A Longitudinal Study of European Students' Alcohol Use and Related Behaviors as They Travel Abroad to Study

Abstract

Background: Travelling away from home can be associated with fewer limits on behavior, particularly for students who participate in exchange programs. Aims: To examine the effects of eight moderators on change in alcohol use and related negative outcomes, drug use and unprotected sexual behavior in European study abroad students before, during, and after their time abroad. Methods: A three wave (before departure, while abroad, and after their return) longitudinal design collecting data on the frequency and volume of alcohol consumed, heavy episodic drinking, alcohol-related outcomes, drug use, and unprotected casual sex. Results: The baseline survey was completed by 1145 students participating in one or two semester exchange programs (67.5% spent up to a semester abroad), of which 906 participated in two or more waves, representing 42 and 33 countries of origin and destination, respectively. Mean age was 22.2 years (SD = 2.28) and 72.7% were female. Students increased the amount of alcohol consumed by 35% (B = 0.32; 95% CI 0.287–0.349) and experienced more alcohol-related consequences (B = 0.15; 95% CI 0.089–0.219) during the study abroad experience, though levels fell below pre-departure levels when they returned home. Factors related to greater alcohol use while abroad include pre-departure expectations about alcohol use during the study abroad experience, psychological adjustment to the host country, academic involvement, and host country living costs. No statistically meaningful change in drug use and unprotected sexual behavior was observed. Conclusions: Studying abroad exposes European students to additional time-limited alcohol-related health risks.

Keywords:

• Alcohol
• drug use
• unprotected casual sex
• study abroad
• Erasmus program
• university students
• longitudinal design

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes

1 The current paper presents findings from Lifestyle in Mobility (LiM). This research study is a collaborative research project among the Università Cattolica del Sacro Cuore (Italy), Cardiff University (UK) and the international student association AEGEE-Europe aiming at investigating study on patterns of health-related behaviours among CMSs. The study was funded by the European Foundation for Alcohol Research (ERAB; EA 14 11) for a two-year period (March 2015-February 2017).

Additional information

Funding

The present research study is funded by the European Foundation for Alcohol Research (ERAB; EA 14 11), which is an independent foundation that awards alcohol-related research after an independent scientific evaluation (peer reviewed), with guarantee of completely independent scientific expression (in accordance with the Dublin Principles). ERAB had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. SCM also acknowledges support from the Economic and Social Research Council, the Medical Research Council and Alcohol Research UK to the ELAStiC Project (ES/L015471/1). The research was further supported by DECIPHer, a UKCRC Public Health Research Centre of Excellence, which receives funding from the British Heart Foundation, Cancer Research UK, Medical Research Council, the Welsh Government and the Wellcome Trust (WT087640MA), under the auspices of the UK Clinical Research Collaboration.