Hazardous Drinking among Students over a Decade of University Policy Change: Controlled Before-and-After Evaluation
Autor: | Jennie Connor, Brett Maclennan, Kimberly Cousins, Kypros Kypri |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Adult
Male Adolescent Alcohol Drinking Universities Health Toxicology and Mutagenesis education college 030508 substance abuse lcsh:Medicine Intervention effect drinking Health Promotion Article 03 medical and health sciences Young Adult 0302 clinical medicine Primary outcome university intoxication Intervention (counseling) Environmental health Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Students Student population business.industry alcohol Health Policy lcsh:R Public Health Environmental and Occupational Health Alcohol policy Alcohol advertising Female Hazardous drinking 0305 other medical science business Alcohol consumption Forecasting New Zealand Program Evaluation policy |
Zdroj: | International Journal of Environmental Research and Public Health, Vol 15, Iss 10, p 2137 (2018) International Journal of Environmental Research and Public Health Volume 15 Issue 10 |
ISSN: | 1660-4601 |
Popis: | Background: Responding to high levels of alcohol-related harm among students, a New Zealand university deployed a security and liaison service, strengthened the Student Code of Conduct, increased its input on the operation of alcohol outlets near campus, and banned alcohol advertising on campus. We estimated the change in the prevalence of alcohol consumption patterns among students at the university compared with other universities. Methods: We conducted a controlled before-and-after study with surveys in residential colleges at the target university in 2004 and 2014, and in random samples of students at the target university and three control universities in 2005 and 2013. The primary outcome was the prevalence of recent intoxication, while we analysed drinking per se and drinking in selected locations to investigate mechanisms of change. Results: The 7-day prevalence of intoxication decreased from 45% in 2004 to 33% in 2014 (absolute difference: 12% 95% CI: 7% to 17%) among students living in residential colleges, and from 40% in 2005 to 26% in 2013 (absolute difference: 14% 95% CI: 8% to 20%) in the wider student body of the intervention university. The intervention effect estimate, representing the change at the intervention university adjusted for change at other universities (aOR = 1.30 95% CI: 0.89 to 1.90), was consistent with a benefit of intervention but was not statistically significant (p = 0.17). Conclusion: In this period of alcohol policy reform, drinking to intoxication decreased substantially in the targeted student population. Policy reforms and coincidental environmental changes may each have contributed to these reductions. |
Databáze: | OpenAIRE |
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