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Updated March 27, 2002
College Drinking- A continuing problem

Ask Dr. Bill

Dear Dr. Bill,
My son is a college freshman--a pre-med major. I have been under the impression that there has been a decrease in college drinking but, it seems that this is just not so. He has just sent me a very disturbing letter telling me that he has a problem that he is "not sure how to handle the guys on his floor who go to a bar off-campus almost every night. They come in at 1 or 2 in the morning and run up and down the halls and stuff. Then I can't get to sleep. I'm afraid to make a big deal of this as I want new friends, not enemies." Any ideas?

A.G.-Ridgewood

 

Dear A.G.,
I went through the mill of premed and medical study pressures many years ago so I know the need to concentrate on studies and to get adequate rest. Fortunately, many of our area colleges are attempting to empower the 40 percent or so of students whose social life is not alcohol-based. I have heard that that Rutgers, Ramapo, William Paterson, Montclair State amongst others have taken some steps to address the problem, but.....

About a year ago, on the web-site <jointogether.com>, David Lewis, M.D., Editor of The Brown University Digest of Addiction Theory and Application reported the results of a team survey by the Alcohol Studies Program at the Harvard School of Public Health of 17,592 students on 140 campuses nationwide which concluded that "apparently, tougher college drinking policies have yet to yield significant changes in problem drinking by underage college drinkers." While the study found that underage college students drink less frequently (63%) than the the of-age students (74%), it also found that underage students drink more PER OCCASION (42%) than older students (27%). Underage students also were "significantly more likely to experience alcohol-related problems, such as engaging in unplanned sexual activity, damaging property, injuring themselves, getting into trouble with police, being treated for alcohol overdose, doing something they later regretted, or experiencing 'blackouts' (considered by many as diagnostic of actual addiction to alcohol)."

Researchers also found that underage drinkers were most likely to obtain alcohol inexpensively and drink at off-campus parties, dormitory social events, fraternity parties, and on-campus dances. Students who are 21 or older, by contrast, reported consuming most of their alcohol at off-campus bars or pubs. Other research has documented that the provision of inexpensive drinks is an important feature of hazardous college drinking, since it is the students who drink more who are most influenced by beverage price.

An earlier report by the College of Alcohol Study found that the percentage of college students who binge drink increased throughout the 1990s, with binge drinking defined as "a man who has at least five drinks in one sitting, or a woman who consumes at least four drinks in one sitting." The study also found that, while occasional alcohol use among college students had declined, both binge drinking and abstinence had increased between 1993 and 1999. It concludes that, "The increase in abstinence is of interest to those in public health and medicine since it has been shown that if the onset of drinking is delayed by five years, the risk of serious alcohol problems is decreased by 50%"..... A large part of which depends on parental influence before a kid enters college. Most college bingers started drinking long before they entered college...as I have repeated so often, most problem drinkers started drinking at age eleven, while still in fifth grade!

The study environment for a pre-med student is far too important for him to stay in his present rooming situation. I suggest that he see his college's director for student affairs for assistance in finding another room more suitable to his needs.


Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family.

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Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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