| Sumario: | Objective: To examine 'college drinking culture' and explore alcohol use and other variables among a sample of US college students. Methods: Bivariate crosstabulation and logistic regression analyses were used to examine associations between alcohol use, gender, Greek membership and risk behaviours among a random sample of 823 undergraduates who completed a health behaviour survey. Results: Respondents who binged were significantly more likely to be male and belong to a fraternity/sorority. Fraternity bingers were significantly more likely to engage in physical fights ( p < 0.05) than non-Greek male bingers. Sorority bingers were significantly more likely to be injured ( p < 0.01), drive under the influence of alcohol (DUI) ( p < 0.001), be sexually victimised ( p < 0.01) and engage in unwanted sex ( p < 0.05) than non-Greek female bingers. Fraternity members who binged frequently (≥3 times in 2 weeks) were significantly more likely to DUI ( p < 0.01) and engage in unprotected sex ( p < 0.05) than were those who binged intermittently. Sorority members who binged frequently were significantly more likely to DUI ( p < 0.05) than were those who binged intermittently. Conclusion: Prevention efforts likely to be effective in changing binge drinking among college students should be gender specific, consider peer drinking norms, target 'windows of risk' and be tailored to the campus' culture of drinking.
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