准号: 10666960
• 负责人: David C. R. Kerr
• 金额: $ 38.34万
• 依托单位: OREGON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-02 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10666960
• 关键词: 21 year old; Accounting; Adult; Affect; Age; Aggressive behavior; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Black race; Cannabis; Cannabis policy; Communities; Cues; Data; Data Set; Decentralization; Development; Disinhibition; Disparity; Distal; Enrollment; Environment; Ethnic Origin; Exploratory/Developmental Grant; Exposure to; Feeling suicidal; Foundations; General Population; Goals; Harm Reduction; Health; Hispanic; Impaired cognition; Individual; Infrastructure; Institution; Intervention; Intoxication; Laws; Link; Measures; Mediating; Mediation; Minor; Modeling; National Institute on Alcohol Abuse and Alcoholism; Not Hispanic or Latino; Outcome; Pattern; Persons; Policies; Population; Population Heterogeneity; Prevalence; Prevention; Race; Recommendation; Research; Resources; Respondent; Risk; Sales; Sampling; Schools; Self-Injurious Behavior; Sex Orientation; Specific qualifier value; Strategic Planning; Students; Subgroup; Suicide; Suicide attempt; Taxes; Testing; Time; Victimization; Woman; Work; Youth; alcohol effect; alcohol measurement; alcohol misuse prevention; alcohol prevention; alcohol related consequences; behavioral impairment; binge drinking; college; design; drinking; experience; falls; graduate school; health assessment; high risk; high school; improved; legal drinking age; pandemic disease; perpetrators; prevent; protective effect; public policy on alcohol; reducing suicide; residence; sex; sexual assault; sexual minority group; sexual victimization; suicidal behavior; synergism; theories; undergraduate student; university student; young adult

Project Summary/Abstract The proposed research examines the extent to which more restrictive state alcohol policy environments are associated with binge drinking in diverse subgroups of young adult college students, and with two alcohol use- related outcomes: suicidal behavior and sexual assault victimization. This research will be accomplished using repeated cross-sectional National College Health Assessment (NCHA) data. NCHA was administered twice yearly from 2008-2019 to an estimated 921,000 18-24 year old undergraduates from more than 500 four-year colleges in 48 states. NCHA data will be merged with time- and state-specific data on alcohol policy and state population estimates of per capita alcohol use and binge drinking. The primary predictor is the Alcohol Policy Scale (APS), a state-specific time-varying measure based on 29 policies, weighted by efficacy and degree of implementation, with subscales grouped by policy domain and mechanism. Analyses will account for individual and institutional covariates and clustering of respondents within institutions within states. In Aim 1 we will specify the extent to which alcohol policy restrictiveness and state population drinking measures predict college students’ binge drinking. A focus will be identifying differences in policy effects by students’ race/ethnicity, sex, age (minors vs. age ≥ 21), and sexual orientation. In Aim 2 we will estimate the statistical effects of more restrictive alcohol policies on suicidal ideation, self-harm, and suicide attempt via (mediated by) binge drinking. For Aim 3 we will quantify associations between more restrictive state alcohol policy environments and respondents’ sexual victimization, which we hypothesize will be only partially mediated by respondents’ binge drinking. Partial mediation is expected given the potential for alcohol policies to affect campus and community drinking contexts and alcohol use by perpetrators and bystanders. Identifying how alcohol policy relates to binge drinking in understudied subgroups and to young adults’ suicide and sexual assault risk is consistent with NIAAA’s Strategic Plan Goal 3 to improve strategies to prevent alcohol misuse and alcohol-related consequences. Findings on state-level protective contexts will inform planning and prioritization of distal and proximal (e.g., individually-oriented) prevention at national, state, and campus levels.

项目总结/摘要 这项拟议的研究调查了限制性更强的州酒精政策环境在多大程度上被 在不同的年轻成年大学生亚组中，与酗酒有关，与两种酒精使用有关- 相关结果：自杀行为和性侵犯受害。这项研究将使用 国家大学健康评估（NCHA）数据。NCHA给药两次 每年从2008-2019年估计921，000 18-24岁的本科生从500多个四年制 48个州的大学NCHA数据将与特定时间和州的酒精政策和州的数据合并。 人均饮酒和酗酒的人口估计数。主要预测因素是酒精政策 规模（APS），一个国家特定的时变措施的基础上，29个政策，加权的功效和程度， 执行情况，并按政策领域和机制分组。分析将说明个体 以及机构协变量和国家内机构内受访者的聚类。在目标1中， 具体说明酒精政策限制和国家人口饮酒措施预测的程度 大学生的酗酒问题一个重点将是确定学生的政策效果的差异， 种族/民族、性别、年龄（未成年人与年龄≥ 21岁）和性取向。在目标2中，我们将估计 更严格的酒精政策对自杀意念、自我伤害和自杀企图的影响，通过（介导） 酗酒对于目标3，我们将量化更严格的国家酒精政策之间的关联 环境和受访者的性受害，我们假设这将只是部分介导的 受访者的酗酒问题。考虑到酒精政策可能影响 校园和社区饮酒环境以及肇事者和旁观者的酒精使用。确定如何 酒精政策与未充分研究的亚组中的酗酒以及年轻人的自杀和性行为有关 攻击风险与NIAAA的战略计划目标3一致，以改善防止酒精滥用的战略 和酒精相关的后果。关于州一级保护背景的调查结果将为规划和 远端和近端的优先级（例如，以个人为导向）在国家，州和校园层面的预防。