Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California.
RAND Corporation, Santa Monica, California.
J Stud Alcohol Drugs. 2023 Jul;84(4):520-529. doi: 10.15288/jsad.22-00284. Epub 2023 Feb 1.
Specific events are associated with heavier and riskier substance use behaviors among college students, including holidays like Halloween, which may include several days of themed parties/events ("Halloweekend"). The current study compared drinking, pregaming (i.e., fast-paced drinking before going out for the night), cannabis use, same-day alcohol and cannabis co-use, and negative alcohol-related consequences over Halloweekend compared with two adjacent non-Halloween weekends among a sample of heavy-drinking university students.
Participants ( = 228; 65% female) provided 28 days of daily diary data. We used a three-level generalized linear mixed model (GLMM) approach estimating zero-inflated Conway-Maxwell Poisson regressions to assess the effect of weekend and specific weekend day on number of overall drinks, number of pregaming drinks, and negative alcohol-related consequences. Proportions tests assessed for differences in any cannabis use and daily co-use between Halloweekend and non-Halloween weekends.
Zero-inflated portions of the GLMMs indicated that general drinking, pregaming, and negative consequences were most prevalent on Halloweekend and Fridays and Saturdays. Count portions of the models indicated that general drinking quantity was highest during these periods, and participants experienced a greater number of negative consequences on Halloweekend compared with the weekend before; no differences were observed in the quantity of pregaming drinks consumed across weekends or days. No significant differences in cannabis use or co-use were observed between weekends.
Given risk associated with Halloweekend compared with weekends immediately before and after, interventions targeting alcohol use and pregaming on Halloweekend may be beneficial to reduce related harm for heavy-drinking students.
特定事件与大学生更严重和更危险的物质使用行为有关,包括万圣节等节日,其中可能包括几天的主题派对/活动(“万圣节前夜周”)。本研究比较了在暴饮大学生样本中,万圣节前夜周与两个相邻的非万圣节前夜周末相比,饮酒、预饮(即在晚上外出前快速饮酒)、大麻使用、同日酒精和大麻共使用以及与酒精相关的负面后果。
参与者(n=228;65%为女性)提供了 28 天的每日日记数据。我们使用三级广义线性混合模型(GLMM)方法,估计零膨胀 Conway-Maxwell Poisson 回归,以评估周末和特定周末日对总饮酒量、预饮量和与酒精相关的负面后果数量的影响。比例检验评估了万圣节前夜周和非万圣节前夜周末之间任何大麻使用和每日共使用的差异。
GLMM 的零膨胀部分表明,一般饮酒、预饮和负面后果在万圣节前夜周和周五及周六最为普遍。模型的计数部分表明,这些期间的总体饮酒量最高,参与者在万圣节前夜周经历的负面后果比前一个周末更多;在周末或日子之间,预饮量没有差异。在周末之间未观察到大麻使用或共使用的显著差异。
鉴于与万圣节前夜周相比,万圣节前和万圣节后的周末风险更大,针对万圣节前夜周的酒精使用和预饮干预措施可能有助于减少重度饮酒学生的相关伤害。