Alcohol abuse and dependence among U.S. college students.
Abstract
OBJECTIVE: To estimate the prevalence of alcohol abuse and dependence among U.S. college students, and to identify characteristics associated with these diagnoses. METHOD: More than 14,000 students at 119 4-year U.S. colleges completed a questionnaire that included items corresponding to DSM-IV diagnostic criteria for alcohol abuse and dependence. Frequencies were computed, and correlations used to identify demographic, drinking and other variables associated with these diagnoses. RESULTS: 31% percent of students endorsed criteria for an alcohol abuse diagnosis and 6% for a dependence diagnosis in the past 12 months. More than two of every five students reported at least one symptom of abuse or dependence. Students who were heavy episodic drinkers were more likely than those who were not to have an alcohol disorder. Students who were frequent heavy episodic drinkers had 13 times greater odds for abuse and 19 times greater odds for dependence. One of every five heavy episodic drinkers was classified with dependence. Few reported seeking treatment since coming to college. Students from heavy drinking college environments were more likely to have abuse and dependence diagnoses. CONCLUSIONS: Many college students report behaviors and symptoms that meet the diagnostic standard for alcohol abuse or dependence. In addition to strengthening prevention programs, colleges should implement new strategies for screening and early identification of high risk student drinkers and ensure that treatment is readily available for those with alcohol disorders.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Knight et al. (2002) found membership in fraternity/sorority significantly increased the odds of alcohol abuse (OR = 1.9) or dependence (OR = 1.8) diagnoses.
“Using CAS 1999 data, Knight et al. (2002) found membership in fraternity/sorority significantly increased the odds of alcohol abuse (OR = 1.9) or dependence (OR = 1.8) diagnoses.”
From The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013) (2014) · cites this paper as Knight et al. (2002)
Cites
Kessler, R. C. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950010008002 · Cited by 12,370 · see citing works
Wechsler, H., Davenport, A. E., Dowdall, G. W., Grossman, S. J., & Zanakos, S. I. (1997) · Journal of American College Health · doi:10.1080/07448481.1997.9936884 · Cited by 317 · see citing works
Self-citationAlcohol use in the Greek system: follow the leader?
Cashin, J. R., Presley, C. A., & Meilman, P. W. (1998) · Journal of Studies on Alcohol · doi:10.15288/jsa.1998.59.63 · Cited by 268 · see citing works
Environmental correlates of underage alcohol use and related problems of college students
Wechsler, H., Kuo, M., Lee, H., & Dowdall, G. W. (2000) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(00)00163-x · Cited by 242 · see citing works
Self-citationUnderstanding Fraternity Drinking: Five Recurring Themes in the Literature, 1980–1998
Borsari, B. E., & Carey, K. B. (1999) · Journal of American College Health · doi:10.1080/07448489909595669 · Cited by 126 · see citing works
Larimer, M. E., Anderson, B. K., Baer, J. S., & Marlatt, G. A. (2000) · Journal of Substance Abuse · doi:10.1016/s0899-3289(99)00020-6 · Cited by 84 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wechsler, H., Lee, J. E., Kuo, M., Seibring, M., Nelson, T. F., & Lee, H. (2002) · Journal of American College Health · doi:10.1080/07448480209595713 · Cited by 1,457 · see citing works
Self-citationNeural correlates of food addiction
Gearhardt, A. N. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.32 · Cited by 707 · see citing works
Czyz, E. K., Horwitz, A. G., Eisenberg, D., Kramer, A., & King, C. A. (2013) · Journal of American College Health · doi:10.1080/07448481.2013.820731 · Cited by 388 · see citing works
Carter, A. C., Brandon, K. O., & Goldman, M. S. (2010) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2010.71.742 · Cited by 273 · see citing works
Drinking Like a Guy: Frequent Binge Drinking Among Undergraduate Women
YOUNG, A. M., MORALES, M., McCABE, S. E., BOYD, C. J., & D'ARCY, H. (2005) · Substance Use & Misuse · doi:10.1081/ja-200048464 · Cited by 208 · see citing works
Curbing Problem Drinking with Personalized-Feedback Interventions
Riper, H., van Straten, A., Keuken, M., Smit, F., Schippers, G., & Cuijpers, P. (2009) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.10.016 · Cited by 203 · see citing works
Hingson, R., Heeren, T., Zakocs, R., Winter, M., & Wechsler, H. (2003) · Journal of Studies on Alcohol · doi:10.15288/jsa.2003.64.23 · Cited by 195 · see citing works
Self-citationSpindle, T. R., Hiler, M. M., Cooke, M. E., Eissenberg, T., Kendler, K. S., & Dick, D. M. (2017) · Addictive Behaviors · doi:10.1016/j.addbeh.2016.12.009 · Cited by 195 · see citing works
My student body: a high-risk drinking prevention web site for college students
Chiauzzi, E., Green, T. C., Lord, S., Thum, C., & Goldstein, M. (2005) · Journal of American College Health · doi:10.3200/jach.53.6.263-274 · Cited by 190 · see citing works
Medication treatment of different types of alcoholism
Johnson, B. A. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.08101500 · Cited by 151 · see citing works
College students rarely seek help despite serious substance use problems
Caldeira, K. M., Kasperski, S. J., Sharma, E., Vincent, K. B., O'Grady, K. E., Wish, E. D., & Arria, A. M. (2009) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2009.04.005 · Cited by 149 · see citing works
Evaluation of two Web-based alcohol interventions for mandated college students
Doumas, D. M., McKinley, L. L., & Book, P. (2009) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.05.009 · Cited by 133 · see citing works
Schaus, J. F., Sole, M. L., McCoy, T. P., Mullett, N., & O'Brien, M. C. (2009) · Journal of Studies on Alcohol and Drugs, Supplement · doi:10.15288/jsads.2009.s16.131 · Cited by 121 · see citing works
A brief mindfulness intervention for college student binge drinkers: A pilot study.
Mermelstein, L. C., & Garske, J. P. (2015) · Psychology of Addictive Behaviors · doi:10.1037/adb0000040 · Cited by 90 · see citing works
Implicit and explicit measures of alcohol and smoking cognitions.
McCarthy, D. M., & Thompsen, D. M. (2006) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.20.4.436 · Cited by 91 · see citing works
Mindfulness and alcohol problems in college students: the mediating effects of stress
Bodenlos, J. S., Noonan, M., & Wells, S. Y. (2013) · Journal of American College Health · doi:10.1080/07448481.2013.805714 · Cited by 81 · see citing works
Dermen, K. H., & Thomas, S. N. (2011) · Psychology of Addictive Behaviors · doi:10.1037/a0025472 · Cited by 58 · see citing works
Doumas, D. M., & Haustveit, T. (2008) · The Sport Psychologist · doi:10.1123/tsp.22.2.212 · Cited by 51 · see citing works
Student mental health during the COVID-19 pandemic: are international students more affected?
Kivelä, L., Mouthaan, J., van der Does, W., & Antypa, N. (2024) · Journal of American College Health · doi:10.1080/07448481.2022.2037616 · Cited by 45 · see citing works
Theall, K. P., DeJong, W., Scribner, R., Mason, K., Schneider, S. K., & Simonsen, N. (2009) · Journal of American College Health · doi:10.3200/jach.58.1.15-25 · Cited by 40 · see citing works
The Influence of Fraternity and Sorority Involvement: A Critical Analysis of Research (1996–2013)
(2014) · ASHE Higher Education Report · doi:10.1002/aehe.20012 · Cited by 32 · see citing works
Does Alcohol Reduce Social Anxiety in Daily Life? A 22-Day Experience Sampling Study
Battista, S. R., MacKinnon, S. P., Sherry, S. B., Barrett, S. P., MacNevin, P. D., & Stewart, S. H. (2015) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2015.34.6.508 · Cited by 20 · see citing works
Corbin, W. R., Scott, C., Leeman, R. F., Fucito, L. M., Toll, B. A., & O'Malley, S. S. (2013) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2012.01956.x · Cited by 18 · see citing works
Ehman, A. C., & Gross, A. M. (2019) · Clinical Case Studies · doi:10.1177/1534650118804886 · Cited by 8 · see citing works
- Authors
- Knight, J. R., Wechsler, H., Kuo, M., Seibring, M., Weitzman, E. R., & Schuckit, M. A.
- Affiliations
- Boston Children's Hospital (US)
- Department of Pediatrics, Harvard Medical School, and Children's Hospital, Boston, Massachusetts 02115, USA. john.knight@tch.harvard.edu
- Venue
- Journal of Studies on Alcohol
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 2002-05
- Volume
- 63
- Issue
- 3
- Pages
- 263-270
- ISSN
- 0096-882X (ISSN-L)
- 1934-2683
- OpenAlex
- W2121483393
- Cited by
- 687
- References
- 6
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 6 · 2023: 12 · 2022: 8 · 2021: 19 · 2020: 23 · 2019: 38 · 2018: 31 · 2017: 21 · 2016: 43 · 2015: 44 · 2014: 59 · 2013: 43 · 2012: 37
- FWCI
- 16.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Studies on Alcohol (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- alcohol abuse, alcoholism, university students, prevalence, binge drinking, DSM-IV diagnostic criteria, alcohol prevention programs
- MeSH terms
- Adolescent, Adult, Alcoholism, Cross-Sectional Studies, Female, Health Education, Health Surveys, Humans, Male, Students, United States, Incidence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review