Cited by 110Substance Abuse Treatment and OutcomesHealth and Lifestyle StudiesAlcohol Consumption and Health Effects

Persistence of Heavy Drinking and Ensuing Consequences at Heavy Drinking Colleges

Nelson, Toben F., Xuan, Ziming, Lee, Hang, Weitzman, Elissa R., Wechsler, Henry·2009·Journal of Studies on Alcohol and Drugs

Abstract

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.

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Crossref · 10.15288/jsad.2009.70.726

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  • Nelson et al. (2009) found fraternity/sorority members had consistently high levels of heavy episodic drinking over time, with 75% of members versus 51% nonmembers classified as heavy episodic drinkers across the surveys.

    “Among groups with highest episodic drinking, fraternity/sorority members had consistently high levels of heavy episodic drinking over time, with 75% of members (both) versus 51% nonmembers and 85% fraternity/sorority house residents versus 72% nonresidents classified as heavy episodic drinkers across the surveys.”
  • Nelson et al. (2009) found no significant changes in the groups over time.

    “The researchers found no significant changes in the groups over time.”
  • Nelson et al. (2009) found 85% of fraternity/sorority house residents versus 72% nonresidents were classified as heavy episodic drinkers across the surveys.

    “Among groups with highest episodic drinking, fraternity/sorority members had consistently high levels of heavy episodic drinking over time, with 75% of members (both) versus 51% nonmembers and 85% fraternity/sorority house residents versus 72% nonresidents classified as heavy episodic drinkers across the surveys.”
  • No significant changes in heavy episodic drinking occurred over time when comparing 2005 findings to responses from the same institutions in 1993, 1999, and 2001.

    “The researchers found no significant changes in the groups over time when comparing findings to responses (n = 13,254) from same institutions in 1993, 1993, 1999, and 2001.”
  • In 2005, among students at 18 colleges with high levels of episodic drinking, 85% of fraternity/sorority house residents versus 72% nonresidents were classified as heavy episodic drinkers.

    “Nelson et al. (2009) found 85% of fraternity/sorority house residents versus 72% nonresidents were classified as heavy episodic drinkers among students attending 18 colleges with high levels of episodic drinking (50% or more students identified from the 1993 Harvard CAS Study) in 2005 (n = 4,518).”

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Authors
Nelson, T. F., Xuan, Z., Lee, H., Weitzman, E. R., & Wechsler, H.
Affiliations
University of Minnesota (US)
Venue
Journal of Studies on Alcohol and Drugs
Published
2009-09
Volume
70
Issue
5
Pages
726-734
ISSN
  • 1937-1888 (ISSN-L)
  • 1938-4114
OpenAlex
W1972725770
Cited by
110
References
0
Citations by year
2026: 1 · 2025: 2 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 4 · 2018: 6 · 2017: 6 · 2016: 9 · 2015: 7 · 2014: 10 · 2013: 14 · 2012: 14
FWCI
7.37
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Studies on Alcohol and Drugs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Health and Lifestyle Studies
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
Keywords
binge drinking, university students, student alcohol use, drinking and driving, alcohol environment, alcohol interventions
MeSH terms
Adolescent, Alcohol Drinking, Ethanol, Alcoholic Intoxication, Automobile Driving, Female, Humans, Male, Sexual Behavior, Social Behavior, Students, Universities, Young Adult

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