Journal of Community Health

, Volume 39, Issue 1, pp 139–147 | Cite as

Drinking and Swimming: Investigating Young Australian Males’ Intentions to Engage in Recreational Swimming While Under the Influence of Alcohol

  • Kyra Hamilton
  • Hannah Schmidt
Original Paper


Drowning, a largely preventable problem, continues to be a serious issue worldwide, with young men particularly at risk. Alcohol and drugs are often present among young males and, particularly for males aged 18–34 years, alcohol is considered to be a significant risk factor for drowning. The current study aimed to understand the motivations guiding the intentions of young Australian men to engage in drinking and swimming, a behaviour not yet examined systematically. A cross-sectional correlational design was adopted to investigate the ability of the theory of planned behaviour (TPB) and additional variables to predict males’ intentions to drink and swim. Males (N = 211) aged 18–34 years (Mage = 23.93, SD = 4.01) completed a survey either on-line or paper-based. The survey assessed the TPB constructs of attitude, subjective norm, and perceived behavioural control (PBC); and additional variables of group norms, anticipated regret, objective (i.e. swimming ability) and perceived (i.e. perceived severity and perceived susceptibility) risk perceptions, and past behaviour. Support was found for the TPB constructs of attitude and subjective norm, but not PBC, as well as the additional constructs of group norm, anticipated regret, objective risk, and past behaviour in predicting males’ intentions to drink and swim; explaining an overall 76 % of variance. Knowledge gained from this study will help to inform resultant interventions designed to discourage alcohol use in, on, or around water and, thus, prevent drownings in this at risk group.


Swimming Alcohol use Theory of planned behaviour Group norm Anticipated regret Risk perceptions 


  1. 1.
    Abraham, C., & Sheeran, P. (2005). The health belief model. In M. Conner & P. Norman (Eds.), Predicting health behaviour: Research and practice with social cognitive models (pp. 28–80). Buckingham, England: Open University Press.Google Scholar
  2. 2.
    Abraham, C., & Sheeran, P. (2003). Acting on intentions: The role of anticipated regret. British Journal of Social Psychology, 42, 495–511.PubMedCrossRefGoogle Scholar
  3. 3.
    Ajzen, I. (1991). The theory of planned behaviour. Organizational Behavior and Human Decision Processes, 50(2), 179–211.CrossRefGoogle Scholar
  4. 4.
    Armitage, C. J., & Conner, M. (2001). Efficacy of the theory of planned behavior: A meta-analytic. British Journal of Social Psychology, 40, 471–499.PubMedCrossRefGoogle Scholar
  5. 5.
    Armitage, C. J., Conner, M., Loach, J., & Willetts, D. (1999). Different perceptions of control: applying an extended theory of planned behavior to legal and illegal drug use. Basic and Applied Social Psychology, 21(4), 301–316.Google Scholar
  6. 6.
    Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monterio, M. G. (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. Geneva, Switzerland: World Health Organization.Google Scholar
  7. 7.
    Borsari, B., & Carey, K. B. (2003). Descriptive and injunctive norms in college drinking: A meta-analytic integration. Journal of Studies on Alcohol, 64, 331–341.PubMedCentralPubMedGoogle Scholar
  8. 8.
    Brewer, N. T., Chapman, G. B., Gibbons, F. X., Gerrard, M., & McCaul, K. D. (2007). Meta-analysis of the relationship between risk perception and health behavior: The example of vaccination. Health Psychology, 26, 136–145.PubMedCrossRefGoogle Scholar
  9. 9.
    Cicognani, E., & Zani, B. (2011). Alcohol use among Italian university students: The role of sensation seeking, peer group norms and self-efficacy. Journal of Alcohol & Drug Education, 55(2), 17–36.Google Scholar
  10. 10.
    Conner, M., & Flesch, D. (2001). Having casual sex: Additive and interactive effects of alcohol and condom availability on the determinants of intentions. Journal of Applied Social Psychology, 31, 89–112.CrossRefGoogle Scholar
  11. 11.
    Conner, M., Sandberg, T., McMillan, B., & Higgins, A. (2006). Role of anticipated regret in adolescent smoking initiation. British Journal of Health Psychology, 11, 85–101.PubMedCrossRefGoogle Scholar
  12. 12.
    Cooke, R., Sniehotta, F., & Schüz, B. (2007). Predicting binge-drinking behaviour using an extended TPB: Examining the impact of anticipated regret and descriptive norms. Alcohol and Alcoholism, 42, 84–91.PubMedCrossRefGoogle Scholar
  13. 13.
    Davis, C. G., Thake, J., & Vilhena, N. (2010). Social desirability biases in self-reported alcohol consumption and harms. Addictive Behaviour, 35, 302–311.CrossRefGoogle Scholar
  14. 14.
    Driscoll, T., Harrison, J. E., & Steenkamp, M. (2003). Alcohol and water safety, national alcohol strategy 2001 to 2003-04 occasional paper. Australian Capital Territory: Commonwealth Department of Health and Ageing.Google Scholar
  15. 15.
    Godin, G., Valois, P., Jobin, J., & Ross, A. (1991). Prediction of intention to exercise of individuals who have suffered from coronary heart disease. Journal of Clinical Psychology, 47(6), 762–772.PubMedCrossRefGoogle Scholar
  16. 16.
    Hamilton, K., & White, K. M. (2012). Social influences and the physical activity intentions of parents of young-children families: An extended Theory of Planned Behaviour approach. Journal of Family Issues, 33(10), 1351–1372.CrossRefGoogle Scholar
  17. 17.
    Haque, R., Clapoudis, N., King, M., Lewis, I., Hyde, M., & Obst, P. (2012). Walking when intoxicated: An investigation of the factors which influence individuals’ drink walking intentions. Safety Science, 50(3), 378–384.CrossRefGoogle Scholar
  18. 18.
    Harrison, J. A., Mullen, P. D., & Green, L. W. (1992). A meta-analysis of studies of the health belief model in adults. Health Education Research, 7, 107–116.PubMedCrossRefGoogle Scholar
  19. 19.
    Hoog, N. D., Stroebe, W., & Wit, J. B. (2005). The impact of fear appeals on processing and acceptance of action recommendations. Personality and Social Psychology Bulletin, 31, 24.PubMedCrossRefGoogle Scholar
  20. 20.
    Hornsey, M. (2008). Social identity theory and self-categorization theory: A historical review. Social and Personality Psychology Compass, 2, 204–222.CrossRefGoogle Scholar
  21. 21.
    Howat, P., Sleet, D., & Smith, I. (1991). Alcohol and driving; is the 0.05% blood alcohol concentration limit justified? Drug Alcohol Review, 10, 151–166.PubMedCrossRefGoogle Scholar
  22. 22.
    International Life Saving Federation. (2007). World Drowning Report 2007. Belgium: ILSF.Google Scholar
  23. 23.
    Janis, I. L., & Mann, L. (1977). Decision making. New York: Free Press.Google Scholar
  24. 24.
    Janz, N., & Becker, M. (1984). The health-belief model: A decade later. Health Education Quarterly, 11, 1–47.PubMedCrossRefGoogle Scholar
  25. 25.
    Johnston, K. L., & White, K. (2003). Binge-drinking: A test of the role of group norm in the theory of planned behavior. Psychology and Health, 18, 63–77.CrossRefGoogle Scholar
  26. 26.
    Kobbeltvedt, T., & Wolff, K. (2009). The risk-as-feelings hypothesis in a theory-of planned-behaviour perspective. Judgment and Decision Making, 4, 567–586.Google Scholar
  27. 27.
    Lewis, I. M., Watson, B. C., Tay, R. S., & White, K. M. (2007). The role of fear appeals in improving driver safety: A review of the effectiveness of fear-arousing (threat) appeals in road safety advertising. International Journal of Behavioral and Consultation Therapy, 3, 203–222.Google Scholar
  28. 28.
    Lifesaving Society Canada. (2012). Canadian drowning report, 2012. Edmonton, Canada: Drowning Prevention Research Centre.Google Scholar
  29. 29.
    Loewenstein, G. F., Weber, E. U., Hsee, C. K., & Welch, E. S. (2001). Risk as feelings. Psychological Bulletin, 127(2), 267–286.PubMedCrossRefGoogle Scholar
  30. 30.
    Marcoux, B. C., & Shope, J. T. (1997). Application of the theory of planned behavior to adolescent use and misuse of alcohol. Health Education Research, 12, 323–331.CrossRefGoogle Scholar
  31. 31.
    Mattern, J. L., & Neighbors, C. (2004). Social norms campaigns: Examining the relationship between changes in perceived norms and changes in drinking levels. Journal of Studies on Alcohol and Drugs, 65(4), 489.Google Scholar
  32. 32.
    McCool, J., Ameratunga, S., Moran, K., & Robinson, E. (2009). Taking a risk perception approach to improving beach swimming safety. International Journal of Behavioral Medicine, 16(4), 360–366.PubMedCrossRefGoogle Scholar
  33. 33.
    McCool, J., Morna, K., & O'Connor, K. (2006). Auckland beach-goers perceptions of beach swimming behaviours and perceptions of their risk of drowning. Prepared for Accident Compensation Corporation, Auckland UniServices Limited, The University of Auckland, Auckland.Google Scholar
  34. 34.
    Milne, S., Sheeran, P., & Orbell, S. (2006). Prediction and intervention in health-related behavior: A meta-analytic review of protection motivation theory. Journal of Applied Social Psychology, 30, 106–143.CrossRefGoogle Scholar
  35. 35.
    Neighbors, C., Lee, C. M., Lewis, M. A., Fossos, N., & Larimer, M. E. (2007). Are social norms the best predictor of outcomes among heavy drinking college students? Journal of Studies on Alcohol and Drugs, 68, 556–565.PubMedCentralPubMedGoogle Scholar
  36. 36.
    Norman, P., & Conner, M. (2006). The theory of planned behaviour and binge drinking: Assessing the moderating role of past behaviour within the theory of planned behaviour. British Journal of Health Psychology, 11, 55–70.PubMedCrossRefGoogle Scholar
  37. 37.
    Norman, P., Conner, M., & Bell, R. (1999). The theory of planned behavior and smoking cessation. Health Psychology, 18(1), 89–94.PubMedCrossRefGoogle Scholar
  38. 38.
    Parker, D., Manstead, A. S., Stradling, S. G., Reason, J. T., & Baxter, J. S. (1992). Intention to commit driving violations: An application of the theory of planned behavior. Journal of Applied Psychology, 77(1), 94–101.CrossRefGoogle Scholar
  39. 39.
    Parker, D., Manstead, A. S. R., & Stradling, S. G. (1995). Extending the theory of planned behavior—the role of personal norm. British Journal of Social Psychology, 34, 127–137.CrossRefGoogle Scholar
  40. 40.
    Parker, D., Stradling, S. G., & Manstead, A. S. R. (1996). Modifying beliefs and attitudes to exceeding the speed limit: An intervention study based on the theory of planned behavior. Journal of Applied Social Psychology, 26(1), 1–19.CrossRefGoogle Scholar
  41. 41.
    Richard, R., de Vries, N. K., & van der Pligt, J. (1998). Anticipated regret and precautionary sexual behavior. Journal of Applied Social Psychology, 28, 1411–1428.CrossRefGoogle Scholar
  42. 42.
    Richard, R., van der Pligt, J., & de Vries, N. (1996). Anticipated affect and behavioral choice. Basic and Applied Social Psychology, 18, 111–129.CrossRefGoogle Scholar
  43. 43.
    Rivis, A., Abraham, C., & Snook, S. (2011). Understanding young and older male drivers’ willingness to drive while intoxicated: The predictive utility of constructs specified by the theory of planned behaviour and the prototype willingness model. British Journal of Health Psychology, 16(2), 445–456.PubMedCrossRefGoogle Scholar
  44. 44.
    Royal Life Saving Society of Australia. (2011). National Drowning Report 2011. Sydney: RLSSA.Google Scholar
  45. 45.
    Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 2, 1–8.CrossRefGoogle Scholar
  46. 46.
    Sandberg, T., & Conner, M. (2008). Anticipated regret as an additional predictor in the theory of planned behaviour: A meta-analysis. British Journal of Social Psychology, 47, 589–606.PubMedCrossRefGoogle Scholar
  47. 47.
    Sibley, C., & Harre, N. (2009). The impact of different styles of traffic safety advertisement on young drivers’ explicit and implicit self-enhancement biases. Transportation Research, 12, 159–167.Google Scholar
  48. 48.
    Simonson, I. (1992). The influence of anticipating regret and responsibility on purchase decisions. Journal of Consumer Research, 19, 105–118.CrossRefGoogle Scholar
  49. 49.
    Terry, D. J., & Hogg, M. A. (1996). Group norms and the attitude-behavior relationship: A role for group identification. Personality and Social Psychology Bulletin, 8, 776–793.CrossRefGoogle Scholar
  50. 50.
    van der Pligt, J. (1998). Perceived risk and vulnerability as predictors of precautionary behaviour. British Journal of Health Psychology, 3, 1–14.CrossRefGoogle Scholar
  51. 51.
    Weinstein, N. D., & Klein, W. (1996). Unrealistic optimism: Present and future. Journal of Social and Clinical Psychology, 15, 1–8.CrossRefGoogle Scholar
  52. 52.
    White, K. M., Hogg, M. A., & Terry, D. J. (2002). Improving attitude-behavior correspondence through exposure to normative support from a salient ingroup. Basic and Applied Social Psychology, 24, 91–103.Google Scholar
  53. 53.
    White, K. M., & Hyde, M. K. (2010). Swimming between the flags: A preliminary exploration of the influences on Australian’s intentions to swim between the flags at patrolled beaches. Accident Analysis and Prevention, 42, 1831–1838.PubMedCrossRefGoogle Scholar
  54. 54.
    Wiers, R. W., van Woerden, N., Smulders, F. T. Y., & De Jong, P. J. (2002). Implicit and explicit alcohol-related cognitions in heavy and light drinkers. Journal of Abnormal Psychology, 111, 648–658.PubMedCrossRefGoogle Scholar
  55. 55.
    Windle, M. (2003). Alcohol use among adolescents and young adults. Alcohol Research & Health, 27(1), 79–85.Google Scholar
  56. 56.
    World Health Organization. (2004). Factsheet on drowning. Retrieved from

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.School of Applied PsychologyGriffith UniversityMt GravattAustralia

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