Skip to main content

Advertisement

Log in

Heavy Drinking and Social and Health Factors in University Students from 24 Low, Middle Income and Emerging Economy Countries

  • Original Paper
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

The aim of this study was to investigate heavy drinking and social and health correlates in university students in low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected in a cross-sectional survey of 17,590 undergraduate university students (mean age 20.8, SD 2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Overall, 71.6 % were non-drinkers, 17.1 % moderate and 11.3 % heavy alcohol drinkers (14.2 % in men and 9.2 % in women) in the past 2 weeks. In a multivariate logistic regression analysis, older age, poorer family background, living in a higher income country, weak beliefs in the importance of limiting alcohol use, higher country per capita alcohol consumption, other substance use (tobacco and illicit drug use), and poor life satisfaction was associated with heavy drinking. Addressing health beliefs and co-occurring addictive behaviors may be crucial in the prevention of heavy drinking in this population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abayomi, O., Onifade, P. O., Adelufosi, A. O., & Akinhanmi, A. O. (2013). Psychosocial correlates of hazardous alcohol use among undergraduates in southwestern Nigeria. General Hospital Psychiatry, 35(3), 320–324.

    Article  PubMed  Google Scholar 

  • Akmatov, M. K., Mikolajczyk, R. T., Meier, S., & Krämer, A. (2011). Alcohol consumption among university students in North Rhine-Westphalia, Germany-results from a multicenter cross-sectional study. Journal of American College Health, 59(7), 620–626.

    Article  PubMed  Google Scholar 

  • Atwoli, L., Mungla, P. A., Ndung’u, M. N., Kinoti, K. C., & Ogot, E. M. (2011). Prevalence of substance use among college students in Eldoret, Western Kenya. BioMedCentral Psychiatry, 11, 34. doi:10.1186/1471-244X-11-34.

    Google Scholar 

  • Cheung, N. W. (2014). Low self-control and co-occurrence of gambling with substance use and delinquency among Chinese adolescents. Journal of Gambling Studies, 30(1), 105–124.

    Article  PubMed  Google Scholar 

  • Clausen, T., Rossow, I., Naidoo, N., & Kowal, P. (2009). Diverse alcohol drinking patterns in 20 African countries. Addiction, 104(7), 1147–1154.

    Article  PubMed  Google Scholar 

  • Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International Physical Activity Questionnaire: 12-Country reliability and validity. Medicine and Science in Sports and Exercise, 35, 1381–1395.

    Article  PubMed  Google Scholar 

  • Dantzer, C., Wardle, J., Fuller, R., Pampalone, S. Z., & Steptoe, A. (2006). International study of heavy drinking: Attitudes and sociodemographic factors in university students. Journal of American College Health, 55(2), 83–89.

    Article  PubMed  Google Scholar 

  • Deressa, W., & Azazh, A. (2011). Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia. BioMedCentral Public Health, 11, 660.

    Google Scholar 

  • El Ansari, W., Sebena, R., & Stock, C. (2013). Socio-demographic correlates of six indicators of alcohol consumption: Survey findings of students across seven universities in England, Wales and Northern Ireland. Archives of Public Health, 71(1), 29. doi:10.1186/2049-3258-71-29.

    Article  PubMed Central  PubMed  Google Scholar 

  • Elliott, M. A., & Ainsworth, K. (2012). Predicting university undergraduates’ binge-drinking behavior: A comparative test of the one- and two-component theories of planned behavior. Addictive Behaviors, 37(1), 92–101.

    Article  PubMed  Google Scholar 

  • International Physical Activity Questionnaire (IPAQ). (2006). IPAQ scoring protocol. https://sites.google.com/site/theipaq/. Accessed 5 April 2014.

  • Isralowitz, R., & Hong, O. T. (1988). Singapore: A study of university students’ drinking behaviour. British Journal of Addiction, 83(11), 1321–1323.

    Article  CAS  PubMed  Google Scholar 

  • Jessor, R., Costa, F. M., Krueger, P. M., & Turbin, M. S. (2006). A developmental study of heavy episodic drinking among college students: The role of psychosocial and behavioral protective and risk factors. Journal of Studies on Alcohol, 67(1), 86–94.

    Article  PubMed  Google Scholar 

  • Ji, C. Y., Hu, P. J., & Song, Y. (2012). The epidemiology of alcohol consumption and misuse among Chinese college students. Alcohol and Alcoholism, 47(4), 464–472.

    Article  PubMed  Google Scholar 

  • Karam, E., Kypri, K., & Salamoun, M. (2007). Alcohol use among college students: An international perspective. Current Opinion in Psychiatry, 20(3), 213–221.

    PubMed  Google Scholar 

  • Kerr, W. C., & Stockwell, T. (2012). Understanding standard drinks and drinking guidelines. Drug and Alcohol Review, 31(2), 200–205.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kim, J. H., Chan, K. W., Chow, J. K., Fung, K. P., Fong, B. Y., Cheuk, K. K., et al. (2009). University binge drinking patterns and changes in patterns of alcohol consumption among chinese undergraduates in a Hong Kong university. Journal of American College Health, 58(3), 255–265.

    Article  PubMed  Google Scholar 

  • Lesieur, H. R., & Blume, S. B. (1987). The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry, 144, 1184–1188.

    Article  CAS  PubMed  Google Scholar 

  • Miskulin, M., Petrović, G., Miskulin, I., Puntarić, D., Milas, J., Dahl, D., et al. (2010). Prevalence and risk factors of alcohol abuse among university students from eastern Croatia: Questionnaire study. Collegium Antropologicum, 34(4), 1315–1322.

    PubMed  Google Scholar 

  • Murphy, J. G., McDevitt-Murphy, M. E., & Barnett, N. P. (2005). Drink and be merry? Gender, life satisfaction, and alcohol consumption among college students. Psychology of Addictive Behaviors, 19, 184–191.

    Article  PubMed  Google Scholar 

  • Paul, L. A., Grubaugh, A. L., Frueh, B. C., Ellis, C., & Egede, L. E. (2011). Associations between binge and heavy drinking and health behaviors in a nationally representative sample. Addictive Behavior, 36(12), 1240–1245.

    Article  Google Scholar 

  • Peltzer, K. (2009). Prevalence and correlates of substance use among school children in six African countries. International Journal of Psychology, 44(5), 378–386.

    Article  PubMed  Google Scholar 

  • Perera, B., & Torabi, M. R. (2012). Alcohol use behavior among undergraduates: A cross-cultural comparison between the United States and Sri Lanka. Southeast Asian Journal of Tropical Medicine and Public Health, 43(4), 1025–1034.

    PubMed  Google Scholar 

  • Rahav, G., Wilsnack, R., Bloomfield, K., Gmel, G., & Kuntsche, S. (2006). The influence of societal level factors on men’s and women’s alcohol consumption and alcohol problems. Alcohol and Alcoholism, 41(1), i47–i55.

    Article  PubMed  Google Scholar 

  • Sebena, R., Orosova, O., Mikolajczyk, R. T., & van Dijk, J. P. (2011). Selected sociodemographic factors and related differences in patterns of alcohol use among university students in Slovakia. BMC Public Health, 11, 849. doi:10.1186/1471-2458-11-849.

    Article  PubMed Central  PubMed  Google Scholar 

  • Slutske, W. S. (2005). Alcohol use disorders among US college students and their non-college-attending peers. Archives of General Psychiatry, 62(3), 321–327.

    Article  PubMed  Google Scholar 

  • Stafström, M., & Agardh, A. (2013). Socio-economic determinants for alcohol consumption and heavy episodic drinking in a Ugandan student population. The International Journal of Alcohol and Drug Research, 1(1), 57–67.

    Article  Google Scholar 

  • Stahre, M., Naimi, T., Brewer, R., & Holt, J. (2006). Measuring average alcohol consumption: The impact of including binge drinks in quantity-frequency calculations. Addiction, 101(12), 1711–1718.

    Article  PubMed  Google Scholar 

  • Stickley, A., Koyanagi, A., Koposov, R., McKee, M., Roberts, B., Murphy, A., et al. (2013). Binge drinking among adolescents in Russia: Prevalence, risk and protective factors. Addictive Behavior, 38(4), 1988–1995.

    Article  Google Scholar 

  • Vantamay, S. (2009). Alcohol consumption among university students: Applying a social ecological approach for multi-level preventions. South East Asian Journal Tropical Medicine and Public Health, 40(2), 354–369.

    Google Scholar 

  • Venegas, J., Cooper, T. V., Naylor, N., Hanson, B. S., & Blow, J. A. (2012). Potential cultural predictors of heavy episodic drinking in Hispanic college students. American Journal of Addiction, 21(2), 145–149.

    Article  Google Scholar 

  • Wardle, J., & Steptoe, A. (1991). The European Health and Behaviour Survey: Rationale, methods and initial results from the United Kingdom. Social Science and Medicine, 33, 925–936.

    Article  CAS  PubMed  Google Scholar 

  • Wechsler, H., & Nelson, T. F. (2001). Binge drinking and the American college student: What’s five drinks? Psychology of Addictive Behavior, 15(4), 287–291.

    Article  CAS  Google Scholar 

  • White, A., & Hingson, R. (2013). The burden of alcohol use: Excessive alcohol consumption and related consequences among college students. Alcohol Research, 35(2), 201–218.

    PubMed  Google Scholar 

  • Wicki, M., Kuntsche, E., & Gmel, G. (2010). Drinking at European universities? A review of students’ alcohol use. Addictive Behaviors, 35(11), 913–924.

    Article  PubMed  Google Scholar 

  • Wilsnack, R. W., Wilsnack, S. C., Kristjanson, A. F., Vogeltanz-Holm, N. D., & Gmel, G. (2009). Gender and alcohol consumption: Patterns from the multinational GENACIS project. Addiction, 104(9), 1487–1500.

    Article  PubMed Central  PubMed  Google Scholar 

  • World Health Organization (WHO). (1998). Guidelines for controlling and monitoring the tobacco epidemic. Geneva: WHO.

    Google Scholar 

  • World Health Organization (WHO). (2014). Global status report on alcohol and health, 2014. Retrieved at http://www.who.int/substance_abuse/publications/global_alcohol_report/msb_gsr_2014_3.pdf. Accessed 10 July 2014.

  • Zverev, Y. (2008). Problem drinking among university students in Malawi. Collegium Anthropologicum, 32(1), 27–31.

    Google Scholar 

Download references

Acknowledgments

Partial funding for this study was provided by the South African Department of Higher Education. The following colleagues participated in this student health survey and contributed to data collection (locations of universities in parentheses) Bangladesh: Gias Uddin Ahsan (Dhaka); Barbados: T. Alafia Samuels (Bridgetown); Cameroon: Jacques Philippe Tsala Tsala (Yaounde); China: Tony Yung and Xiaoyan Xu (Hong Kong and Chengdu); Colombia: Carolina Mantilla (Pamplona); Egypt: Alaa Abou-Zeid (Cairo); Grenada: Omowale Amuleru-Marshall (St. George); India: Krishna Mohan (Visakhapatnam); Indonesia: Indri Hapsari Susilowati (Jakarta); Ivory Coast: Issaka Tiembre (Abidjan); Laos: Vanphanom Sychareun (Vientiane); Madagascar: Onya H Rahamefy (Antananarivo); Mauritius: Hemant Kumar Kassean (Réduit, Moka); Namibia: Pempelani Mufune (Windhoek); Nigeria: Solu Olowu (Ile-Ife); Philippines: Alice Ferrer (Miagao); Russia: Alexander Gasparishvili (Moscow); Singapore: Mee Lian Wong (Singapore); Thailand: Tawatchai Apidechkul (Chiang Rai); Tunesia: Hajer Aounallah-Skhiri (Tunis); Turkey: Neslihan Keser Özcan (Istanbul); Venezuela: Yajaira M Bastardo (Caracas).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karl Peltzer.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Peltzer, K., Pengpid, S. Heavy Drinking and Social and Health Factors in University Students from 24 Low, Middle Income and Emerging Economy Countries. Community Ment Health J 52, 239–244 (2016). https://doi.org/10.1007/s10597-015-9925-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-015-9925-x

Keywords

Navigation