Pamela J Trangenstein, Timothy S Naimi, Ziming Xuan, Raimee H Eck, Thomas K Greenfield, Sally Casswell, David H Jernigan
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引用次数: 0
Abstract
Introduction: Little is known about what policies and practices may prevent alcohol-related harms to others (AHTOs). This study tested whether campus alcohol policies were associated with alcohol use and AHTOs among college students and whether these associations differ in states with weak vs. strong alcohol policies.
Methods: This cross-sectional study used data from a 2021 probability-based survey of United States college students. The main predictor was a campus alcohol policy score (CAPS) that combined 33 policies. Alcohol use outcomes included past 30-day volume and binge drinking frequency, and analyses with alcohol use outcomes included 968 students who drink. In 2024, models with AHTO outcomes used data from 1,737 students (comprising abstainers and those who drink alcohol) and three AHTOs: verbal, physical and sexual. Models also assessed interactions between campus and state alcohol policy scores.
Results: Stronger CAPSs were associated with lower alcohol volumes (IRR = 0.91, 95% CI = 0.86, 0.97, p=0.003) and lower odds of verbal AHTOs (aOR = 0.86, 95% CI = 0.75, 0.98, p = 0.022). Associations between CAPSs and binge frequency, verbal AHTOs, and sexual AHTOS were only significant in states with weak policies, while the association between CAPSs and alcohol volumes held across state policy environments.
Conclusions: Student drinking and rates of AHTOs were lower on campuses with stronger alcohol policies. CAPSs were associated with lower volume overall, and with reduced binge drinking and verbal and sexual AHTOs in states with weaker policies. Findings highlight the importance of campus alcohol policies in such states.
期刊介绍：
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.
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