West Steven L, Graham Carolyn W, Temple Peter
1 University of Memphis, Department of Counseling, Educational Psychology and Research, Memphis, TN, USA.
2 Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA.
Public Health Rep. 2017 Jul/Aug;132(4):496-504. doi: 10.1177/0033354917713470. Epub 2017 Jun 22.
Our objective was to provide the first comprehensive picture of alcohol use and binge drinking by US college students with disabilities (SWDs), who represent at least 11% (1.6 million) of the US college student population.
In fall 2013, we used a stratified random sampling technique to identify and recruit 2440 SWDs from 122 US colleges and universities. A total of 1285 (53%) SWDs from 61 (50%) colleges and universities completed a survey of alcohol and other drug use and the use of substances by student peers. We conducted 4 multiple logistic regression analyses to compare binge-drinking and non-binge-drinking SWDs by potential correlates of such use and a final model that included only significant variables.
SWDs aged <21 vs ≥21 (odds ratio [OR] = 0.90; 95% confidence interval [CI], 0.82-0.99) who spent more time vs less time socializing (OR = 1.24; 95% CI, 1.11-1.38), who spent less time vs more time studying (OR = -0.89; 95% CI, -0.80 to -0.99), and who used vs did not use marijuana (OR = 1.44; 95% CI, 1.18-1.75) or amphetamines (OR = 1.82; 95% CI, 1.15-2.89) were significantly more likely to binge drink. SWDs who reported using barbiturates were less likely to binge drink than were those who did not use barbiturates (OR = -0.36; 95% CI, -0.21 to -0.61). In the final model, use of amphetamines (OR = 1.74; 95% CI, 1.15-2.65) or marijuana (OR = 1.60; 95% CI, 1.32-1.94) was the highest predictor of binge drinking.
SWDs' reported rates of binge drinking, although high, were not as high as those of nondisabled college students. Nevertheless, prevention efforts should be targeted toward college SWDs.
我们的目标是首次全面呈现美国残疾大学生（SWDs）的饮酒及狂饮情况，这些学生占美国大学生总数的至少11%（160万）。
2013年秋季，我们采用分层随机抽样技术，从122所美国高校中识别并招募了2440名残疾大学生。来自61所（50%）高校的1285名（53%）残疾大学生完成了一项关于酒精及其他药物使用以及学生同伴物质使用情况的调查。我们进行了4次多元逻辑回归分析，以通过此类使用的潜在相关因素比较狂饮和非狂饮的残疾大学生，并建立了一个仅包含显著变量的最终模型。
年龄小于21岁与大于等于21岁的残疾大学生（优势比[OR]=0.90；95%置信区间[CI]，0.82 - 0.99）、社交时间较多与较少的残疾大学生（OR = 1.24；95% CI，1.11 - 1.38）、学习时间较少与较多的残疾大学生（OR = -0.89；95% CI，-0.80至-0.99），以及使用与未使用大麻（OR = 1.44；95% CI，1.18 - 1.75）或苯丙胺（OR = 1.82；95% CI，1.15 - 2.89）的残疾大学生，狂饮的可能性显著更高。报告使用巴比妥类药物的残疾大学生比未使用巴比妥类药物的残疾大学生狂饮的可能性更低（OR = -0.36；95% CI，-0.21至-0.61）。在最终模型中，使用苯丙胺（OR = 1.74；95% CI，1.15 - 2.65）或大麻（OR = 1.60；95% CI，1.32 - 1.94）是狂饮的最强预测因素。
残疾大学生报告的狂饮率虽高，但不如非残疾大学生。尽管如此，预防工作仍应针对高校残疾大学生。
