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    The association betweeneducational achievement and

    alcohol use in university students:

    Findings from the United Kingdom

    Walid El Ansaria, Christiane Stockb

    aUniversity of GloucestershirebUniversity of Southern Denmark

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    Unit for Health Promotion Research

    Background

    The relationship between problematic alcoholconsumption and academic performance is a key

    concern on university and college campuses. Alcohol consumption has been negatively associated

    with academic performance.

    Only few studies have used objective measures of

    academic performance. Few authors have analysed whether frequency of

    drinking or amount of alcohol is more important inpredicting academic performance.

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    This study examined the associations between threeacademic achievement variables and three alcohol

    consumption variables (frequency of alcoholconsumption, heavy episodic drinking, and problemdrinking).

    Which of the measures of alcohol consumption is mostinfluential?

    Which academic outcome is mostly affected by alcoholdrinking?

    Aims

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    MethodsData collection

    Cross-sectional study among 380 university students at theUniversity of Gloucestershire who completed a general healthquestionnaire. Their module grades were retrieved from theuniversity computer systems

    Alcohol drinking

    Frequency of alcohol consumption in the past three months Heavy episodic drinking (had 5 drinks in a row) in the past 30 days

    Problem drinking (CAGE score)

    Educational achievement

    Students reflectionon their academic achievement (importance ofachieving good grades)

    Students subjective comparativeappraisal of their overall academicattainment (academic performance in comparison with their peers)

    Actual module mark

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    Frequency of alcohol consumption

    All

    Males

    Females0

    10

    20

    3040

    50

    NeverLessthan

    once aweek

    Once aweek

    Severaltimes aweek

    Everyday Several

    times aday

    P=0.04

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    Had five or more drinks in a row last month

    All

    MalesFemales0

    5

    10

    15

    2025

    30

    None1 time

    2 times3-5

    times6-9

    times10 ormore

    times

    p

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    Problem drinking (positive answers in CAGE)

    All

    Males

    Females

    0

    5

    10

    15

    20

    25

    30

    1 positiveanswer 2 positive

    answers 3 positive

    answers4 positiveanswers

    P=0.04

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    Characteristics of educational achievement

    Variable Whole

    sample

    (N=380)

    Male

    (N=195)

    Female

    (N=185)

    P

    Value

    Importance of having good grades at University N.S.

    Very important 64.1 61.7 66.7

    Somewhat important 34.3 36.3 32.2Not very important 1.3 1.6 1.1

    Not at all important 0.3 0.5 0.0

    Rating of ones academic performance in comparison with

    fellow students

    N.S.

    Much better 2.1 3.1 1.1

    Better 21.3 22.3 20.2

    The same 62.5 62.2 62.8Worse 13.8 12.4 15.3

    Much worse 0.3 0 0.5

    University Computerised Student Records

    Module Mark- actual

    achieved % grade: Mean

    (SD)

    54.56

    (12.9)

    53.90

    (12.1)

    55.68

    (12.4)

    N.S.

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    Regression models for three academic achievement indicators

    on heavy episodic drinking* as dependent variable

    Variable Model 1 Model 2 Model 3

    Stand.

    P

    Value

    Stand.

    P

    Value

    Stand.

    P

    Value

    Age -0.252

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    Regression models for three academic achievement indicators

    on problem drinking*as dependent variable

    Variable Model 1 Model 2 Model 3

    Stand. P

    Value

    Stand. P

    Value

    Stand. P

    Value

    Age -0.078 0.146 -0.063 0.242 -0.048 0.400

    Male gender 0.147 0.006 0.159 0.003 0.138 0.014

    Importance of good

    grades-0.104 0.047

    Performance relativeto peers

    -0.036 0.494

    Module marka -0.054 0.327

    Adjusted R2 of the

    model0.04 0.001 0.03 0.006 0.02 0.038

    * Problem drinking: number of positive answers in CAGE

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    Results

    We found relatively strong negative associationsbetween heavy episodic drinking and subjectivemeasures of academic achievement (importance of good

    grades, academic performance relative to peers). The other two measures of alcohol drinking (frequency

    of alcohol consumption and problem drinking) showedfewer associations with academic outcomes than heavy

    episodic drinking.While alcohol drinking was related to impairments in

    subjectively reported academic achievement, we failedto find associations with objectively measured module

    marks.

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    Limitations

    Sample size

    Module mark may not reflect average grades

    Selection bias (no data on students not attendingclasses)

    Under-reporting of drinking, while over-reporting ofacademic performance

    No causal relationships Many other (unmeasured) factors might interfere

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    Academic

    achievementat university

    Academic

    achievement athigh school

    Early alcoholuse

    Heavyalcohol use

    Other impairmentsSleepSocio-emotionalproblems

    Etc.

    Other factors

    U i f H l h P i R h

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    Conclusions

    Alcohol misuse, especially heavy episodic drinking isvery likely to have negative consequences on academicperformance.

    Alcohol policies on campus and educational andnormative campaigns for students are highly relevant.

    Future research should include prospective designs aswell as objective and subjective measures for academicperformance.