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Pueyo-Garrigues M, Carver H, Parr A, Lavilla-Gracia M, Alfaro-Díaz C, Esandi-Larramendi N, Canga-Armayor N. Effectiveness of web-based personalised feedback interventions for reducing alcohol consumption among university students: A systematic review and meta-analysis. Drug Alcohol Rev 2024. [PMID: 38596854 DOI: 10.1111/dar.13848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 03/21/2024] [Accepted: 03/22/2024] [Indexed: 04/11/2024]
Abstract
ISSUES Meta-analysis was conducted to examine standalone web-based personalised feedback interventions (PFI) delivered in non-structured settings for reducing university students' alcohol consumption. Subgroup analyses by gender-focus, type-of-content and accessibility were conducted. Characteristics of the sample, the intervention and study quality were examined as moderators. APPROACH Ten databases were searched from 2000 to 2023. Eligible articles involved only randomised controlled trials. Random-effects meta-analysis was conducted to calculate the effect size on weekly alcohol consumption comparing web-PFIs and non-active controls. Meta-regressions were applied to explore effect moderators. KEY FINDINGS Thirty-one studies were included in the narrative synthesis, 25 of which were meta-analysed. Results found significant effect size differences on weekly alcohol consumption in favour of the intervention group in the short- (SMD = 0.11, 95% confidence interval [CI] 0.06, 0.15) and long-term period (SMD = 0.09, 95% CI 0.02, 0.15). Subgroup analyses identified that interventions which were gender-specific, multicomponent and had unlimited access had higher and significant effect sizes, although they were very similar with respect to comparative groups. Moderator analyses showed that times feedback was accessed significantly contributed to the effectiveness of the intervention. Effects diminished over time, although they remained significant. IMPLICATIONS The meta-analysis evidences the effectiveness of web-PFI for addressing university students' alcohol use, decreasing by 1.65 and 1.54 drinks consumed per week in the short- and long-term, respectively. CONCLUSIONS The results offer empirical evidence that supports the significant, although small, effect of web-PFI delivered remotely in universities. Future research should focus on increasing their impact by introducing booster sessions and content components based on students' preferences.
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Affiliation(s)
- María Pueyo-Garrigues
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Hannah Carver
- Salvation Army Centre for Addiction Services and Research, Faculty of Social Sciences, University of Stirling, Stirling, United Kingdom
| | - Amy Parr
- Faculty of Social Sciences, University of Stirling, Stirling, United Kingdom
| | - María Lavilla-Gracia
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
| | - Cristina Alfaro-Díaz
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- School of Nursing, Department of Nursing Care for Adult Patients, University of Navarra, Pamplona, Spain
| | - Nuria Esandi-Larramendi
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
- School of Nursing, Department of Nursing Care for Adult Patients, University of Navarra, Pamplona, Spain
| | - Navidad Canga-Armayor
- Department of Community, Maternity and Pediatric Nursing, School of Nursing, University of Navarra, Pamplona, Spain
- IdiSNA, Navarra Institute for Health Research, Pamplona, Spain
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Strowger M, Guzman RA, Geyer RB, Ward RM, Braitman AL. Following social media influencers who share alcohol-related content is associated with college drinking. Drug Alcohol Rev 2024; 43:86-97. [PMID: 37248671 PMCID: PMC10684821 DOI: 10.1111/dar.13694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 05/11/2023] [Accepted: 05/11/2023] [Indexed: 05/31/2023]
Abstract
INTRODUCTION Frequent exposure to peer-shared alcohol-related content (ARC) on social media is associated with greater alcohol consumption and related consequences among undergraduates. Social media influencers also share ARC; yet, the effect of exposure to influencer-shared ARC on alcohol outcomes has not been examined. The current study examined whether following influencers who share ARC and the frequency of sharing were associated with alcohol outcomes, and associations between influencer type (e.g., actors) and alcohol outcomes. METHODS Undergraduates (N = 528) from two universities in the United States completed an online survey assessing demographics, social media use, alcohol use and related consequences. They listed up to five influencers they followed and viewed the most content from. A series of linear regression models were conducted. RESULTS Having a larger proportion of influencers sharing ARC was associated with greater quantity, frequency and peak drinks, but not consequences. Frequency of influencers sharing ARC was associated with greater quantity and peak drinks, but not frequency or consequences. Findings remained significant, even after controlling for peer ARC. Actor ARC, everyday person ARC and 'other' type influencer ARC were associated with several alcohol outcomes. DISCUSSION AND CONCLUSIONS This study added to the literature by examining how following influencers who share ARC, and sharing frequency, were associated with drinking outcomes over and above exposure to peer ARC. It also examined whether ARC content from specific types of influencers was associated with alcohol outcomes. Findings highlight that the source of ARC is relevant when studying the effects of ARC exposure on college drinking.
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Affiliation(s)
- Megan Strowger
- Department of Psychology, Old Dominion University, Norfolk, USA
| | | | | | - Rose Marie Ward
- Department of Psychology, University of Cincinnati, Cincinnati, USA
| | - Abby L. Braitman
- Department of Psychology, Old Dominion University, Norfolk, USA
- Virginia Consortium Program in Clinical Psychology, Norfolk, USA
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Pueyo-Garrigues S, Pardavila-Belio MI, Pueyo-Garrigues M, Canga-Armayor N. Peer-led alcohol intervention for college students: A pilot randomized controlled trial. Nurs Health Sci 2023; 25:311-322. [PMID: 37271216 DOI: 10.1111/nhs.13023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Revised: 04/17/2023] [Accepted: 05/02/2023] [Indexed: 06/06/2023]
Abstract
This study aims to assess the preliminary efficacy and feasibility of a brief, peer-led alcohol intervention to reduce alcohol consumption in binge-drinking Spanish nursing students. A pilot randomized controlled trial was conducted with 50 first-year nursing students who were randomly assigned either a 50-min peer-led motivational intervention with individual feedback or a control condition. Primary outcomes for testing the preliminary efficacy were alcohol use and alcohol-related consequences. Quantitative and content analyses of open-ended survey questions were performed. Participants in the intervention condition significantly reduced binge-drinking episodes, peak blood alcohol content, and consequences compared to the control group. Principal facilitators were completing the questionnaire during the academic schedule and providing tailored feedback through a graphic report. The main barrier was the unreliability of students' initial commitment. The findings suggest that a brief motivational intervention could be effective for reducing alcohol consumption and alcohol-related consequences in Spanish college students. Peer counselors and participants reported high satisfaction, indicating that the intervention is feasible. However, a full trial should be conducted taking into account the identified barriers and facilitators.
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Affiliation(s)
| | - Miren Idoia Pardavila-Belio
- School of Nursing, Community, Maternity and Pediatric Nursing, University of Navarra, Pamplona, Spain
- IdiSNa, Navarra Institute for Health Research, Pamplona, Spain
| | - María Pueyo-Garrigues
- School of Nursing, Community, Maternity and Pediatric Nursing, University of Navarra, Pamplona, Spain
- IdiSNa, Navarra Institute for Health Research, Pamplona, Spain
| | - Navidad Canga-Armayor
- School of Nursing, Community, Maternity and Pediatric Nursing, University of Navarra, Pamplona, Spain
- IdiSNa, Navarra Institute for Health Research, Pamplona, Spain
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López Steinmetz LC, Leyes CA, Fong SB, Godoy JC. Alcohol consumption, alcohol expectancies, and drinking contexts in young Argentinean college students before and during the COVID-19 pandemic: a one-year follow-up study. Am J Drug Alcohol Abuse 2023; 49:500-510. [PMID: 37192528 DOI: 10.1080/00952990.2023.2192376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 03/10/2023] [Accepted: 03/13/2023] [Indexed: 05/18/2023]
Abstract
Background: The COVID-19 pandemic and lockdowns are known to affect alcohol consumption. This study examines drinking expectancies and contexts upon alcohol consumption of Argentinean students.Objectives: To assess within-person changes in alcohol consumption in Argentinean college students (aged 18-24), from August 2019 with a one-year follow-up during the COVID-19 lockdown, considering alcohol expectancies, drinking contexts, and main socio-demographic variables. To validate the stability of these predictors, we discuss the effects on the alcohol consumption across dependent and independent measures.Methods: We assessed one longitudinal (N = 300, 70% female) and one cross-sectional (N = 165, 78% female) sample via online surveys and applied multilevel analysis and regressions, respectively.Results: Alcohol consumption significantly increased during lockdown compared to one-year before (mean: 6.91 and 8.26 alcohol units, correspondingly). In the longitudinal sample, social facilitation (medium effect sizes [ES]: 0.21, 0.22) and parental presence (medium ES: 0.12, 0.21) significantly and stable (through time) predicted increasing effects on consumption. In the cross-sectional sample, stress control (high ES: 0.78) and parental presence (high ES: 0.42) were associated with higher consumption during lockdown.Conclusion: College students increased their alcohol consumption during lockdown, suggesting that restrictive sanitary measures may negatively affect consumption. Literature is not conclusive as both decreases and increases in alcohol consumption in students from developed countries were reported. Before and during COVID-19 lockdown, parental presence is a stable predictor of increased alcohol consumption, though unusual according to the literature. Health policies aimed at modifying the behavior of parents who promote/share alcohol consumption with their offspring may help reduce drinking in college students.
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Affiliation(s)
- Lorena Cecilia López Steinmetz
- Laboratorio de Psicología, Instituto de Investigaciones Psicológicas (IIPsi), Facultad de Psicología, Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Córdoba, Argentina
- Decanato de Ciencias Sociales, Universidad Siglo 21, Córdoba, Argentina
| | | | - Shao Bing Fong
- Equipe de Microbiologie, Université de Rennes 1, Rennes, France
| | - Juan Carlos Godoy
- Laboratorio de Psicología, Instituto de Investigaciones Psicológicas (IIPsi), Facultad de Psicología, Universidad Nacional de Córdoba (UNC), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Córdoba, Argentina
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Herrero-Montes M, Alonso-Blanco C, Paz-Zulueta M, Pellico-López A, Ruiz-Azcona L, Sarabia-Cobo C, Fradejas-Sastre V, Boixadera-Planas E, Parás-Bravo P. Relationship between Depressive Symptoms, Personality, and Binge Drinking among University Students in Spain. J Clin Med 2021; 11:jcm11010053. [PMID: 35011792 PMCID: PMC8745157 DOI: 10.3390/jcm11010053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 12/10/2021] [Accepted: 12/21/2021] [Indexed: 12/14/2022] Open
Abstract
Binge drinking (BD) is a common practice among college students. Alcohol consumption has been related to depressive symptoms and certain personality factors, although less is known about the relationship of these variables with BD. The aim of this study was to analyze the relationship of BD with depressive symptoms and personality in university students. We performed a cross-sectional study among students (aged 18–30 years) enrolled in the academic year 2018–2019 at the Faculty of Nursing of the University of Cantabria (Spain). Sociodemographic, academic, and alcohol and other drug use information was collected by means of a semi-structured questionnaire. The Beck Depression Inventory-II was used to measure depressive symptomatology and the Neo Five-Factor Inventory was used for personality. A total of 142 participants were included, 88.03% of which were women. Up to 38.03% were classified as BD. Concerning depressive symptoms, 7.41% of BD were at the moderate-severe level compared to 3.41% of non-BD (p = 0.7096). Regarding personality, the median score for extraversion of BD was 35 (Q1 = 29, Q3 = 40), 32 (Q1 = 28, Q3 = 36) in non-BD (p = 0.0062), conscientiousness scored 34 (Q1 = 30.5, Q3 = 38) points in non-BD, 31.50 (Q1 = 27, Q3 = 37) in BD (p = 0.0224). In conclusion, BD students have higher levels of extraversion and lower levels of responsibility than non-BD students. No significant differences were found between the level of depressive symptomatology between BD and non-BD students.
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Affiliation(s)
- Manuel Herrero-Montes
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| | - Cristina Alonso-Blanco
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, University Rey Juan Carlos, 28922 Madrid, Spain;
| | - María Paz-Zulueta
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, 39008 Cantabria, Spain
- Correspondence:
| | - Amada Pellico-López
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- Cantabria Health Service, 39340 Cantabria, Spain
| | - Laura Ruiz-Azcona
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
| | - Carmen Sarabia-Cobo
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
| | - Víctor Fradejas-Sastre
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
| | - Ester Boixadera-Planas
- Servei d’Estadística Aplicada, Universitat Autònoma de Barcelona, 08193 Cerdanyola, Spain;
| | - Paula Parás-Bravo
- Department of Nursing, Faculty of Nursing, University of Cantabria, 39008 Cantabria, Spain; (M.H.-M.); (A.P.-L.); (L.R.-A.); (C.S.-C.); (V.F.-S.); (P.P.-B.)
- IDIVAL, Research Nursing Group, 39008 Cantabria, Spain
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Herrero-Montes M, Alonso-Blanco C, Paz-Zulueta M, Pellico-López A, Ruiz-Azcona L, Sarabia-Cobo C, Boixadera-Planas E, Parás-Bravo P. Relationship of Binge Drinking with Impairments Affecting Memory and Executive Function among University Students: A Cross-Sectional Study in Northern Spain. Int J Environ Res Public Health 2021; 18:11508. [PMID: 34770023 DOI: 10.3390/ijerph182111508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 10/15/2021] [Accepted: 10/29/2021] [Indexed: 11/17/2022]
Abstract
Binge drinking (BD) is a common practice among college students. Alcohol consumption may affect brain structures that continue to develop in early adulthood. The aim of this study was to analyze the relationship of BD with impairments affecting memory and executive function among university students. A cross-sectional study was conducted among students (aged 18–30 years) enrolled for the academic year 2018–2019 at the Faculty of Nursing of the University of Cantabria (Spain). Data collection included sociodemographic and academic information, together with alcohol and drug use information, collected by means of a semi-structured questionnaire. A battery of validated tests was used to gather neuropsychological variables. A total of 142 participants were included, of which 88.03% were women. Up to 38.03% were classified as BD. No differences were found in memory tests. Regarding executive function, better performance in the Stroop Color and Word Test was observed in non-BD but the results were not statistically significant. In conclusion, no relationship was found between memory and executive function and BD, although better performance in executive function, specifically inhibitory control, was observed in non-BD.
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Leech TG, Jacobs S, Watson D. Factors Associated with Binge Drinking during the Transition into Adulthood: Exploring Associations Within Two Distinct Young Adult Age Ranges. Subst Abuse 2020; 14:1178221820951781. [PMID: 32922020 PMCID: PMC7457648 DOI: 10.1177/1178221820951781] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 07/22/2020] [Indexed: 11/29/2022]
Abstract
Background: Binge drinking among young adults aged 18-21 years has declined over the past
decade, but binge drinking rates among people 22-25 years old have remained
largely the same. This steady trend in later years represents a departure
from the traditional course of maturing out of risky alcohol use, perhaps
because young adults are delaying the transition into adulthood. Aims: This paper explores the relationship between binge drinking and aspects of
the transition into adulthood that could inform interventions targeting
these two distinct groups of young adults. Methods: We use survey data on 1,081 young adults aged 18-25 living in 10 Indiana
counties. Our dataset is unique because it contains both college-attending
and non-college attending young adults. We ran weighted logistic regressions
to determine the association between college enrollment, living situation,
roles common in adulthood, and stressors common during the transition to
adulthood (e.g., relationships, economic conditions, job stability) and
binge drinking. Results: Our data indicate that different factors are associated with binge drinking
based on whether subjects who are in the earlier (18-21 years old) or later
(22-25 years old) years of young adulthood. For example, within the
18-21 years old group, college enrollment is associated with higher rates of
binge drinking, but it is not associated with increased binge drinking in
the older age group. The type of stress related to binge drinking also
varies by age group. Conclusion: Our results emphasize the need to disaggregate “young adulthood” into two
separate periods when defining target populations and settings for binge
drinking interventions.
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Affiliation(s)
| | | | - Denis Watson
- Chestnut Health Services, Lighthouse Institute, Chicago, IL, USA
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Caamano-Isorna F, Adkins A, Aliev F, Moure-Rodríguez L, Dick DM. Population Attributable Fraction of Early Age of Onset of Alcohol Use in Alcohol Abuse and Dependence: A 3-Year Follow-Up Study in University Students. Int J Environ Res Public Health 2020; 17:E2159. [PMID: 32213910 PMCID: PMC7142956 DOI: 10.3390/ijerph17062159] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Revised: 03/17/2020] [Accepted: 03/19/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND we aimed to determine the risk factors and associated population attributable fractions (PAFs) for the age of onset of alcohol use and also to identify protective factors. METHODS we analyzed follow-up data collected between autumn 2011 and spring 2016 (n = 5170) from the first two cohorts (2011, 2012) of the Spit for ScienceTM project. The dependent variables were alcohol abuse and dependence, and the independent variables were age of drinking onset, residence, ethnicity, religiosity, sexual orientation and work status. We determined the odds ratios (OR) using multilevel logistic regression for repeated measures in SPSSv.20. RESULTS the early onset of alcohol use was associated with an increased risk of alcohol abuse and dependence among females (OR = 14.98; OR = 11.83) and males (OR = 7.41; OR = 6.24). The PAFs for the early onset of alcohol use in alcohol abuse and dependence were respectively 80.9% and 71.7% in females and 71.0% and 63.5% in males. Among females, being white (OR = 1.58; OR = 1.51), living off-campus (OR = 1.73; OR = 2.76) and working full-time (OR = 1.69; OR = 1.78) were also risk factors. Strong religious beliefs were found to protect males from alcohol abuse (OR = 0.58), while same-gender sexual orientation increased the risk among females (OR = 2.09). CONCLUSION delaying the age of onset by one year would reduce alcohol abuse among young adults.
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Affiliation(s)
- Francisco Caamano-Isorna
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health. Universidade de Santiago de Compostela, 15706 Santiago de Compostela, Spain
| | - Amy Adkins
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- College Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA 23284, USA
| | - Fazil Aliev
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- College Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA 23284, USA
- Faculty of Business, Karabuk University, 78050 Karabuk, Turkey
| | - Lucía Moure-Rodríguez
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- Department of Innovation and Research. Complexo Hospitalario Universitario de Ourense, 32005 Ourense, Spain
| | - Danielle M. Dick
- Department of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USA; (F.C.-I.); (A.A.); (F.A.); (D.M.D.)
- College Behavioral and Emotional Health Institute, Virginia Commonwealth University, Richmond, VA 23284, USA
- Department of Human and Molecular Genetics, Virginia Commonwealth University, Richmond, VA 23284, USA
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Busto Miramontes A, Moure-Rodriguez L, Diaz-Geada A, Carbia C, Cadaveira F, Caamaño-Isorna F. The Use of Non-Prescribed Prescription Drugs and Substance Use Among College Students: A 9-Year Follow-Up Cohort Study. Front Psychiatry 2020; 11:880. [PMID: 33192636 PMCID: PMC7481469 DOI: 10.3389/fpsyt.2020.00880] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 08/11/2020] [Indexed: 12/22/2022] Open
Abstract
The use of non-prescribed prescription drugs (NPPD) is common in post-modern societies and a significant proportion of youth consume NPPD concomitantly to other drugs. We studied the prevalence of this consumption among university students in Spain, and its relationship to different patterns of alcohol, tobacco, and cannabis use. A cohort study among university students (n=1,380) (2005-2015) was carried out. Students completed self-administered questionnaires at initial (n=1,363, 98.7%), at 2 years (n=875, 75%) and 9 years of follow-up (n=415, 30.5%). Consumption of medicines (last 15 days), risky alcohol consumption (RC), heavy episodic drinking (HED), and tobacco and cannabis use were measured. Multilevel logistic regressions for repeated measures were generated using consumption of medicines with or without medical prescription as dependent variables. Prevalence of RC, HED, tobacco and cannabis had significant reductions during the follow-up. The use of NPPD increased over time, from 35.5% and 33.3% at 18 and 22 years old, respectively, to 49.6% at 27 years old. The highest rates were found among cannabis, tobacco, RC and HED users. For females, cannabis and RC constitute signitifant risk factors for use of NPPD. Conversely, for males, tobacco and cannabis were risk factors for such use of medicines. Later onset of alcohol consumption constitutes a protective factor for females. Our results reveal high prevalence of NPDD among university students. Those who consume NPPD are -at the same time- more likely to be alcohol, tobacco, and cannabis users than those who take medication under prescription. Preventive strategies should be reinforced and focused on this target population to decrease these high levels of poly-consumption.
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Affiliation(s)
- Alicia Busto Miramontes
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Lucía Moure-Rodriguez
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Ainara Diaz-Geada
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Carina Carbia
- APC Microbiome Ireland, University College Cork, Cork, Ireland
| | - Fernando Cadaveira
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
| | - Francisco Caamaño-Isorna
- CIBER de Epidemiología y Salud Pública (CIBERESP), Department of Public Health, Universidade de Santiago de Compostela, Santiago de Compostela, Spain
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Herrero-Montes M, Alonso-Blanco C, Paz-Zulueta M, Sarabia-Cobo C, Ruiz-Azcona L, Parás-Bravo P. Binge Drinking in Spanish University Students: Associated Factors and Repercussions: A Preliminary Study. Int J Environ Res Public Health 2019; 16:E4822. [PMID: 31801230 DOI: 10.3390/ijerph16234822] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2019] [Revised: 11/27/2019] [Accepted: 11/28/2019] [Indexed: 01/10/2023]
Abstract
Alcohol consumption is common among young people. We performed a preliminary cross-sectional study among students (aged 18-30 years) enrolled for the academic year 2018-2019 at the Faculty of Nursing, University of Cantabria (Spain). We collected information on psychological and sociographic factors, tobacco and cannabis uses, and levels of physical activity by AUDIT questionnaires and in person interviews. The aim of our study was to assess the potential of binge drinking (BD) to adversely affect memory and executive function. We recruited 103 students, of whom 85% were female. The alcohol use pattern of slightly more than one-half of the total population was classified as BD. Among BD students, one-fourth were smokers, and nearly one-third had tried cannabis. The mean onset for alcohol use was 15.11 years. Despite our relatively small sample size, our results show that there are strong relationships between BD and both smoking and cannabis use.
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Bedendo A, Andrade ALM, Noto AR. [Internet-based alcohol interventions for college students: systematic reviewIntervenciones por Internet para reducir el consumo de alcohol de los estudiantes universitarios: revisión sistemática]. Rev Panam Salud Publica 2019; 42:e54. [PMID: 31093082 PMCID: PMC6386146 DOI: 10.26633/rpsp.2018.54] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Accepted: 12/14/2017] [Indexed: 11/24/2022] Open
Abstract
Objective To identify the main modalities of Internet-based interventions to limit alcohol use among university students, and to describe the effects of these interventions on alcohol use and related consequences. Methods A systematic review of PubMed, PsycINFO, and SciELO was performed using as search terms "alcohol drinking AND Internet," without date or language restrictions. Inclusion criteria were randomized controlled trial design, focus on college students and on Internet-based interventions, and evaluating the effects of the intervention on alcohol use or alcohol-related consequences. Results Thirty-six articles were analyzed. Two main intervention modalities were identified: personalized normative feedback (PNF, n=28) and multicomponent interventions (n=8). Twelve studies with PNF reported reductions in alcohol use 3 months after the intervention. Multicomponent interventions reduced alcohol use and related consequences; most studies focused on the website AlcoholEdu, which reduced alcohol consumption and the consequences of alcohol use 6 months after the intervention. Conclusions FNP and the AlcoholEdu website, the most frequently evaluated interventions among the selected studies, were effective in reducing alcohol use in university students. These strategies are an alternative to increase the access of university students to interventions aimed at limiting alcohol use.
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Affiliation(s)
- André Bedendo
- Universidade Federal de São Paulo (UNIFESP), Núcleo de Estudos e Pesquisa em Saúde e Uso de Substâncias (NEPSIS), Departamento de Psicobiologia, São Paulo (SP), Brasil
| | - André Luiz Monezi Andrade
- Pontifícia Universidade Católica de Campinas (PUC-Campinas), Centro de Ciências da Vida - Campus II, Campinas (SP), Brasil
| | - Ana Regina Noto
- Universidade Federal de São Paulo (UNIFESP), Núcleo de Estudos e Pesquisa em Saúde e Uso de Substâncias (NEPSIS), Departamento de Psicobiologia, São Paulo (SP), Brasil
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Riordan BC, Moradi S, Carey KB, Conner TS, Jang K, Reid KE, Scarf D. Effectiveness of a Combined Web-Based and Ecological Momentary Intervention for Incoming First-Year University Students: Protocol for a 3-Arm Randomized Controlled Trial. JMIR Res Protoc 2018; 7:e10164. [PMID: 29764803 PMCID: PMC5974455 DOI: 10.2196/10164] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Revised: 03/27/2018] [Accepted: 03/28/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Alcohol use among university students is common, and those who drink often choose to drink heavily (ie, 4 or more drinks per session for women or 5 or more for men). Web-based interventions (WBIs), in which students complete assessments and receive personalized feedback about their alcohol use, and ecological momentary interventions (EMIs), which use mobile devices as a method of delivering intervention information, are 2 methods that have had some success in reducing alcohol use among university students. OBJECTIVE The aim of this study was to investigate the effectiveness of a combined WBI and EMI intervention to reduce alcohol use among university students. METHODS The study is a 3-arm randomized controlled trial. Participants will be randomized into either a WBI+EMI condition, a WBI-only condition, or an assessment-only control. Our sample will consist of first-year university students, recruited through 5 residential colleges at the University of Otago, New Zealand. All participants will complete an online survey at baseline (ie, before Orientation Week); those in the WBI-only and WBI+EMI conditions will immediately receive personalized feedback (ie, the WBI), whereas participants in the assessment-only condition will receive no feedback. In addition, participants randomized into the WBI+EMI, but not those in the WBI-only or assessment-only groups, will receive 8 Orientation Week (2 per day on nights with large social events) and 6 academic year EMIs (delivered fortnightly). Participants in all conditions will complete brief surveys at the end of the first and second semester and report their weekend alcohol use fortnightly throughout each semester via ecological momentary assessments. RESULTS The primary hypothesis is that participants in the WBI+EMI group will consume significantly fewer drinks during weekends in their first semester at university compared with WBI-only and assessment-only groups. Secondary hypotheses are that, when compared with the WBI-only and assessment-only groups, the WBI+EMI group will report consuming fewer drinks during Orientation Week, report experiencing fewer negative alcohol-related consequences after first semester, and report lower Alcohol Use Disorder Identification Test-Consumption scores following their first semester. CONCLUSIONS This study adds to a growing body of work investigating the utility of WBIs and EMIs in curbing alcohol consumption. In addition, the study will help to inform policy approaches aimed at curbing alcohol consumption and alcohol-related harm in university students. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ACTRN12618000015246; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=374104&isReview=true (Archived by WebCite at http://www.webcitation.org/6z9jRLTz6). REGISTERED REPORT IDENTIFIER RR1-10.2196/10164.
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Affiliation(s)
| | - Saleh Moradi
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Kate B Carey
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States
| | - Tamlin S Conner
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Kyungho Jang
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Kelly E Reid
- Department of Psychology, University of Otago, Dunedin, New Zealand
| | - Damian Scarf
- Department of Psychology, University of Otago, Dunedin, New Zealand
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Gómez P, Moure-Rodríguez L, López-Caneda E, Rial A, Cadaveira F, Caamaño-Isorna F. Patterns of Alcohol Consumption in Spanish University Alumni: Nine Years of Follow-Up. Front Psychol 2017; 8:756. [PMID: 28555119 PMCID: PMC5430027 DOI: 10.3389/fpsyg.2017.00756] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2017] [Accepted: 04/25/2017] [Indexed: 11/13/2022] Open
Abstract
The aim of this study was to empirically identify different profiles of Spanish university alumni, based on their alcohol use over 9 years, and to further characterize them. A cohort study was carried out between 2005 and 2015 among university students (Compostela Cohort-Spain; n2015 = 415). Alcohol consumption was measured using the Alcohol Use Disorder Identification Test (AUDIT). A two-stage cluster analysis, based on their AUDIT total scores was carried out separately for males and females. The further characterization of every profile was based on demographic data, age at onset of alcohol use, positive alcohol-related expectancies, tobacco and cannabis use, as well as their answers to some European Addiction Severity Index items. Five different clusters were identified: Low users (29.2%), Moderated users (37.2%), At-risk users (14.2%), Decreasing users (13.2%) and Large users (6.2%) for females, and Low users (34.4%), At-risk users (25.6%), High-risk users (15.6%), Decreasing users (14.4%) and Large users (10.0%) for males. Being a cannabis user or a smoker was positively associated to those more hazardous clusters in both genders. Regarding females, significant differences in the age of onset and high positive expectancies were found. However, there were few significant differences among the groups in relation to their employment status and social relations. The results reveal the existence of different typologies of alcohol users among university alumni, with differences among males and females. Modifying positive expectancies, limiting access to alcohol at a young age, and reducing uses of other substances uses are key to promote healthier alcohol use profiles and to prevent hazardous uses.
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Affiliation(s)
- Patricia Gómez
- Consumer and User Psychology Unit, Universidade de Santiago de CompostelaSantiago de Compostela, Spain
| | - Lucía Moure-Rodríguez
- Department of Preventive Medicine and Public Health, CIBER-ESP, Faculty of Medicine, Universidade de Santiago de CompostelaSpain
| | - Eduardo López-Caneda
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de CompostelaSantiago de Compostela, Spain.,Neuropsychophysiology Lab, Research Center on Psychology, School of Psychology, University of MinhoBraga, Portugal
| | - Antonio Rial
- Consumer and User Psychology Unit, Universidade de Santiago de CompostelaSantiago de Compostela, Spain
| | - Fernando Cadaveira
- Department of Clinical Psychology and Psychobiology, Universidade de Santiago de CompostelaSantiago de Compostela, Spain
| | - Francisco Caamaño-Isorna
- Department of Preventive Medicine and Public Health, CIBER-ESP, Faculty of Medicine, Universidade de Santiago de CompostelaSpain
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