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

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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

DOI 10.15288/jsad.2009.70.726

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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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Authors: Nelson, T. F., Xuan, Z., Lee, H., Weitzman, E. R., & Wechsler, H.
Affiliations: University of Minnesota (US)
ORCID: Nelson, Toben F.
Xuan, Ziming
Lee, Hang
Weitzman, Elissa R.
Venue: Journal of Studies on Alcohol and Drugs
Publisher: Alcohol Research Documentation, Inc.
Published: 2009-09
Volume: 70
Issue: 5
Pages: 726-734
ISSN: 1937-1888 (ISSN-L)
1938-4114
DOI: 10.15288/jsad.2009.70.726
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 › Medicine › Public Health, Environmental and Occupational Health › 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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Persistence of Heavy Drinking and Ensuing Consequences at Heavy Drinking Colleges

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