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A cross sectional research design was employed to assess whether posting alcohol consumption pictures on Facebook influenced alcohol consumption patterns among college students. Participants included 445 individuals, yielding a 22% [...]

The role of neighborhood and school environments in adolescent development has been explored over the years, yet few have examined these relationships with an American Indian sample. The purpose of this study was to explore the role of American Indian adolescents' sense of safety in their neighborhood and school environments and how this relates to their experience of depressive symptoms and alcohol/marijuana use. The data were drawn from a southwestern state's dataset containing survey results of adolescent well-being. Responses from a total of 148 American Indian 8th, 10th, and 12th grade students were analyzed. The findings indicated that neighborhood safety, especially the presence of crime and drug sales, was the strongest predictor of depressive symptoms and alcohol/marijuana use. Implications for future research and work with this population are discussed., Many American Indian youth are able/to successfully navigate life and avoid problem behaviors (LaFromboise, Hoyt, Oliver, & Whitbeck, 2006). However, reservation youth experience many challenges, including adaptation to the changing [...]

Abstract The literature exploring commonalities between four-year and community college student alcohol use is relatively scarce. A possible reason for this discrepancy is the heavy focus on alcohol issues at [...]

ABSTRACT The current study tested the effectiveness of delivering personalized feedback to first-semester college freshmen in a group lecture format. Participants enrolled in semester-long courses were randomly assigned to receive [...]

Objective: The purpose of this study was to examine the prevalence and correlates of alcohol-related problems across four Hispanic national groups: Mexican Americans, Puerto Ricans, Cuban Americans, and South/Central Americans. Method: Using a multistage cluster sample design, 5,224 individuals ages 18 years and older were selected from the household population of five U.S. metropolitan areas: Miami, New York, Philadelphia, Houston, and Los Angeles. Results: Cuban Americans had the lowest prevalence of alcohol-related problems. Significant differences across national group for zero versus two or more problems and for one versus two or more problems existed among men. Puerto Rican women were most likely to report two or more problems. The presence of zero versus two or more problems varied significantly across groups. There was variation in problem type across national groups among both men and women. Regression analyses showed that all groups were more likely than Cuban Americans to report two or more problems (vs zero) (Puerto Ricans: odds ratio [OR] = 2.02, p < .05; Mexican Americans: OR 2.92, p [less than or equal to] .01; South/Central Americans: OR = 2.12, p [less than or equal to] .01). Being U.S. born (vs foreign born) increased the likelihood of experiencing one (OR = 1.57, p < .05) and two or more problems (OR = 1.95, p [less than or equal to] .01). The volume of consumption was associated with problems (one problem: OR 1.16, p [less than or equal to] .01; two or more problems: OR = 1.31, p [less than or equal to] .01). Heavy episodic drinking less than once a month was associated with two or more problems (OR = 6.15, p [less than or equal to] .01). Heavy episodic drinking one or more times a month was associated with one problem (OR = 1.74, p [less than or equal to] .01) and two or more problems (OR = 3.18, p [less than or equal to] .01). Conclusions: It is important to recognize that Hispanics are not a homogenous group. (J. Stud. Alcohol Drugs 70: 991-999, 2009), STUDIES OF DRINKING-RELATED PROBLEMS in the general population have shown that the prevalence of problems is, in general, lower among Hispanics than non-Hispanics for both men and women (Caetano, 1997; [...]

Objective: We examined the relationship of childhood exposure to adversity and risk of substance-use disorder in two culturally distinct American Indian reservation communities, exploring both the role of early initiation of substance use in mediating this relationship and variation in risk across types of adversity exposure. Method: The American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project provided data from 2,927 American Indians on the occurrence and age at onset of adversities, substance use, and substance-use-disorder symptoms. Results: The risk of substance-use disorder associated with early adversity was explained partially by early initiation of substance use. Three types of adversity (major childhood events, traumas, and witnessed violence) were associated with early onset of substance use and increased risk of substance-use disorder. Gender and tribe were also related to variation in both early substance use and substance-use disorder. Conclusions: Early exposure to adverse events was associated with early substance use and the subsequent development of substance-use disorders among American Indians. Public health initiatives targeting substance use and substance-use disorders in American Indian communities should include efforts to help children in these communities cope with adversities they encounter., PROBLEMATIC SUBSTANCE USE is widespread in many American Indian communities, and disparities in rates of Diagnostic and Statistical Manual of Mental Disorders (DSM)--defined substance-use disorders (SUDs) are well documented (Beals [...]

Objective: The present study extends the literature on Factors involved in college students' drinking tendencies by examining differences between men and women in their ability to accurately estimate personal intoxication. The study also assessed whether men and women who typically consume large quantities of alcohol when they attend parties have more difficulty accurately assessing intoxication compared with lighter drinkers. Method: The research used the external cueing approach (ECA) of Turrisi and colleagues as the informational paradigm to examine 3.707 college students' gender, typical drinking at parties, and how they relate to perceptions of intoxication. Results: The study revealed that approximately 20% (n = 710) of participants underestimated their blood alcohol concentration using the ECA. Among participants who made underestimation errors, gender differences were observed in that women made significantly more underestimation errors in the scenarios that contained four to five drinks and men made more underestimation errors in the scenarios that contained six to seven drinks. In addition, a three-way interaction revealed that female students who reported typically drinking larger amounts of alcohol in party settings were more likely to make errors when estimating their intoxication for moderately high numbers of drinks (e.g., four to five drinks). Conclusions: The results are discussed in terms of examining the importance of college student drinking, gender, typical alcohol consumption at a party, and estimation of intoxication. Implications of gender effects in relation to high-risk drinking activities (i.e., pregaming and drinking games) as well as prevention efforts are discussed. (J. Stud. Alcohol Drugs 70: 964-970, 2009), COLLEGE STUDENTS ARE AT A HEIGHTENED risk for heavy episodic drinking and experiencing consequences related to drinking (Abbey et al., 1998; National Institute on Alcohol and Alcoholism, 2007; O'Malley and [...]

ABSTRACT. Objective: We hypothesized that etiologically relevant parental, peer, and demographic variables would predict both the transition into alcohol use and consequences and the increase in intensity of these outcomes [...]

Objective: The purpose of this study was to analyze whether general hospital inpatients with at-risk and heavy episodic drinking (ARHE) have a higher motivation to change drinking habits and a higher risk of developing alcohol dependence than individuals with atrisk drinking only (AR) or heavy episodic drinking only (HE). Method: A proactively recruited sample of 425 male general hospital inpatients with AR, HE, or ARHE was used. Men with current alcohol dependence or abuse were excluded. Participants were followed up 12 months later. Results: At baseline, multinomial regressions revealed that individuals with ARHE had higher odds of taking action to change drinking habits than individuals with HE (odds ratio [OR] = 2.29, 95% confidence interval [CI]: 1.21-4.34) or AR (OR = 2.11, CI: 1.15-3.86). At follow-up, individuals with ARHE had higher odds of having alcohol dependence, as defined by the Diagnostic and Statistic Manual of Mental Disorders, Fourth Edition (OR = 4.73, CI: 1.01-22.20), compared with individuals with AR. Conclusions: Inpatients with ARHE indicated greater readiness to change drinking habits than those with AR or HE, and they had higher odds for short-term development of alcohol dependence than those with AR. Brief alcohol intervention should include risk-specific information based on the risky drinking pattern., TWO RISKY DRINKING PATTERNS have become particularly well known: (1) at-risk drinking and (2) heavy episodic drinking. According to the British Medical Association (1995), at-risk drinking is characterized by a [...]

Objective: College students who study abroad may represent a subgroup at risk for increased drinking while living in foreign countries. The present study explores this idea as well as the extent to which students' pre-abroad perceptions of study-abroad student drinking are related to actual drinking while abroad. Method: Ninety-one students planning to study abroad completed an online survey of demographics, pre-abroad drinking behavior, perceptions of study-abroad student drinking behavior while abroad, and intentions to drink while abroad. Halfway into their study-abroad experience, participants completed a follow-up survey assessing drinking while abroad. Results: Pre-abroad intentions of drinking and pre-abroad perceptions of study-abroad drinking were associated with actual drinking while abroad. However, perceptions predicted actual drinking while abroad over and above intended drinking. In addition, although participants overall did not significantly increase their drinking while studying abroad, participants with higher pre-abroad perceived norms significantly increased their own drinking behavior while abroad. Conclusions: As in other samples of college students, perceived norms appear to be an important correlate of study-abroad student drinking behavior. Findings suggest that perceptions of study-abroad student-specific drinking predicted not only actual drinking while abroad but also increases in drinking from pre-abroad levels. Findings provide preliminary support for the idea that presenting prospective study-abroad students with accurate norms of study-abroad student-drinking behavior may help prevent increased or heavy drinking during this period., HEAVY DRINKING AMONG COLLEGE STUDENTS remains a national concern that can lead to a multitude of alcohol-related consequences for individuals and the surrounding campus community (Hingson et al., 2005; Wechsler [...]

Objective: Notwithstanding well-established links between alcohol use and adverse alcohol-related consequences, evidence suggests that alcohol use among university students may also be associated with positive outcomes, including components of subjective well-being, which comprises life satisfaction, positive affect, and negative affect. Further, because alcohol use and consequences are separable factors, both need to be examined simultaneously to gauge the unique predictive role of alcohol use. We report findings from a longitudinal study of university students that addresses these important issues. Method: At the end of their first term at university (Time 1), 627 students (15% of all first-year students) completed a paper-and-pencil questionnaire in small group settings. Near the end of their third year (Time 2), 467 of the Time 1 respondents (75% follow-up rate) completed a subsequent survey on-line. The average (SD) longitudinal respondent was 18.83 (0.86) years old at Time 1, and 360 participants were female. Results: In cross-sectional and longitudinal structural equation models, adverse alcohol-related consequences predicted lower subjective well-being (lower life satisfaction, less frequent positive affect, more frequent negative affect). Independent of this effect, greater alcohol use (greater quantity/frequency, more frequent intoxication, heavy episodic drinking) predicted higher subjective well-being, both concurrently and prospectively. Conclusions: Among these university students, alcohol use was uniquely associated with a more positive sense of well-being. A more comprehensive understanding of the significance of alcohol use among university students requires attending to positive and negative outcomes associated with alcohol use and examining alcohol use and consequences as related but separable factors., UNIVERSITY STUDENTS ENGAGE IN various forms of risky drinking--including frequent an d heavy use, intoxication, and heavy episodic drinking--more frequently than others in their age group who are not a [...]

Objective: The misuse and abuse of alcohol among college students remain persistent problems. Using a systems approach to understand the dynamics of student drinking behavior and thus forecasting the impact of campus policy to address the problem represents a novel approach. Toward this end, the successful development of a predictive mathematical model of college drinking would represent a significant advance for prevention efforts. Method: A deterministic, compartmental model of college drinking was developed, incorporating three processes: (1) individual factors, (2) social interactions, and (3) social norms. The model quantifies these processes in terms of the movement of students between drinking compartments characterized by five styles of college drinking: abstainers, light drinkers, moderate drinkers, problem drinkers, and heavy episodic drinkers. Predictions from the model were first compared with actual campus-level data and then used to predict the effects of several simulated interventions to address heavy episodic drinking. Results: First, the model provides a reasonable fit of actual drinking styles of students attending Social Norms Marketing Research Project campuses varying by 'wetness' and by drinking styles of matriculating students. Second, the model predicts that a combination of simulated interventions targeting heavy episodic drinkers at a moderately 'dry' campus would extinguish heavy episodic drinkers, replacing them with light and moderate drinkers. Instituting the same combination of simulated interventions at a moderately 'wet' campus would result in only a moderate reduction in heavy episodic drinkers (i.e., 50% to 35%). Conclusions: A simple, five-state compartmental model adequately predicted the actual drinking patterns of students from a variety of campuses surveyed in the Social Norms Marketing Research Project study. The model predicted the impact on drinking patterns of several simulated interventions to address heavy episodic drinking on various types of campuses., COLLEGE DRINKING IS RECOGNIZED as a major problem at institutions of higher learning across the United States (Task Force of the National Advisory Council on Alcohol Abuse and Alcoholism, 2002). [...]

Objective: This article examines relationships between reproductive onset and lifetime history of smoking, regular smoking, and nicotine dependence, and cannabis and other illicit drug use. Method: Data were drawn from a young adult cohort of 3,386 female and 2,75 l male Australian twins born between 1964 and 1971. Survival analyses were conducted using Cox proportional hazards regression models predicting age at first childbirth from history of substance use or disorder separately by substance class. Other substance use or disorder, including alcohol dependence, as well as sociodemographic characteristics, history of psychopathology, and family and childhood risks, were included as control variables in adjusted models. Results: Regular smoking and nicotine dependence were associated with earlier reproduction, with pronounced effects for women. For women, use of cannabis was associated with early reproduction before age 20, and with delayed reproduction among women who have not reproduced by age 20 or 25. Adjustment for control variables only partially explained these associations. Conclusions: Consistent with research linking adolescent use with sexual risk taking predictive of early childbearing, regular smokers and nicotine-dependent individuals show earlier reproductive onset. In contrast, delays in childbearing associated with use of cannabis are consistent with impairments in reproductive ability and/or opportunities for reproduction. Continued research on risks both upstream and downstream of substance-use initiation and onset of substance-use disorder is needed for causal mechanisms to be fully understood., DURING ADOLESCENCE, drinking, smoking, and use of illicit drugs are associated with risky sexual behaviors strongly predictive of teenage childbearing (for a review, see National Center on Addiction and Substance [...]

Objective: Findings from previous prospective research suggest the association between alcohol use and undergraduate academic performance is negligible. This study was designed to address weaknesses of the past research by relying on objective measures of both drinking and academic performance. Method: A prospective study was conducted with repeated measures of exposure to alcohol linked to institutional academic records. Alcohol data were collected in residence halls at a nonselective, midwestern, public university in the United States. A total of 659 first- and second-year undergraduate students were tracked over the course of 15-week semesters. Results: A statistically significant negative association with semester academic performance was found for different alcohol indicators: frequency of breath alcohol concentration (BrAC) above .08, mean BrAC, standard deviation, and maximum BrAC recorded. These associations remained statistically significant when controlled for sociodemographic variables and individual level confounders, but the effect sizes were relatively small with a contribution to explained variance of less than 1%. When additionally adjusted for residence hall building, all alcohol indicators no longer reached statistical significance (p ≥ .05). Conclusions: Consistent with past prospective research, the magnitude of the association between undergraduate alcohol use and academic performance is small when the effects of high school academic aptitude and performance are accounted for in multivariable analyses. This is the first study to find that living environment may have a robust effect on the academic achievement of undergraduates. Future research should examine more closely the relation between residence and academic performance and the role that alcohol use may play in creating residential environments., PUBLIC DEMANDS FOR ACCOUNTABILITY in higher education have pressured colleges and universities to assume more responsibility for creating social environments that support a strong academic ethic and are conducive to [...]

Objective: This study used a two-group randomized design to assess the validity of measuring self-reported alcohol consumption among college students using the Handheld Assisted Network Diary (HAND), a daily diary assessment administered using wireless mobile devices. Method: A convenience sample of college students was recruited at a large, public university in the southeastern United States and randomized into two groups. A randomly assigned group of 86 students completed the daily HAND assessment during the 30-day study and a Timeline Followback (TLFB) at 30-day follow-up. A randomly assigned group of 82 students completed the paper-and-pencil Daily Social Diary (DSD) over the same study period. Data from the daily HAND assessment were compared with the TLFB completed at follow-up by participants who completed the HAND using 95% limits of agreement analysis. Furthermore, individual growth models were used to examine differences between the HAND and DSD by comparing the total drinks, drinking days, and drinks per drinking day captured by the two assessments over the study period. Results: Results suggest that the HAND captured similar levels of alcohol use compared with the TLFB completed at follow-up by the same participants. In addition, comparisons of the two study groups suggest that, controlling for baseline alcohol use and demographics, the HAND assessment captured similar levels of total drinks, drinking days, and drinks per drinking day as the paper-and-pencil DSD. Conclusions: The study findings support the validity of wireless mobile devices as a daily assessment of alcohol use among college students., HEAVY ALCOHOL USE among college students is a public health problem in the United States (Substance Abuse and Mental Health Services Administration, 2004; Wechsler et al., 2000). Despite significant advances [...]

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., HEAVY ALCOHOL USE IS A MAJOR public health problem among college students. Two in five students attending 4-year colleges in the United States engage in heavy episodic drinking (O'Malley and [...]

Objective: Heavy episodic drinking in college is an issue of major concern in our society. In the college setting, where alcohol misuse is prevalent, alcohol-related perceptions and automatic attentional biases may be important determinants in students' decisions to engage in risking drinking behaviors. The current study examined college students' attention to alcohol-related beverages in real time using ocular-imaging techniques. The authors hypothesized that alcohol-consumption characteristics such as quantity-frequency of alcohol consumption would predict ocular-imaging indices of attentional bias to alcohol-related images. Method: Twenty-six college students successfully completed questionnaires assessing basic demographics and alcohol-consumption characteristics, followed by an eye-tracking task in which they viewed pictorial stimuli consisting of photographs of alcohol-related scenes, household objects, or a combination of these items. Results: Quantity frequency index (QFI) of alcohol consumption was positively related to the percentage of initial ocular fixations on the alcohol-related items (r = .62, p = .001), whereas QFI negatively predicted the percentage of initial ocular fixations on the control images (r = -.60, p = .002). In addition, QFI positively predicted participants' dwell time on alcohol-related images (r = .57, p = .005), and negatively predicted dwell time on control images (r = -.41,p = .05). Age at first drink and days since last alcohol consumption were not related to eye-tracking metrics. Conclusions: Ocular-imaging methods are a valuable tool for use in the study of attentional bias to alcohol-related images in college drinkers. Further research is needed to determine the potential application of these methods to the prevention and treatment of alcohol misuse on college campuses., HEAVY EPISODIC DRINKING IN COLLEGE is a major concern in our society. A recent review of the drinking assessment literature (Devos-Comby and Lange, 2008) reports that at least 40%-45% of [...]

Objective: Many surveys employed to study college drinking ask whether students have had a five-drink (for men) or four-drink (for women) episode in one sitting at least once during the previous 2 weeks to indicate risky or heavy episodic drinking. However, some researchers have questioned the predictive validity of the 5/4 measure. This study tested whether such students attained extremely high blood alcohol concentrations (BACs) during the previous 30 days. Method: Freshmen students were recruited by presentation of short screening surveys in the classroom or outside the student stores. Students who reported a risky drinking episode were invited to enroll in the study and were given a lengthy survey battery that included a computerized 30-day Timeline Followback recall of their drinking. The amount of alcohol consumed was used along with each subject's gender and weight to calculate an estimated BAC (eBAC) for each event and the maximum eBAC taken for this report. Results: Fifty-five percent of the 953 students who completed the screening survey met criterion for enrollment, and 381 students entered the study. The average peak calculated eBAC was 233 mg/dl. Only 9.2% of subjects did not have an eBAC value at or above the threshold for a driving while intoxicated offense, 80 mg/dl. Conclusions: Students who report one recent risky drinking episode are very likely to have had at least one heavy drinking episode that generated a BAC in excess of the threshold for driving while intoxicated. Many report extremely high consumption levels. The 5/4 screening question is highly predictive of abusive drinking and can be used to identify students at severe risk for adverse events related to the consumption of alcohol., THE IMPACT OF EXCESSIVE CONSUMPTION of alcohol by college students has received increasing attention over the last 10 years. Concerns include the number of deaths attributable to alcohol poisoning or [...]

Objective: The current study is a multisite randomized alcohol prevention trial to evaluate the efficacy of both a parenting handbook intervention and the Brief Alcohol Screening and Intervention for College Students (BASICS) intervention, alone and in combination, in reducing alcohol use and consequences among a high-risk population of matriculating college students (i.e., former high school athletes). Method: Students (n = 1,275) completed a series of Web-administered measures at baseline (in the summer before starting college) and follow-up (after 10 months). Students were randomized to one of four conditions: parent intervention only, BASICS only, combined (parent and BASICS), and assessment-only control. Intervention efficacy was tested on a number of outcome measures, including peak blood alcohol concentration, weekly and weekend drinking, and negative consequences. Hypothesized mediators and moderators of intervention effect were tested. Results: The overall results revealed that the combined-intervention group had significantly lower alcohol consumption, high-risk drinking, and consequences at 10-month follow-up, compared with the control group, with changes in descriptive and injunctive peer norms mediating intervention effects. Conclusions: The findings of the present study suggest that the parent intervention delivered to students before they begin college serves to enhance the efficacy of the BASICS intervention, potentially priming students to respond to the subsequent BASICS session., THE HIGHEST PROPORTION OF INDIVIDUALS with diagnosable alcohol disorders, heavy drinking, and multiple substance dependencies are in the age range from 18 to 29 years. This age range encompasses more [...]

Objective: The study examined the impact of precollege drinking intentions on college heavy episodic drinking (HED) in a sample of women making the transition from high school to college. We hypothesized that the effects of drinking intentions on college first and second semester HED would be mediated by first semester social norms and drinking pressure. Method: High school seniors (n = 416) recruited from the community were assessed at the time of high school graduation and at the end of the first and second semesters of college. Results: The hypothesized model was supported. After controlling for high school HED, precollege drinking intentions predicted first semester descriptive and injunctive social norms and social pressure to drink. Social influence variables were associated with higher frequency HED in the first semester, which in turn predicted higher frequency HED in the second semester. Conclusions: Results suggest that precollege drinking intentions, independent of high school HED, may influence selection of college social environments and play a significant role in actual college HED. Assessment and targeting of these intentions may aid in prevention of college HED., HEAVY EPISODIC DRINKING (HED) is recognized as a prevalent and significant problem among college students (Knight et al., 2002; Wechsler et al., 1998). HED, typically defined as consuming four or [...]

Objective: This study examined alcohol drinking behaviors across ethnic subgroups of Asian college students by gender. foreign-born status, and college-related living arrangements. Method: Univariate and ordinal logistic regression analyses were employed to explore male and female Asian subgroup differences in alcohol drinking behaviors. The sample included 753 male and female undergraduates between the ages of 18 and 27 years who self-identified as Chinese, Filipino, Korean, or Vietnamese and who varied in their foreign-born status. Participants completed a self-administered questionnaire on their alcohol drinking practices. Results: Ordinal regression analysis assessed risks for increased consumption and found that Korean and Filipino students reported higher levels of alcohol consumption compared with other Asian subgroups. Students living in on-campus dormitories and in off-campus apartments reported higher alcohol consumption than did those living at home. Being born in the United States was a significant predictor of higher levels of alcohol consumption for women but not for men. Conclusions: Results of this study indicate the need for campus alcohol education and prevention programs capable of responding to specific Asian subgroup needs., ACCORDING TO THE U.S. CENSUS BUREAU, between the years 2000 and 2010, the percentage of Asians in the United States is projected to increase by 33%, or from 3.8% to [...]

Objective: Studies of alcohol brief intervention for medical inpatients have mixed results. We explored potential moderators of the effectiveness of brief intervention for unhealthy alcohol use among medical inpatients. Method: This is a secondary analysis of a randomized controlled trial of brief motivational counseling among 341 urban-hospital medical inpatients (99 women) with unhealthy alcohol use. Self-reported main outcomes were receipt of alcohol treatment by 3 months in subjects with dependence and change in the mean number of drinks per day 3 and 12 months after enrollment in all subjects. Results: Among subjects with dependence, the effect of brief intervention on receipt of alcohol treatment differed significantly by gender and age (p = .02 for each interaction). In stratified analyses, brief intervention was associated with receipt of alcohol treatment in women (adjusted odds ratio [AOR] = 3.9, 95% confidence interval [CI]: 1.2-12.7), and younger (, PROFESSIONAL ORGANIZATIONS RECOMMEND screening and brief intervention for all adults with unhealthy alcohol use (i.e., the spectrum from drinking risky amounts through dependence; Institute of Medicine, 1990; U.S. Preventive Services [...]

Objective: The Lifetime Drinking History (LDH) has been used to examine alcohol use throughout the life span. Given its retrospective nature, it is important to examine the validity of the assessment. Method: Building on previous work establishing the reliability and validity of the LDH, the current study examined a sample of 1,295 men in the Vietnam Era Twin Registry. The men were assessed retrospectively with the LDH in 2000, at an average age of 51. The drinking patterns of these same men were also assessed prospectively in four prior studies, taking place in 1987, 1990, 1992, and 1995. Results: Validity of the LDH was examined by comparing the correspondence between the prospective and retrospective quantity-frequency measures and reported age at first regular drinking. Correlations between the retrospective and prospective assessments were high for age at first regular drinking (.42.58) and quantity-frequency measures (.47-.69), although some mean differences in the amount of consumption existed. Conclusions: Results support the use of the LDH in reporting phases of drinking across the life span., THE LIFETIME DRINKING HISTORY (LDH; Jacob, unpublished; Skinner and Sheu, 1982), a retrospective, interview-based procedure, is used to identify patterns of alcohol use, abuse, and dependence beginning with the onset [...]

Objective: Alcohol response is a widely studied risk factor for heavy drinking behavior and alcohol-use disorders. This study examined acute subjective response to alcohol as a predictor of drinking behavior, alcohol-related problems, and family history of alcoholism in African Americans. The convergent validity of self-reported response to alcohol (Self-Rating of the Effects of Alcohol scale [SRE]) in an African-American sample was also examined. Method: One hundred and three African-American young adults participated in an alcohol-challenge study, receiving a moderate dose of alcohol (0.72 g/kg alcohol for men, 0.65 g/kg for women). Breath alcohol concentration and subjective response to alcohol were assessed before beverage consumption, in 15-minute intervals for the first hour following consumption, and in 30-minute intervals thereafter. Results: Latent variable growth models indicated that experiencing increased acute stimulation from alcohol was related to past-month drinking behavior and alcohol-related problems. Regression analyses indicated that the SRE was related to drinking behavior, alcohol-related problems, having an alcohol-use disorder, and a family history of alcoholism. The SRE was not related to either sedation or stimulation following alcohol administration. Conclusions: Results support alcohol response as a marker of risk for increased drinking behavior and alcohol-related problems in African Americans. Further research is required to directly compare African-American and white response to alcohol within an alcohol-challenge paradigm., A LARGE BODY OF RESEARCH has shown that an individual's response to alcohol serves as a marker of risk for alcohol-use disorders and alcohol-related consequences. Individual differences in response to [...]

Objective: We designed the current study to assess the rates of risky sexual behavior among women bar drinkers, as well as differences in predictors of risky sexual behavior, based on partner type--new or regular. Method: We conducted comprehensive, in-person interviews with 241 young women who reported weekly drinking in bars. Several constructs (e.g., individual characteristics, social and sexual behavior, substance use) that we hypothesized would predict risky sexual behavior were assessed in two separate hierarchical regression models for new and regular sexual partners. Results: Rates of risky sexual behavior were significantly higher with regular partners compared with new partners. Increased risky sexual behavior with new partners was significantly associated with having had a riskier regular partner in the past 6 months, lower sexually transmitted disease (STD)/pregnancy prevention assertiveness, increased expectations of sexual disinhibition when drinking, a greater history of prior sexual risk taking, and more frequent drinking in bars. Increased risky sexual behavior with a regular partner was significantly associated with being older, the use of oral contraceptives, lower assertiveness for STD/pregnancy prevention, a greater history of prior sexual risk taking, and increased drug use. Conclusions: Among young women who regularly drink in bars, sexual risk taking was significantly higher with regular partners than with new partners. The predictors of risky sexual behavior differed based on partner type. These findings have implications for including information about the role of alcohol, drinking context, and drug use, as well as individual difference characteristics and partner type in targeted prevention strategies to reduce sexual risk taking., YOUNG WOMEN REPORT DRINKING IN BARS as a way to socialize, meet men for potential dating or sexual partnerships, and feel good about themselves (Parks et al., 1998). The combination [...]

Objective: The study examined associations between bar-sponsored drink specials and alcohol intoxication at the patron level. Method: Data were collected in a college bar district located in a large campus community in the southeastern United States. Random and self-selected samples of patrons were interviewed after exiting college bars at night on four different nights (N = 383). Anonymous interview and questionnaire data were collected as well as breath alcohol concentration (BrAC) readings. Results: Significant gender differences existed in patron drinking practices. Women were more likely to take advantage of drink specials, whereas men reported greater alcohol expenditures, consumed more drinks, and drank for longer periods of time. Gender differences in BrAC were very small and not meaningful. Patrons who did not take advantage of drink specials reported consuming more drinks before bar entry than patrons who did participate in these promotions. Participation in 'all-you-can-drink' promotions was significantly associated with higher BrAC readings after adjusting for covariates and random effects attributable to drinking establishment. Other drink specials did not have significant associations with alcohol intoxication. Conclusions: The all-you-can-drink special may be the specific discounting practice with the greatest potential for boosting patron intoxication and thus may need to be a stronger focus of alcohol-control policies aimed at improving the beverage service of drinking establishments., THERE IS LITTLE DISPUTE that the price of alcohol affects its consumption. Econometric research has established that price decreases in alcohol are accompanied by increases in rates of drinking and [...]

Objective: Depression is often found to be comorbid with alcohol-related problems. Parental overprotection, which may be of particular importance during emerging adulthood, has been linked to internalizing symptoms in offspring. This article evaluates the impact of parenting styles and parental confidence in their offspring on an internalizing pathway to alcohol-related problems through self-esteem and depression. Method: Mediational links were tested among parenting styles (authoritative, authoritarian, permissive), parental confidence (overprotection, autonomy), self-esteem, depression, and alcohol-related problems. A two-group, multiple indicator multiple-cause structural equation model with 441 (216 female, 225 male) college students was examined. Results: Overall, having a father who was confident in his child's ability to make autonomous decisions was protective against depression for both genders. Perceptions of paternal autonomy mediated the impact of the fathers' parenting styles (authoritative, permissive) on depression for both genders. For men, parental overprotection mediated the impact of an authoritarian father on self-esteem, and self-esteem mediated the impact of parental overprotection on depression. Moreover, among men, perceptions of maternal autonomy mediated the impact of the mothers' parenting styles (authoritative, permissive) on self-esteem, and self-esteem mediated the impact of maternal autonomy on depression. Conclusions: The current pattern of findings is distinct from pathways through behavioral undercontrol with influences from the same-sex parent for both genders. These findings indicate that parenting may have differential influences on internalizing pathways to alcohol-related problems., THE QUALITY OF THE RELATIONSHIPS with one's parents is thought to have important implications regarding emotional functioning throughout the life span (Ainsworth, 1989; Lopez, 1995; Simpson et al., 1992) and [...]

Objective: Interventions for college student drinking often incorporate interpersonal factors such as descriptive and/or injunctive norms to correct misperceptions about campus drinking (e.g., BASICS [Brief Alcohol Screening and Intervention for College Students] and social-norms campaigns). Some interventions also focus on intrapersonal factors of alcohol consumption, which can be considered as one's own perception of drinking, one's attitude toward drinking, and one's intended outcome related to drinking. The current study sought to extend previous work by examining relationships between both inter- and intrapersonal perceptions of drinking and reported drinking behavior. Method: College students (N = 303) completed questionnaires assessing drinking behaviors, perceptions of other students' attitudes toward drinking (i.e., injunctive norms), their perception of the quantity and frequency of student/friend drinking (i.e., descriptive norms), and their attitudes and perceptions toward their own alcohol consumption (i.e., intrapersonal factors). Results: Multiple regressions were used to analyze the unique influence between inter- and intrapersonal drinking perceptions and drinking behavior. Conclusions: Among the interpersonal perceptions of drinking, only closest friend's drinking significantly predicted alcohol consumption, whereas all three intrapersonal factors significantly predicted alcohol consumption. Suggestions for enhancing college student drinking interventions are discussed., DESPITE CONTINUED INTERVENTION EFFORTS, many college students continue to drink heavily and in a high-risk manner (O'Malley and Johnston, 2002). Unfortunately, this type of drinking behavior often leads to unwanted [...]

Despite efforts to prevent underage (1) alcohol consumption, alcohol use remains a pervasive problem among adolescents in the United States. Although the prevalence of underage drinking decreased from its peak [...]

Objective: Problem gambling has been linked with substance misuse among youth in a number of regional studies, yet there have been no large representative U.S. surveys of gambling behaviors and substance use among youth. The present study is designed to compare the patterns and co-occurrence of gambling and alcohol and other substance use among youth in the United States. Method: A random telephone survey was conducted with 2,274 youth ages 14-21 years old living in households in every area of the United States. Results: Problem gambling and substance misuse are prevalent among young people. For instance, 17% of youth reported gambling 52 or more times in the past year, and the same percentage of youth drank five or more drinks on 12 or more days in the past year. Ten percent of youth reported having three or more gambling problems in the past year, and 15% of young people reported having three or more alcohol problems. Controlling for gender, age, and socioeconomic status, black youth have a significantly increased probability of frequent gambling compared with other racial/ethnic groups, yet they have a significantly decreased probability of heavy drinking. Alcohol problems and gambling problems show high co-occurrence, especially for male youth and black youth. Conclusions: Population subgroups with a high co-occurrence of alcohol and gambling problems are important for targeted prevention and intervention strategies., ALCOHOL, TOBACCO, AND MARIJUANA are the three substances most commonly used by youth, and the misuse of these substances constitutes a major public health problem in the United States. The [...]

Objective: This study evaluated a gender-specific, computer-mediated intervention program to prevent underage drinking among early adolescent girls. Method: Study participants were adolescent girls and their mothers from New York, New Jersey, and Connecticut. Participants completed pretests online and were randomly divided between intervention and control arms. Intervention-arm girls and their mothers interacted with a computer program aimed to enhance mother-daughter relationships and to teach girls skills for managing conflict, resisting media influences, refusing alcohol and drugs, and correcting peer norms about underage drinking, smoking, and drug use. After intervention, all participants (control and intervention) completed posttest and follow-up measurements. Results: Two months following program delivery and relative to control-arm participants, intervention-arm girls and mothers had improved their mother-daughter communication skills and their perceptions and applications of parental monitoring and rule-setting relative to girls' alcohol use. Also at follow-up, intervention-arm girls had improved their conflict management and alcohol use-refusal skills; reported healthier normative beliefs about underage drinking; demonstrated greater self-efficacy about their ability to avoid underage drinking; reported less alcohol consumption in the past 7 days, 30 days, and year; and expressed lower intentions to drink as adults. Conclusions: Study findings modestly support the viability of a mother-daughter, computer-mediated program to prevent underage drinking among adolescent girls. The data have implications for the further development of gender-specific approaches to combat increases in alcohol and other substance use among American girls., ALCOHOL USE IS ON THE RISE among adolescent girls. Girls are starting to drink at younger ages than ever before (American Medical Association, 2004; Grunbaum et al., 2004; Hingson et [...]

Objective: Adult sexual assault (ASA) survivors report greater levels of problem drinking than do other women, and research suggests that their coping strategies, reactions from their social networks, and traumatic life events affect their problem drinking. The links between these factors and problem drinking may be moderated by whether survivors are revictimized, yet research has not examined this possibility. Therefore, the current study examined psychosocial factors, problem drinking, and revictimization in women ASA survivors. Method: Community-dwelling urban women (n = 555) who had experienced an ASA completed a mail survey at Time 1 (TI) and were resurveyed 1 year later to examine how revictimization between survey waves moderated the effects of coping strategies, social reactions to assault disclosures, and traumatic life events on problem drinking at Time 2 (T2). Results: The findings showed that recent revictimization that occurred between surveys was related to increased problem drinking at T2, after T1 problem drinking was controlled for. Moderated hierarchical multiple regressions showed that survivors who engaged in drinking to cope with distress, who received negative social reactions in response to recent assault disclosures, or who experienced additional traumatic events had increased T2 problem drinking only if they were revictimized since T1. Conclusions: Psychosocial factors relate to increases in problem drinking for sexually revictimized women but not for nonrevictimized women. Interventions to reduce problem drinking in women ASA survivors should target drinking to cope with assault-related symptomatology, informal social networks to improve their supportiveness, and safety issues through risk-reduction education and self-defense training for women when appropriate., FEMALE ADULT SEXUAL ASSAULT (ASA) survivors experience greater levels of problem drinking than women who have not experienced ASA (Burnam et al., 1988; Kilpatrick et al., 1997; Wilsnack et al., [...]

Objective: Screening methods for hazardous drinking have not been evaluated in a population of incarcerated women. This study examines abbreviated versions of the Alcohol Use Disorders Identification Test (AUDIT) and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) heavy episodic drinking criterion in a sample of female detainees. Method: A total of 2,079 women at the Adult Correctional Institute in Rhode Island were approached for screening between February 2004 and June 2007. The AUDIT-consumption (AUDIT-C), AUDIT-3, and the NIAAA heavy episodic drinking criterion (four or more drinks on one occasion for women) were compared with the full AUDIT at different cut points. Results: More than 55% of the sample endorsed an AUDIT score of 4 or greater--the NIAAA recommended threshold for detecting hazardous drinking. The three-item AUDIT-C with a cut score of 3 yielded a classification most consistent with the AUDIT score of 4 or more; sensitivity and specificity exceeded .9, and 91.5% of participants were correctly classified. The AUDIT-3 and NIAAA episodic drinking criteria were less sensitive measures. We found no evidence of interactions between the screening instruments and age or ethnicity. Conclusions: The three-item AUDIT-C has robust test characteristics for detecting hazardous drinking in female inmates. Universal screening for hazardous drinking is recommended for incarcerated women, given their high rates of alcohol misuse., MORE THAN 3 MILLION WOMEN are arrested and taken to jail each year (Greenfeld and Snell, 1999; Harrison and Beck, 2005). The number of women incarcerated in prisons in the [...]

Objective: This study examined the relationship between acculturation and six distinct drinking outcomes. We expected high levels of acculturation to be associated with higher odds of being a drinker and, among drinkers, with lower frequency of drinking, less alcohol consumption per year, less heavy drinking, fewer episodes of drunkenness, and fewer dependence symptoms. Method: The data consisted of a nationally representative sample of Latino men ages 18 and older (N = 784) from the 2005 National Alcohol Survey. The men were predominantly Mexican and Mexican American (64%), and most were born outside the United States (68%). Analyses included both bivariate and multivariate regression models using weights to adjust for sampling and nonresponse. Results: The hypotheses were partially supported. Men at high levels of acculturation were more likely than their peers at low levels of acculturation to be drinkers but only if they had above-average incomes. Counter to expectations, among drinkers there was a protective effect of medium, rather than high, levels of acculturation on frequency of drinking, volume of alcohol consumed, drinking to drunkenness, and dependence symptoms, with a protective effect approaching significance for heavy drinking. Conclusions: The findings have implications for future research and public health programs designed to reach Latino men in the United States., THROUGH THE ACCULTURATION PROCESS, immigrants exposed to new values and opportunities begin to adopt the traditions and practices of the dominant culture in the host country. Such changes may involve [...]

Objective: The purpose of this study was to investigate the preferred drinking contexts of different gender and ethnic groups (white, black, and Hispanic men and women), by examining where these groups do most of their drinking and to what extent drinking contexts preferences are associated with certain drinking-related consequences. Method: The study used data from the 1984, 1995, and 2005 U.S. National Alcohol Surveys. Among current drinkers, cluster analyses of volume drunk in six contexts (restaurants, bars, others' parties, or when spending a quiet evening at home, having friends drop over at home, and hanging out in public places) were used to classify individuals by their drinking context preferences in each gender by ethnicity subgroup. Results: We identified three highly similar drinking context-preference clusters within each of the six subgroups: (1) bar-plus group (did most drinking in bars, plus much in other venues), (2) home group (did most drinking at home, and a fair amount elsewhere), and (3) light group (drank almost nothing quietly at home and also less in other settings than the other two clusters). For a number of ethnic-by-gender groups, context preference group assignment predicted drinking-related problems, over and above general drinking patterns. For example, for all groups, the bar-plus preference group relative to the light group showed higher risk of arguments, fighting, and drunk driving, after taking into account the volume consumed, frequency of heavy drinking, age, and year of survey. Conclusions: Examining individuals' preferred drinking contexts may provide important information to augment overall drinking patterns in risk and prevention studies., THE RELATIONSHIP BETWEEN drinking patterns and alcohol-related problems is well established; that is, drinking more and in heavy quantities increases the likelihood of experiencing alcohol-related problems (Greenfield and Rogers, 1999; [...]

Abstract When opportunities to drink alcohol exist simultaneously with persistent social pressure, and when alcohol use is classically conditioned with pleasurable experiences such as dating and partying--such conditions are likely [...]

The present study provides further empirical support for the relationship between alcohol use and behavioral, academic, and health-related problems among underage college students. The intentional focus upon underage drinking in [...]

Objective: This study examines the associations between the course of alcohol-use disorder (AUD) and changes in average daily volume of ethanol intake, frequency of risk drinking, and maximum quantity of drinks consumed per day over a 3-year follow-up interval in a sample of U.S. adults. Method: Data were taken from a longitudinal study of a nationally representative sample of U.S. adults, who were 18 years of age and older (mean age = 46.4) when initially interviewed in 2001-2002 and successfully reinterviewed approximately 3 years later (n = 22,245 baseline drinkers). The time reference period for the drinking measures was the 12 months preceding the interview. Changes in consumption reflect differences between Wave 1 and Wave 2 measures for individuals with nonmissing values at both Waves (n = 22,003 for volume of intake, 22,132 for frequency of risk drinking and 21,942 for maximum quantity of drinks). Results: There were positive changes in all consumption measures associated with developing an AUD and negative changes associated with remission of an AUD, even among individuals who continued to drink. Increases and decreases associated with onset and offset of dependence exceeded those associated with onset/offset of abuse only, and the decreases associated with full remission from dependence exceeded those associated with partial remission. There were few changes in consumption among individuals whose AUD status did not change. Interactions of AUD transitions with other factors indicate that development of an AUD is associated with a greater increase in consumption among men, possibly reflecting their greater total body water and lower blood alcohol concentration in response to a given dose of ethanol, and among individuals with high baseline levels of consumption. Conclusions: Changes in consumption associated with onset and offset of AUD are substantial enough to have important implications for the risk of associated physical and psychological harm., NUMEROUS STUDIES HAVE EXAMINED changes in volume and pattern of drinking over the life course, with most focusing on the heavy drinking trajectories from adolescence to early adulthood (Chassin et [...]

Objective: Previous research has found that a drinking-supportive social network has a strong influence on heavy drinking and alcohol-related problems over time. The objective of this work was to understand the individual difference and interpersonal factors that predict changes in the social network relevant to alcohol use. Method: Data are from a large, ongoing prospective sample of 634 newly married couples in the United States. The current study examined the association between individual, relationship, and partner factors as they relate to changes in the number of drinking buddies in the social network during the first 7 years of marriage. Results: After controlling for the number of drinking buddies before marriage, as well as the frequency of heavy drinking, several individual, relationship, and partner factors were associated with changes in the social network over time. For both husbands and wives, alcohol expectancies and a partner's social network related to changes in the number of drinking buddies over time. Additionally, husbands with higher levels of extroversion and agreeableness had a greater number of drinking buddies over time. Among wives, personality factors were not related to changes in the number of drinking buddies over time. Conclusions: This work extends previous research by examining factors that predict changes in the social network that are most influential in alcohol use. Identifying these factors is important for informing prevention and treatment efforts., A VARIETY OF FACTORS INFLUENCE CHANGES in heavy drinking and alcohol problems in individuals across the life span. Among adolescents, a key factor in the initiation, escalation, and de-escalation of [...]

Objective: This study examined whether college students' descriptive norm perceptions of protective behavioral drinking strategies explain variance in use of such strategies, controlling for covariates of students' gender, typical number of drinks, and negative drinking consequences. Method: Derivation (n = 7,960; 55.2% women) and replication (n = 8,534; 54.5% women) samples of undergraduate students completed the Campus Alcohol Survey in classroom settings. Students estimated how frequently other students used each of nine protective behavioral strategies (PBS) and how frequently they themselves used each strategy. Results: All items assessing norm perception of PBS (NPPBS) had pattern matrix coefficients exceeding .50 on a single factor, and all contributed to the overall scale reliability (Cronbach's α = .81). Hierarchical regression analyses indicated NPPBS explained significant variance in PBS, controlling for covariates, and explained an additional 7% of variance (p < .001). A Gender x Scale (PBS, NPPBS) repeated-measures analysis of variance revealed students believed peers used PBS less frequently than they themselves did ([η.sub.p.sup.2] = .091, p < .001). Such social distancing was greater in women ([ω.sup.2.sub.effect] =. 151, p < .001) than in men ([ω.sup.2.sub.effect] = .001, p < .001). Conclusions: Consistent with the principle of false uniqueness, whereby individuals regard their own positive characteristics as rare, college students--specially women--underestimate how frequently other students use PBS. Such norm misperception may enhance students' feelings of competence and self-esteem. The positive relationship between NPPBS and PBS indicates students with high NPPBS are more likely to use the strategies themselves., COLLEGE STUDENTS SOMETIMES drink in quantities that cause themselves harm (Benton et al., 2004; Neal and Carey, 2007; Perkins, 1992; Singleton, 2007). College and university faculty and staff are therefore [...]

Objective: This study was performed to examine whether a polymorphism (5-HTTLPR) in the serotonin transporter gene was related to college students' reports of relief drinking (drinking-to-cope motives) and whether it moderated the associations between negative life events and drinking to cope. We examined reward drinking (drinking-to-enhance motives) as a comparison and to see whether these effects varied across gender. Method: Using an Internet-based survey, college students (N = 360; 192 women) self-reported on drinking motives and negative life events for up to 4 years. Study participants provided saliva for genotyping the triallelic ([L.sub.A] vs [L.sub.G] or S) variants of 5-HTTLPR. Results: Among men, individuals with two risk alleles ([L.sub.G] or S), compared with individuals with the [L.sub.A]/[L.sub.A] allele, displayed lower drinking-to-cope motives. Among women, individuals with one risk allele (either [L.sub.G] or S), compared with individuals with the [L.sub.A]/[L.sub.A] allele, displayed stronger drinking-to-enhance motives. The association between yearly changes in negative life events and drinking-to-cope motives varied across 5-HTTLPR genotype and gender and was strongest in the positive direction for women with the [L.sub.A]/[L.sub.A] variant. Conclusions: Our findings are not consistent with prior speculation that stronger positive associations between life stress and alcohol use among individuals with the [L.sub.G] or S allele are the result of increased use of alcohol as a method for coping with stress. The importance of examining gender differences in the relations between 5-HTTLPR, substance use, and related constructs is also noted., DRINKING TO COPE (DTC) with stress and negative mood is believed to be an important antecedent of alcohol abuse and dependence (Cooper et al., 1995; Greeley and Oei, 1999). To [...]

Objective: The clinical course of alcoholism has been described as a series of distinct, alcohol-related life events that occur in an orderly sequence. However, whether that sequence differs, depending on ethnicity and country of origin, is less clear. The purposes of this study were to investigate the sequence and progression of alcohol-related life events in individuals of East Indian (Indo) and African (Afro) heritage on the islands of Trinidad and Tobago, and compare those results with data reported previously by the Collaborative study for the Genetics of Alcoholism (COGA). Method: Participants who were alcohol dependent (based on Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised, criteria) and of Afro-Trinidadian and Tobagonian ancestry or Indo-Trinidadian ancestry were recruited from inpatient treatment facilities. A total of 148 alcohol-dependent men and women completed the Semi-Structured Assessment of the Genetics of Alcoholism, which assessed the physical, psychological, and social manifestations of alcohol dependence and other psychiatric disorders. Results: A high degree of similarity in the sequence of alcohol-related life events was found between Indo-Trinidadian, Afro-Trinidadian and Tobagonian, and COGA participants. However, Trinidadian and Tobagonian alcoholics were more likely to endorse severe alcohol drinking in the form of binges (2 or more days of intoxication), blackouts, withdrawal, and medical consequences; however, they were less likely to endorse aggressive acts associated with drinking. Progression to alcohol dependence was significantly slower in Trinidadian and Tobagonian alcoholics than in the U.S. population of alcoholics, but severe alcohol symptoms were more commonly endorsed in Trinidadian and Tobagonians. Conclusions: Identifying ethnic and country of origin differences in the clinical course of alcohol dependence may assist in the development of culturally sensitive intervention and prevention programs., DESPITE THE LONG HISTORY of recognition of alcoholism as a disease, there are still many questions concerning whether it has a distinct and definable clinical course (Schuckit, 1995). Jellinek (1946) [...]

Objective: The current study examines the rates of legal and illegal psychoactive substance use among Druze secondary school students, as well as the correlations between use rates and sociodemographic, interpersonal, cognitive, and personality characteristics. This is the first comprehensive study to focus exclusively on substance use in the Druze population. Method: Drnze secondary school students (n = 519), Grades 7-12, participated in the study in late 2004. Participants were sampled using a cluster method from 15 schools in northern Israel and completed self-report questionnaires assessing substance use and other variables. Results: The results indicate that 20% of the Druze students consumed alcohol in the past year, and 10% used illegal substances of various types. Also, male students had much higher use rates than female students; low religiosity was related to higher levels of use, and positive attitudes and behavioral intentions were both linked to higher levels of substance use. Conclusions: These findings provide an indication of the extent of substance use among Druze students and enable us to identify unique characteristics and patterns as well as similarities to the other populations, particularly Arab students in Israel. (J. Stud. Alcohol Drugs 69: 840-847, 2008), THE DRUZE POPULATION IN ISRAEL has unique cultural, social, and religious characteristics. This population has so far received scant attention from researchers studying substance use among adolescents. The goals of [...]

BACKGROUND: Research finds a strong association between substance use and risky sexual behavior but more needs to be known about this relationship. Few studies have examined this relationship among rural sixth- to eighth-grade students. As such, the purposes of this study were to provide a descriptive profile of rural sixth- to eighth-grade students' substance use behavior and sexual activity and to examine the relationship between substance use behaviors and sexual activity. METHODS: Participants consisted of a convenience sample of 10,273 middle school students (sixth to eighth grade) attending 10 public schools in rural Tennessee. The middle school Youth Risk Behavior Survey was administered to these students during April and May 2004. RESULTS: Analysis found that a large percentage of students had tried cigarettes, alcohol, and inhalants. Additionally, it was found that sexual intercourse had been initiated by 18.8% of females and 25.4% of males. Of those students who reported ever having had sexual intercourse, 75% had reported the use of cigarettes and alcohol. In addition, approximately 50% of those students reported marijuana and inhalant use. CONCLUSIONS: The results suggest that substance use behavior has a relationship with the likelihood of initiating sexual activity. Additional longitudinal research with this population will be needed for explaining whether these select substance use behaviors are probable risk factors predisposing young rural adolescents to report engaging in sexual behaviors or a result of other factors. Keywords: substance use; sexual behavior; adolescents; rural., Substance use and risky sexual behaviors among adolescents are of great concern to health care providers and are a major health concern. Typically, the initiation of alcohol and other drug [...]