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Screening for problem drinking among college freshmen

M J Werner1, L S Walker, J W Greene

  • 1Division of Adolescent Medicine, Vanderbilt University, Nashville, TN 37232.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|June 1, 1994
PubMed
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Identifying predictors of problem drinking in adolescents is crucial. Factors like tobacco use and early drinking age significantly increase risks, necessitating comprehensive screening tools.

Area of Science:

  • Addiction Research
  • Adolescent Health
  • Public Health

Background:

  • Problem drinking among adolescents poses significant health and social risks.
  • Early identification of at-risk individuals is essential for intervention.

Purpose of the Study:

  • To identify predictors of problem drinking in older adolescents.
  • To evaluate the effectiveness of screening measures for problem drinking.

Main Methods:

  • Surveyed 492 college freshmen on drinking patterns, risk factors, and alcohol-related problems.
  • Utilized the CAGE questions, Perceived-Benefit-of-Drinking Scale (PBDS), and Children of Alcoholics Screening Test (CAST).
  • Assessed alcohol-related problems including blackouts, injuries, legal issues, and academic consequences.

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Main Results:

  • Higher CAGE and PBDS scores, tobacco use, peer influence, and younger age at first drink predicted higher drinking quantity/frequency and more alcohol-related problems.
  • Regression models explained 40-51% of the variance in drinking habits and problems.
  • Younger age at first drink was a significant predictor of problem drinking.

Conclusions:

  • A composite screening measure demonstrated superior sensitivity and specificity compared to individual scales (CAGE, PBDS).
  • Effective screening tools are vital for identifying adolescents at high risk for problem drinking.
  • Early intervention strategies can be informed by identified predictors.