Alcohol-related concerns and normative perceptions of peer drinking predict change in outcomes among veterans receiving brief alcohol counseling

Objective In the United States, guidelines indicate all pregnant women should be screened for and counseled on alcohol use to prevent adverse perinatal outcomes due to alcohol consumption. The objective of this study was to describe sociodemographic factors associated with receipt of prenatal alcohol counseling and perinatal alcohol use among US women. Methods State health departments collected data for the Pregnancy Risk Assessment Monitoring System Phase 7 during 2012-2015, and we restricted the sample to a complete case analysis (N = 135 111). The 3 dichotomous outcomes were preconception alcohol use (3 months before pregnancy), prenatal alcohol use (during last 3 months of pregnancy), and prenatal alcohol counseling. Predictor variables were age, race, Hispanic ethnicity, education, marital status, health insurance status, and previous live births. We estimated survey-weighted logistic regression models for each outcome. Results Half (56.0%) of pregnant women reported preconception alcohol use, 70.5% received prenatal alcohol counseling, and 7.7% reported prenatal alcohol use during the last 3 months of pregnancy. Black women were significantly less likely than White women (odds ratio [OR] = 0.49; 95% CI, 0.46-0.52) and Hispanic women were significantly less likely than non-Hispanic women (OR = 0.62; 95% CI, 0.58-0.66) to report preconception alcohol use. We found similar patterns for prenatal alcohol use among Black women. Black women were significantly more likely than White women (OR = 1.66; 95% CI, 1.55-1.77) and Hispanic women were significantly more likely than non-Hispanic women (OR = 1.51; 95% CI, 1.40-1.61) to receive prenatal alcohol counseling. We found similar patterns for age, education, and health insurance status. Conclusion Disparities in alcohol counseling occurred despite the national recommendation for universal screening and counseling prenatally. Continued integration of universal screening for alcohol use during pregnancy is needed.

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Cheers together, but not alone: Peer drinking moderates alcohol consumption following interpersonal stress

Journal of Social and Personal Relationships ◽

10.1177/0265407521996048 ◽

2021 ◽

pp. 026540752199604

Author(s):

Hannah R. Hamilton ◽

Stephen Armeli ◽

Howard Tennen

Keyword(s):

Alcohol Consumption ◽

Alcohol Use ◽

Academic Stress ◽

Interpersonal Stress ◽

Need To Belong ◽

Effective Strategy ◽

Social Drinking ◽

Interpersonal Stressors ◽

Peer Drinking

In view of the importance of the need to belong in motivating behavior, we examined whether interpersonal and academic stress differentially influence social and solitary alcohol consumption and whether social and solitary alcohol consumption differentially predict next-day interpersonal and academic stress. Based on research suggesting that drinking with friends is related to increased alcohol consumption following belongingness threat, we also examined whether peer consumption moderates associations between daily interpersonal stress and social drinking. Each day for 30 days, 1641 undergraduates reported stress, alcohol consumption, and peer consumption. Academic stress was related to lower levels of social and solitary alcohol consumption. Interpersonal stress was associated with greater social alcohol consumption, but only when students reported being around others who were drinking greater than average peer quantities. However, although social drinking was related to lower next-day academic stress, it was unrelated to next-day interpersonal stress. Findings are consistent with the notion that individuals’ perceptions of peers’ alcohol use might serve as a signal to join in this behavior to reduce belongingness threats associated with interpersonal stressors, although this may not be an effective strategy.

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The interactive effects of perceived peer drinking and personality profiles on adolescent drinking: a prospective cohort study

Addiction ◽

10.1111/add.14469 ◽

2018 ◽

Vol 114 (3) ◽

pp. 450-461 ◽

Cited By ~ 3

Author(s):

Nina Pocuca ◽

Leanne Hides ◽

Catherine A. Quinn ◽

Melanie J. White ◽

Louise Mewton ◽

...

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Interactive Effects ◽

Personality Profiles ◽

Adolescent Drinking ◽

Peer Drinking

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Gender Differences in Collegiate Alcohol Use

Journal of Drug Issues ◽

10.1177/002204269502500411 ◽

1995 ◽

Vol 25 (4) ◽

pp. 817-836 ◽

Cited By ~ 35

Author(s):

Celia C. Lo

Keyword(s):

Alcohol Use ◽

Drinking Behavior ◽

Female College Students ◽

Deep South ◽

State University ◽

Social Mechanisms ◽

The Social ◽

Main Factors ◽

Gender Groups ◽

Peer Drinking

Using a survey of 808 male and female college students at a medium-sized state university in the Deep South, this study compared the drinking behavior of, and the social mechanisms leading to alcohol use, in the two gender groups. The results show that males are more likely than females to drink to intoxication. Three main factors can account for this difference. First, males are more likely than females to be associated with others who present prodrinking norms and drinking models. Second, females are more likely to be affected by their parents, and association with parents' more restrictive norms results in less favorable alcohol-use definitions among females, and, in turn, a lower level of alcohol use. Third, peer drinking norms, which are more permissive, exert a stronger impact on male definitions of alcohol use and level of intoxication than on female definitions.

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Genes, Roommates, and Residence Halls: A Multidimensional Study of the Role of Peer Drinking on College Students’ Alcohol Use

Alcoholism Clinical and Experimental Research ◽

10.1111/acer.14037 ◽

2019 ◽

Cited By ~ 2

Author(s):

Rebecca L. Smith ◽

Jessica E. Salvatore ◽

Fazil Aliev ◽

Zoe Neale ◽

Peter Barr ◽

...

Keyword(s):

College Students ◽

Alcohol Use ◽

Residence Halls ◽

Peer Drinking

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Evaluating Alternative Designs of a Multilevel HIV Intervention in Maharashtra, India: The Impact of Stakeholder Constraints

MDM Policy & Practice ◽

10.1177/2381468318803940 ◽

2018 ◽

Vol 3 (2) ◽

pp. 238146831880394

Author(s):

Anik R. Patel ◽

Kelly V. Ruggles ◽

Kimberly Nucifora ◽

Qinlian Zhou ◽

Stephen Schensul ◽

...

Keyword(s):

Risk Aversion ◽

Group Counseling ◽

Annual Cost ◽

Text Message ◽

Individual Counseling ◽

Hiv Intervention ◽

Sex Risk ◽

Adherence Support ◽

Alcohol Counseling ◽

The Impact

Background. Multilevel interventions combine individual component interventions, and their design can be informed by decision analysis. Our objective was to identify the optimal combination of interventions for alcohol-using HIV+ individuals on antiretroviral drug therapy in Maharashtra, India, explicitly considering stakeholder constraints. Methods. Using an HIV simulation, we evaluated the expected net monetary benefit (ENMB), the probability of lying on the efficiency frontier (PEF), and annual program costs of 5,836 unique combinations of 15 single-focused HIV risk-reduction interventions. We evaluated scenarios of 1) no constraints (i.e., maximize expected value), 2) short-term budget constraints (limits on annual programmatic costs of US$200,000 and $400,000), and 3) a constraint stemming from risk aversion (requiring that the strategy has >50% PEF). Results. With no constraints, the combination including long individual alcohol counseling, text-message adherence support, long group counseling for sex-risk, and long individual counseling for sex-risk (annual cost = $428,886; PEF ∼27%) maximized ENMB and would be the optimal design. With a cost constraint of $400,000, the combination including long individual alcohol counseling, text-message adherence support, brief group counseling for sex-risk, and long individual counseling for sex-risk (annual cost = $374,745; PEF ∼4%) maximized ENMB. With a cost constraint of $200,000, the combination including long individual alcohol counseling, text-message adherence support, and brief group counseling for sex-risk (annual cost = $187,335; PEF ∼54%) maximized ENMB. With the risk aversion constraint, the same configuration ( long individual alcohol counseling, text-message support, and brief group counseling for sex-risk) maximized health benefit. Conclusion. Evaluating the costs, risks, and projected benefits of alternatives supports informed decision making prior to initiating study; however, stakeholder constraints should be explicitly included and discussed when using decision analyses to guide study design.

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