Trends in Extreme Binge Drinking Among US High School Seniors

Objective: Mixed findings exist regarding extent and efficacy of nonmedical use of prescription stimulants (NMUPS) for study enhancement (SE). This national study of US high school seniors examined NMUPS for SE and addressed risk/benefit questions: To what extent are students reporting NMUPS specifically for SE, and do these individuals demonstrate fewer problem behaviors and superior academic performance? Method: Total of 15 098 US students surveyed (2009-2015) and divided into 4 subgroups: (1) no past-year NMUPS (nonusers), (2) past-year NMUPS to help study (NMUPS-SE only), (3) past-year NMUPS for study/nonstudy motives (NMUPS-SE+ other), and (4) past-year NMUPS for nonstudy motives (NMUPS-nonSE only). Student characteristics (eg, grade point average [GPA]) and substance-related problems (eg, binge drinking) compared between subgroups. Results: Among students who reported past-year NMUPS (n = 781), 7.4% reported NMUPS-SE only, 40.9% NMUPS-SE+ other, and 51.7% NMUPS-nonSE only. Odds of binge drinking, cigarette smoking, marijuana, and opioid nonmedical use significantly higher among all NMUPS subgroups. GPAs significantly lower among subgroups reporting NMUPS nonstudy motives; did not differ between NMUPS-SE only and nonusers. Conclusions: 7% of US high school seniors engaged in NMUPS for SE only (0.4% total population). Findings indicate greater substance-related problems without superior academic performance among NMUPS-SE subgroups.

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Affective Drinking Motives, Delinquency and Binge Drinking: A Comparison of Male and Female High School Seniors

Alcohol and Alcoholism ◽

10.1093/alcalc/agaa070 ◽

2020 ◽

Vol 55 (5) ◽

pp. 571-577

Author(s):

Glenn D Walters

Keyword(s):

High School ◽

Binge Drinking ◽

High School Seniors ◽

Drinking Motives ◽

Late Adolescent ◽

Male And Female ◽

Main Effect ◽

Components Analysis ◽

Monitoring The Future ◽

The Relationship

Abstract Aim The purpose of this study was to determine whether the association between affective drinking motives, delinquency and binge drinking varied as a function of sex and if so, whether delinquency moderated the relationship between affective drinking motives and binge drinking in late adolescent males and females. Methods Participants were 623 (257 males, 366 females) high school seniors from the 2018 Monitoring the Future study. A principal components analysis was initially performed to create component scores for the first factor of a 15-item drinking motives scale subsequently labeled affective drinking motives. These scores, along with sex and a measure of delinquency, were then entered into a three-way interaction. The interaction was found to correlate significantly with binge drinking. Because of the significant three-way interaction, analyses were performed on male and female participants separately. Results Analyses conducted on male participants revealed a moderate correlation between affective drinking motives and binge drinking but no evidence of an interaction between affective drinking motives and delinquency. Analyses performed on female participants, on the other hand, identified a significant main effect for affective drinking motives and a negative interaction between affective drinking motives and delinquency, indicating that the relationship between affective drinking motives and binge drinking was strongest when delinquency was low. Conclusions These results suggest that while delinquency had no apparent impact on the affective drinking motive–binge drinking correlation in boys, low delinquency clearly amplified the counter-binge drinking effects of low affective drinking motives in girls.

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