Facilitating prevention of alcohol-related problems among undergraduate women: Screening and brief intervention and implications for campus alcohol policies

Context: International research indicates that high-risk drinking is common among young men and women and many experience subsequent trauma, social or health problems. Alcohol is linked with numerous chronic diseases including cancers -- associations largely unknown to young adults. Goals: To raise awareness of alcohol as a risk factor for trauma and disease, including cancer; offer a brief intervention for undergraduate women who report high-risk drinking levels; and, draw out implications for campus alcohol policies. Method: This project was conducted in collaboration with the medical staff of the health clinic at York University, Toronto. Current undergraduate female drinkers (N=422) were screened in the clinic's waiting room by a research associate. Those with an AUDIT of 7+ were asked to take their AUDIT results sheet when seen by clinic physician – trained in providing a brief intervention. Results: Overall, 49.8% of those screened qualified. Higher drinking levels were associated with, for example, living on campus, younger age (19), being employed in a bar or restaurant. Alcohol-related problems reported were health concerns (38.5%), and other negative consequences (27%). Only 23.8% were aware of breast cancer as a possible alcohol-related risk. Of those who qualified, 42.5% did not provide their screening form to the physician. Implications/recommendations: A comprehensive approach includes: efficient access to brief intervention options – either on-line or from a primary care giver -- with follow-up; student networks to stimulate prevention activities on campus; social media campaigns deglamorizing binge drinking and highlighting risks; and policies that control alcohol access and marketing.