Barbara Alvarez Martin

University of North Carolina at Chapel Hill, North Carolina, United States

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Publications (3)4.87 Total impact

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    ABSTRACT: High-risk drinking by college students continues to pose a significant threat to public health. Despite increasing evidence of the contribution of community-level and campus-level environmental factors to high-risk drinking, there have been few rigorous tests of interventions that focus on changing these interlinked environments. The Study to Prevent Alcohol Related Consequences (SPARC) assessed the efficacy of a comprehensive intervention using a community organizing approach to implement environmental strategies in and around college campuses. The goal of SPARC was to reduce high-risk drinking and alcohol-related consequences among college students. Ten universities in North Carolina were randomized to an Intervention or Comparison condition. Each Intervention school was assigned a campus/community organizer. The organizer worked to form a campus-community coalition, which developed and implemented a strategic plan to use environmental strategies to reduce high-risk drinking and its consequences. The intervention was implemented over a period of 3 years. Primary outcome measures were assessed using a web-based survey of students. Measures of high-risk drinking included number of days alcohol was consumed, number of days of binge drinking, and greatest number of drinks consumed (all in the past 30 days); and number of days one gets drunk in a typical week. Measures of alcohol-related consequences included indices of moderate consequences due to one's own drinking, severe consequences due to one's own drinking, interpersonal consequences due to others' drinking, and community consequences due to others' drinking (all using a past 30-day time frame). Measure of alcohol-related injuries included (i) experiencing alcohol-related injuries and (ii) alcohol-related injuries caused to others. We found significant decreases in the Intervention group compared with the Comparison group in severe consequences due to students' own drinking and alcohol-related injuries caused to others. In secondary analyses, higher levels of implementation of the intervention were associated with reductions in interpersonal consequences due to others' drinking and alcohol-related injuries caused to others. A community organizing approach promoting implementation of environmental interventions can significantly affect high-risk drinking and its consequences among college students.
    Alcoholism Clinical and Experimental Research 07/2012; 36(10):1767-78. · 3.42 Impact Factor
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    ABSTRACT: Alcohol use among college students is pervasive and affected by economic factors such as personal income and alcohol price. The authors examined the relationship among students' spending money, drinking rate, and alcohol-related consequences. In 2005, the authors conducted a Web-based survey among a random sample of 3,634 undergraduate students from 2 large universities. The authors used multiple logistic regression to model drinking behaviors and multiple linear regression to model alcohol-related consequences. The lowest reported levels of average monthly spending money were associated with reduced levels of drinking and getting drunk. Spending money was independently associated with experiencing alcohol-related consequences caused by a student's own drinking, even after the authors controlled for personal drinking behaviors. The effects for consequences caused by others' drinking were significant for students who had gotten drunk. These findings have implications for alcohol price and marketing, particularly around colleges, and suggest actions for parents to consider.
    Journal of American College Health 01/2009; 57(6):587-96. · 1.45 Impact Factor
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    ABSTRACT: While there is optimism about an environmental management approach that utilizes campus-community coalitions to reduce levels of high-risk drinking, the readiness of schools to implement such an approach is unknown. We surveyed 100 colleges regarding their readiness based on eight factors: existence of a task force to address alcohol use on campus; the inclusion of the college/university President; inclusion of a community representative; frequent meetings; external funding to address alcohol use; previous environmental training; changes implemented as a result of environmental training; and a plan to institute environmental training in the future. Having an alcohol task force or coalition (57%) was associated with participation by the president and/or community representative on the task force, having extramural funding to address high-risk drinking, training in environmental management, implementation of changes after the training, plans for future training, school size, Greek organizations on campus, and being a state university.
    International Quarterly of Community Health Education 01/2006; 25(3):295-305.

Publication Stats

20 Citations
4.87 Total Impact Points

Institutions

  • 2012
    • University of North Carolina at Chapel Hill
      North Carolina, United States
  • 2009
    • Wake Forest School of Medicine
      • Department of Social Sciences and Health Policy
      Winston-Salem, NC, United States