“Excessive Drinking—An Inescapable Part of University Life?” A Focus Group Study of Australian Undergraduates

Abstract

The university environment reinforces positive alcohol-related expectations and motivations for drinking among undergraduate students. High levels of hazardous consumption in this population lead to significant negative alcohol-related consequences, for individuals and those around them. This study sought to explore the contexts in which those who engage in hazardous drinking consume alcohol, their perceptions of safety and harm, and receptivity to health messages. Undergraduate university students (n = 69; aged 17 - 24 of both genders [57% female]) were purposively recruited into one of seven focus groups after screening with the Alcohol Use Disorders Identification Test (AUDIT) to select for hazardous drinking (score, >8) or moderate drinking. A focus group interview schedule was developed, which was informed by theory and tested for validity by a panel of experts. Qualitative analysis of the data revealed four thematic clusters: positive expectations; inescapable culture; defining situations; and permissible drunkenness. Drinking was associated with various personal and social advantages that reinforced participants’ intentions and/or willingness to drink. Alcohol played a meaningful role in the way in which participants identified with youth and university culture. Economical drinking was prominent, with students constantly negotiating pathways to intoxication within the confines of their budgets. Heavy drinking was viewed as permissible when in the home environment and/or in the company of trusted friends. Most students were unreceptive to health messages, and advice on restricting alcohol consumption seemed to have limited impact on drinking behaviour. Our findings clarify why some university students maintain or increase drinking behaviour despite known negative outcomes and offer useful insights to inform further research and the development of alcohol interventions specifically targeted at students.

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Hallett, J. , McManus, A. , Maycock, B. , Smith, J. and Howat, P. (2014) “Excessive Drinking—An Inescapable Part of University Life?” A Focus Group Study of Australian Undergraduates. Open Journal of Preventive Medicine, 4, 616-629. doi: 10.4236/ojpm.2014.47071.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] O’Malley, P.M. and Johnston, L.D. (2002) Epidemiology of Alcohol and Other Drug Use among American College Students. Journal of Studies on Alcohol. Supplement, 14, 23-39.
[2] Dawson, D.A., et al. (2004) Another Look at Heavy Episodic Drinking and Alcohol Use Disorders among College and Noncollege Youth. Journal of Studies on Alcohol, 65, 477.
[3] Slutske, W.S., et al. (2004) Do College Students Drink More than Their Non-College-Attending Peers? Evidence from a Population-Based Longitudinal Female Twin Study. Journal of Abnormal Psychology, 113, 530-540.
http://dx.doi.org/10.1037/0021-843X.113.4.530
[4] Kypri, K., Cronin, M. and Wright, C.S. (2005) Do University Students Drink More Hazardously than Their Non-Student Peers? Addiction, 100, 713-714.
http://dx.doi.org/10.1111/j.1360-0443.2005.01116.x
[5] Kypri, K., et al. (2002) High Prevalence, Persistent Hazardous Drinking among New Zealand Tertiary Students. Alcohol and Alcoholism, 37, 457-464.
http://dx.doi.org/10.1093/alcalc/37.5.457
[6] Karam, E., Kypri, K. and Salamoun, M. (2007) Alcohol Use Among College Students: An International Perspective. Current Opinion in Psychiatry, 20, 213-221.
http://dx.doi.org/10.1097/YCO.0b013e3280fa836c
[7] Hallett, J., et al. (2012) Undergraduate Student Drinking and Related Harms at an Australian University: Web-Based Survey of a Large Random Sample. BMC Public Health, 12, 37.
http://dx.doi.org/10.1186/1471-2458-12-37
[8] Saunders, J.B. and Lee, N.K. (2000) Hazardous Alcohol Use: Its Delineation as a Subthreshold Disorder, and Approaches to Its Diagnosis and Management. Comprehensive Psychiatry, 41, 95-103.
http://dx.doi.org/10.1016/S0010-440X(00)80015-2
[9] Babor, T.F. and Higgins-Biddle, J.C. (2001) Brief Intervention for Hazardous and Harmful Drinking: A Manual for Use in Primary Care. Department of Mental Health and Substance Dependence, World Health Organization, Geneva.
[10] National Health and Medical Research Council (2009) Australian Guidelines to Reduce Health Risks from Drinking Alcohol Canberra: Commonwealth of Australia.
[11] National Health and Medical Research Council (2001) Australian Alcohol Guidelines: Health Risks and Benefits Canberra: Commonwealth of Australia.
[12] Hingson, R.W. (2010) Focus on: College Drinking and Related Problems: Magnitude and Prevention of College Drinking and Related Problems. Alcohol Research & Health: The Journal of the National Institute on Alcohol Abuse and Alcoholism, 33, 45-54.
[13] Weitzman, E.R., Nelson, T.F. and Wechsler, H. (2003) Taking up Binge Drinking in College: The Influences of Person, Social Group, and Environment. Journal of Adolescent Health, 32, 26-35.
http://dx.doi.org/10.1016/S1054-139X(02)00457-3
[14] Martin, C.M. and Hoffman, M.A. (1993) Alcohol Expectancies, Living Environment, Peer Influence, and Gender: A Model of College-Student Drinking. Journal of College Student Development, 34, 206-211.
[15] Borsari, B. and Carey, K.B. (2001) Peer Influences On College Drinking: A Review of the Research. Journal of Substance Abuse, 13, 391-424.
http://dx.doi.org/10.1016/S0899-3289(01)00098-0
[16] Brown, S.A., Goldman, M.S., Inn, A. and Anderson, L.R. (1980) Expectations of Reinforcement from Alcohol: Their Domain and Relation to Drinking Patterns. Journal of Consulting and Clinical Psychology, 48, 419-426.
http://dx.doi.org/10.1037/0022-006X.48.4.419
[17] Wood, M.D., et al. (2001) Social Influence Processes and College Student Drinking: The Mediational Role of Alcohol Outcome Expectancies. J Stud Alcohol, 62, 32-43.
http://dx.doi.org/10.1353/csd.2010.0005
[18] Presley, C.A., Meilman, P.W. and Leichliter, J.S. (2002) College Factors That Influence Drinking. Journal of Studies on Alcohol, 82-90.
[19] LaBrie, J.W., Hummer, J.F. and Pedersen, E.R. (2007) Reasons for Drinking in the College Student Context: The Differential Role and Risk of the Social Motivator. Journal of Studies on Alcohol and Drugs, 68, 393-398.
[20] Polizzotto, M.N., SAW, M.M., Tjhung, I., Chua, E.H. and Stockwell, T.R. (2007) Fluid Skills: Drinking Games and Alcohol Consumption among Australian University Students. Drug and Alcohol Review, 26, 469-475.
http://dx.doi.org/10.1080/09595230701494374
[21] Baer, J.S. (1994) Effects of College Residence on Perceived Norms for Alcohol Consumption: An Examination of the First Year in College. Psychology of Addictive Behaviors, 8, 43-50.
http://dx.doi.org/10.1037/0893-164X.8.1.43
[22] Jamison, J. and Myers, L.B. (2008) Peer-Group and Price Influence Students Drinking Along with Planned Behaviour. Alcohol and Alcoholism, 43, 492-497.
[23] Farber, P.D., Khavari, K.A. and Douglass, F.M. (1980) A Factor Analytic Study of Reasons for Drinking: Empirical Validation of Positive and Negative Reinforecement Dimensions. Journal of Consulting and Clinical Psychology, 48, 780-781.
http://dx.doi.org/10.1037/0022-006X.48.6.780
[24] Cooper, M.L. (1994) Motivations for Alcohol Use among Adolescents: Development and Validation of a Four-Factor Model. Psychological Assessment, 6, 117-128.
http://dx.doi.org/10.1037/1040-3590.6.2.117
[25] Pavis, S., Cunningham-Burley, S. and Amos, A. (1997) Alco-hol Consumption and Young People: Exploring Meaning and Social Context. Health Education Research, 12, 311-322.
http://dx.doi.org/10.1093/her/12.3.311
[26] Noar, S.M., Laforge, R.G., Maddock, J.E. and Wood, M.D. (2003) Rethinking Positive and Negative Aspects of Alcohol Use: Suggestions from a Comparison of Alcohol Expectancies and Decisional Balance. Journal of Studies on Alcohol, 64, 60-69.
[27] Zamboanga, B.L., Horton, N.J., Leitkowski, L.K. and Wang, S.C. (2006) Do Good Things Come to Those Who Drink? A Longitudinal Investigation of Drinking Expectancies and Hazardous Alcohol Use in Female College Athletes. Journal of Adolescent Health, 39, 229-236.
http://dx.doi.org/10.1016/j.jadohealth.2005.11.019
[28] Perkins, H.W. (2002) Surveying the Damage: A Review of Research on Consequences of Alcohol Misuse in College Populations. Journal of Studies on Alcohol, 91-100.
[29] Park, C.L. (2005) Positive and Negative Consequences of Alcohol Consumption in College Students. Addictive Behaviors, 29, 311-321.
http://dx.doi.org/10.1016/j.addbeh.2003.08.006
[30] Murphy, J.G., Hoyme, C.K., Colby, S.M. and Borsari, B. (2006) Alcohol Consumption, Alcohol-Related Problems, and Quality of Life among College Students. Journal of College Student Development, 47, 110-121.
http://dx.doi.org/10.1353/csd.2006.0010
[31] Mallett, K.A., Bachrach, R.L. and Turrisi, R.L. (2008) Are All Negative Consequences Truly Negative? Assessing Variations among College Students’ Perceptions of Alcohol Related Consequences. Addictive Behaviors, 33, 1375-1381.
[32] Kypri, K., Paschall, M.J., Langley, J., Baxter, J., Cashell-Smith, M. and Bourdeau, B. (2009) Drinking and Alcohol-Related Harm among New Zealand University Students: Findings from a National Web-Based Survey. Alcoholism: Clinical and Experimental Research, 33, 307-314.
http://dx.doi.org/10.1111/j.1530-0277.2008.00834.x
[33] Nelson, T.F., Xuan, Z., Lee, H., Weitzman, E.R. and Wechsler, H. (2009) Persistence of Heavy Drinking and Ensuing Consequences at Heavy Drinking Colleges. Journal of Studies on Alcohol and Drugs, 70, 726-734.
[34] Ray, A.E., Turrisi, R., Abar, B. and Peters, K.E. (2009) Social-Cognitive Correlates of Protective Drinking Behaviors and Alcohol-Related Consequences in College Students. Addictive Behaviors, 34, 911-917.
http://dx.doi.org/10.1016/j.addbeh.2009.05.016
[35] Lewis, M.A., Rees, M., Logan, D.E., Kaysen, D.L. and Kilmer, J.R. (2010) Use of Drinking Protective Behavioral Strategies in Association to Sex-Related Alcohol Negative Consequences: The Mediating Role of Alcohol Consumption. Psychology of Addictive Behavior, 24, 229-238.
http://dx.doi.org/10.1037/a0018361
[36] Ham, L.S. and Hope, D.A. (2003) College Students and Problematic Drinking: A Review of the Literature. Clinical Psychology Review, 23, 719-759.
http://dx.doi.org/10.1016/s0272-7358(03)00071-0
[37] Haines, M.P., Barker, G. and Rice, R.M. (2006) The Personal Protective Behaviors of College Student Drinkers: Evidence of Indigenous Protective Norms. Journal of American College Health, 55, 69-75.
http://dx.doi.org/10.3200/JACH.55.2.69-76
[38] Benton, S.L., Schmidt, J.L., Newton, F.B., Shin, K., Benton, S.A. and Newton, D.W. (2004) College Student Protective Strategies and Drinking Consequences. Journal of Studies on Alcohol and Drugs, 65, 115-121.
[39] Hallett, J., Maycock, B., Kypri, K., Howat, P. and Mcmanus, A. (2009) Development of a Web-Based Alcohol Intervention for University Students: Processes and Challenges. Drug and Alcohol Review, 28, 31-39.
http://dx.doi.org/10.1111/j.1465-3362.2008.00008.x
[40] Kypri, K., Hallett, J., Howat, P., McManus, A., Maycock, B., Bowe, S., et al. (2009) Randomised Controlled Trial of Proactive Web-Based Alcohol Screening and Brief Intervention for University Students. Archives of Internal Medicine, 169, 1508-1514.
http://dx.doi.org/10.1001/archinternmed.2009.249
[41] Saunders, J.B., Aasland, O.G., Babor, T.F., De La Fuente, J.R. and 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.
http://dx.doi.org/10.1111/j.1360-0443.1993.tb02093.x
[42] Bandura, A. (1986) Social Foundations of Thought and Action: A Social Cognitive Theory. Prentice Hill, Upper Saddle River.
[43] Janz, N.K. and Becker, M.H. (1984) The Health Belief Model: A Decade Later. Health Education Quarterly, 11, 1-47.
[44] McManus, A., Burns, S.K., Howat P.A., Cooper, L. and Fielder, L. (2007) Factors Influencing the Consumption of Seafood among Young Children in Perth: A Qualitative Study. BMC Public Health, 7, 119.
http://dx.doi.org/10.1186/1471-2458-7-119
[45] Jones, C., Burns, S., Howat, P., Jancey, J., McManus, A. and Carter, O. (2010) Playgroups as a Setting for Nutrition and Physical Activity Interventions for Mothers with Young Children: Exploratory Qualitative Findings. Health Promotion Journal of Australia, 21, 92-98.
[46] Strauss, A. and Corbin, J. (1998) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd Edition, Sage Publications, Thousand Oaks.
[47] Charmaz, K. (2006) Constructing Grounded Theory: A Practical Guide through Qualitative Analysis. Silverman, D., Ed., SAGE Publications, Thousand Oaks.
[48] Bryman, A. (2004) Social Research Methods. 2nd Edition, Oxford University Press, New York.
[49] Read, J.P., Wardell, J.D. and Bachrach, R.L. (2013) Drinking Consequence Types in the First College Semester Differentially Predict Drinking the Following Year. Addictive Behaviors, 38, 1464-1471.
http://dx.doi.org/10.1016/j.addbeh.2012.07.005
[50] Weinstein, N.D. (1980) Unrealistic Optimism about Future Life Events. Journal of Personality and Social Psychology, 39, 806-820.
[51] Weinstein, N.D. (1987) Unrealistic Optimism about Susceptibility to Health-Problems: Conclusions from a Community-Wide Sample. Journal of Behavioral Medicine, 10, 481-500.
http://dx.doi.org/10.1007/BF00846146
[52] Weinstein, N.D. and Nicolich, M. (1993) Correct and Incorrect Interpretations of Correlations between Risk Perceptions and Risk Behaviors. Health Psychology, 12, 235-245.
[53] Borsari, B. and Carey, K.B. (2003) Descriptive and Injunctive Norms in College Drinking: A Meta-Analytic Integration. Journal of Studies on Alcohol, 64, 331-341.
[54] Hartzler, B. and Fromme, K. (2003) Heavy Episodic Drinking and College Entrance. Journal of Drug Education, 33, 259-274.
http://dx.doi.org/10.2190/2L2X-F8E1-32T9-UDMU
[55] Perkins, H.W., Haines, M.P. and Rice, R. (2005) Mis-perceiving the College drinking Norm and Related Problems: A Nationwide Study of Exposure to Prevention Information, Perceived Norms and Student Alcohol Misuse. Journal of Studies on Alcohol, 66, 470-478.
[56] Neighbors, C., Lee, C.M., Lewis, M.A., Fossos, N. and Larimer, M.E. (2007) Are Social Norms the Best Predictor of Outcomes among Heavy-Drinking College Students? Journal of Studies on Alcohol and Drugs, 68, 556-565.
[57] Larimer, M.E., Kaysen, D.L., Lee, C.M., Kilmer, J.R., Lewis, M.A., Dillworth, T., et al. (2009) Evaluating Level of Specificity of Normative Referents in Relation to Personal Drinking Behavior. Journal of Studies on Alcohol and Drugs, 115-121.
[58] Kenney, S.R., LaBrie, J.W. and Lac, A. (2013) Injunctive Peer Misperceptions and the Mediation of Self-Approval on Risk for Driving after Drinking among College Students. Journal of Health Communication, 18, 459-477.
http://dx.doi.org/10.1080/10810730.2012.727963
[59] Agostinelli, G., Brown, J.M. and Miller, W.R. (1995) Effects of Normative Feedback on Consumption among Heavy Drinking College Students. Journal of Drug Education, 25, 31-40.
[60] Kypri, K. and Langley, J.D. (2003) Perceived Social Norms and Their Relation to University Student Drinking. Journal of Studies on Alcohol, 64, 829-834.
[61] Walter, G. and Kowalczyk, J. (2012) The Effectiveness of Alcohol Policies in 4-Year Public Universities. Journal of Community Health, 37, 520-528.
http://dx.doi.org/10.1007/s10900-011-9474-3
[62] Schulenberg, J., Maggs, J.L., Long, S.W., Sher, K.J., Gotham, H.J., Baer, J.S., et al. (2001) The Problem of College Drinking: Insights from a Developmental Perspective. Alcoholism: Clinical and Experimental Research, 25, 473-477.
http://dx.doi.org/10.1111/j.1530-0277.2001.tb02237.x
[63] LaBrie, J.W., Ehret, P.J., Hummer, J.F. and Prenovost, K. (2012) Poor Adjustment to College Life Mediates the Relationship between Drinking Motives and Alcohol Consequences: A Look at College Adjustment, Drinking Motives, and Drinking Outcomes. Addictive Behaviors, 37, 379-386.
http://dx.doi.org/10.1016/j.addbeh.2011.11.018
[64] Hughes, C. (2012) All Beer and Skittles? A Qualitative Pilot Study of the Role of Alcohol in University College Life. Australian Universities’ Review, 54, 22-28.
[65] Schulenberg, J.E. and Maggs, J.L. (2002) A Developmental Perspective on Alcohol Use and Heavy Drinking During Adolescence and the Transition to Young Adulthood. Journal of Studies on Alcohol, 54-70.
[66] Sher, K.J. and Rutledge, P.C. (2007) Heavy Drinking across the Transition to College: Predicting First-Semester Heavy Drinking from Precollege Variables. Addictive Behaviors, 32, 819-835.
http://dx.doi.org/10.1016/j.addbeh.2006.06.024
[67] Roche, A.M. and Deehan, A. (2002) Women’s Alcohol Consumption: Emerging Patterns, Problems and Public Health Implications. Drug and Alcohol Review, 21, 169-178.
http://dx.doi.org/10.1080/09595230220139073
[68] McPherson, M., Casswell, S. and Pledger, M. (2004) Gender Convergence in Alcohol Consumption and Related Problems: Issues and Outcomes from Comparisons of New Zealand Survey Data. Addiction, 99, 738-748.
http://dx.doi.org/10.1111/j.1360-0443.2004.00758.x
[69] Young, A.M., Morales, M., McCabe, S.E., Boyd, C.J. and D’arcy, H. (2005) Drinking Like a Guy: Frequent Binge Drinking among Undergraduate Women. Substance Use & Misuse, 40, 241-267.
http://dx.doi.org/10.1081/JA-200048464
[70] Wagoner, K.G., Blocker, J., McCoy, T.P., Sutfin, E.L., Champion, H. and Wolfson, M. (2012) Free Alcohol Use and Consequences: Gender Differences among Undergraduates. American Journal of Health Behavior, 36, 446-458.
http://dx.doi.org/10.5993/AJHB.36.4.2
[71] Deal, S.R. and Gavaler, J.S. (1994) Are Women More Susceptible Than Men to Alcohol-Induced Cirrhosis. Alcohol Health & Research World, 18, 189-191.
[72] Longnecker, M.P. (1994) Alcoholic Beverage Consumption in Relation to Risk of Breast-Cancer—Metaanalysis and Review. Cancer Causes & Control, 5, 73-82.
http://dx.doi.org/10.2105/AJPH.85.7.982
[73] Wechsler, H., Dowdall, G.W., Davenport, A. and Rimm, E.B. (1995) A Gender-Specific Measure of Binge Drinking among College Students. American Journal of Public Health, 85, 982-985.
http://dx.doi.org/10.2105/AJPH.85.7.982
[74] Ammendola, A., Gemini, D., Iannaccone, S., Argenzio, F., Ciccone, G., Ammendola, E., et al. (2000) Gender and Peripheral Neuropathy in Chronic Alcoholism: A Clinical-Electroneurographic Study. Alcohol and Alcoholism, 35, 368-371.
http://dx.doi.org/10.1093/alcalc/35.4.368
[75] Zamboanga, B.L. and Ham, L.S. (2008) Alcohol Expectancies and Context-Specific Drinking Behaviors among Female College Athletes. Behavior Therapy, 39, 162-170.
http://dx.doi.org/10.1016/j.beth.2007.06.002
[76] LaBrie, J.W. and Pedersen, E.R. (2008) Prepartying Promotes Heightened Risk in the College Environment: An Event-Level Report. Addictive Behaviors, 33, 955-959.
http://dx.doi.org/10.1016/j.addbeh.2008.02.011
[77] Iwamoto, D.K., Cheng, A., Lee, C.S., Takamatsu, S. and Gordon, D. (2011) “Maning” up and Getting Drunk: The Role of Masculine Norms, Alcohol Intoxication and Alcohol-Related Problems among College Men. Addictive Behaviors, 36, 906-911.
http://dx.doi.org/10.1016/j.addbeh.2011.04.005
[78] Pedersen, E.R., LaBrie, J.W. and Kilmer, J.R. (2009) Before You Slip into the Night, You’ll Want Something to Drink: Exploring the Reasons for Prepartying Behavior among College Student Drinkers. Issues in Mental Health Nursing, 30, 354-363.
http://dx.doi.org/10.1080/01612840802422623
[79] Paves, A.P., Pedersen, E.R., Hummer, J.F. and LaBrie, J.W. (2012) Prevalence, Social Contexts, and Risks for Prepartying among Ethnically Diverse College Students. Addictive Behaviors, 37, 803-810.
http://dx.doi.org/10.1016/j.addbeh.2012.03.003
[80] LaBrie, J.W., Cail, J., Hummer, J.F., Lac, A. and Neighbors, C. (2009) What Men Want: The Role of Reflective Opposite-Sex Normative Preferences in Alcohol Use among College Women. Psychology of Addictive Behaviors, 23, 157-162.
http://dx.doi.org/10.1037/a0013993
[81] Grazian, D. (2007) The Girl Hunt: Urban Nightlife and the Performance of Masculinity as Collective Activity. Symbolic Interaction, 30, 221-243.
http://dx.doi.org/10.1525/si.2007.30.2.221
[82] Pedersen, E.R. and LaBrie, J. (2007) Partying before the Party: Examining Prepartying Behavior among College Students. Journal of American College Health, 56, 237-245.
http://dx.doi.org/10.3200/JACH.56.3.237-246
[83] Read, J.P., Merrill, J.E. and Bytschkow, K. (2010) Before the Party Starts: Risk Factors and Reasons for “Pregaming” in College Students. Journal of American College Health, 58, 461-472.
http://dx.doi.org/10.1080/07448480903540523
[84] Kenney, S.R., Hummer, J.F. and LaBrie, J.W. (2010) An Examination of Prepartying and Drinking Game Playing during High School and Their Impact on Alcohol-Related Risk upon Entrance into College. Journal of Youth and Adolescence, 39, 999-1011.
http://dx.doi.org/10.1007/s10964-009-9473-1
[85] DeJong, W., and Langford, L.M. (2002) A Typology for Campus-Based Alcohol Prevention: Moving toward Environmental Management Strategies. Journal of Studies on Al-cohol, 140-147.
[86] Steinman, K.J. (2003) College Students’ Early Cessation from Episodic Heavy Drinking: Prevalence and Correlates. Journal of American College Health, 51, 197-204.
http://dx.doi.org/10.1080/07448480309596351
[87] Murphy, J.G., Barnett, N.P. and Colby, S.M. (2006) Alcohol-Related and Alcohol-Free Activity Participation and Enjoyment among College Students: A Behavioral Theory of Choice Analysis. Experimental and Clinical Psychopharmacology, 14, 339-349.
http://dx.doi.org/10.1037/1064-1297.14.3.339. 339
[88] Osborn, C.J., Thombs, D.L. and Olds, R.S. (2007) Reconceptualizing Research on Undergraduate Alcohol Use: The Need for Student Engagement. Evaluation & the Health Professions, 30, 118-137.
http://dx.doi.org/10.1177/0163278707300629

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