In: Social work in health care: the journal of health care social work ; a quarterly journal adopted by the Society for Social Work Leadership in Health Care, Band 52, Heft 6, S. 599-617
Undergraduate binge drinking, a well-documented problem at U.S. institutions of higher education, has been associated with a host of negative behavioral health outcomes. Scholars have extensively examined individual- and institutional-level risk factors for college binge drinking. However, these data have not been effectively translated into binge-drinking interventions. To inform the development of additional evidence-based prevention programs, this article documents the varied social practices that constitute "binge drinking," drawing on primarily ethnographic data. By disaggregating what survey research has largely examined as a unified outcome, we offer a descriptive account of the different reasons for and contexts in which students consume alcohol in amounts that constitute binge drinking. Our discussion points to modifiable social factors in university life as strategy for prevention. The implication of our argument is that acknowledging and responding to the varied motivations underlying students' alcohol use is one strategy to enhance campus binge-drinking prevention.
Entering college is recognized as a developmental milestone. Completing college is difficult, however, and students who are first-generation (FG) or low-income (LI) or both (FGLI) encounter unique challenges. In secondary analysis of data from a population-based survey ( N=1671 undergraduates) at two interconnected highly-selective institutions of higher education, we examined belonging, mental health, and well-being comparing the overall student body to FG, LI, and FGLI students. Most FG, LI, and FGLI students reported a strong sense of belonging, few mental health symptoms, and good general health and well-being. Compared to the overall student body, FG, LI and FGLI students reported lower levels of perceived family support, worse sleep quality, and worked more hours for pay; FG and FGLI students reported higher symptoms of depression; LI and FGLI reported less hazardous drinking. Interventions and programmatic changes at the institutional level are needed to build campuses where students of all backgrounds can thrive.