A national study on pregaming motives, frequency, consumption, and negative alcohol consequences among university students in the United States

Drug Alcohol Depend. 2023 Sep 1:250:110839. doi: 10.1016/j.drugalcdep.2023.110839. Epub 2023 Jun 20.

Abstract

Background: Pregaming, or drinking before going out, is a commonly practiced risky behavior. Drinking motives are well-established predictors of alcohol use and negative alcohol consequences. Given the influence of context on drinking practices, motives specific to pregaming may affect pregaming behaviors and outcomes above and beyond general drinking motives. Thus, we examined how pregaming motives are related to pregaming behaviors and negative alcohol consequences.

Methods: Using data from two national cross-sectional online studies, the current study included undergraduates who pregamed at least once in the past month (n=10,200, Mage=19.9, women=61%, white=73.6%; 119 U.S. universities). Participants completed assessments of demographics, general drinking motives, pregaming motives, pregaming frequency/consumption, and negative alcohol consequences. Data were analyzed using hierarchical linear models accounting for nesting of participants within sites.

Results: When controlling for demographic factors and general drinking motives, interpersonal enhancement motives and intimate pursuit motives were positively associated with pregaming frequency, pregaming consumption, and negative alcohol consequences. Situational control motives were negatively associated with pregaming consumption and negative alcohol consequences. Barriers to consumption motives were negatively associated with pregaming frequency but positively associated with negative alcohol consequences.

Conclusions: Students who pregame to make the night more fun or to meet potential dating partners appear to be at particular risk for negative alcohol consequences. Motives may be modifiable, particularly via cognitive/behavioral strategies. Findings suggest that specific motives may be appropriate intervention targets when trying to reduce pregaming behaviors and negative alcohol consequences.

Keywords: Drinking motives; Predrinking; Pregaming; Pregaming motives; University students.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Alcohol Drinking
  • Alcohol Drinking in College*
  • Cross-Sectional Studies
  • Ethanol*
  • Female
  • Humans
  • Motivation
  • Students
  • United States / epidemiology
  • Universities

Substances

  • Ethanol