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A
recent survey by the Core Institute (2004) indicated that alcohol and
marijuana are college students’ substances of choice. For example, related
to alcohol consumption, 8 out of 10 college students (84.7%) reported
drinking in the year previous to the survey administration; 7 out of 10 (72.0%)
reported drinking in the previous month; and almost half (48.8%) reported
binge drinking, defined as consuming five or more drinks in a row during the
previous 2 weeks for men and four drinks for women (Core Institute, 2004).
Marijuana is the most commonly used illicit drug among college students
(Core Institute, 2000, 2004): One third (33.3%) of students reported use in
the previous year and almost one fifth (18.9%) reported use in the previous
month (Johnston, O’Malley, Bachman, & Schulenberg, 2005).
Despite a preponderance of research highlighting the prevalence estimates
of alcohol and marijuana use as well as numerous prevention initiatives, the
rates of alcohol consumption have remained stable and marijuana use has risen
steadily over the past decade and a half (Core Institute, 2004; Wechsler, Lee,
Kuo, & Lee, 2000; Wechsler et al., 2002). The scope of the problem related
to alcohol and marijuana use among college students can be further gauged by
recent studies highlighting the prevalence and danger of excessive consump-
tion. For example, Knight et al. (2002) found that nearly one third (31%) of
college students reported engaging in drinking behaviors that were consistent
with the criteria for alcohol abuse. Violent behavior, physical assault, injuries,
and death are associated with drinking alcohol (Hingson, Heeren, Winter, &
Wechsler, 2005). According to the Substance Abuse and Mental Health Services
Administration, Office of Applied Studies (2006), the highest rates of emergency
room visits related to marijuana abuse were among traditional-age college students
(i.e., 18- to 24-year-olds). Among the notable consequences for both alcohol and
marijuana use by students are engaging in high-risk behaviors, such as driving
under the influence or unsafe sexual behavior (Hingson, Heeren, Zakocs, Kop-
stein, & Wechsler, 2002; National Institute on Drug Abuse [NIDA], 2005b) and
academic problems (Engs, Diebold, & Hansen, 1996; NIDA, 2005a; Wechsler
et al., 2002). Clearly, continued research into the risk factors associated with
Todd F. Lewis and Elysia Clemens, Department of Counseling and Educational Development, The University of North
Carolina at Greensboro. Correspondence concerning this article should be addressed to Todd F. Lewis, Department
of Counseling and Educational Development, The University of North Carolina at Greensboro, 219A Curry Building,
School of Education, Greensboro, NC 27402 (e-mail: tflewis@uncg.edu).
Method
Participants and Procedure
Data were collected from a convenience sample of 235 undergraduates from a
medium-sized university in the Southeast. Trained research assistants approached
undergraduate classes in the School of Education to solicit participation. The School
of Education classes were selected because they have traditionally included a diverse
sample of individuals with various academic majors and class ranks. Data were also
collected from focus groups solicited by the Student Health Department at the
university. The focus groups were designed to question undergraduates about the
effectiveness of social norm campus campaign messages the university was beginning
to use as well as to collect survey data for this study. Academic majors represented
in the sample included nutrition, deaf education, social work, education, psychol-
ogy, criminal justice, business, nursing, and undecided.
Participants were asked to complete a questionnaire that queried them
regarding recent substance use patterns and behaviors. Participation was vol-
untary, and, to ensure their anonymity, we asked students to place completed
Instrument
The Alcohol and Other Drug (AOD) survey is a 32-item questionnaire adapted
from the work of Thombs (1999) and designed to assess a broad range of alco-
hol and other drug use behaviors among college students, including measures
of quantity and frequency of alcohol and marijuana use and perceptions of peer
substance use. In addition to items assessing substance use, several sociodemo-
graphic items were assessed, including gender, ethnicity, living quarters, member of
fraternity or sorority, member of athletic team, hours per week hanging out with
friends, hours per week at a job for pay, hours per week spent on academic tasks,
boyfriend/girlfriend frequency of alcohol use in past 30 days, boyfriend/girlfriend
frequency of marijuana use in past 30 days, and grade point average (GPA).
Analytic Strategy
Two separate stepwise multiple regression analyses were run to address the research
questions. In these analyses, two criterion variables were used; each was regressed
one at a time on the predictor variables: alcohol use intensity (composite score
of frequency of alcohol consumption and quantity of alcohol consumption) and
frequency of marijuana use. Several sociodemographic variables (entered first)
and gender-specific social norms served as the predictor variables. The gender-
specific norms in each predictor set corresponded to the substance in question.
That is, in predicting alcohol use intensity, normative variables related to students’
perceived alcohol consumption of peers, and in predicting frequency of marijuana
use, normative variables related to students’ perceived marijuana use of peers. We
sought to examine the relative influence of gender-specific norms on alcohol and
marijuana use for self as compared with several sociodemographic variables that are
commonly associated with alcohol use in student populations and that have been
used in previous research (T. F. Lewis, Thombs, & Olds, 2005; Perkins, Haines,
& Rice, 2005; Wechsler et al., 2002). These sociodemographic variables were
the same for each regression model: gender, ethnicity, living quarters, member
of fraternity or sorority, member of athletic team, hours per week hanging out
with friends, hour per week at a job for pay, hours per week spent on academic
tasks, boyfriend/girlfriend frequency of alcohol use in past 30 days, boyfriend/
girlfriend frequency of marijuana use in past 30 days, and GPA. Because of their
use in previous research, these variables were believed to provide a basis from
which the explanatory power of gender-specific norms could be gauged.
Results
Representativeness of Study Sample
The most current, large-scale national study using a representative sample of
college students comes from the Harvard School of Public Health College
Alcohol Survey, which is an ongoing assessment of alcohol use patterns, be-
haviors, and attitudes among college students in the United States (Wechsler
et al., 2002). In the most recent report, Wechsler et al. (2002) found that
heavy, episodic drinking was indicated by 44% of the sample. The rate of
heavy, episodic drinking for the current study sample was slightly higher at
48.6%. Wechsler et al. (2002) also found that 22.8% of the national sample
reported frequent heavy, episodic drinking (i.e., engaging in a binge-drinking
episode three or more times in the previous 2 weeks), compared with 20.9%
of the current sample. Thus, in terms of drinking behavior, the sample of
24 Journal of College Counseling ■ Spring 2008 ■ Volume 11
college students in the current study is similar to (although is not identical
to) a large, national sample of U.S. college students in general.
Comparisons with Wechsler et al. (2002) can be made for other character-
istics. For example, women were overrepresented in the current study sample
(72.3% in the current study sample vs. 64% in the national sample). The same
percentage of White students (74.0%) emerged in both the study sample and
the Wechsler et al. (2002) sample. The study sample consisted of a higher
percentage of freshmen (29.4%) and sophomores (25.5%) compared with
Wechsler et al.’s (2002) national sample (23% and 22%, respectively). Data were
not provided for juniors and seniors in the Wechsler et al. (2002) study.
Women in the current study sample were slightly overrepresented (72.3%) com-
pared with the proportion of women enrolled at the university during the time
of data collection (68%); however, the proportion of African American students
in the current study sample (19.1%) was similar to the proportion campuswide
(20%). Although numerous academic majors and programs were included in the
current study sample, there was underrepresentation from the schools of Health
and Human Performance, Music, and Human Environmental Sciences.
Note. n = 233 undergraduates for alcohol use intensity analysis; n = 224 undergraduates for
frequency of marijuana use analysis.
Discussion
We predicted that (a) gender-specific social norms would account for more
variance in alcohol and marijuana use compared with sociodemographic
variables and (b) perceived alcohol use intensity and perceived frequency of
marijuana use of closest friend of the same gender would emerge as the domi-
nant norm measure for both alcohol and marijuana use for self. The results
supported both hypotheses. Normative beliefs accounted for a full 62.8% of
the variance in alcohol use intensity above and beyond the variance accounted
for by sociodemographic variables and 41.8% of the variance in frequency of
marijuana use beyond that accounted for by sociodemographic variables. The
norm measures associated with closest friend of the same gender produced the
Despite these limitations, the implications of this study are substantive at the
institutional, small-group, and individual client levels. College counselors can
use the information from this study as a reference for the design and imple-
mentation of social norm campus campaigns and for interventions to reduce
alcohol and marijuana use as part of their harm prevention work.
Counselors who serve as substance abuse task force or committee members
may wish to emphasize the importance of normative campus campaigns that
address proximal student groups and that such programs can be enhanced by
generating messages to same-gender peers (e.g., athletes, fraternity or sorority
members). Most normative campus campaigns, although effective to some
extent, focus exclusively on distal peer norms (M. A. Lewis & Neighbors,
2004), thus ignoring the increasingly robust finding that proximal peer groups
exert a greater influence on student drinking behavior. Although generating
normative campus campaigns to address proximal peer groups has its chal-
lenges (Thombs et al., 2005), college counselors are in a unique position to
help students become aware of the influences of the alcohol and marijuana
use of their closest friends. College counselors can also educate university
administration and personnel about the realities of campus alcohol-related
problems and garner administration backing for such normative campus cam-
paigns, given that denial of alcohol issues and lack of administration support
are two major reasons why prevention and intervention efforts meet with
limited success (Wechsler & Wuethrich, 2003).
Individual and group counseling interventions based on normative feedback can
be an important emphasis for college counselors (Berkowitz, 2004). Berkowitz
suggested sharing normative information in a nonjudgmental way consistent with
the principles of motivational interviewing, a counseling style designed to reduce
client resistance, resolve ambivalence about changing problematic behaviors, and
assist in increasing one’s intrinsic motivation to change negative habits (Miller
& Rollnick, 1991). Motivational interviewing adopts a gentle, persuasive style;
avoids argumentation; and supports a client’s self-efficacy in making positive
changes and thus seems well-suited for college students struggling with substance
use problems (Berkowitz, 2004). Specifically, college counselors might choose
to engage clients in an exploration of the drinking (or marijuana use) habits of
closest friends of the same gender, thus garnering clues as to alcohol use (or
Conclusion
This research extends the literature by illustrating the impact of gender-specific
normative variables across two classes of substances. The findings provide fur-
ther support that proximal peer norms exert considerable influence on student
drinking behavior and revealed these norms as an important explanatory vari-
able for frequency of student marijuana use. College counselors are in a unique
position to use interventions based on social norms with individual clients as
well as to advocate for refining normative campus campaigns to reflect greater
attention to proximal, same-gender peer groups.