Racial Identity, Parental Support, and Alcohol Use in a Sample of Academically At-Risk African American High School Students

This study examined racial identity and parental support as predictors of alcohol use in a sample of 488 African American adolescents. Two dimensions of racial identity were investigated: (1) racial centrality (i.e., the significance that one places on race in defining oneself) and (2) private regard (i.e., the extent to which one feels positively about Black people). In addition, perceived support from mothers and fathers was examined. Multivariate results showed that private regard and father support were associated with less self-reported alcohol use after partialling out the effects of age and gender. An interaction between the two racial identity dimensions was also found such that private regard was associated with less alcohol use for adolescents who reported that race was a more central part of their identity.     

Enhanced Brief Motivational Intervention for College Student Drinkers With ADHD: Goal-Directed Activation as a Mechanism of Change

College students with attention-deficit/hyperactivity disorder (ADHD) are at risk for alcohol-related problems and disorders relative to their typically developing peers. Despite risk, the optimal therapeutic approach for reducing problem alcohol use in students with ADHD, and mechanisms of change underlying treatment effects in this population, are largely unknown. The current study evaluated putative mechanisms of change in a randomized controlled trial of two harm reduction interventions for college student drinkers with ADHD (N = 113; 49% male): brief motivational intervention plus supportive counseling (BMI + SC) versus brief motivational intervention plus behavioral activation (BMI + BA). Results showed that participants in the BMI + BA condition engaged in more goal-directed activation and less avoidant behavior over the course of treatment compared to those in the BMI + SC condition, in turn predicting reductions in alcohol-related negative consequences. Effects were more robust 1 month following intervention, and diminished by 3 months. Sensitivity analyses revealed a significant indirect effect of treatment condition on alcohol-related negative consequence via reductions in avoidance over treatment. Post hoc moderated mediations showed that BMI + BA engaged target mechanisms more robustly for students with more severe ADHD and depressive symptoms compared to BMI + SC. These findings support the application of BMI + BA intervention, particularly in targeting goal-directed activation and avoidance/rumination in at-risk student drinkers with ADHD.     

Predicting rape events: The influence of intimate partner violence history,condom use resistance,and heavy drinking

Sexual aggression perpetration is a public health epidemic, and burgeoning research aims to delineate risk factors for individuals who perpetrate completed rape. The current study investigated physical and psychological intimate partner violence (IPV) history, coercive condom use resistance (CUR), and heavy episodic drinking (HED) as prospective risk factors for rape perpetration. Young adult men (N = 430) ages 21–30 completed background measures as well as follow‐up assessments regarding rape events perpetrated over the course of 3 months. Negative binomial regression with log link function was utilized to examine whether these risk factors interacted to prospectively predict completed rape. There was a significant interaction between physical IPV and HED predicting completed rape; men with high HED and greater physical IPV histories perpetrated more completed rapes during follow‐up than men with low HED at the same level of physical IPV. Moreover, psychological IPV and coercive CUR interacted to predict completed rape such that men with high coercive CUR and greater psychological IPV histories perpetrated more completed rapes throughout the follow‐up period than men with low coercive CUR at the same level of psychological IPV. Findings suggest targets for intervention efforts and highlight the need to understand the topography of different forms of aggression perpetration.     

Evaluation of a Web‐Based Alcohol Program Alone and in Combination With a Parent Campaign for Ninth‐Grade Students

This randomized controlled study evaluated the efficacy of a web‐based program alone and in combination with a parent campaign among 9th‐grade students (N = 205). Results indicate lower drinking rates in both programs compared with traditional education for female students.     

Binge drinking among young adults in Israel: application of the theory of planned behavior

Binge drinking is common among young people, and is an area of concern in many countries worldwide. Israel has seen a steady increase in binge drinking behaviors in recent years among youth and young adults. Using the Theory of Planned Behavior (TPB) as a guiding theoretical framework, this study examines whether attitudes, subjective norms, perceived behavioral control and intention to engage in binge drinking are correlated with individual participation in binge drinking among young adults aged 18–35 in Israel. Participants (n = 213) completed a cross-sectional survey that included measures of the TPB and binge drinking. Correlations between the TPB variables were conducted and multiple and logistic regression models were calculated to predict binge drinking intention and behavior. Findings show that 38% of the sample reported engaging in binge drinking activities in the past 30 days, and that TPB variables significantly predicted both intent to engage in binge drinking and the behavior itself (explaining 68 and 45% of the variance, respectively). These findings enable us to better understand some of the motivations young people may have for engaging in binge drinking. Results and implications for future education and prevention efforts, research and policy are therefore discussed within a social context.     

Do mental disorders moderate the association between diabetes status and alcohol consumption?

Although heavy alcohol consumption is associated with diabetes-related complications, little is known about patterns of alcohol use among people with diabetes. Moreover, heavy drinking is more common among individuals with major depressive disorder (MDD), bipolar disorder (BD), and generalized anxiety disorder (GAD) than in the general population, and these disorders are often comorbid with diabetes. The present study tested the hypothesis that mental disorders moderate the association between diabetes status and alcohol consumption. A total of 14,302 adult participants aged 40-79 were included from the cross-sectional 2012 Canadian Community Health Survey-Mental Health (1,698 with diabetes). Data were analyzed using hierarchical linear regression models. MDD and BD, but not GAD, significantly moderated the association between diabetes status and alcohol quantity, such that the presence of diabetes was strongly and negatively associated with alcohol quantity if individuals had MDD or BD. There was no interaction between diabetes status and any of the mental disorders and alcohol frequency. This study suggests that among individuals with diabetes, those with comorbid MDD or BD drink less than those without MDD or BD. Further investigation of this association is needed and could help inform future alcohol-related interventions among individuals with diabetes.     

Cycling under the influence of alcohol in Germany

Cyclists have a relatively high risk of being injured in traffic accidents. In Germany, statistics have shown that cyclists injured in police-reported traffic accidents are often found to have cycled with high blood alcohol levels. Relevant research has discussed the ability of the Theory of Planned Behavior (TPB; Ajzen, 1991), deterrence factors, and habitual behavior to predict unsafe and rule-violating behavior in traffic. To promote safer cycling, the relative contributions of these predictors must be determined to design efficient countermeasures. In an online survey, N = 353 participants reported cycling and drinking behaviors for 1 week and answered questions on the TPB, deterrence, and additional predictors. Perceived social norms were quite permissive and perceived behavioral control when cycling under the influence (CUI) of alcohol was quite high. Furthermore, a third of the cyclists reported CUI. Participants with experience of CUI reported having consumed large amounts of alcohol before cycling. High levels of cycling, a permissive attitude, and greater alcohol consumption per drinking episode predicted the number of CUI trips. The amount of alcohol consumed before one CUI trip was predicted by high perceived behavioral control when CUI, a high level of need for stimulation, and higher habitual alcohol consumption per drinking episode. Deterrence factors were found to have no influence on reported CUI. Overall, the findings suggested that Germans who habitually drink a large amount of alcohol are not deterred from CUI in the same manner that they would be from driving under the influence (DUI). The generally permissive perceived social norms did not differentiate between CUI and non-CUI cyclists, which indicated that a societal effort is required to balance the mismatch between CUI and DUI. In addition, changing the general drinking behaviors of highly educated Germans who cycle, would be beneficial for their health.     

The effects of alcohol intoxication and sexual interest on men's sexual persistence and hostility in a dating simulation

Perpetrators of sexual assault are often intoxicated; however, few experimental studies evaluate alcohol's “in the moment” effects on sexual aggression. This study extends past theory and research by examining the acute effects of alcohol on men's decisions about how to respond to sexual refusals in a dating simulation. Men (N = 62) ages 21–29 were randomly assigned to consume alcohol (target breath alcohol level 0.080%) or no alcohol. Participants were encouraged to talk to a simulated woman and act as they would on an actual date. They made choices from a list which included nonsexual and sexual options. The female agent was programmed to engage in some sexual activities but refuse others. Refusals became more intense if participants persisted. Negative binomial regression analysis was used to test a path analytic model. As predicted, participants' self‐reported desire to have sex was positively associated with choosing more consensual sexual activities during the simulation (i.e., activities in which the woman willingly engaged). Consensual sexual activities were positively associated with the number of times participants persisted after the woman refused. Alcohol moderated this relationship such that it was stronger for intoxicated men than sober men. The more sexual refusals participants received, the more hostile verbal comments they made to the woman. Contrary to our predictions, this relationship was not moderated by alcohol condition. Because participants had multiple opportunities to escalate their aggression or desist, this paradigm provides new insights into the mechanisms through which intoxication enhances the likelihood of sexual aggression in dating situations.

     

Alcohol Counseling in Hospital Trauma: Examining Two Brief Interventions

Hospital trauma centers intervene with patients who incur alcohol‐related injuries. This prospective study, using professional counselors and trainees, investigated brief counseling interventions (BCIs). Participants were randomized to either a conventional BCI examining quantity and frequency of drinks or a personalized BCI exploring overintoxication. No statistically significant difference between risky drinkers randomized to either intervention in a hospital trauma center was observed. Findings indicate that a personalized BCI may be an alternative to a quantitative BCI in reducing risky alcohol consumption.