Academic and personal problems among Australian university students who drink at hazardous levels: web-based survey
J. Hallett A B C G , P. Howat A B C , A. McManus D , R. Meng E , B. Maycock A B C and K. Kypri FA WA Centre for Health Promotion Research, Curtin University, Kent Street, Bentley, WA 6102, Australia.
B Centre for Behavioural Research in Cancer Control, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
C National Drug Research Institute, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.
D Faculty of Health Sciences, Curtin University, 7 Parker Place, Technology Park, Bentley, WA 6102, Australia.
E School of Public Health, Curtin University, Kent Street, Bentley, WA 6102, Australia.
F School of Medicine and Public Health, University of Newcastle, HMRI Building, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia.
G Corresponding author. Email: j.hallett@curtin.edu.au
Health Promotion Journal of Australia 24(3) 170-177 https://doi.org/10.1071/HE13094
Submitted: 28 October 2013 Accepted: 26 November 2013 Published: 19 December 2013
Abstract
Issue addressed: Australian university students consume large amounts of alcohol. There is little published information about personal and academic problems associated with this behaviour. We sought to estimate the prevalence, and identify variables associated with, alcohol-related problems among undergraduate hazardous drinkers.
Methods: The control group members (942 undergraduates, 53.3% male, mean age 19.4 years) of an internet-based intervention trial, who scored ≥8 on the Alcohol Use Disorders Identification Test, completed two validated questionnaires about their experience of alcohol-related problems in the preceding 4 weeks. Regression models were used to identify associations between individual characteristics and alcohol-related problems.
Results: One-quarter of participants had missed a class (25.6%) and/or had been unable to concentrate in class (25.7%), and 45% reported that their drinking had impacted negatively on their learning or grades. The most frequent non-academic problems were hangovers (74.8%), blackouts (44.8%), emotional outbursts (30.5%), vomiting (28.1%), arguments (20.2%) and drink-driving (23.2%). Male gender, lower age, being a smoker, being in the Faculty of Health (versus Humanities) and living in shared housing (versus with parents/guardians) were each associated with alcohol-related problems, whereas year of study had no association.
Conclusions: There is a high prevalence of preventable alcohol-related problems among undergraduates drinking at hazardous levels and a need for restriction of the availability and promotion of alcohol as well as intervention for individuals at high risk.
So what?: Universities have a duty of care to large populations of young people drinking at hazardous levels and should make greater efforts to address hazardous alcohol consumption.
Key words: alcohol, harm, internet, undergraduates.
References
[1] Karam E, Kypri K, Salamoun M (2007) Alcohol use among college students: an international perspective. Curr Opin Psychiatry 20, 213–21.[2] Kypri K, Langley JD, McGee R, Saunders JB, Williams S (2002) High prevalence, persistent hazardous drinking among New Zealand tertiary students. Alcohol Alcohol 37, 457–64.
| High prevalence, persistent hazardous drinking among New Zealand tertiary students.Crossref | GoogleScholarGoogle Scholar | 12217938PubMed |
[3] Hallett J, Howat PM, Maycock BR, McManus A, Kypri K, Dhaliwal SS (2012) Undergraduate student drinking and related harms at an Australian university: web-based survey of a large random sample. BMC Public Health 12, 37
| Undergraduate student drinking and related harms at an Australian university: web-based survey of a large random sample.Crossref | GoogleScholarGoogle Scholar | 22248011PubMed |
[4] Kypri K, Cronin M, Wright CS (2005) Do university students drink more hazardously than their non-student peers? Addiction 100, 713–4.
| Do university students drink more hazardously than their non-student peers?Crossref | GoogleScholarGoogle Scholar | 15847629PubMed |
[5] Dawson DA, Grant BF, Stinson FS, Chou PS (2004) Another look at heavy episodic drinking and alcohol use disorders among college and noncollege youth. J Stud Alcohol 65, 477–89.
[6] Kypri K, Paschall MJ, Langley J, Baxter J, Cashell-Smith M, Bourdeau B (2009) Drinking and alcohol-related harm among New Zealand university students: findings from a national web-based survey. Alcohol Clin Exp Res 33, 307–14.
| Drinking and alcohol-related harm among New Zealand university students: findings from a national web-based survey.Crossref | GoogleScholarGoogle Scholar | 19032577PubMed |
[7] Perkins HW (2002) Surveying the damage: a review of research on consequences of alcohol misuse in college populations. J Stud Alcohol Suppl 14, 91–100.
[8] Ham LS, Hope DA (2003) College students and problematic drinking: a review of the literature. Clin Psychol Rev 23, 719–59.
| College students and problematic drinking: a review of the literature.Crossref | GoogleScholarGoogle Scholar | 12971907PubMed |
[9] Stevenson M, Palamara P, Rooke M, Richardson K, Baker M, Baumwol J (2001) Drink and drug driving: what’s the skipper up to? Aust N Z J Public Health 25, 511–3.
| Drink and drug driving: what’s the skipper up to?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD38%2FpsV2gsA%3D%3D&md5=bc47ea887f347e81406704cd77df7125CAS | 11824985PubMed |
[10] Nichter M, Carkoglu A, Lloyd-Richardson E (2010) Smoking and drinking among college students: ‘It’s a package deal.’ Drug Alcohol Depend 106, 16–20.
| Smoking and drinking among college students: ‘It’s a package deal.’Crossref | GoogleScholarGoogle Scholar | 19758771PubMed |
[11] Reed MB, Wang R, Shillington AM, Clapp JD, Lange JE (2007) The relationship between alcohol use and cigarette smoking in a sample of undergraduate college students. Addict Behav 32, 449
| The relationship between alcohol use and cigarette smoking in a sample of undergraduate college students.Crossref | GoogleScholarGoogle Scholar | 16844313PubMed |
[12] Wadsworth EJ, Moss SC, Simpson SA, Smith AP (2004) Factors associated with recreational drug use. J Psychopharmacol 18, 238–48.
| Factors associated with recreational drug use.Crossref | GoogleScholarGoogle Scholar | 15260913PubMed |
[13] Powell LM, Williams J, Wechsler H (2004) Study habits and the level of alcohol use among college students. Educ Econ 12, 135–49.
| Study habits and the level of alcohol use among college students.Crossref | GoogleScholarGoogle Scholar |
[14] Wolaver AM (2002) Effects of heavy drinking in college on study effort, grade point average, and major choice. Contemp Econ Policy 20, 415–28.
| Effects of heavy drinking in college on study effort, grade point average, and major choice.Crossref | GoogleScholarGoogle Scholar |
[15] Townshend JM, Duka T (2005) Binge drinking, cognitive performance and mood in a population of young social drinkers. Alcohol Clin Exp Res 29, 317–25.
| Binge drinking, cognitive performance and mood in a population of young social drinkers.Crossref | GoogleScholarGoogle Scholar | 15770105PubMed |
[16] Weissenborn R, Duka T (2003) Acute alcohol effects on cognitive function in social drinkers: their relationship to drinking habits. Psychopharmacology 165, 306–12.
[17] Pascarella ET, Goodman KM, Seifert TA, Tagliapietra-Nicoli G, Park S, Whitt EJ (2007) College student binge drinking and academic achievement: a longitudinal replication and extension. J Coll Student Dev 48, 715–27.
| College student binge drinking and academic achievement: a longitudinal replication and extension.Crossref | GoogleScholarGoogle Scholar |
[18] Hallett J, Maycock B, Kypri K, Howat P, McManus A (2009) Development of a web-based alcohol intervention for university students: processes and challenges. Drug Alcohol Rev 28, 31–9.
| Development of a web-based alcohol intervention for university students: processes and challenges.Crossref | GoogleScholarGoogle Scholar | 19320673PubMed |
[19] Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II. Addiction 88, 791–804.
| Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3szitVOltw%3D%3D&md5=20076dd14933e48ed56aa47ec7023a2bCAS | 8329970PubMed |
[20] Kypri K, Hallett J, Howat P, McManus A, Maycock B, Bowe S, et al (2009) Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students. Arch Intern Med 169, 1508–14.
| Randomized controlled trial of proactive web-based alcohol screening and brief intervention for university students.Crossref | GoogleScholarGoogle Scholar | 19752409PubMed |
[21] McGee R, Kypri K (2004) Alcohol-related problems experienced by university students in New Zealand. Aust N Z J Public Health 28, 321–3.
| Alcohol-related problems experienced by university students in New Zealand.Crossref | GoogleScholarGoogle Scholar | 15704694PubMed |
[22] Roche AM, Deehan A (2002) Women’s alcohol consumption: emerging patterns, problems and public health implications. Drug Alcohol Rev 21, 169–78.
| Women’s alcohol consumption: emerging patterns, problems and public health implications.Crossref | GoogleScholarGoogle Scholar | 12188996PubMed |
[23] Young AM, Morales M, McCabe SE, Boyd CJ, Darcy H (2005) Drinking like a guy: frequent binge drinking among undergraduate women. Subst Use Misuse 40, 241–67.
| Drinking like a guy: frequent binge drinking among undergraduate women.Crossref | GoogleScholarGoogle Scholar | 15770887PubMed |
[24] Wechsler H, Dowdall GW, Davenport A, Rimm EB (1995) A gender-specific measure of binge drinking among college students. Am J Public Health 85, 982–5.
| A gender-specific measure of binge drinking among college students.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2MzivVKltg%3D%3D&md5=4c99502d51b43eeeea63be1ffd8db176CAS | 7604925PubMed |
[25] Parks KA, Fals-Stewart W (2004) The temporal relationship between college women’s alcohol consumption and victimization experiences. Alcohol Clin Exp Res 28, 625–9.
| The temporal relationship between college women’s alcohol consumption and victimization experiences.Crossref | GoogleScholarGoogle Scholar | 15100614PubMed |
[26] Park CL, Armeli S, Tennen H (2004) The daily stress and coping process and alcohol use among college students. J Stud Alcohol 65, 126
[27] Mallett KA, Bachrach RL, Turrisi R (2008) Are all negative consequences truly negative? Assessing variations among college students’ perceptions of alcohol related consequences. Addict Behav 33, 1375–81.
| Are all negative consequences truly negative? Assessing variations among college students’ perceptions of alcohol related consequences.Crossref | GoogleScholarGoogle Scholar | 18639384PubMed |
[28] Leigh BC (1987) Beliefs about the effects of alcohol on self and others. J Stud Alcohol 48, 467–75.
[29] Polizzotto MN, Saw MM, Tjhung I, Chua EH, Stockwell TR (2007) Fluid skills: drinking games and alcohol consumption among Australian university students. Drug Alcohol Rev 26, 469–75.
| Fluid skills: drinking games and alcohol consumption among Australian university students.Crossref | GoogleScholarGoogle Scholar | 17701509PubMed |
[30] Wechsler H, Lee JE, Kuo M, Seibring M, Nelson TF, Lee H (2002) Trends in college binge drinking during a period of increased prevention efforts. Findings from four Harvard School of Public Health College Alcohol Study surveys: 1993–2001. J Am Coll Health 50, 203–17.
| Trends in college binge drinking during a period of increased prevention efforts. Findings from four Harvard School of Public Health College Alcohol Study surveys: 1993–2001.Crossref | GoogleScholarGoogle Scholar | 11990979PubMed |
[31] Kypri K, Samaranayaka A, Connor J, Langley JD, Maclennan B (2011) Non-response bias in a web-based health behaviour survey of New Zealand tertiary students. Prev Med 53, 274–7.
| Non-response bias in a web-based health behaviour survey of New Zealand tertiary students.Crossref | GoogleScholarGoogle Scholar | 21827781PubMed |
[32] Cashell-Smith ML, Connor JL, Kypri K (2007) Harmful effects of alcohol on sexual behaviour in a New Zealand university community. Drug Alcohol Rev 26, 645–51.
| Harmful effects of alcohol on sexual behaviour in a New Zealand university community.Crossref | GoogleScholarGoogle Scholar | 17943525PubMed |
[33] Rickwood D, George A, Parker R, Mikhailovich K (2011) Harmful alcohol use on campus: impact on young people at university. Youth Stud Aus 30, 34–40.
[34] Wechsler H, Nelson TF (2008) What we have learned from the Harvard School of Public Health College Alcohol Study: focusing attention on college student alcohol consumption and the environmental conditions that promote it. J Stud Alcohol Drugs 69, 481–90.
[35] Mikhailovich K, George A, Rickwood D, Parker R (2011) A duty of care: non-drinkers and alcohol related harm among an Australian university sample. J High Educ Policy Manage 33, 595–604.
| A duty of care: non-drinkers and alcohol related harm among an Australian university sample.Crossref | GoogleScholarGoogle Scholar |
[36] Toomey TL, Lenk KM, Wagenaar AC (2007) Environmental policies to reduce college drinking: an update of research findings. J Stud Alcohol Drugs 68, 208–19.
[37] Larimer ME, Cronce JM (2002) Identification, prevention and treatment: a review of individual-focused strategies to reduce problematic alcohol consumption by college students. J Stud Alcohol Suppl 14, 148–63.