UCD-Don’t Turn a Night Out into

a Nightmare Kim Petersen RN, BSN

The ProblemO Binge drinking is a pattern of drinking to

intoxicationO It rapidly raises the BAC to >.08 g/dL

(less than 2 hours) O In 2000, UC Davis senior David Thornton

drank himself to death by drinking 21 celebratory drinks during a night of partying

O College students are more likely to binge drink (Hingson, 2010)

Social AssessmentO Positive relationship between heavy alcohol

use & negative consequencesO Consequences for college students each year

include 1,825 deaths599,000 injuries696,000 assaults400,000 had unprotected IC97,000 sexual assaults100,000 too intoxicated to recall consent

(Hingson et al., 2009)

Social AssessmentO Almost 30% of UCD students report binge

drinking in the last 2 weeks (American College Health Association, 2013).

O Studies show 69% of individuals who are alcohol dependence were dependent before the age of 25 (Hingson et al., 2006)

O Reducing the incidence of binge drinking among UCD students will improve health and safety in the UCD community.

SummaryO Drinking is a college rite of

passage O Binge drinking leads to

impaired decision making, getting into car with impaired driver, falling form balconies, roof tops and fences, STDs, hospitalization & death

O Goal is to educate, screen, social norm & enforce laws to reduce alcohol consumption and negative consequence among college students

Work with the following community partners to reduce

binge drinking at UCDO ASUCD President- Armando FigueroO Director of Student Health- Michelle FamulaO Police Chiefs- Landy Black & Mathew

CarmichaelO Davis Chamber of Commerce- Jennifer

NitzkowsO Greek Life- Richard RonquilO Director of Student Housing- Emily GalindoO UCD Chancellor- Linda Katehi

Social Determinants of Health

O Peers-if peers drink more likely to drink as it is more acceptable & expected

O Family-strong family bonds less likely to drinkO Gender-males drink more than femalesO Housing-drink more in the dormsO Laws- enforcement reduces drinkingO Age- younger people drink moreO Affiliation- athletes and Greek affiliates more

likely to drinkO (Wechsler, Dowdall, Davenport, & Castro,

1995)

Special Population Needs

O Hearing impaired-provide sign language interpreters, real-time captioning

O Vision impaired–provide materials in braille; large print or audio tape

O ESL-language materials printed in top 10 languages in California

O Review materials/presentations with UCD Cross Cultural Center and UCD Disability Center

Proposed SolutionsIndividual Level

O Mandatory on-line alcohol education module for all incoming students

O Mandatory alcohol screening for incoming students

O Individuals at risk for alcohol abuse referred to primary care for intervention

Proposed Solutions Community Level

O Education on Binge Drinking outreach events

O Accurate Social Norming-How much are UCD students drinking and social market the norms

O Enforcement of current alcohol laws

Proposed SolutionsPolicies/Legislation

O Laws exist not always enforced ambivalenceO On campus -all state and federal laws regarding

alcohol applyO California law- the legal age for alcohol

possession and distribution is 21 years oldO Students who are intoxicated or not in control of

their behavior so as to be disruptive or destructive to the community, the facility, or themselves, subject to disciplinary action, criminal prosecution, and/or referral to treatment/intervention programs

O SJA has jurisdiction over students on/off campus

Evidence Plan Will WorkEducation

O Education about Binge Drinking works as part of a health promotion program

O Incorporate education to raise awareness of problem (Mallett et al., 2010)

O Provide accurate culturally sensitive information so that students can make informed, responsible, healthy choices

Education

Evidence Plan Will Work Social Norming

O Provide students with accurate information on drinking patterns

O Students often overestimate how much their peers drink

O Correct misperception & alcohol consumption decreases (Gomberg, Schneider, & DeJong 2001)

Evidence Plan will Work

Evidence Plan Will WorkMandatory Screening

O Early identification risky drinking practicesO Refer students for appropriate help O Brief interventions with high-risk college

students has been successful in reducing alcohol consumption and/or related consequences.

O (Werner, Walker & Greene, 1996; Larimer, Cronce, Lee, & Kilmer, 2004)

Evidence Plan Will WorkEnforcement

O Enforce regulations (Wagenaar & Wolfson, 1994)

O Reduces access to alcohol (Weitzman, Folkman, Folkman, & Wechsler, 2003))

O Deter harmful alcohol use (Thombs, et al., 2009; Baldwin, Stogner, & Miller, 2014)

EthicsO Binge drinking is associated with considerable

harmO Acceptable in some cultures (Kuntsche, Rehm,

& Gmel, 2004)O Considered a college rite of passageO The ethical principle of autonomy leaves the

decision to drink is to the individualO Respect autonomy & provide student with

information to make informed choiceO The ethical principles beneficence “to do good”

and promote well being & non-maleficence “to do no harm” requires intervention to protect the individual and the community

O "health promotion" versus "health czar”

SummaryO College drinking remains a daunting problemO Harm reduction requires a multifaceted

approach O Target individual drinkers and the

environment.O Create an environment that facilitates

healthy drinking choicesO Enforce current drinking lawsO Improved the UCD community’s quality of

life