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Reducing Consequences of Excessive and Underage Drinking

Reducing Consequences of Excessive and Underage Drinking. James C. Turner, MD University of Virginia. Unique Living and Learning Environment. 21 year old drinking law is a social experiment on college campuses that has failed: to limit access to lower drinking

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Reducing Consequences of Excessive and Underage Drinking

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  1. Reducing Consequences of Excessive and Underage Drinking

    James C. Turner, MD University of Virginia
  2. Unique Living and Learning Environment 21 year old drinking law is a social experiment on college campuses that has failed: to limit access to lower drinking to decrease health consequences. No drinking age, just a “buying” age. Sources include legal aged friends, family, roommates Lack of mentoring or modeling for responsible alcohol consumption. Effort expended in teaching responsible and safe use for those who chose to consume.
  3. Health Education for Harm Reduction Social Norms Marketing (SNM) Marketing healthy and safe norms (reinforces safer consumption and use of more protective behaviors). Correcting misperceptions about normative behaviors and attitudes (overestimates of engagement in dangerous behavior and underestimates of use of protective behaviors). Comprehensive evaluation and assessment. Based on peer attitudes and behaviors.
  4. Outcomes Assessment Student Surveys Negative consequences Protective behaviors Binge drinking and estimated BAC Emergency Department statistics Case mix and level of severity
  5. Binge Drinking UVa vs. All College Students Social norms campaign begins BLUE: Monitoring the Future - Survey 1975-2010; Volume II. College Students and Adults Ages 19-40. 2011. University of Michigan and Department of Health and Human Services. RED: UVa Health Behavior Survey.
  6. Negative Consequences from AlcoholAll UVa Undergraduates 2001-2010* .24* .38* .19* .51* .55** Odds Ratios *p<.001 **p<.01 2001-06 data published: Turner et al. Declining Negative Consequences Related to Alcohol Misuse Among College Students…. J. American College Health. 2008. 57:85-93
  7. Negative Consequences from AlcoholAll UVa Undergraduates 2001-2010 .40* .47* .37* .68** .72** Odds Ratios *p<.001 **p<.01 2001-06 data published: Turner et al. Declining Negative Consequences Related to Alcohol Misuse Among College Students…. J. American College Health. 2008. 57:85-93
  8. Emergency Room Visits at UVa SNM project has encouraged friends caring for friends and using the ER ER visits are up > 100% Hospital admissions are decreased (closed head trauma, alcohol poisoning) Actual incident rate of injury has declined mirroring declines in self-reported injury (ref: Keller A, Turner JC, and Bauerle J. Longitudinal comparison of ED admissions for alcohol-related trauma and self-reported alcohol-related injury in a college population. The American Journal of Drug and Alcohol Abuse. 2010. 36:194-198) “More students are seeking appropriate care for themselves and friends.”
  9. Outbreak of Health? 2001 to 2010: Decrease: binge drinking 33%, drinking/driving 81%, injury 76%, unwanted sex 53% 23,300 more students over 10 years had NO negative consequences related to alcohol. Significant increases in use of protective behaviors. Increased use of emergency services, less frequent injuries and less severe cases
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