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Published in: BMC Public Health 1/2008

Open Access 01-12-2008 | Research article

Changes in undergraduate student alcohol consumption as they progress through university

Authors: Bridgette M Bewick, Brendan Mulhern, Michael Barkham, Karen Trusler, Andrew J Hill, William B Stiles

Published in: BMC Public Health | Issue 1/2008

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Abstract

Background

Unhealthy alcohol use amongst university students is a major public health concern. Although previous studies suggest a raised level of consumption amongst the UK student population there is little consistent information available about the pattern of alcohol consumption as they progress through university. The aim of the current research was to describe drinking patterns of UK full-time undergraduate students as they progress through their degree course.

Method

Data were collected over three years from 5895 undergraduate students who began their studies in either 2000 or 2001. Longitudinal data (i.e. Years 1–3) were available from 225 students. The remaining 5670 students all responded to at least one of the three surveys (Year 1 n = 2843; Year 2 n = 2219; Year 3 n = 1805).

Results

Students reported consuming significantly more units of alcohol per week at Year 1 than at Years 2 or 3 of their degree. Male students reported a higher consumption of units of alcohol than their female peers. When alcohol intake was classified using the Royal College of Physicians guidelines [1] there was no difference between male and females students in terms of the percentage exceeding recommended limits. Compared to those who were low level consumers students who reported drinking above low levels at Year 1 had at least 10 times the odds of continuing to consume above low levels at year 3. Students who reported higher levels of drinking were more likely to report that alcohol had a negative impact on their studies, finances and physical health. Consistent with the reduction in units over time students reported lower levels of negative impact during Year 3 when compared to Year 1.

Conclusion

The current findings suggest that student alcohol consumption declines over their undergraduate studies; however weekly levels of consumption at Year 3 remain high for a substantial number of students. The persistence of high levels of consumption in a large population of students suggests the need for effective preventative and treatment interventions for all year groups.
Literature
1.
go back to reference Royal College of Physicians: Alcohol and the heart in perspective. Sensible limits reaffirmed. Summary of the report of a working group of the Royal College of Physicians, Psychiatrists and General Practitioners. Journal of the Royal College of Physicians London. 1995, 29: 266-271. Royal College of Physicians: Alcohol and the heart in perspective. Sensible limits reaffirmed. Summary of the report of a working group of the Royal College of Physicians, Psychiatrists and General Practitioners. Journal of the Royal College of Physicians London. 1995, 29: 266-271.
2.
go back to reference Ham LS, Hope DA: College students and problematic drinking: A review of the literature. Clin Psychol Rev. 2003, 23: 719-759. 10.1016/S0272-7358(03)00071-0.CrossRefPubMed Ham LS, Hope DA: College students and problematic drinking: A review of the literature. Clin Psychol Rev. 2003, 23: 719-759. 10.1016/S0272-7358(03)00071-0.CrossRefPubMed
3.
go back to reference Royal College of Psychiatrists: The mental health of students in higher education. 2003, Council Report CR112 Royal College of Psychiatrists: The mental health of students in higher education. 2003, Council Report CR112
4.
go back to reference Wechsler H, Davenport A, Dowdall G, Moeykens B, Castillo S: Health and behavioural consequences of binge drinking in college: a national survey of students at 140 campuses. JAMA. 1994, 272: 1672-1677. 10.1001/jama.272.21.1672.CrossRefPubMed Wechsler H, Davenport A, Dowdall G, Moeykens B, Castillo S: Health and behavioural consequences of binge drinking in college: a national survey of students at 140 campuses. JAMA. 1994, 272: 1672-1677. 10.1001/jama.272.21.1672.CrossRefPubMed
5.
go back to reference Kypri K, Cronin M, Wright CS: Do University students drink more hazardously than their non-student peers?. Addiction. 2005, 100: 713-714. 10.1111/j.1360-0443.2005.01116.x.CrossRefPubMed Kypri K, Cronin M, Wright CS: Do University students drink more hazardously than their non-student peers?. Addiction. 2005, 100: 713-714. 10.1111/j.1360-0443.2005.01116.x.CrossRefPubMed
6.
go back to reference Kypri K, Langley JD, McGee R, Saunders JB, Williams S: High Prevalence, persistent hazardous drinking among New Zealand tertiary students. Alcohol Alcohol. 2002, 37: 457-464.CrossRefPubMed Kypri K, Langley JD, McGee R, Saunders JB, Williams S: High Prevalence, persistent hazardous drinking among New Zealand tertiary students. Alcohol Alcohol. 2002, 37: 457-464.CrossRefPubMed
7.
go back to reference Pickard M, Bates L, Dorian M, Greig H, Saint D: Alcohol and drug use in second-year medical students at the University of Leeds. Med Educ. 2000, 34: 148-150. 10.1046/j.1365-2923.2000.00491.x.CrossRefPubMed Pickard M, Bates L, Dorian M, Greig H, Saint D: Alcohol and drug use in second-year medical students at the University of Leeds. Med Educ. 2000, 34: 148-150. 10.1046/j.1365-2923.2000.00491.x.CrossRefPubMed
8.
go back to reference Underwood B, Fox K: A survey of alcohol and drug use among UK based dental undergraduates. Br Dent J. 2000, 18: 314-317. 10.1038/sj.bdj.4800756a. Underwood B, Fox K: A survey of alcohol and drug use among UK based dental undergraduates. Br Dent J. 2000, 18: 314-317. 10.1038/sj.bdj.4800756a.
9.
go back to reference Webb E, Ashton CH, Kelly P, Kamali F: An update on British medical students' lifestyles. Med Educ. 1998, 32: 325-331. 10.1046/j.1365-2923.1998.00204.x.CrossRefPubMed Webb E, Ashton CH, Kelly P, Kamali F: An update on British medical students' lifestyles. Med Educ. 1998, 32: 325-331. 10.1046/j.1365-2923.1998.00204.x.CrossRefPubMed
10.
go back to reference Mcgee R, Kypri K: Alcohol-related problems experienced by university students in New Zealand. Aust N Z J Public Health. 2004, 28 (4): 321-323. 10.1111/j.1467-842X.2004.tb00437.x.CrossRefPubMed Mcgee R, Kypri K: Alcohol-related problems experienced by university students in New Zealand. Aust N Z J Public Health. 2004, 28 (4): 321-323. 10.1111/j.1467-842X.2004.tb00437.x.CrossRefPubMed
11.
go back to reference Reed MB, Wang R, Shillington AM, Clapp JD, Lange JE: The relationship between alcohol use and cigarette smoking in a sample of undergraduate college students. Addict Behav. 2007, 32 (3): 449-464. 10.1016/j.addbeh.2006.05.016.CrossRefPubMed Reed MB, Wang R, Shillington AM, Clapp JD, Lange JE: The relationship between alcohol use and cigarette smoking in a sample of undergraduate college students. Addict Behav. 2007, 32 (3): 449-464. 10.1016/j.addbeh.2006.05.016.CrossRefPubMed
12.
go back to reference Wadsworth EJ, Moss SC, Simpson SA, Smith AP: Factors associated with recreational drug use. J Psychopharmacol. 2004, 18 (2): 238-248. 10.1177/0269881104042628.CrossRefPubMed Wadsworth EJ, Moss SC, Simpson SA, Smith AP: Factors associated with recreational drug use. J Psychopharmacol. 2004, 18 (2): 238-248. 10.1177/0269881104042628.CrossRefPubMed
13.
go back to reference Dawson DA, Grant BF, Stinson FS, Chou PS: Another look at heavy episodic drinking and alcohol use among college and noncollege youth. J Stud Alcohol. 2004, 65: 477-489.CrossRefPubMed Dawson DA, Grant BF, Stinson FS, Chou PS: Another look at heavy episodic drinking and alcohol use among college and noncollege youth. J Stud Alcohol. 2004, 65: 477-489.CrossRefPubMed
14.
go back to reference Karam EG, Ghandour L, Maalouf W, Yamout K: Substance use and misuse in Lebanon: the Lebanon Rapid Situation Assessment and Response Study. UNODC Report. 2003, Beirut, Lebanon: UNODC/Institute for Development Research Advocacy and Applied Care (IDRACC) Karam EG, Ghandour L, Maalouf W, Yamout K: Substance use and misuse in Lebanon: the Lebanon Rapid Situation Assessment and Response Study. UNODC Report. 2003, Beirut, Lebanon: UNODC/Institute for Development Research Advocacy and Applied Care (IDRACC)
15.
go back to reference Gill JS: Reported levels of alcohol consumption and binge drinking within the UK undergraduate population over the last 25 years. Alcohol Alcohol. 2002, 37 (2): 109-120.CrossRefPubMed Gill JS: Reported levels of alcohol consumption and binge drinking within the UK undergraduate population over the last 25 years. Alcohol Alcohol. 2002, 37 (2): 109-120.CrossRefPubMed
16.
go back to reference Rickards L, Fox K, Roberts C, Fletcher L, Goddard E: Living in Britain: Results from the 2002 General Household Survey. 2004, London: National Statistics Rickards L, Fox K, Roberts C, Fletcher L, Goddard E: Living in Britain: Results from the 2002 General Household Survey. 2004, London: National Statistics
17.
go back to reference Webb E, Ashton CH, Kelly P, Kamali F: Alcohol and drug use in UK university students. Lancet. 1996, 348: 922-925. 10.1016/S0140-6736(96)03410-1.CrossRefPubMed Webb E, Ashton CH, Kelly P, Kamali F: Alcohol and drug use in UK university students. Lancet. 1996, 348: 922-925. 10.1016/S0140-6736(96)03410-1.CrossRefPubMed
18.
go back to reference Johnston LD, O'Malley PM, Bachman JG: Smoking, drinking, and illicit drug use among American secondary schools students, college students, and young adults, 1975–1991 Vol. 1, Secondary school students. 1992, Bethesda, MD: Natl Inst Drug Abuse, U.S. Department of Health and Human Services Johnston LD, O'Malley PM, Bachman JG: Smoking, drinking, and illicit drug use among American secondary schools students, college students, and young adults, 1975–1991 Vol. 1, Secondary school students. 1992, Bethesda, MD: Natl Inst Drug Abuse, U.S. Department of Health and Human Services
19.
go back to reference Klein H: Changes in college students' use and abuse of alcohol, and in their attitudes towards drinking ober the course of their college years. Journal of Youth and Adolescence. 23 (2): 251-269. 10.1007/BF01537448. Klein H: Changes in college students' use and abuse of alcohol, and in their attitudes towards drinking ober the course of their college years. Journal of Youth and Adolescence. 23 (2): 251-269. 10.1007/BF01537448.
20.
go back to reference Lanza ST, Collins LM: A mixture model of discontinuous development in heavy drinking from 18–30: The role of college enrolment. J Stud Alcohol. 67: 522-561. Lanza ST, Collins LM: A mixture model of discontinuous development in heavy drinking from 18–30: The role of college enrolment. J Stud Alcohol. 67: 522-561.
21.
go back to reference Schulenberg JE, Maggs JL: A developmental perspective on alcohol use and heavy drinking during adolescence and the transition to young adulthood. J Stud Alcohol Suppl. 54-70. 14 Schulenberg JE, Maggs JL: A developmental perspective on alcohol use and heavy drinking during adolescence and the transition to young adulthood. J Stud Alcohol Suppl. 54-70. 14
22.
go back to reference Karam K, Kypri K, Salamoun M: Alcohol use among college students: an international perspective. Curr Opin Psychiatry. 2007, 20: 213-221.CrossRefPubMed Karam K, Kypri K, Salamoun M: Alcohol use among college students: an international perspective. Curr Opin Psychiatry. 2007, 20: 213-221.CrossRefPubMed
23.
go back to reference File SE, Mabbutt PS, Shaffer J: Alcohol consumption and lifestyle in medical students. J Psychopharmacol. 1994, 8: 22-26. 10.1177/026988119400800104.CrossRefPubMed File SE, Mabbutt PS, Shaffer J: Alcohol consumption and lifestyle in medical students. J Psychopharmacol. 1994, 8: 22-26. 10.1177/026988119400800104.CrossRefPubMed
24.
go back to reference Newbury-Birch D, Lowry RJ, Kamali F: The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J. 2002, 192 (11): 646-649. 10.1038/sj.bdj.4801448a.CrossRefPubMed Newbury-Birch D, Lowry RJ, Kamali F: The changing patterns of drinking, illicit drug use, stress, anxiety and depression in dental students in a UK dental school: a longitudinal study. Br Dent J. 2002, 192 (11): 646-649. 10.1038/sj.bdj.4801448a.CrossRefPubMed
26.
go back to reference Robertson JA, Plant MA: Alcohol, sex and risks of HIV infection. Drug Alcohol Depend. 1988, 22: 75-78. 10.1016/0376-8716(88)90039-7.CrossRefPubMed Robertson JA, Plant MA: Alcohol, sex and risks of HIV infection. Drug Alcohol Depend. 1988, 22: 75-78. 10.1016/0376-8716(88)90039-7.CrossRefPubMed
27.
go back to reference Hingson R, Heeren T, Winter M, Wechsler H: Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18–24: changes form 1998 to 2001. Annu Rev Public Health. 2005, 26: 259-279. 10.1146/annurev.publhealth.26.021304.144652.CrossRefPubMed Hingson R, Heeren T, Winter M, Wechsler H: Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18–24: changes form 1998 to 2001. Annu Rev Public Health. 2005, 26: 259-279. 10.1146/annurev.publhealth.26.021304.144652.CrossRefPubMed
28.
go back to reference Orford J, Waller S, Peto J: Drinking behaviour and attitudes and their correlates among university students in England. Quarterly Journal of Studies on Alcohol. 1974, 35: 1316-1374.PubMed Orford J, Waller S, Peto J: Drinking behaviour and attitudes and their correlates among university students in England. Quarterly Journal of Studies on Alcohol. 1974, 35: 1316-1374.PubMed
29.
go back to reference West R, Drummond C, Eames K: Alcohol consumption, problem drinking and anti-social behaviour in a sample of college students. British Journal of Addiction. 1990, 85: 479-486. 10.1111/j.1360-0443.1990.tb01668.x.CrossRefPubMed West R, Drummond C, Eames K: Alcohol consumption, problem drinking and anti-social behaviour in a sample of college students. British Journal of Addiction. 1990, 85: 479-486. 10.1111/j.1360-0443.1990.tb01668.x.CrossRefPubMed
30.
go back to reference Delk EW, Meilman PW: Alcohol use among college students in Scotland compared with norms from the United States. J Am Coll Health. 1996, 44: 274-281.CrossRefPubMed Delk EW, Meilman PW: Alcohol use among college students in Scotland compared with norms from the United States. J Am Coll Health. 1996, 44: 274-281.CrossRefPubMed
31.
go back to reference Gmel G, Rehm J: Harmful Alcohol Use. Alcohol Res Health. 2003, 27 (1): 52-62.PubMed Gmel G, Rehm J: Harmful Alcohol Use. Alcohol Res Health. 2003, 27 (1): 52-62.PubMed
32.
go back to reference Roche AM, Watt K, McClure R, Purdie DM, Green D: Injury and alcohol: A hospital emergency department study. Drug Alcohol Rev. 2001, 20 (2): 155-166. 10.1080/09595230120058542.CrossRef Roche AM, Watt K, McClure R, Purdie DM, Green D: Injury and alcohol: A hospital emergency department study. Drug Alcohol Rev. 2001, 20 (2): 155-166. 10.1080/09595230120058542.CrossRef
33.
go back to reference Rehm J, Gmel G, Sempos CT, Trevisan M: Alcohol-related morbidity and mortality. Alcohol Res Health. 2003, 27 (1): 39-51.PubMed Rehm J, Gmel G, Sempos CT, Trevisan M: Alcohol-related morbidity and mortality. Alcohol Res Health. 2003, 27 (1): 39-51.PubMed
34.
go back to reference Goodall T, Lawrence K: Leeds Alcohol Strategy 2007–2010. 2007, Leeds Primary Care Trust and Safer Leeds Partnership, Leeds Goodall T, Lawrence K: Leeds Alcohol Strategy 2007–2010. 2007, Leeds Primary Care Trust and Safer Leeds Partnership, Leeds
35.
go back to reference Audin K, Davy J, Barkham M: University Quality of Life and Learning (UNIQoLL): An approach to student well-being, satisfaction and institutional change. Journal of Further & Higher Education. 2003, 27: 365-382. 10.1080/0309877032000128073.CrossRef Audin K, Davy J, Barkham M: University Quality of Life and Learning (UNIQoLL): An approach to student well-being, satisfaction and institutional change. Journal of Further & Higher Education. 2003, 27: 365-382. 10.1080/0309877032000128073.CrossRef
36.
go back to reference Department of Health: Sensible Drinking: Report of an Interdepartmental Working Group. 1995, Department of Health, HMSO, London Department of Health: Sensible Drinking: Report of an Interdepartmental Working Group. 1995, Department of Health, HMSO, London
37.
go back to reference Department of Health: The Health of the Nation. 1992, HMSO, London Department of Health: The Health of the Nation. 1992, HMSO, London
39.
go back to reference British Medical Association: Alcohol: guidelines on sensible drinking. 1995, London, BMA British Medical Association: Alcohol: guidelines on sensible drinking. 1995, London, BMA
40.
go back to reference Department of Health: Safe. Sensible. Social. The next steps in the National Alcohol Strategy. 2007, Department of Health, HMSO, London Department of Health: Safe. Sensible. Social. The next steps in the National Alcohol Strategy. 2007, Department of Health, HMSO, London
41.
go back to reference Department of Health: Statistics on alcohol: England. 2003, Statistical Bulletin Department of Health: Statistics on alcohol: England. 2003, Statistical Bulletin
42.
go back to reference Johnston LD, O'Malley PM, Bachman JG, Schulenberg JE: Monitoring the future national survey results on drug use, 1975–2003. College Students and Adults Ages 19–45. 2004, Bethesda, MD: Natl Inst Drug Abuse, U.S. Department of Health and Human Services, 2: Johnston LD, O'Malley PM, Bachman JG, Schulenberg JE: Monitoring the future national survey results on drug use, 1975–2003. College Students and Adults Ages 19–45. 2004, Bethesda, MD: Natl Inst Drug Abuse, U.S. Department of Health and Human Services, 2:
43.
go back to reference Sher KJ, Gotham HJ: Pathological alcohol involvement: A developmental disorder of young adulthood. Devel Psychopathol. 1999, 11: 933-956. 10.1017/S0954579499002394.CrossRef Sher KJ, Gotham HJ: Pathological alcohol involvement: A developmental disorder of young adulthood. Devel Psychopathol. 1999, 11: 933-956. 10.1017/S0954579499002394.CrossRef
44.
go back to reference Schulenberg J, O'Malley P, Bachaman JG, Wadsworth KN, Johnston LD: Getting drunk and growing up: Trajectories of frequent binge drinking during the transition to young adulthood. J Stud Alcohol. 1996, 57: 289-304.CrossRefPubMed Schulenberg J, O'Malley P, Bachaman JG, Wadsworth KN, Johnston LD: Getting drunk and growing up: Trajectories of frequent binge drinking during the transition to young adulthood. J Stud Alcohol. 1996, 57: 289-304.CrossRefPubMed
45.
go back to reference Tucker JS, Orlando M, Ellickson PL: Patterns and correlates of binge drinking trajectories from early adolescence to young adulthood. Health Psychol. 2003, 22 (1): 79-87. 10.1037/0278-6133.22.1.79.CrossRefPubMed Tucker JS, Orlando M, Ellickson PL: Patterns and correlates of binge drinking trajectories from early adolescence to young adulthood. Health Psychol. 2003, 22 (1): 79-87. 10.1037/0278-6133.22.1.79.CrossRefPubMed
46.
go back to reference Kypri K, Saunders JB, Williams SM, McGee RO, Langley JD, Cashell-Smith ML, Gallagher SJ: Web-based screening and brief intervention for hazardous drinking: a double blind randomized controlled trial. Addiction. 2004, 99: 1410-1417. 10.1111/j.1360-0443.2004.00847.x.CrossRefPubMed Kypri K, Saunders JB, Williams SM, McGee RO, Langley JD, Cashell-Smith ML, Gallagher SJ: Web-based screening and brief intervention for hazardous drinking: a double blind randomized controlled trial. Addiction. 2004, 99: 1410-1417. 10.1111/j.1360-0443.2004.00847.x.CrossRefPubMed
Metadata
Title
Changes in undergraduate student alcohol consumption as they progress through university
Authors
Bridgette M Bewick
Brendan Mulhern
Michael Barkham
Karen Trusler
Andrew J Hill
William B Stiles
Publication date
01-12-2008
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2008
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-8-163

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