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  • Title: Social contexts of drinking and subsequent alcohol use disorder among college students.
    Author: Beck KH, Caldeira KM, Vincent KB, Arria AM.
    Journal: Am J Drug Alcohol Abuse; 2013 Jan; 39(1):38-43. PubMed ID: 22746152.
    Abstract:
    BACKGROUND: Previous research has suggested important contextual factors that can differentiate problem and nonproblem drinkers. OBJECTIVES: To evaluate the strength of the prospective association between social contexts of drinking and subsequent alcohol use disorder and drunk driving 2-3 years later. METHODS: The sample consisted of 652 individuals who were originally recruited at college entry, had complete data on at least one social context subscale, met the minimum criteria for Year 1 drinking, and had nonmissing data on at least one of the outcome variables in Years 3 and/or 4. Social contexts of drinking were assessed in Year 1 by using previously validated scales measuring six different situational and motivational contexts in which alcohol is consumed. DSM-IV criteria for alcohol abuse and dependence and drunk driving were assessed annually. RESULTS: Holding constant gender, race/ethnicity, and baseline drinking frequency, the frequency of drinking in a context of social facilitation, sex-seeking, or in a motor vehicle during Year 1 was significantly related to a greater likelihood of alcohol abuse, alcohol dependence, and drunk driving in Years 3 and/or 4. Drinking in a context of emotional pain was related to alcohol dependence and drunk driving but not to alcohol abuse. CONCLUSIONS: The Social Context of Drinking Scales have utility for identifying students who are at risk for developing alcohol-related problems. SCIENTIFIC SIGNIFICANCE: Identifying college students who might develop alcohol dependence requires an assessment of both situational and motivational factors that influence drinking, especially drinking in a motor vehicle.
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