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ObjectiveHeavy drinking is common on college campuses, with a marked increase from high school to freshman year. Programs addressing heavy campus drinking often personalize prevention protocols to fit a student's demography and prior drinking characteristics. Few efforts have individualized approaches to address a person's vulnerability through his or her low level of response (low LR) to alcohol.MethodThis article describes the recently completed 55-week outcome in drinking quantities and problems for the >90% of 500 participants in a prevention program at a U.S. university (62% female, mean age = 18 years) who completed a 4-week series of 50-minute videos delivered via the Internet. We evaluated whether, for low LRs, participation in an educational approach that focused on a low LR (the LR-based [LRB] condition) was associated with better outcomes than a state-of-the-art (SOTA) general education or with a no-intervention control condition.ResultsUsing a mixed-design analysis of variance and focusing on the most closely ethnically matched high and low LR pairs, students with low LRs in the LRB condition demonstrated the greatest decreases in usual and maximum drinks over the 55 weeks, especially when compared with closely ethnically matched students with high LRs. Low LR controls showed the highest drinking values over time.ConclusionsThis study underscores the potential importance of targeting a person's specific preexisting vulnerability toward heavy drinking when he or she enters college. The approach can be used in a relatively inexpensive protocol of video education sessions delivered via the Internet.

BackgroundHeavy drinking is common during transitions from high school to college. Optimal programs for diminishing risks for high alcohol consumption often tailor the approach to the specific needs of students. This study describes the results of an Internet-based prevention protocol that tailors the information to the risk associated with a pre-existing phenotype, the Low level of Response (Low LR) to alcohol.MethodsUsing stratified random assignment, 454 freshmen with Low and High LR values were assigned to 2 education groups (LR-based where all examples were given the context of the Low LR model of heavy drinking or a State Of The Art (SOTA) Group where the same lessons were taught but without an emphasis on LR) or a no-intervention Control Group. Individuals in the 2 education groups viewed 50-minute online videos once per week for 4 weeks. Changes in drinking patterns were assessed at Baseline, 4 weeks, and 8 weeks using a 2 (LR status) by 3 (education group) by 3 (time points) analysis of variance, with additional tests for ethnicity and sex.ResultsLow LR participants tended to decrease their usual (p

Objective: This study examined how freshman year substance use prospectively predicted time to college graduation, and whether delayed graduation predicted postponed adoption of adult roles and future substance use. Participants: Participants were part of a longitudinal study that began in 2004. The first analyses focused on freshman year (N = 2,050). The second analyses corresponded to a subset of participants at age 27 (N = 575). Methods: Measures included self-reported substance use, adult role adoption, and university reported graduation dates. Results: Results indicated that frequent binge drinking and marijuana use during freshman year predicted delayed college graduation. Those who took longer to graduate were more likely to have lower incomes and were less likely to obtain a graduate degree. Taking 5-6 years to graduate was associated with greater likelihood of alcohol-related problems. Conclusions: Findings support the importance of interventions during freshman year of college to decrease substance use and promote timely graduation.

Objective: The authors examined drinking and driving after drinking before and after turning 21. Participants: Participants were drawn from first time college students who were taking part in a 4-year longitudinal study of alcohol use and behavioral risks. Methods: Web-based longitudinal surveys collected data on drinking and driving after drinking from August 2004 through November 2007 (n = 1,817). A subset of participants (n = 224) also monitored their daily behavior during the month they turned 21 (January through May, 2007). Results: Typical frequency and quantity of alcohol use increased from ages 18 to 21 years, whereas quantity decreased between 21 and 23 years of age. Driving after drinking showed a 72% relative increase (6% absolute increase) in the 2 weeks after turning 21. Conclusions: Reaching the legal drinking age is associated with decreases in the amount of alcohol consumed per drinking occasion, but an increase in driving after drinking. (Contains 1 table and 4 figures.)

This study examines the relation among alcohol use, alcohol-related aggression expectancies, and the perceived negative consequences of perpetrating general and sexual aggression. Participants (N = 2,941; 59% female) were incoming college freshmen who reported on the last 3 months of their senior year of high school. Hierarchical multiple regression analyses for general aggression reveal that heavy alcohol consumption at the time of the aggression and strong alcohol-related aggression expectancies were associated with more frequent social and emotional consequences. For sexual aggression, similar regression analyses found that any alcohol use at the time of the aggression, but not outcome expectancies, was associated with social and emotional consequences. Among individuals who perpetrated general and sexual aggression, consuming alcohol at the time of the aggression was positively associated with perceived negative social and emotional consequences. Results do not support the idea that alcohol is used as an excuse for aggressive behavior. (Contains 3 tables and 2 notes.)

The transition from high school to college is an important developmental milestone that holds the potential for personal growth and behavioral change. A cohort of 2,245 students was recruited during the summer before they matriculated into college and completed Internet-based surveys about their participation in a variety of behavioral risks during the last 3 months of high school and throughout the 1st year of college. Alcohol use, marijuana use, and sex with multiple partners increased during the transition from high school to college, whereas driving after drinking, aggression, and property crimes decreased. Those from rural high schools and those who elected to live in private dormitories in college were at highest risk for heavy drinking and driving after drinking. (Contains 2 tables, 4 figures, and 1 footnote.)

Lesbians, gays, and bisexuals (LGBs) are at increased risk for alcohol use during young adulthood, but the mechanisms remain inadequately understood. The aim of the present study was to examine the trajectories and determinants of alcohol use among LGB young adults who were sampled prospectively. The sample included 111 LGB individuals (47 women and 64 men) and 2,109 heterosexuals (1,279 women and 830 men), who were assessed at three time points: during the summer after their senior year of high school and during the fall and spring of their freshman year of college. Hierarchical linear modeling analyses indicated that lesbians consumed more alcohol than their heterosexual peers during high school, whereas gay men increased their alcohol use at greater rates than heterosexual men during the initial transition to college. Positive alcohol expectancies and social norms mediated this relation for both men and women. The results extend the generalizability of these processes and highlight the importance of considering normative social-cognitive influences in the development of alcohol use among LGB young adults.

The authors examined the global- and event-level associations between alcohol intoxication and 10 behavioral risks during the 1st year of college. Participants (n = 1113; 62% female; 54% Caucasian) completed 30 days of Web-based self-monitoring that assessed alcohol consumption and involvement in 10 behavioral risks. Generalized estimating equations analyses were used to determine which behaviors covaried with event-level versus global indices of intoxication as well as the moderating effects of gender on the intoxication-behavior associations. Alcohol use was globally related to 8 of the 10 behavioral risks; more important, 5 of the 10 behaviors specifically covaried with daily alcohol intoxication. The differential pattern of associations observed can inform clinical work by identifying groups of students who may most benefit from various intervention approaches and content.

The Rutgers Alcohol Problem Index (RAPI; H. R. White & E. W. Labouvie, 1989) is a frequently used measure of alcohol-related consequences in adolescents and college students, but psychometric evaluations of the RAPI are limited and it has not been validated with college students. This study used item response theory (IRT) to examine the RAPI on students (N = 895; 65% female, 35% male) assessed in both high school and college. A series of 2-parameter IRT models were computed, examining differential item functioning utility is proposed, with scores of 8 or greater implying greater need for treatment.

The Lifestyle Management Class (LMC) was evaluated as a universal and targeted alcohol prevention program among voluntary and mandated college students. The relative efficacy of peer- and professional-led group interventions was also tested in this randomized, controlled design. LMC participants showed decreases in driving after drinking relative to control participants. Changes in heavy drinking varied as a function of treatment condition, readiness to change, and gender, with a trend toward larger decreases among voluntary LMC participants high in readiness to change and a comparable though nonsignificant advantage for male LMC participants in the mandated sample. The LMC was comparably effective for mandated and voluntary students, with no clear advantage for peer-or professional-led groups.

The college environment appears to encourage heavy drinking. Consequently, correlates of student drinking were assessed at college entrance. First-semester freshmen (N = 520, 54 percent women) completed self-report measures of social affiliation and self/peer drinking for high school and college. Analyses indicated that: 1) increased drinking at college entrance mirrored perceived increases by peers, 2) perceptions of peer drinking were robustly overestimated with women displaying the larger overestimation bias; and 3) social affiliation was associated with men's drinking and moderated its relation to perceived peer drinking at college entrance. These results advance understanding of the manner in which heavy drinking patterns emerge as men and women enter college, and campus programs that consider these factors may better promote health and reduce the harms associated with heavy drinking among college students. (Contains 2 tables and 3 figures.)

Objective: Although alcohol use and related problems are highly prevalent in emerging adulthood overall, college students drink somewhat more than do their peers who do not attend college. The personal or social influences underlying this difference, however, are not yet well understood. The present study examined whether personality traits (i.e., self-regulation and sensation seeking) and peer influence (i.e., descriptive drinking norms) contributed to student status differences. Method: At approximately age 22, 4-year college students (n = 331) and noncollege emerging adults (n = 502) completed web-based surveys, including measures of alcohol use, alcohol-related problems, personality, and social norms. Results: College students drank only slightly more heavily. This small difference, however, reflected personality suppression. College students were lower in trait-based risk for drinking, and accounting for traits revealed a stronger positive association between attending college and drinking more heavily. Although noncollege emerging adults reported greater descriptive drinking norms for social group members, norms appeared to more strongly influence alcohol use among college students. Finally, despite drinking less, noncollege individuals experienced more alcohol-related problems. Conclusions: The association between attending college and drinking heavily may be larger than previously estimated, and it may be masked by biased selection into college as a function of both self-regulation and sensation seeking. Differing patterns of alcohol use, its predictors, and its consequences emerged for the college and noncollege samples, suggesting that differing intervention strategies may best meet the needs of each population. (J. Stud. Alcohol Drugs. 72, 622-632, 2011), ALCOHOL USE INCREASES IN THE TRANSITION out of high school (Baer et al., 1995), rising to the highest levels across the life span during emerging adulthood (i.e., ages 18-25; Arnett, [...]

Objective: According to the acquired preparedness model (APM), personality traits related to disinhibition (i.e., impulsivity and sensation seeking) may influence the learning process, contributing to individual differences in cognitions (e.g., expectations about outcomes) that may contribute to engagement in and consequences of risk behaviors, including alcohol use. Although there is strong support for the APM, longitudinal studies have involved short-term follow-ups, and the relevance of the APM for alcohol-related consequences has not been clearly established. Method: Participants were 2,245 (59.9% female) incoming freshmen who completed the first of eight web-based surveys during the summer before college matriculation. Structural equation modeling was used to test a comprehensive longitudinal APM for both alcohol use and related consequences. Multigroup models were used to examine measurement and structural invariance by gender. Results: Positive (but not negative) alcohol expectancies during freshman year of college partially mediated the relation between senior year of high school disinhibition and both alcohol use and related problems during the fourth year of college, and multigroup models suggested that the relationships proposed in the APM operated similarly for women and men. Conclusions: This study demonstrates the temporal relations proposed in the APM across a longer period (4 years) than in previous studies among a large sample of ethnically diverse students. Further, the results are the first to validate the APM with respect to drinking consequences while controlling for levels of alcohol use. The results lend support for brief interventions targeting positive alcohol expectancies, particularly for individuals high in trait disinhibition. (J. Stud. Alcohol Drugs, 72, 602-610, 2011), ALCOHOL USE DISORDERS PEAK DURING emerging adulthood (ages 18-25 years) and are a widespread and serious public health problem in the United States (Grant et al., 2004; Knight et al., [...]

Objective: We evaluated selection and socialization processes associated with perceived descriptive norms and drinking from high school through the first 2 years of college. Method: Participants (n = 2,247; 61.6% female) completed measures of high school drinking and descriptive drinking norms for their social group and the typical student at the university they were entering, as well as alcohol use and social-group norms through their sophomore year of college. We conducted structural equation models by gender and ethnicity to test high school drinking and drinking norms as predictors of collegiate drinking and social-group norms. Results: Perceptions of typical-college-student drinking during high school predicted freshman-year drinking for men but not women and for White but not Asian or Hispanic students. High school social-group norms predicted freshman drinking for White but not Asian or Hispanic students, whereas freshman social-group norms predicted sophomore drinking for all participants. Conclusions: Selection and socialization processes co-occur during this transitional time. Heavy drinkers in high school who perceive their friends to be heavy drinkers select into college social groups with perceived heavy drinking. Men and White students who perceive heavy drinking by the typical college student tend to drink heavily in college and choose social groups with perceived heavy drinking. These results support the importance of interventions that are tailored to the individual and that target perceptions of typical-college-student and social-group drinking before entering college for Whites and men but after matriculation for women, Asian, and Hispanic students. (J. Stud. Alcohol Drugs, 71, 895-903, 2010), THE TRANSITION FROM HIGH SCHOOL to college marks a period of increased vulnerability for engaging in behavioral risks, including excessive drinking (Fromme et al., 2008; O'Malley and Johnston, 2002). Heavy [...]

Objective: The 21st birthday celebration is often associated with excessive alcohol consumption. The current study examined whether individuals consume more alcohol than anticipated during their celebration and whether situational factors contribute to prediction errors. Method: College students (N = 150; 50% female) who planned to drink during their 21st birthday celebration were contacted by telephone 1 week before their celebrations and asked about their birthday plans, including anticipated alcohol consumption. The week after the celebration, in-person semi-structured interviews and self-report measures were administered to obtain information about the 21st birthday celebration, including type and amount of alcohol consumed, pace of drinking, influential peer involvement, and engagement in 21st birthday traditions. Results: The majority of 21st birthday celebrants consumed more alcohol than they anticipated, with men showing greater prediction error than women. Situational factors were positively associated with the discrepancy between anticipated and actual alcohol consumption. Conclusions: Drinking shots, drinking at a fast pace, celebrating with influential peers, and engaging in 21st birthday traditions were associated with drinking more alcohol than anticipated during 21st birthday celebrations. Findings suggest future interventions that target situational factors could reduce excessive 21st birthday drinking. (J Stud. Alcohol Drugs, 71, 180-183, 2010), THE 21ST BIRTHDAY CELEBRATION has received significant media attention as a result of alcohol-related deaths that have occurred while celebrating the transition to legal drinking age. Although available studies have [...]