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Chunk #0 — Introduction

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Level of response to alcohol as a factor for targeted prevention in college students.
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Alcohol use and misuse are common and potentially dangerous aspects of the college experience. Nearly all college students (78%) have tried alcohol and 63% of students drank alcohol within the past month (Johnston et al., 2013). Alcohol use disorders (AUDs) are also prevalent: in a 2013 national survey, 13.5% of college students met DSM-IV criteria for alcohol dependence or abuse (Substance Abuse and Mental Health Services Administration, 2014). These high rates of drinking contribute to a host of negative outcomes for students in areas such as academic performance, physical and emotional health, legal problems, and interactions with peers. The risk of harm or injury is significantly elevated for individuals who engage in ‘binge’ drinking, defined as 4 or more drinks in one occasion for women and 5 or more for men (Wechsler & Nelson 2008). In a survey of U.S. college students, about 35% of students reported an occasion of binge drinking (5 or more drinks) in the previous two-weeks (O’Malley & Johnston, 2013). In light of concerning numbers such as these, the National Institute on Alcoholism and Alcohol Abuse