Register      Login
Health Promotion Journal of Australia Health Promotion Journal of Australia Society
Journal of the Australian Health Promotion Association
RESEARCH ARTICLE (Open Access)

The relationship between alcohol consumption and related harm among young university students

Ellen Hart A and Sharyn Burns A B
+ Author Affiliations
- Author Affiliations

A Collaboration for Evidence, Research, and Impact in Public Health, Curtin University, GPO Box U1987, Perth, WA 6845, Australia.

B Corresponding author. Email: S.Burns@curtin.edu.au

Health Promotion Journal of Australia 27(1) 15-20 https://doi.org/10.1071/HE15086
Submitted: 20 July 2015  Accepted: 4 November 2015   Published: 1 February 2016

Journal Compilation © Australian Health Promotion Association 2016

Abstract

Issue addressed: Research has shown that Australian university students consume alcohol at a higher level than their peers from the general population and are therefore more likely to witness and experience alcohol-related harm. This study measured the prevalence of alcohol consumption among 18–24-year-old university students and the association between alcohol consumption and witnessed and experienced harms.

Methods: A random cross-sectional sample of university students aged 18–24 years (n = 2466) was recruited via the University Survey Office and through random intercept at campus market day. All participants completed an online survey that included the Alcohol Use Disorders Identification Test, Alcohol Problems Scale and an additional scale measuring witnessed harm.

Results: Principal Components Analysis revealed three factors within the Alcohol Problems Scale; i.e. Criminal and Aggressive Behaviour, Health and Emotional Harms and Sexual Harms. Students who consume alcohol at high-risk levels were significantly more likely to score highly on each factor, 1.6 times more likely to experience harm and 1.1 times more likely to witness harm than students who consume alcohol at low-risk levels.

Conclusions: The positive association between alcohol consumption and alcohol-related harm supports previous findings. This study adds previous research through the categorisation of harm into factors.

So what?: Integrated and comprehensive interventions addressing alcohol consumption among young university students that are informed by evidence-based research can be tailored to ensure that they meet the needs of the target group.


References

[1]  National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. Canberra: National Health and Medical Research Council; 2009.

[2]  Adhikari P, Batts D, Harrold T. Drinking patterns in Australia, 2001–2007. Canberra: Australian Institute of Health and Welfare; 2010.

[3]  Tomlin S, Joyce S. Health and wellbeing of adults in Western Australia 2012, overview and trends. Western Australia: Department of Health; 2013.

[4]  Borglagdan J, Freeman T, Duvnjak A, Lunnay B, Bywood P, Roche AM. From ideal to reality: Cultural contradictions and young people’s drinking. Flinders University, Adelaide: National Centre for Education and Training on Addiction; 2010.

[5]  Davey J, Davey T, Obst P (2002) Alcohol consumption and drug use in a sample of Australian university students. Youth Stud Aust 21, 25–32.

[6]  Johnston KL, White KM (2004) Binge-drinking in female university students. Youth Stud Aust 23, 22–30.

[7]  Rickwood D, George A, Parker R, Mikhailovich K (2011) Harmful alcohol use on campus: impact on young people at university. Youth Studies Australia 30, 34–40.

[8]  Mathers C, Stevens G, Mascarenhas M. Global health risks: mortality and burden of disease attributable to selected major risks. Paris: World Health Organization; 2009.

[9]  Australian Institute of Health and Welfare National Drug Strategy Household Survey detailed report 2013. Drug statistics series no. 28. Cat. no. PHE 183. Canberra: AIHW; 2014.

[10]  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 |

[11]  Ståhlbrandt H, Andersson C, Johnsson KO, Tollison SJ, Berglund M, Larimer ME (2008) Cross-cultural patterns in college student drinking and its consequences – a comparison between the USA and Sweden. Alcohol Alcoholism 43, 698–705.
Cross-cultural patterns in college student drinking and its consequences – a comparison between the USA and Sweden.Crossref | GoogleScholarGoogle Scholar | 18593864PubMed |

[12]  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 |

[13]  Gill JS (2002) Reported levels of alcohol consumption and binge drinking within the UK undergraduate student population over the last 25 years. Alcohol Alcoholism 37, 109–20.
Reported levels of alcohol consumption and binge drinking within the UK undergraduate student population over the last 25 years.Crossref | GoogleScholarGoogle Scholar | 11912065PubMed |

[14]  Griffin C, Bengry-Howell A, Hackley C, Mistral W, Szmigin I (2009) ‘Every time I do it I absolutely annihilate myself’: loss of (self-)consciousness and loss of memory in young people’s drinking narratives. Sociology 43, 457–76.
‘Every time I do it I absolutely annihilate myself’: loss of (self-)consciousness and loss of memory in young people’s drinking narratives.Crossref | GoogleScholarGoogle Scholar |

[15]  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 ClinExp Res 33, 307–14.
Drinking and alcohol-related harm among New Zealand university students: findings from a national web-based survey.Crossref | GoogleScholarGoogle Scholar |

[16]  McGee R, Kypri K (2004) Alcohol-related problems experienced by university students in New Zealand. Aust NZ J Publ Health 28, 321–3.
Alcohol-related problems experienced by university students in New Zealand.Crossref | GoogleScholarGoogle Scholar |

[17]  Hallett J, Howat P, Maycock B, McManus A, Kypri K, Dhaliwal S (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 |

[18]  Connor J, Psutka R, Cousins K, Gray A, Kypri K (2013) Risky drinking, risky sex: a national study of New Zealand university students. Alcoholism 37, 1971–8.
Risky drinking, risky sex: a national study of New Zealand university students.Crossref | GoogleScholarGoogle Scholar | 23895314PubMed |

[19]  Langley JD, Kypri K, Stephenson SCR (2003) Secondhand effects of alcohol use among university students: computerised survey. BMJ 327, 1023–4.
Secondhand effects of alcohol use among university students: computerised survey.Crossref | GoogleScholarGoogle Scholar | 14593036PubMed |

[20]  Hernandez L, Leontini R, Harley K (2013) Alcohol, university students, and harm-minimization campaigns: ‘a fine line between a good night out and a nightmare’. Contemp Drug Probl 40, 157–89.
Alcohol, university students, and harm-minimization campaigns: ‘a fine line between a good night out and a nightmare’.Crossref | GoogleScholarGoogle Scholar |

[21]  Miller P, Palmer D, McFarlane E, Curtis A (2014) Key stakeholder views of venue lockouts in Newcastle and Geelong. Crime PrevComm Safe 16, 38–53.
Key stakeholder views of venue lockouts in Newcastle and Geelong.Crossref | GoogleScholarGoogle Scholar |

[22]  Hallett J, Maycock B, Kypri K, Howat P, McManus A (2009) Development of a web-based alcohol intervention for university students: processes and challanges. Drug Alcohol Rev 28, 31–9.
Development of a web-based alcohol intervention for university students: processes and challanges.Crossref | GoogleScholarGoogle Scholar | 19320673PubMed |

[23]  Burns S, Jancey J, Bowser N, Comfort J, Crawford G, Hallett J, et al (2013) Moving forward: a cross sectional baseline study of staff and student attitudes towards a totally smoke free university campus. BMC Public Health 13, 738
Moving forward: a cross sectional baseline study of staff and student attitudes towards a totally smoke free university campus.Crossref | GoogleScholarGoogle Scholar | 23924040PubMed |

[24]  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=20a650032f201be5baed0e71f9248090CAS | 8329970PubMed |

[25]  Bradley KA, De Benedetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR (2007) AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol ClinExp Res 31, 1208–17.
AUDIT-C as a brief screen for alcohol misuse in primary care.Crossref | GoogleScholarGoogle Scholar |

[26]  Australian Government. Alcohol Screen (AUDIT). In Affairs DoVs, editor.

[27]  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 4 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 4 Harvard School of Public Health College Alcohol Study surveys: 1993–2001.Crossref | GoogleScholarGoogle Scholar | 11990979PubMed |

[28]  Field A. Discovering statistics using SPSS, 3rd edn. London: SAGE Publications; 2009.

[29]  Tabachnick BG, Fidell LS. Using multivariate statistics, 5th edn. Boston, Mass: Allyn and Bacon; 2001.

[30]  Fabrigar LR, Wegener DT, MacCallum RC, Strahan EJ (1999) Evaluating the use of exploratory factor analysis in psychological research. Psychol Methods 4, 272–99.
Evaluating the use of exploratory factor analysis in psychological research.Crossref | GoogleScholarGoogle Scholar |

[31]  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 |

[32]  Hallett J, Howat P, McManus A, Meng R, Maycock B, Kypri K (2013) Academic and personal problems among Australian university students who drink at hazardous levels: web-based survey. Health Promot J Austr 24, 170–7.
Academic and personal problems among Australian university students who drink at hazardous levels: web-based survey.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC2c3ovV2isw%3D%3D&md5=959a2428a9e6b33ed041f2e53cea4af1CAS | 24355337PubMed |

[33]  Webb E, Ashton H, Kelly P, Kamali F (1997) Patterns of alcohol consumption, smoking and illicit drug use in British university students: interfaculty comparisons. Drug Alcohol Depend 47, 145–53.
Patterns of alcohol consumption, smoking and illicit drug use in British university students: interfaculty comparisons.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2svktlGjsg%3D%3D&md5=2a8cf845b6f83f70763463e88a6d0cfdCAS | 9298336PubMed |

[34]  Hosier SG, Cox WM (2011) Personality and motivational correlates of alcohol consumption and alcohol-related problems among excessive drinking university students. Addict Behav 36, 87–94.
Personality and motivational correlates of alcohol consumption and alcohol-related problems among excessive drinking university students.Crossref | GoogleScholarGoogle Scholar | 20875705PubMed |

[35]  Burns S, Crawford G, Hallett J, Jancey J, Portsmouth L, Hunt K, et al (2015) Consequences of low risk and hazardous alcohol consumption among university students and implications for health promotion interventions. Open J Prev Med 5, 1–13.
Consequences of low risk and hazardous alcohol consumption among university students and implications for health promotion interventions.Crossref | GoogleScholarGoogle Scholar |

[36]  Psutka R, Connor J, Cousins K, Kypri K (2012) Sexual health, risks, and experiences of New Zealand university students: findings from a national cross-sectional study. New Zeal Med J 125, 62–73.

[37]  Burns S, Portsmouth L. Health promotion. In Allen F, editor. Health psychology and behaviour in Australia; 2010.

[38]  Stritzke W, Wylde T, Dove E, Erceg-Hurn D. Brief Alcohol Intervention Training (BAIT). Perth: University of Western Australia; 2012.