Abstract
Purpose of Review
To address whether and to what extent alcohol use interventions on college campuses are associated with reductions in sexual assault-related outcomes.
Recent Findings
Seven studies evaluating five interventions were included; all showed positive impacts in at least one study. Positive impacts were seen across various intervention approaches, including web-based and in-person approaches, those including individual and group activities, and using content addressing alcohol only or alcohol and sexual assault. Some studies included only heavy drinkers, while others included general populations of students. A widely used web-based alcohol use intervention was found to be effective in reducing sexual victimization in one study but not another. While all interventions showed positive impacts in at least one of the studies, little is understood about the pathways by which alcohol use interventions lead to reduced sexual assault.
Summary
Alcohol use is a risk factor for sexual assault, and considerable research shows high levels of both alcohol use and sexual assault on college campuses. Despite the widespread implementation of alcohol use interventions on college campuses, research on the effectiveness of alcohol use interventions on sexual assault is woefully inadequate to address two such important and complex problems. While there is reason to be optimistic about the potential for alcohol use interventions to reduce sexual assault on college campuses, much more research is needed to provide guidance on the most effective approaches for different types of college populations.
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References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
•• Abbey AE, Wegner RE, Woerner JE, Pegram SE, Pierce JE. Review of survey and experimental research that examines the relationship between alcohol consumption and men’s sexual aggression perpetration. Trauma, Violence, Abuse. 2014;15(4):265–82. https://doi.org/10.1177/1524838014521031A systematic review of the literature regarding the association between alcohol consumption and male sexual aggression.
Mellins CA, Walsh K, Sarvet AL, Wall M, Gilbert L, Santelli JS, et al. Sexual assault incidents among college undergraduates: prevalence and factors associated with risk. Plos One. 2017;12(11). https://doi.org/10.1371/journal.pone.0186471.
Campbell R, Dworkin E, Cabral G. An ecological model of the impact of sexual assault on womens mental health. Trauma, Violence, & Abuse. 2009;10(3):225–46. https://doi.org/10.1177/1524838009334456.
Baker MR, Frazier PA, Greer C, Paulsen JA, Howard K, Meredith LN, et al. Sexual victimization history predicts academic performance in college women. J Couns Psychol. 2016;63(6):685–92. https://doi.org/10.1037/cou0000146.
Jordan CE, Combs JL, Smith GT. An exploration of sexual victimization and academic performance among college women. Trauma Violence Abuse. 2014;15(3):191–200. https://doi.org/10.1177/1524838014520637.
Gialopsos BM. Sexual violence in academia: policy, theory, and prevention consideration. J Sch Violence. 2017;16(2):141–7. https://doi.org/10.1080/15388220.2017.1284467.
Moylan CA, Hammock AL. Carlson Mundefined. In the eye of the reformer: higher education personnel perspectives on campus sexual assault policy implementation. J Sch Violence. 2020:1–13. https://doi.org/10.1080/15388220.2020.1728285.
Jouriles EN, Krauss A, Vu NL, Banyard VL, Mcdonald R. Bystander programs addressing sexual violence on college campuses: a systematic review and meta-analysis of program outcomes and delivery methods. J Am Coll Heal. 2018;66:457–66. https://doi.org/10.1080/07448481.2018.1431906.
•• Mahoney P, Gielen AC, Bailey MM, Gabel C. Applying the Haddon Matrix to evaluate sexual assault interventions on college campuses. J Am Coll Heal. 2019:1–8. https://doi.org/10.1080/07448481.2019.1583658.
Morrison S, Hardison J, Mathew A, O’Neil J. An evidence-based review of sexual assault preventive intervention programs: RTI International; 2004.
Brecklin LR, Ullman SE. The roles of victim and offender alcohol use in sexual assaults: results from the National Violence Against Women Survey. J Stud Alcohol. 2002;63(1):57–63.
White A, Hingson R. The burden of alcohol use: excessive alcohol consumption and related consequences among college students. Alcohol Res: current reviews. 2013;35(2):201–18.
Koelsch LE, Brown AL, Boisen L. Bystander perceptions: implications for university sexual assault prevention programs. Violence Vict. 2012;27(4):563–79. https://doi.org/10.1891/0886-6708.27.4.563.
•• Vladutiu CJ, Martin SL, Macy RJ. College- or university-based sexual assault prevention programs: a review of program outcomes, characteristics, and recommendations. Trauma Violence Abuse. 2011;12(2):67–86. https://doi.org/10.1177/1524838010390708This article summarizes findings from 8 literature reviews, including research articles and dissertations, on college sexual assault prevention programs.
Stotzer RL, Maccartney D. The role of institutional factors on on-campus reported rape prevalence. J Interpers Violence. 2016;31(16):2687–707. https://doi.org/10.1177/0886260515580367.
• Lippy C, Degue S. Exploring alcohol policy approaches to prevent sexual violence perpetration. Trauma, Violence, & Abuse. 2014;17(1):26–42. https://doi.org/10.1177/1524838014557291This review characterized the association between alcohol-related policies, such as pricing, sale time, and outlet density, and sexual violence related outcomes, in a variety of community contexts.
•• Tait RJ, Lenton S. Online alcohol interventions, sexual violence and intimate partner violence: a systematic review. Internet Interv. 2015;2(2):152–60. https://doi.org/10.1016/j.invent.2015.03.001This literature review studied the effect of web-based alcohol interventions on sexual violence and intimate partner violence outcomes.
Clinton-Sherrod M, Morgan-Lopez AA, Brown JM, Mcmillen BA, Cowell A. Incapacitated sexual violence involving alcohol among college women: the impact of a brief drinking intervention. Violence Against Women. 2011;17(1):135–54. https://doi.org/10.1177/1077801210394272.
Paschall MJ, Antin TL, Ringwalt CF, Rundefined S. Effects of AlcoholEdu for college on alcohol-related problems among freshmen: a randomized multicampus trial. J Stud Alcohol Drugs. 2011;72(4):642–50. https://doi.org/10.15288/jsad.2011.72.642.
Wyatt TM, Dejong W, Dixon E. Population-level administration of AlcoholEdu for college: an ARIMA time-series analysis. J Health Commun. 2013;18(8):898–912. https://doi.org/10.1080/10810730.2011.626501.
Gilmore AK, Lewis MA, George WH. A randomized controlled trial targeting alcohol use and sexual assault risk among college women at high risk for victimization. Behav Res Ther. 2015;74:38–49. https://doi.org/10.1016/j.brat.2015.08.007.
•• Gilmore AK, Bountress KE, Selmanoff M, George WH. Reducing heavy episodic drinking, incapacitation, and alcohol-induced blackouts: secondary outcomes of a web-based combined alcohol use and sexual assault risk reduction intervention. Violence Against Women. 2018;24(11):1299–313. https://doi.org/10.1177/1077801218787934.
•• Orchowski LM, Barnett NP, Berkowitz A, Borsari B, Oesterle D, Zlotnick C. Sexual assault prevention for heavy drinking college men: development and feasibility of an integrated approach. Violence Against Women. 2018;24(11):1369–96. https://doi.org/10.1177/1077801218787928.
Testa M, Hoffman JH, Livingston JA, Turrisi R. Preventing college women’s sexual victimization through parent based intervention: a randomized controlled trial. Prev Sci. 2010;11(3):308–18. https://doi.org/10.1007/s11121-010-0168-3.
Koss MP, Abbey A, Campbell R, Cook S, Norris J, Testa M, et al. Revising the SES: a collaborative process to improve assessment of sexual aggression and victimization. Psychol Women Q. 2007;31:357–70. https://doi.org/10.1111/j.1471-6402.2007.00385.x.
Banyard VL, Moynihan MM, Cares AC, Warner R. How do we know if it works? Measuring outcomes in bystander-focused abuse prevention on campuses. Psychol Violence. 2014;4(1):101–15. https://doi.org/10.1037/a0033470.
Mujal GN, Taylor ME, Fry JL, Gochez-Kerr TH, Weaver NL. A systematic review of bystander interventions for the prevention of sexual violence. Trauma, Violence, Abuse. 2019:152483801984958. https://doi.org/10.1177/1524838019849587.
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Appendix. Devising a Search Strategy
Appendix. Devising a Search Strategy
PubMed
The preliminary search terms were:
-
Universities[mesh] OR Universit*[tw] OR college*[tw]
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Alcohol Drinking in College[mesh] OR College Drinking[mesh] OR college student drinking[mesh] or university student drinking[mesh] OR alcohol drinking[mesh] OR College Drinking[tw] OR college student drinking[tw] OR university student drinking[tw] OR alcohol drinking[tw]
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Policy[mesh] OR Health Education[mesh] OR Primary Prevention[mesh] OR health educat*[tw] OR program*[tw] OR intervent*[tw] OR prevent*[tw]
When entered in PubMed, this search yielded 2647 results.
Additional terms specific to sexual assault were added to narrow the scope of the search around outcomes related to sexual violence.
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College Drinking[mesh] OR college student drinking[mesh] or university student drinking[mesh] OR alcohol drinking[mesh] OR College Drinking[tw] OR college student drinking[tw] or university student drinking[tw] OR alcohol drinking[tw]
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Policy[mesh] OR Health Education[mesh] OR Primary Prevention[mesh] OR health educat*[tw] OR program*[tw] OR intervent*[tw] or prevent*[tw]
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Sex offense[mesh] OR sexual violence[mesh] OR sexual abuse[mesh] OR sexual assault*[tw] OR rape*[tw] OR sex offense*[tw]
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Universities[mesh] OR Universit*[tw] OR college*[tw]
This search yielded 79 results.
The search terms used for PyscInfo and Scopus were derived from the PubMed search strategy, with database specific modifications.
PsycInfo
DE “Drinking Behavior” OR DE “Alcohol Drinking Patterns” OR “Alcohol Drinking”
DE “Sex Offenses” OR DE “Crime” OR DE “Sexual Abuse” OR DE “Sexual Harassment” OR “Sexual Assault”
DE “Colleges” OR DE “College Environment” OR DE “Higher Education” OR “Universities” OR “Colleges”
Yielded 76; 29 duplicates were removed when imported into Covidence.
Scopus Search
“College Drinking” OR “college student drinking” OR “university student drinking” OR “alcohol drinking” OR “alcohol use”
AND
Policy OR “Health Education” OR Prevention OR intervention
AND
“sexual assault*” OR rape* OR “sex offense*” OR “sexual violence”
AND
university OR universities OR college*
Yielded 126 results, 63 duplicates were identified in Covidence.
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Denhard, L., Mahoney, P., Kim, E. et al. A Review of Alcohol Use Interventions on College Campuses and Sexual Assault Outcomes. Curr Epidemiol Rep 7, 363–375 (2020). https://doi.org/10.1007/s40471-020-00253-2
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DOI: https://doi.org/10.1007/s40471-020-00253-2