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Session Abstract Abstract Session College student and young adult drinking APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016) Abstract Acculturative Stress, Resilience, Mental Health, and Binge Drinking among International Students Kim Youn Kyoung, Ph.D., Louisiana State University, Baton Rouge, LA, Moses Okumu, MSW, University of Texas at Arlington, Arlington, TX and Eusebius Small, PhD, MSSW, University of Texas, Arlington, Arlington, TX APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016) Purpose: This study tested the mediating effects of resilience and mental health on the relationship between acculturative stress and binge drinking among international students. Methods: The cross-sectional survey design tested the hypothetical model of alcohol use among a sample of 322 international students nationally. The modified Index of Life Stress (Yang & Clum, 1995), the Resilience Scale for Adults (Friborg, Hjemdal, Rosenvinge, & Martinussen, 2003), and the Patient Health Questionnaire 9 & GAD-7 (Spitzer et al., 1994) were used to measure the four latent variables. Binge drinking was one item question. Structural Equation Modeling (SEM), using Mplus version 7, was conducted to test the measurement and structural models. Results: The results from the measurement model showed good model fit (χ²=145.83, df=57, χ²/df=2.56, CFI=0.95, TLI=0.93, SRMR=0.048, RMSEA=0.07). Also, the results from the structural model showed that the direct effect of acculturative stress on resilience (b=-0.32, p <.001), the direct effect of resilience on binge drinking (b=-0.183, p <.003), and the direct effect of acculturative stress on mental health (b=-0.59, p <.001) were significant. The indirect effect of acculturative stress on binge drinking through resilience was significant (b=0.02, p <.01). Resilience fully mediated the relationship between acculturative stress and binge drinking in the hypothesized model. Conclusions: The study found that resilience as a collective and protective factor leads to positive behavioral health outcomes; specifically binge drinking, in the acculturation process among international students. The awareness of resilience may help schools and health care providers adopt more effective strategies to overcome binge drinking caused by acculturative stress among international students. Diversity and culture Public health or related research Social and behavioral sciences Abstract Restrictive peer networks among substance-using college students: An untapped intervention target? Hannah Allen, MHS1, Kimberly Caldeira, MS1, Kathryn B. Vincent, MA1, Brittany A. Bugbee, MPH1, Kevin O'Grady, PhD2 and Amelia M. Arria, PhD3, (1)University of Maryland School of Public Health, College Park, MD, (2)University of Maryland, College Park, MD, (3)University of Maryland College Park, College Park, MD APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016) Background: Peer alcohol and substance use are risk factors for the development of substance use problems, but the extent to which substance-using students restrict their peer networks to other users during college is unclear. Method: As part of a longitudinal study beginning at college entry, 1,253 undergraduates (52% female, 72% non-Hispanic white) were categorized into four groups based on criteria for cannabis use disorder (CUD), alcohol use disorder (AUD), and past-year substance use during their first year of college. Annually thereafter, students were queried about their close friends' substance use. Differences in proportions of substance-using friends were examined between groups each year and within groups over time. Results: Students were categorized as (a) CUD+ (n=181); (b) AUD+ without CUD (n=230); (c) Past-year substance use without CUD or AUD (n=455); or (d) No past-year CUD, AUD, or substance use (n=387). Compared with the no-past-year-use group, the groups with any baseline substance use had significantly higher proportions of substance-using friends in Years 2, 3, and 4. The CUD+ group had significantly higher proportions of marijuana-using friends relative to all other groups, consistently over time. Proportion of alcohol-using friends remained stable in the CUD+ and AUD+ groups but increased significantly over time in the substance use without CUD or AUD and no-past-year-use groups. Conclusion: Students who entered college with substance use disorders tended to associate with substance-using friends; these peer networks remained stable throughout college. Constrained peer networks as a social consequence of substance use have potential utility in personalized feedback interventions. Public health or related research Social and behavioral sciences Abstract Slope of Change: An Environmental Approach to Reduce Drinking on a Day of Celebration at a US College Laura Santacrose, MPH Cornell University, Ithaca, NY APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016) background: Cornell University has an annual end-of-the-year celebration known as “Slope Day” which essentially is a large concert that takes place on an open hillside below the main university library known as Libe Slope. The event is notorious for high-risk drinking that results in both the university health service and the local hospital treating a significant number of students for acute alcohol intoxication. methods: An environmental management plan was implemented including a festival with music, games and food in the courtyard adjacent to the slope, increased enforcement of the minimum legal drinking age, regulation of alcohol sales, and a physical barrier to entry onto the slope. In 2014, there were additional changes to Slope Day including using a new wristband entry system and an academic calendar change that shifted the event from the last day of classes on a Friday, to a Thursday, now the day after the last day of classes. From 2001-2016 Cornell University has conducted self-report, anonymous surveys of undergraduate student experiences on Slope Day using a randomized sample. results: Overall, the interventions significantly reduced high-risk drinking on the day of the event, especially among those under the age of 21. Over the years there has been a significant decrease in drinking at the event (Slope Day itself) and drinking before the event (pre-gaming the event) has increased slightly. However, since 2014 there has been an increase in the percent of students who report engaging in high-risk drinking and extreme ritualistic alcohol consumption, which correspond with the recent academic calendar change and wristband entrance system. conclusions: A coordinated, integrated approach is necessary to reduce high-risk drinking at the population level and to provide medical care to those individuals in need. It is also important to measure the impact changes to the event have on drinking patterns. Administer health education strategies, interventions and programs Conduct evaluation related to programs, research, and other areas of practice Implementation of health education strategies, interventions and programs Public health or related research Social and behavioral sciences Systems thinking models (conceptual and theoretical models), applications related to public health Abstract Assessing Alcohol Consumption and Academic Performance among a Nationally Representative Sample of College Students Adam E. Barry, PhD, Texas A&M University, College Station, TX, Anna K. Piazza-Gardner, PhD, University of Florida, Gainesville, FL and Ashley L. Merianos, PhD CHES, University of Cincinnati, Cincinnati, OH APHA 2016 Annual Meeting & Expo (Oct. 29 - Nov. 2, 2016) Purpose: This investigation assessed whether alcohol consumption was negatively related to grade point average (GPA) among a nationally representative sample of college students. Methods: Items from the American College Health Association's National College Health Assessment (n=22,424) were investigated. One-way analyses of variance were conducted. Following a statistically significant F-statistic, Scheffe post- hoc analyses were conducted to identify differences among groups. Then, two separate logistic regression models were tested to determine if (a) amount of alcohol consumed last time partied/socialized, and (b) frequency of binge drinking, significantly influenced one's academic achievement, above and beyond several demographic controls (i.e., age, gender, race, fraternity/sorority affiliation, and involvement in varsity athletics). Results: Results identified that respondents with lower GPAs consumed a greater number of drinks [F(3, 942.65)=75.719, p=.000] compared to those with higher GPAs. Students with higher GPAs engaged in heavy episodic drinking [F(3, 726.98)=34.996, p=.000] less than students with lower GPAs. Number of drinks consumed during most recent party/social event was the strongest predictor of academic performance (OR = 0.932, Wald = 271.733); the likelihood of being an A student decreased with each additional drink consumed the last time partied/socialized (B = -.071). Frequency of binge drinking was the strongest predictor of academic performance (OR = 0.881, Wald = 139.012); the likelihood of being an A student decreased as the frequency of binge drinking increased (B = -.126). Conclusions: The dynamic, interdependent relationship between alcohol and GPA documented herein confirms previous research, which delineates reduced academic performance as a function of alcohol consumption. Epidemiology Public health or related research Abstract Comparative role of religious internalization and social support in alcohol use in a conservative Christian
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