Alcohol Assessment Among College Students Using Wireless Mobile Technology

Bernhardt, Jay Michael; Usdan, Stuart; Mays, Darren; Martin, Ryan J.; Cremeens, Jennier; Arriola, Kimberly Jacob

doi:10.15288/jsad.2009.70.771

Cited by 30 publications

(28 citation statements)

References 19 publications

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“…Electronic diaries have provided reliable data collection of socially sensitive behaviors. 34,35 Participants received a text-prompt to initiate and answer questions about their sexual activity during the previous day. The questions specifically asked about whether participants had sex yesterday and, if so, whether they engaged in vaginal or anal intercourse with or without condoms, whether they or their partner used alcohol or other drugs, whether their partner was aware of their HIV status, and their knowledge of their partner's HIV status.…”

Section: Methodsmentioning

confidence: 99%

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

Kalichman

Cherry

et al. 2016

AIDS Patient Care and STDs

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Disclosure of HIV-positive status to sex partners is critical to protecting uninfected partners. In addition, people living with HIV often risk criminal prosecution when they do not inform sex partners of their HIV status. The current study examined factors associated with nondisclosure of HIV status by men living with HIV in Atlanta, GA (92% African African, mean age = 43.8), who engage in condomless sex with uninfected sex partners. Sexually active HIV-positive men (N = 538) completed daily electronic sexual behavior assessments over the course of 28 days and completed computerized interviews, drug testing, medication adherence assessments, and HIV viral load retrieved from medical records. Results showed that 166 (30%) men had engaged in condomless vaginal or anal intercourse with an HIV-uninfected or unknown HIV status sex partner to whom they had not disclosed their HIV status. Men who engaged in nondisclosed condomless sex were less adherent to their HIV treatment, more likely to have unsuppressed HIV, demonstrated poorer disclosure self-efficacy, enacted fewer risk reduction communication skills, and held more beliefs that people with HIV are less infectious when treated with antiretroviral therapy. We conclude that undisclosed HIV status is common and related to condomless sex with uninfected partners. Men who engage in nondisclosed condomless sex may also be more infectious given their nonadherence and viral load. Interventions are needed in HIV treatment as prevention contexts that attend to disclosure laws and enhance disclosure self-efficacy, improve risk reduction communication skills, and increase understanding of HIV infectiousness.

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Section: Methodsmentioning

confidence: 99%

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

Kalichman

Cherry

et al. 2016

AIDS Patient Care and STDs

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“…Electronic diaries have provided reliable data collection of socially sensitive behavioral data. (28, 29) To reduce participant burden, daily-drinking assessments occurred every-other month. Participants received a text-prompt to initiate and answer questions about their alcohol use during the previous day.…”

Section: Methodsmentioning

confidence: 99%

Viral Suppression and Antiretroviral Medication Adherence Among Alcohol Using HIV-Positive Adults

et al. 2013

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Background Substance use is a known predictor of poor adherence to antiretroviral therapies (ART) in people living with HIV/AIDS. Less studied is the association between substance use and treatment outcomes, namely suppression of HIV replication. Methods Adults living with HIV (N=183) who reported alcohol use in the previous week and receiving ART were observed over a 12-month period. Participants completed computer interviews, monthly-unannounced pill counts to monitor ART adherence, and daily cell-phone delivered interactive-text assessments for alcohol use. HIV viral load was collected at baseline and 12-month follow-up from medical records. Analyses compared participants who had undetectable HIV viral loads at baseline and follow-up (sustained viral suppression) to those with unsustained viral suppression. Analyses also compared participants who were adherent to their medications (> 85% pills taken) over the year of observation to those who were non-adherent. Results Fifty- two percent of participants had unsustained viral suppression; 47% were ART non-adherent. Overall results failed to demonstrate alcohol use as a correlate of sustained viral suppression or treatment adherence. However, alcohol use was associated with non-adherence among participants who did not have sustained viral suppression; non-adherence in unsustained viral suppression patients was related to drinking on fewer days of assessment, missing medications when drinking, and drinking socially. Conclusions Poor HIV treatment outcomes and non-adherence were prevalent among adults treated for HIV infection who drink alcohol. Drinking in relation to missed medications and drinking in social settings are targets for interventions among alcohol drinkers at greatest risk for poor treatment outcomes.

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“…Although the TLFB shows strong concurrent validity with daily diary and other prospective methods in the assessment of alcohol use in college students (Bernhardt et al, 2009), it has not been used previously for the assessment of consequences. The use of even more fi ne-grained methodology (e.g., ecological momentary assessment; Shiffman, 2009) to examine the link between pregaming and consequences as they occur contemporaneously is an exciting direction for future research.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Is the Pregame to Blame? Event-Level Associations Between Pregaming and Alcohol-Related Consequences

Merrill

Vermont

Bachrach

et al. 2013

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Pregaming (drinking before a social occasion) predicts alcohol consequences between persons; people who pregame report greater consequences than those who do not. The present study examined within-person associations between pregaming and daily consequences. Method: Participants were college students (N = 44; 50% female) reporting past-month pregaming. Daily drinks consumed (during pregaming and across the entire drinking episode) and alcohol consequences were assessed with a 30-day Timeline Followback interview. Results: Within individuals, engaging in pregaming predicted consequences experienced on a given day above and beyond the number of drinks consumed across the drinking episode and typical drinking level. Furthermore, there was a trend toward pregaming placing women at more risk for consequences than men. Conclusions: Findings support a context-specifi c risk for consequences that is conferred by pregaming and that is independent of how much drinking occurs across the drinking episode. Results highlight pregaming as a target for future interventions. (J. Stud. Alcohol Drugs, 74, 757-764, 2013) Received: December 18, 2012. Revision: March 21, 2013. This research was supported by National Institute on Alcohol Abuse and Alcoholism Grant R01AA016564 (to Jennifer P. Read).*Correspondence may be sent to Jennifer E. Merrill at the Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University, BOX G-S121-4, Providence, RI 02912, or via email at: Jennifer_Merrill@brown.edu. H EAVY DRINKING AND ASSOCIATED alcoholrelated consequences among college students continue to present a public health concern (Hingson et al., 2005(Hingson et al., , 2009. Therefore, examinations of specifi c contexts or drinking behaviors that are associated with alcohol-related consequences are needed. Such work may serve to identify those students most in need of interventions and may help uncover important intervention targets. One specifi c drinking behavior that has been a recent focus of the literature is pregaming. Pregaming, also referred to as prepartying or preloading, is a pervasive and risky drinking practice among college students that commonly involves drinking large quantities of alcohol in a compressed period before a planned social occasion . The current research on pregaming, albeit limited, indicates that this drinking practice places students at risk for experiencing more alcohol-related consequences (Pedersen and LaBrie, 2007;Read et al., 2010). In the present study, we extend this literature by using daily data analyzed with hierarchical linear modeling (HLM) to examine whether, within persons, pregaming (the practice of consuming alcohol before going out for the night or before a function has started) is associated with subsequent alcohol-related consequences at the daily level, above and beyond (a) the amount of drinking across the drinking day and (b) between-person infl uences of typical drinking behavior. We also examined whether the association betw...

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Alcohol Assessment Among College Students Using Wireless Mobile Technology

Cited by 30 publications

References 19 publications

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

HIV Disclosure and Transmission Risks to Sex Partners Among HIV-Positive Men

Viral Suppression and Antiretroviral Medication Adherence Among Alcohol Using HIV-Positive Adults

Is the Pregame to Blame? Event-Level Associations Between Pregaming and Alcohol-Related Consequences

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