Evidence map›Paper›PMID 33908650›Full record

ArticleAlcoholism, clinical and experimental research2021

Contextual factors associated with high-intensity drinking events among young adults: A qualitative inquiry.

Jennifer E Merrill, Holly K Boyle, Gabriela López, Mary Beth Miller, Nancy P Barnett, Kristina M Jackson, Kate B Carey

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 19 citations in OpenAlex.

  1. Observational
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  3. Event-level impacts of proximal responsibilities and impulsive traits on drinking behavior during real-world drinking episodes.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
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  14. Subjective effects of simultaneous alcohol and cannabis versus alcohol-only use: A qualitative analysis.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jennifer E MerrillCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.ORCID 0000-0002-8310-140X
Holly K BoyleCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Gabriela LópezCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.ORCID 0000-0001-8622-8935
Mary Beth MillerCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.ORCID 0000-0003-0624-1414
Nancy P BarnettCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.ORCID 0000-0001-9634-8287
Kristina M JacksonCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.ORCID 0000-0001-5449-5473
Kate B CareyCenter for Alcohol and Addiction Studies, Brown University, Providence, RI, USA.
Brown University · US

Funding

ALCOHOL INTERVENTION/TREATMENT OUTCOME RESEARCH TRAININGT32AA007459 · NIAAA · BROWN UNIVERSITY · PI ROBERT MIRANDA, PETER M. MONTI · 1986 to 2026
$13.3M
High-Intensity Drinking and Alcohol-Induced Blackouts among Young Adult Drinkers: An Event-level AnalysisR01AA027495 · NIAAA · BROWN UNIVERSITY · PI MERRILL, JENNIFER ELIZABETH · 2019 to 2023
$2.9M
Real-Time Evaluations of Alcohol Consequences and Subsequent DrinkingK01AA022938 · NIAAA · BROWN UNIVERSITY · PI MERRILL, JENNIFER ELIZABETH · 2014 to 2018
$904k
The Impact of Insomnia Treatment on Heavy Alcohol Use among Returning VeteransK23AA026895 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI MILLER, MARY ELIZABETH · 2019 to 2023
$896k
Examining person and event level predictors of simultaneous alcohol and marijuana use via mixed methodsF31AA028707 · NIAAA · BROWN UNIVERSITY · PI BOYLE, HOLLY KRISTIN · 2020 to 2021
$85k
NIAAA NIH HHS F31 AA028707NIAAA NIH HHS K01 AA022938NIAAA NIH HHS K23 AA026895NIAAA NIH HHS R01 AA027495NIAAA NIH HHS T32 AA007459
6 · The paper itself

Abstract

backgroundMuch of the prior research addressing risky drinking among young adults has focused on heavy episodic drinking (4+/5+ drinks in a single sitting for females/males). However, 1 in 3 young adults engaged in past-year high-intensity drinking (HID, 8+/10+ drinks in a single sitting for females/males). Consuming such large amounts of alcohol is associated with serious acute consequences (e.g., severe injury, overdose) and the development of alcohol use disorder. This qualitative study aimed to gain an in-depth understanding of contextual influences on HID from drinkers' perspectives.

methodsWe conducted individual interviews of 28 young adults (57% female, aged 20 to 25 years old) who engage in HID to assess the role of context in the prediction of HID (relative to non-HID events). Two authors coded each interview following a structured codebook and thematic analysis was used to analyze the qualitative data.

resultsBased on identified themes, factors that may increase HID likelihood include being in larger groups or in social contexts where others are drinking heavily, having close relationships with others who are present, on special occasions, when feeling safe, being comfortable in a given situation, and experiencing intense affective states (especially positive ones). Noted deterrents for HID included friends' extreme intoxication, perceptions that heavy drinking is less acceptable in certain contexts (i.e., at work, family events) or among others present, cost/financial constraints, next-day responsibilities, and needing to drive.

conclusionsYoung adults identified a number of social and psychological factors that they perceived influenced their likelihood of engaging in HID. However, they also generated a number of factors that constrained this style of drinking. Understanding the contexts in which HID is most likely to occur will inform interventions that aim to reduce this high-risk behavior.

Indexed as

Social BehaviorAdultBinge DrinkingFemaleHumansMaleQualitative ResearchYoung Adultaffectcontexthigh-intensity drinkingqualitativeyoung adults

Identifiers

PMID33908650
PMCPMC8254747
OpenAlexW3157708215

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.