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Expanding perspectives on reducing harms from drinking in college: A qualitative study
Sarah J Chavez1, Madeline C Montgomery2, Angelo M DiBello3
1Department of Psychology, California State University, Fullerton.
Summary
College students who drink heavily identified 28 harm reduction strategies (HRS), including novel approaches like social accountability and bodily awareness. These strategies can be categorized by timing (before, during, after drinking) and social context (independent or supported).
Area of Science:
- Psychology
- Public Health
- Substance Use Research
Background:
- Limited recent research exists on harm reduction strategies (HRS) for heavy-drinking college students.
- Existing literature primarily focuses on strategies during drinking events, neglecting other temporal and social dimensions.
Purpose of the Study:
- To identify novel HRS recommended by heavy-drinking college students.
- To explore the temporal and social characteristics of these strategies.
Main Methods:
- Qualitative analysis of open-ended questionnaire responses from 179 heavy-drinking college students.
- Thematic analysis was used to identify and categorize HRS.
Main Results:
- 28 distinct HRS were identified, with some aligning with existing measures and others being novel (e.g., social accountability, bodily awareness).
- HRS were categorized by their occurrence: before, during, and/or after drinking events.
- Strategies were also classified by their need for social support versus independent implementation.
Conclusions:
- A novel framework for understanding HRS in heavy-drinking college students is proposed, emphasizing temporal and social dimensions.
- Prevention efforts should consider a broader range of HRS, including those implemented independently or requiring social support.
- Expanding the repertoire of HRS can enhance alcohol-related harm reduction strategies.
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