Self-regulation, norms and alcohol consequences: study on university freshman from four EU countries
Abstract High alcohol consumption is undoubtedly one of the most serious health and public issues across Europe. In addition to other licit and illicit drugs, it causes more than 4% of all deaths in the EU for those aged between 25 and 39. Among protective factors the self-regulation (SR) has been frequently associated with lower levels of risky drinking. On the other hand, overestimated descriptive normative beliefs (NB) may serve as a powerful source of social influence on personal alcohol use. Both SR and NB may be especially important during the period when young adults leave their families and may feel less external control and more freedom to use alcohol what may lead to serious health consequences. Therefore this study explores the associations among SR and NB in relations to alcohol use and negative alcohol consequences. Data among 2671 first-year college students were collected in 2011. Students from the Czech Republic (n = 357), Hungary (n = 783), Lithuania (n = 928) and Slovakia (603) who filled in the AUDIT test, Self-Regulation Questionnaire and questions regarding NB. Regression models (separately for each country) were computed to test whether different level of SR influences the relationship between NB and alcohol use and between alcohol use and negative consequences. Overestimated NB were positively associated with risky drinking in all countries and similarly alcohol use increased the level of negative consequences. Moreover, in predicting risk drinking and alcohol consequences, a moderation effect of SR was confirmed as associations among NB and alcohol use and among alcohol use and negative consequences were stronger among those students with lower SR. The protective effect of SR on risky alcohol and consequences together with social norms approach may potentially improve the intervention accuracy and make it a promising target for intervention among young adults. Key messages Students from all explored countries highly overestimated the actual alcohol use what was significantly associated with theirs higher alcohol consumption. Those students who overestimated the actual alcohol consumption but had higher levels of self-regulation were less likely to drink or report negative alcohol consequences than their peers.