Amie L. Haas

Pre-college pregaming: practices, risk factors, and relationship to other indices of problematic drinking during the transition from high school to college

This study examined alcohol use and pregaming (i.e., drinking before going out) in the transition from high school to college and had 3 objectives: (1) evaluating pregaming prevalence and characteristics during this time, (2) determining whether it represents a unique risk for problematic drinking above-and-beyond traditional measures of consumption (i.e., quantity/frequency: QFI, and heavy episodic drinking: HED), and (3) identifying characteristics of individuals who pregame. Alcohol use and beliefs (i.e., self-reported quantity/frequency, pregaming practices, drinking game participation, alcohol-related problems, and expectancies) were assessed in entering freshmen (N = 1171) with prior alcohol use for the 3 months between high school and starting college. Results revealed that 65% of drinkers pregamed in the past, and most did so on fewer than 50% of their overall drinking occasions, consuming an average of 3 drinks in 27 min and most (87%) drank afterward. Hierarchical regression analyses indicated that pregaming frequency explained an additional 7.0% of variance in problematic alcohol use above-and-beyond overall drinking and demographic risk factors (e.g., gender, ethnicity, and Greek affiliation: R2 = .43 for overall model). Separate analyses indicated that demographics did not moderate the relationship between pregaming and problems. Regression analyses predicting pregaming frequency identified 7 characteristics associated with this outcome including demographics (gender, ethnicity, Greek affiliation), heavy drinking, drinking game frequency, and 2 scales of the Alcohol Expectancy Inventory (AEI: Attractive and Woozy). Findings implicate pregaming as a common practice during the transition to college, and highlight the need for additional studies examining pregaming changes across the freshman year.

Frailty, Leisure Activity and Functional Status in Older Adults: Relationship With Subjective Well Being

Older adults generally experience high levels of life satisfaction (e.g., Charles & Carstensen, 2010) and participation in leisure activities may mediate some of their overall well-being. Frailty associated with biological aging may be related to reduced leisure activity engagement and loss of social belonging that may diminish life satisfaction (Charles, 2011). This study examined differences in leisure activity engagement by frailty status, and then tested a model evaluating the link between functional status and subjective well-being in a sample of 95 community-dwelling older adults. Participants completed self-report questionnaires that assessed leisure activity participation, life satisfaction, frailty, and mood. Leisure activities were coded as either social (e.g., taking classes) or solitary (e.g., reading) and summed across to create two composite scores. Results indicated there was a strong relationship between functional status and subjective well-being in older adults. High frailty and low social leisure engagement was associated with reduced subjective well-being. Implications for future research and clinical applications are discussed.

Getting “Game”: Pregaming Changes During the First Weeks of College

Abstract Objective: Many students pregame (ie, drink before drinking), but there are scant data evaluating changes following college entry. The authors examined pregaming across the fall quarter and identified predictors of change and initiation in college. Participants: Freshmen (N = 708; 53% female, 100% drinkers) were recruited during university orientation (baseline). Methods: Self-report data were collected at baseline and end of fall quarter for 3 cohorts (the 2008–2010 academic years) and included demographics, alcohol use, problems, pregaming, personality, and expectancies. Results: Pregaming increased from 61.7% (baseline) to 79.9% (follow-up), with students pregaming twice as often and attaining higher blood alcohol concentration at follow-up. Many (54%) baseline non-pregamers initiated by follow-up. Initiation was associated with increased overall drinking (including heavy episodic drinking), positive expectancies, and greater behavioral activation sensitivity. Conclusions: Pregaming rapidly escalates upon college entry and students who initiate in college may be at higher risk for alcohol-related problems. Campus prevention and intervention efforts should consider including pregaming in their prevention programming.

Identifying classes of conjoint alcohol and marijuana use in entering freshmen.

The current study identified classes of conjoint marijuana and alcohol use in entering college freshmen using latent profile analysis (N = 772; 53% male, 60% White; Mage = 18). Results yielded 4 distinct groups: Class 1 (moderate drinking with recent marijuana use: 22% of sample), Class 2 (moderate drinking with no recent marijuana use: 25%), Class 3 (light drinking with no recent marijuana use: 40%) and Class 4 (heavy drinking with recent marijuana use: 14%). Separate pairwise contrasts examined cross-class differences in demographics and drinking behaviors, comparing differences in drinking when current marijuana use was controlled (Class 1 vs. 4) and differences in marijuana use when drinking was held relatively constant (Class 1 vs. 2). Among moderate drinkers, recent marijuana users were more likely to drink more than intended, drink to get drunk, and had more problems (including higher rates of blackouts, physical injury, and DUI) relative to peers who refrained from marijuana. No cross-class differences were found for alcohol expectancies or behavioral motives. Findings from these analyses show the presence of distinct groups of conjoint users with different drinking behaviors and consequence profiles, and suggest that conjoint alcohol-marijuana use may be more problematic overall than single substance involvement and highlight the need for developing campus prevention and intervention programs that address the increased risk from polysubstance involvement.

Variability in Pregaming Typologies Across the Freshman Year: A Multi-wave Latent Transition Analysis.

ABSTRACT Background: Though research is rapidly expanding on pregaming and related risks, studies have not yet identified discrete subtypes of college pregamers or modeled how class membership changes across critical times like college entry. Objectives: Latent Transition Analysis (LTA) identified classes of pregaming behaviors in entering college students and described transitions in latent statuses across the freshman year. Methods: Students with prior alcohol use (N = 711; 51.3% female; 63% White; Mage = 18) were surveyed at orientation and re-assessed at three follow-ups (Fall, Winter, and Spring). Items assessed overall drinking (past 30-day, number of binge episodes), pregaming (typical quantity, normativity relative to overall use, estimated pregaming BAC, drinks consumed post-pregaming event), and problems (overall and pregaming-specific). Results: LTA modeling yielded three distinct classes of pregaming membership (Low, Medium and High) that varied as a function of both overall use and pregaming practices. Evaluation of changes over the year indicated the greatest movement occurred immediately upon college entry, with significantly less movement was seen across the remainder of the year. Cross-class comparisons across all four time points showed clear differences in alcohol-related problems (overall as well as pregaming-specific), with students in the High class reporting markedly higher levels of problems on all domains. Conclusions/Importance: Overall, there appears to be considerable heterogeneity in pregaming behaviors, across both students and time that are directly related to differential levels of problems. Findings highlight the need to screen students early for risky drinking practices, including pregaming, and include pregaming-specific material in their campus screening and intervention programming.

Sex and Drugs and Starting School: Differences in Precollege Alcohol-Related Sexual Risk Taking by Gender and Recent Blackout Activity

Research has demonstrated a link between alcohol use and multiple forms of risky sexual behavior, particularly among college-age individuals. Studies have also linked heavy alcohol use to other problems, such as impaired consciousness resulting from an alcohol-induced blackout, which may impact sexual decision making. However, research has rarely examined sexual risk taking (SRT) in relation to blackouts, nor has it examined this construct during the precollege transition (i.e., the interval of time between high school graduation and college matriculation). This study examined the intersection between alcohol-involved SRT, blackouts, and gender in a sample of precollege individuals with prior alcohol use (N = 229; 54% male, 63% White). Results indicated that, despite drinking less per occasion, women reporting recent blackouts were at increased risk for experiencing unwanted, unsafe, and regretted sexual behaviors compared to men with recent blackouts and their peers with no recent blackouts. Women with recent blackouts also reported differences in alcohol expectancies that may increase their risk for experiencing negative consequences while drinking, including higher social expectancies and lower negative expectancies of danger. Future directions for research and implications for precollege interventions are discussed.

Proportion as a metric of problematic alcohol-energy drink consumption in college students

ABSTRACT Background: Alcohol mixed with energy drinks (AmED) is linked to deleterious drinking, particularly within college students. However, measurement and methodological concerns complicate a more thorough understanding of how AmED contributes to problematic alcohol consumption. This study examined AmED proportion (i.e., percentage of overall drinking events involving AmED consumption) as a metric for differentiating problematic alcohol use and tested the utility for explaining additional risk of alcohol-related problems beyond overall alcohol involvement. Methods: Self-report data were collected from a diverse sample of AmED consumers from two west-coast U.S. universities (N = 458; 60.1% female; 31.4% White). Participants were divided into three AmED proportion groups: low (25% or less of all drinking events), moderate (about 50%), or high (75% or more), and assessed for overall alcohol use and related consequences. Results: The groups did not differ on demographics or recent alcohol use. However, high proportion users reported significantly more alcohol-related problems than the low and moderate groups, even after controlling for overall alcohol involvement. However, proportion did not differentiate at-risk drinking as measured by cut-scores of the AUDIT. Conclusions: Findings provide support for proportion as metric for differentiating alcohol-related problems within AmED consumers. Implications for future research and interventions were discussed.

All it takes is one: drinking games, prepartying, and negative drinking consequences among high school students

Abstract Prepartying (i.e. drinking before a social event/gathering) and participation in drinking games are two high-risk drinking behaviors practiced by adolescents. Engaging in both these drinking behaviors may contribute to a multiple risk paradigm, wherein the risk associated with one’s general drinking is combined with the additional risk of rapidly ingesting alcohol as a result of one or both these activities. The present study examines this paradigm among high school students who reported alcohol use (N = 240). Controlling for age and typical alcohol consumption, results indicated that participation in prepartying or drinking games was associated with more negative alcohol-related outcomes than non-participation. However, participation in both risky behaviors, as opposed to one, did not give rise to negative additive effects. Thus, students who participate in just one of these activities warrant the same attention from health professionals and school personnel as those who participate in both. Importantly, results also showed that students who reported drinking games participation and prepartying endorsed social and coping drinking motives just as frequently as students who only reported drinking games participation. However, students who engaged in multiple high-risk drinking behaviors were more inclined to drink to enhance the intensity of the “high” associated with alcohol use.

Extreme Consumption Drinking Gaming and Prepartying Among High School Students

ABSTRACT Drinking games and prepartying (i.e., drinking before going to a social gathering/event) have emerged as high-risk drinking behaviors in high school students. The present study examines the current prepartying behaviors of high school students who report current participation in extreme-consumption games (e.g., chugging) with those who do not. High school students (N = 182) reporting current drinking-games participation completed anonymous surveys. Gamers who prepartied frequently (versus those who did not) were approximately 1.5 times more likely to play extreme-consumption games, even after controlling for demographics, typical consumption, and participation in other types of drinking games. Practitioners should target adolescents who participate in extreme consumption games, particularly those who participate in this high-risk activity as a form of prepartying.