University of Southern California, Keck School of Medicine, Department of Psychiatry and Behavioral Sciences, United States of America.
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407, United States of America.
J Subst Use Addict Treat. 2023 Feb;145:208951. doi: 10.1016/j.josat.2023.208951. Epub 2023 Jan 13.
American college students who study abroad experience increases in their drinking behavior, concerning risky sexual behaviors, and high rates of sexual violence while abroad. Despite these concerns, institutions offer limited programming to students prior to departure to address these risks and no empirically supported interventions currently exist that are targeted toward preventing increased drinking, risky sexual behavior, and sexual violence abroad. To help address alcohol and sexual risk abroad, we designed a brief, single-session online predeparture intervention focused on risk and protective factors known to associate with alcohol and sexual risk abroad.
Using a sample of 650 college students from 40 home institutions, we conducted a randomized controlled trial of the intervention and tested its effects on drinking (drinks per week, binge drinking frequency, alcohol related-consequences), risky sexual behaviors, and sexual violence victimization during the trip abroad (first month, last month abroad) and one-month and three-months after return home.
We observed small, but nonsignificant, intervention effects on drinks per week and binge drinking days during the first month abroad and three months after they had returned home to the United States, and small, significant effects on risky sexual behaviors during the first month abroad. The study found no observable effects at any time point for alcohol-related consequences or for sexual violence victimization abroad.
Though mostly nonsignificant, small initial intervention effects were promising in this first empirical test of an alcohol and sexual risk prevention program for study abroad students. However, students may need more intensive programming with booster sessions to experience lasting intervention effects during this particularly high-risk period.
NCT03928067.
在美国，出国留学的大学生在留学期间的饮酒行为、危险性行为和性暴力发生率有所增加。尽管存在这些担忧，但各机构在学生出国前提供的相关项目有限，无法针对这些风险进行干预，目前也没有针对预防留学期间饮酒、危险性行为和性暴力的经过实证支持的干预措施。为了帮助解决留学生的酗酒和性风险问题，我们设计了一个简短的、单次在线出国前干预措施，重点关注已知与酗酒和性风险相关的风险和保护因素。
我们对来自 40 个母机构的 650 名大学生进行了一项干预措施的随机对照试验，并测试了其对饮酒（每周饮酒量、 binge drinking 频率、酒精相关后果）、危险性行为以及出国期间性暴力受害（出国第一个月、最后一个月）和回国后一个月和三个月的影响。
我们观察到，在出国第一个月和回国后三个月，干预措施对每周饮酒量和 binge drinking 天数有较小但无统计学意义的影响，对出国第一个月的危险性行为有较小但有统计学意义的影响。研究在任何时间点都没有观察到酒精相关后果或出国期间性暴力受害的影响。
尽管大多数结果无统计学意义，但在对出国留学学生进行的首次酒精和性风险预防计划的实证测试中，这是一个有希望的初步结果。然而，学生可能需要更密集的编程和强化课程，以在这个特别高风险的时期体验到持久的干预效果。
NCT03928067。
