University students use fewer protective behavioural strategies on high-intensity drinking days

Ashley N. Linden-Carmichael, Brian H. Calhoun, Megan E. Patrick, Jennifer L. Maggs

    Research output: Contribution to journalArticlepeer-review

    11 Scopus citations

    Abstract

    Introduction and Aims: High-intensity drinking (HID), or consuming 8+ (10+) drinks in one sitting for women (men), is associated with significant harm. We compared the likelihood of individuals using protective behavioural strategies (PBS) on days with varying levels of drinking (HID, heavy episodic-only drinking [4-7/5-9 drinks for women/men], moderate drinking [1-3/1-4 drinks]). Design and Methods: We used an intensive repeated measures longitudinal design with four 14-day measurement bursts across 2 years (N = 258 university students [50.0% female, average age of 19.95 (SD = 0.41) years] who provided 3176 daily drinking reports). Each drinking day, participants reported the amount of alcohol consumed and whether they used PBS. Results: Multilevel models indicated that, relative to heavy episodic drinking-only days, students were more likely to use strategies of avoiding drinking too quickly on moderate drinking days (odds ratio = 1.90, confidence interval 1.50–2.40) but less likely on HID days (odds ratio = 0.38, confidence interval 0.29–0.48). Relative to heavy episodic drinking-only days, students were less likely to use strategies to protect themselves from serious harm on moderate days (odds ratio = 0.53, confidence interval 0.41–0.67) and equally likely on HID days (odds ratio = 0.84, confidence interval 0.93–1.41). Discussion and Conclusions: Despite elevated risk for alcohol-related harms when drinking most heavily, PBS may be under-utilised on higher-risk drinking occasions. In light of prior work supporting the effectiveness of PBS at reducing harms on HID days, increasing PBS should be emphasised in future prevention and intervention efforts.

    Original languageEnglish (US)
    Pages (from-to)302-305
    Number of pages4
    JournalDrug and Alcohol Review
    Volume38
    Issue number3
    DOIs
    StatePublished - Mar 2019

    Bibliographical note

    Funding Information:
    ULS data collection was supported by the National Institute on Alcohol Abuse and Alcoholism [R01 AA016016] and author effort by R01 AA023504. The National Institute on Alcohol Abuse and Alcoholism had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript or the decision to submit the paper for publication.

    Publisher Copyright:
    © 2019 Australasian Professional Society on Alcohol and other Drugs

    Keywords

    • high-intensity drinking
    • measurement-burst design
    • protective behavioural strategies

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