Implications of state alcohol policy for college students' binge drinking, suicidal behavior, and sexual assault victimization

国家酒精政策对大学生酗酒、自杀行为和性侵犯受害的影响

• 批准号: 10666960
• 负责人: David C. R. Kerr
• 金额: $ 38.34万
• 依托单位: OREGON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-02 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10666960
• 关键词: 21 year old; Accounting; Adult; Affect; Age; Aggressive behavior; Alcohol abuse; Alcohol consumption; Alcohols; Attention; Black race; Cannabis; Cannabis policy; Communities; Cues; Data; Data Set; Decentralization; Development; Disinhibition; Disparity; Distal; Enrollment; Environment; Ethnic Origin; Exploratory/Developmental Grant; Exposure to; Feeling suicidal; Foundations; General Population; Goals; Harm Reduction; Health; Hispanic; Impaired cognition; Individual; Infrastructure; Institution; Intervention; Intoxication; Laws; Link; Measures; Mediating; Mediation; Minor; Modeling; National Institute on Alcohol Abuse and Alcoholism; Not Hispanic or Latino; Outcome; Pattern; Persons; Policies; Population; Population Heterogeneity; Prevalence; Prevention; Race; Recommendation; Research; Resources; Respondent; Risk; Sales; Sampling; Schools; Self-Injurious Behavior; Sex Orientation; Specific qualifier value; Strategic Planning; Students; Subgroup; Suicide; Suicide attempt; Taxes; Testing; Time; Victimization; Woman; Work; Youth; alcohol effect; alcohol measurement; alcohol misuse prevention; alcohol prevention; alcohol related consequences; behavioral impairment; binge drinking; college; design; drinking; experience; falls; graduate school; health assessment; high risk; high school; improved; legal drinking age; pandemic disease; perpetrators; prevent; protective effect; public policy on alcohol; reducing suicide; residence; sex; sexual assault; sexual minority group; sexual victimization; suicidal behavior; synergism; theories; undergraduate student; university student; young adult

Project Summary/Abstract The proposed research examines the extent to which more restrictive state alcohol policy environments are associated with binge drinking in diverse subgroups of young adult college students, and with two alcohol use- related outcomes: suicidal behavior and sexual assault victimization. This research will be accomplished using repeated cross-sectional National College Health Assessment (NCHA) data. NCHA was administered twice yearly from 2008-2019 to an estimated 921,000 18-24 year old undergraduates from more than 500 four-year colleges in 48 states. NCHA data will be merged with time- and state-specific data on alcohol policy and state population estimates of per capita alcohol use and binge drinking. The primary predictor is the Alcohol Policy Scale (APS), a state-specific time-varying measure based on 29 policies, weighted by efficacy and degree of implementation, with subscales grouped by policy domain and mechanism. Analyses will account for individual and institutional covariates and clustering of respondents within institutions within states. In Aim 1 we will specify the extent to which alcohol policy restrictiveness and state population drinking measures predict college students’ binge drinking. A focus will be identifying differences in policy effects by students’ race/ethnicity, sex, age (minors vs. age ≥ 21), and sexual orientation. In Aim 2 we will estimate the statistical effects of more restrictive alcohol policies on suicidal ideation, self-harm, and suicide attempt via (mediated by) binge drinking. For Aim 3 we will quantify associations between more restrictive state alcohol policy environments and respondents’ sexual victimization, which we hypothesize will be only partially mediated by respondents’ binge drinking. Partial mediation is expected given the potential for alcohol policies to affect campus and community drinking contexts and alcohol use by perpetrators and bystanders. Identifying how alcohol policy relates to binge drinking in understudied subgroups and to young adults’ suicide and sexual assault risk is consistent with NIAAA’s Strategic Plan Goal 3 to improve strategies to prevent alcohol misuse and alcohol-related consequences. Findings on state-level protective contexts will inform planning and prioritization of distal and proximal (e.g., individually-oriented) prevention at national, state, and campus levels.

项目摘要/摘要 拟议的研究考试具有更严格的国家酒精政策环境的程度 与年轻成人大学生的潜水员亚组的暴饮暴食以及两种酒精饮酒有关 - 相关结果：自杀行为和性侵犯胜利。这项研究将使用 重复的横断面国家大学健康评估（NCHA）数据。 NCHA被管理两次 从2008 - 2019年到估计的921,000 18-24岁的本科生，来自500多个四年 48个州的大学。 NCHA数据将与有关酒精政策和状态的时间和州特定数据合并 人均饮酒和暴饮暴食的人口估计。主要预测因子是酒精政策 比例尺（AP），一种基于29个政策的特定于州特定的时变措施，根据效率和程度加权 实施，按策略领域和机制分组的子量表。分析将考虑个人 以及在州内机构内部受访者的制度协变量和聚集。在目标1中，我们将 指定酒精政策限制性和国家人口饮酒措施预测的程度 大学生的暴饮暴食。重点将是确定学生的政策影响差异 种族/民族，性​​别，年龄（未成年人与年龄≥21岁）和性取向。在AIM 2中，我们将估算统计数据 更严格的酒精政策对自杀思想，自我伤害和自杀未遂的影响（由） 暴饮暴食。对于目标3，我们将量化更严格的国家酒精政策之间的关联 环境和受访者的性胜利，我们假设这只会由 受访者的暴饮暴食。鉴于酒精政策有可能影响的局部调解 校园和社区饮酒环境以及肇事者和旁观者的使用。确定如何 酒精政策涉及在理解的亚组和年轻人的自杀和性中饮酒有关 攻击风险与NIAAA的战略计划目标3一致，以改善防止酒精滥用的战略 和与酒精有关的后果。关于州级保护环境的调查结果将为计划和 在国家，州和校园级别的盘中和近端（例如，单独面向）预防的优先级。