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Questioning the Social Norms Approach for Alcohol Reduction in First-Year Undergraduate Students–A Canadian Perspective

Publication: Canadian Journal of Community Mental Health
1 February 2019

Abstract

The social norms approach to changing excessive drinking behaviour is predicated upon findings that overestimations of peer drinking predict one’s own drinking behaviour. Prior studies have yet to examine whether such social norms effects pertain equally to both genders. First-year students from a Canadian university (N = 1,155; 696 males, 459 females) were assessed for the relationship between misperceived drinking norms and hazardous drinking using the Alcohol Use Disorder Identification Test-Consumption scale (AUDIT-C). A significant positive relationship between the overestimated drinking frequency norm and hazardous drinking was determined for female students, where the odds of hazardous drinking increased by 1.92 (95% CI: 1.32–2.79) when the norm of other female students was overestimated. A non-significant association was found for male students, where the odds of hazardous drinking were unrelated to overestimation of the drinking norm of other male students. The null association for male students highlights a potential problem when using social norms interventions for alcohol reduction for males in the university context. Implications of these results for the utilization of the social norms approach to alcohol reduction are discussed.

Résumé

L’approche des normes sociales utilisée pour modifier le comportement en matière de consommation excessive d’alcool prend appui sur le constat selon lequel une surestimation de la consommation d’alcool par les pairs permet de prédire son propre comportement en matière de consommation de boissons alcoolisées. À ce jour, les études réalisées n’ont jamais cherché à évaluer si les effets de ces normes sociales s’appliquaient également aux deux sexes. Des étudiants de première année d’une université canadienne (N = 1,155; 696 hommes, 459 femmes) ont été sondés pour évaluer la relation entre les normes de consommation erronées et la consommation dangereuse d’alcool à l’aide du test AUDIT-C (Alcohol Use Disorder Identification Test-Consumption). Une relation positive significative entre la fréquence surestimée de consommation et la consommation dangereuse d’alcool a été établie pour les étudiantes de sexe féminin, la probabilité de consommation dangereuse d’alcool augmentant de 1,92 (I de C à 95 % : 1,32-2,79) lorsqu’il y avait une surestimation de la norme pour les autres étudiants de sexe féminin. Une association non significative a été établie pour les étudiants de sexe masculin, la probabilité de consommation dangereuse d’alcool n’étant aucunement liée à la surestimation de la norme de consommation d’alcool des autres étudiants de sexe masculin. L’association nulle pour les étudiants de sexe masculin met en lumière un problème que peut poser l’application de normes sociales d’intervention en vue de réduire la consommation d’alcool chez les hommes dans le contexte universitaire. Le présent article aborde les implications possibles de ces résultats sur la mise en oeuvre de l’approche des normes sociales pour réduire la consommation d’alcool.

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References

Arbour-Nicitopoulos Kelly P., Kwan Matthew Y. W., Lowe David, Taman Sara, and Faulkner Guy E. J. 2010 Social norms of alcohol, smoking, and marijuana use within a Canadian university setting Journal of American College Health 59 3 191 -196
Babor, Thomas, Higgins-Biddle, John C., Saunders, John B., & Monteiro, Maristela G. (2001). The alcohol use disorders identification test. Guidelines for use in primary care (second edition). Geneva: World Health Organization. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/67205/WHO_MSD_MSB_01.6a.pdf?sequence=1
Bachrach Rachel L. Mallett Kimberly A. & Turrisi Rob 2009 Examining the unique influence of interpersonal and intrapersonal drinking perceptions on alcohol consumption among college students Journal of Studies on Alcohol and Drugs 70 2
Baer J. S., Stacy A., and Larimer M. 1991 Biases in the perception of drinking norms among college students Journal of Studies on Alcohol 52 6 580 -586
Berkowitz, Alan. (2004). The social norms approach: Theory, research, and annotated bibliography. Alan Berkowitz. August. Retrieved from http://www.alanberkowitz.com
Blank Mei-Ling, Connor Jennie, Gray Andrew, and Tustin Karen 2015 Screening for hazardous alcohol use among university students using individual questions from the Alcohol Use Disorders Identification Test–Consumption Drug and Alcohol Review 34 5 540 -548
Borsari Brian and Carey Kate B. 2001 Peer influences on college drinking: A review of the research Journal of Substance Abuse 13 4 391 -424
Borsari Brian and Carey Kate B. 2003 Descriptive and injunctive norms in college drinking: A meta-analytic integration Journal of Studies on Alcohol and Drugs 64 3 331 -241
Bush Kristen, Kivlahan Daniel R., McDonell Mary B., Fihn Stephan D., and Bradley Katharine A. 1998 The AUDIT alcohol consumption questions (AUDIT-C) Archives of Internal Medicine 158 1789 -1795
Campo S., Brossard D., Frazer M. S., Marchell T., Lewis D., and Talbot J. 2003 Are social norms campaigns really magic bullets? Assessing the effects of students’ misperceptions on drinking behavior Health Communication 15 4 481 -497
Dawson Deborah A., Grant Bridget F., Stinson Frederick S., and Zhou Yuan 2005 Effectiveness of the derived alcohol use disorders identification test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the US general population Alcoholism: Clinical and Experimental Research 29 5 844 -854
DeMartini Kelly S. and Carey Kate B. 2012 Optimizing the use of the AUDIT for alcohol screening in college students Psychological Assessment 24 4 954 -963
Dillman, Don A. (2000). Mail and internet surveys: The tailored design method. New York: Wiley.
Faul Franz, Erdfelder Edgar, Buchner Axel, and Lang Albert-Georg 2009 Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses Behavior Research Methods 41 4 1149 -1160
Foxcroft, David R., Moreira, Maria Teresa, Almeida, Santimano N. M. L., & Smith, Lesley A. (2015). Social norms information for alcohol misuse in university and college students. Hoboken, NJ: The Cochrane Collaboration, John Wiley & Sons, Ltd.
Hagman Brett T., Noel Nora E., and Clifford Patrick R. 2007 Social norms theory-based interventions: Testing the feasibility of a purported mechanism of action Journal of American College Health 56 3 293 -298
Kelsey, Jennifer L., Whittemore, Alice S., Evans, Alfred S., & Thompson, W. Douglas. (1996). Methods in observational epidemiology, second edition. New York: Oxford University Press.
Kleinbaum, David G., & Klein, Mitchel. (2010). Logistic regression; A self-learning text. New York: Springer.
Kypri Kypros and Langley John D. 2003 Perceived social norms and their relation to university student drinking Journal of Studies on Alcohol 64 829 -834
Lewis Melissa A. and Neighbors Clayton 2004 Gender-specific misperceptions of college student drinking norms Psychology of Addictive Behaviors 18 4 334 -339
Lewis Melissa A. and Neighbors Clayton 2006 Social norms approaches using descriptive drinking norms education: A review of the research on personalized normative feedback Journal of American College Health 54 4 213 -218
Lin I-Fen and Schaeffer Nora Cate 1995 Using survey participants to estimate the impact of nonparticipation Public Opinion Quarterly 59 236 -258
Maddox, George L. (1970). The domesticated drug: Drinking among collegians. New Haven: College & University Press Services Inc.
Narain, Tasha A. (2016). (Mis)perceived drinking norms and hazardous drinking behaviours in university first-year undergraduate students. Ontario: Department of Public Health Science, Queen’s University.
Neighbors Clayton, O’Connor Roisin M., Lewis Melissa A., Chawla Neharika, Lee Christine M., and Fossos Nicole 2008 The relative impact of injunctive norms on college student drinking: The role of reference group Psychology of Addictive Behaviors 22 4 576 -581
Perkins H. Wesley 2002 Social norms and the prevention of alcohol misuse in collegiate contexts Journal of Studies in Alcohol Suppl 14 164 -172
Perkins, H. Wesley. (2003a). The emergence and evolution of the social norms approach to substance abuse prevention. In H. W. Perkins (Ed.), The social norms approach to preventing school and college age substance abuse, 3–17. San Francisco, CA: Jossey-Bass.
Perkins, H. Wesley. (2003b). The promise and challenge of future work using the social norms model. In H. W. Perkins (Ed.), The social norms approach to preventing school and college age substance abuse, 280–296. San Francisco, CA: Jossey-Bass.
Perkins H. Wesley 2007 Misperceptions of peer drinking norms in Canada: Another look at the “reign of error” and its consequences among college students Addictive Behaviors 32 11 2645 -2656
Perkins H. Wesley and Berkowitz Alan D. 1986 Perceiving the community norms of alcohol use among students: Some research implications for campus alcohol education programming The International Journal of Addictions 21 9 961 -976
Perkins H. Wesley and Wechsler Henry 1996 Variation in perceived college drinking norms and its impact on alcohol abuse: A nationwide study Journal of Drug Issues 26 4 961 -974
Perkins H. Wesley, Haines M. P., and Rice R. 2005 Misperceiving the college drinking norm and related problems: A nationwide study of exposure to prevention, information, perceived norms and student alcohol misuse Journal of Studies on Alcohol 66 470 -478
Stewart, S. H., Gavric, D., & Collins, P. (2009). Women, girls and alcohol. In K. Brady, S. Back, and S. Greenfield (Eds.), Women and alcohol: A comprehensive handbook, 341–359. New York: Guilford Press.
Stone Andrea L., Becker Linda G., Huber Alice M., and Catalano Richard F. 2012 Review of risk and protective factors of substance use and problem use in emerging adulthood Addictive Behaviors 37 747 -775
Stuart, Heather, Chen, Shu-Ping, Krupa, Terry, Narain, Tasha, Horgan, Salinda, Dobson, Keith, & Stewart, Sherry. (in press). The Caring Campus Project overview.
Sullivan, Lisa M. (2011). Essentials of biostatistics in public health, second edition. Sudbury: Jones & Bartlett Learning.
Wardell J. D. and Read J. P. 2013 Alcohol expectancies, perceived norms and drinking behavior among college students: Examining the reciprocal determinism hypothesis Psychological Addictive Behaviors 27 1 191 -196
Wechsler Henry, Nelson Toben F., Lee Jae Eun, Seibring Mark, Lewis Catherine, and Keeling Richard P. 2003 Perception and reality: A national evaluation of social norms marketing interventions to reduce college students’ heavy alcohol use Journal of Studies on Alcohol 64 4 484 -494
Yip Benjamin H. K., Chung Roger Y., Chung Vincent C. H., Kim Jean, Chan Iris W. T., Wong Martin C. S., Wong Samuel Y. S., and Griffiths Sian M. 2015 Is alcohol use disorder identification test (AUDIT) or its shorter versions more useful to identify risky drinkers in a Chinese population? A diagnostic study Plos One 10 3 1 -12

Information & Authors

Information

Published In

cover image Canadian Journal of Community Mental Health
Canadian Journal of Community Mental Health
Volume 37Number 3November 2018
Pages: 145 - 156

History

Version of record online: 1 February 2019

Key Words

  1. hazardous drinking
  2. undergraduate students
  3. norm misperceptions
  4. social norms

Mots-clés

  1. consommation dangereuse d’alcool
  2. étudiants de premier cycle
  3. perception erronée des normes
  4. normes sociales

Authors

Affiliations

Tasha A. Narain
Heather Stuart [email protected]
Terry Krupa
Sherry Stewart
Keith Dobson

Notes

The Caring Campus Toolkit is an integral part of the Caring Campus Project. The Toolkit can be accessed at https://doi.org/10.7870/cjcmh-2018-018

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