Yeh Jih-Cheng, Trangenstein Pamela J, Tiongson Patrick J D, Arria Amelia M, Greenfield Thomas K, Jernigan David H
Department of Health Law, Policy, and Management, Boston University School of Public Health, Boston, Massachusetts, USA.
Alcohol Research Group, Public Health Institute, Emeryville, California, USA.
Drug Alcohol Rev. 2025 Feb;44(2):563-575. doi: 10.1111/dar.13992. Epub 2024 Dec 17.
Alcohol's harms to others (AHTO) refers to the negative effects experienced by individuals other than the drinker. This study investigates the prevalence and risk factors of AHTOs among US college students (sophomores/juniors), based on the first national probability-based survey conducted in 20 years.
We assessed AHTOs in the fall of 2021 from 1918 participants across 46 US schools, weighting the data to reflect the US undergraduate sophomore/junior population. We combined survey weights and prevalence estimates to approximate the number of sophomores/juniors in the US college population who experienced each AHTO. Once weighted, the sampling method was designed to be representative of sophomores/juniors. We used multivariate logistic regression with clustered standard errors to estimate the likelihood of each AHTO domain and any AHTO for demographic and behavioural risk and protective factors.
Half (53.5%) of our sample reported experiencing at least one AHTO, which corresponds to nearly 6 million US sophomores/juniors. Students who were White; attended 4-year schools; identified as cisfemale or transgender, gender nonconforming, or 2+ identities; of higher socioeconomic status (as indicated by parent's highest level of education); lived with roommates; and/or participated in Greek organisations or intercollegiate athletics had a higher likelihood of AHTOs.
Our findings demonstrate that AHTOs, including academic, physical and sexual harms, are prevalent on college campuses. These results suggest that colleges likely underestimate the impact of alcohol on their students. Therefore, broadening and strengthening campus and state-level policies and strategies to prevent and reduce these harms effectively are needed.
酒精对他人的危害（AHTO）是指饮酒者以外的个体所经历的负面影响。本研究基于20年来首次全国性的概率抽样调查，调查了美国大学生（大二/大三学生）中AHTO的患病率及风险因素。
我们在2021年秋季对美国46所学校的1918名参与者进行了AHTO评估，并对数据进行加权，以反映美国本科大二/大三学生群体的情况。我们将调查权重和患病率估计值相结合，以估算美国大学生群体中经历每种AHTO的大二/大三学生人数。加权后，抽样方法旨在代表大二/大三学生。我们使用具有聚类标准误的多元逻辑回归来估计每个AHTO领域以及任何AHTO在人口统计学和行为风险及保护因素方面的可能性。
我们样本中的一半（53.5%）报告称至少经历过一次AHTO，这相当于近600万美国大二/大三学生。白人学生；就读于四年制学校；被认定为顺性别女性、跨性别者、性别不一致者或具有两种及以上身份者；社会经济地位较高（以父母的最高教育水平表示）；与室友同住；和/或参加过兄弟会组织或校际体育活动的学生经历AHTO的可能性更高。
我们的研究结果表明，包括学业、身体和性方面的危害在内，AHTO在大学校园中很普遍。这些结果表明，大学可能低估了酒精对学生的影响。因此，需要扩大和加强校园及州一级的政策和策略，以有效预防和减少这些危害。
