Social contexts of drinking and subsequent alcohol use disorder among college students
- PMID: 22746152
- PMCID: PMC3465632
- DOI: 10.3109/00952990.2012.694519
Social contexts of drinking and subsequent alcohol use disorder among college students
Abstract
Background: Previous research has suggested important contextual factors that can differentiate problem and nonproblem drinkers.
Objectives: To evaluate the strength of the prospective association between social contexts of drinking and subsequent alcohol use disorder and drunk driving 2-3 years later.
Methods: The sample consisted of 652 individuals who were originally recruited at college entry, had complete data on at least one social context subscale, met the minimum criteria for Year 1 drinking, and had nonmissing data on at least one of the outcome variables in Years 3 and/or 4. Social contexts of drinking were assessed in Year 1 by using previously validated scales measuring six different situational and motivational contexts in which alcohol is consumed. DSM-IV criteria for alcohol abuse and dependence and drunk driving were assessed annually.
Results: Holding constant gender, race/ethnicity, and baseline drinking frequency, the frequency of drinking in a context of social facilitation, sex-seeking, or in a motor vehicle during Year 1 was significantly related to a greater likelihood of alcohol abuse, alcohol dependence, and drunk driving in Years 3 and/or 4. Drinking in a context of emotional pain was related to alcohol dependence and drunk driving but not to alcohol abuse.
Conclusions: The Social Context of Drinking Scales have utility for identifying students who are at risk for developing alcohol-related problems.
Scientific significance: Identifying college students who might develop alcohol dependence requires an assessment of both situational and motivational factors that influence drinking, especially drinking in a motor vehicle.
Conflict of interest statement
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.
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- White AM, Kraus CL, Swartzwelder HS. Many college freshmen drink at levels far beyond the binge threshold. Alcohol Clin Exp Res. 2006;30(6):1006–1010. - PubMed
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- Substance Abuse and Mental Health Services Administration. Results from the 2009 National Survey on Drug Use and Health: Detailed tables. Rockville, MD: United States Department of Health and Human Services, Office of Applied Studies; 2010.
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