title: Hazardous alcohol use and cultural adjustment among U.S. college students abroad in Italy: Findings and recommendations for study abroad staff and researchers.
abstract: BACKGROUND
  Italy is a top destination for U.S. college students studying abroad. Both international and local Italian media outlets, such as city newspapers, have cited the discordance between Italian cultural norms and U.S. college students' drinking behaviors. Hazardous alcohol consumption abroad, such as binge drinking, can result in individual- (e.g., physical injury) and social- (e.g., promotion of negative stereotypes) level adverse consequences.
  
  
  METHODS
  We assessed the prevalence of hazardous alcohol use and recent binge drinking in a sample of U.S. college students studying abroad in Italy (n = 111). We evaluated associations among drinking and cultural adjustment and determined which sociocultural factors predicted binge drinking for students abroad.
  
  
  RESULTS
  Forty-six percent of students were classified as hazardous drinkers and 63% reported recent binge drinking. Socializing with American peers was a significant predictor for binge drinking abroad.
  
  
  CONCLUSIONS
  Binge drinking was quite prevalent in our sample of students studying abroad in Italy. Study abroad advisors, instructors, and staff should consider diverse strategies to screen, educate, prevent, and/or intervene on alcohol misuse with their students. These strategies should be personalized to both the student as well as the host culture's norms.
authors: a VA Pittsburgh Healthcare System's Interdisciplinary Addiction Program for Education and Research, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA.
authors: Michael A
authors: MA
authors: Mitchell
authors: b Behavioral Sciences and Education, The Pennsylvania State University-Harrisburg , Middletown , Pennsylvania , USA.
authors: Senel
authors: S
authors: Poyrazli
authors: c Center for Health Equity Research and Promotion (CHERP), VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA.|d VISN 4 Mental Illness Research, Education, and Clinical Center (MIRECC), VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA.|e Division of General Internal Medicine, University of Pittsburgh , Pittsburgh , Pennsylvania , USA.
authors: Lauren Matukaitis
authors: LM
authors: Broyles
mesh_terms: D000069:Acculturation; D000428:Alcohol Drinking / Q000523:psychology*; D063425:Binge Drinking / Q000523:psychology*; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D012307:Risk Factors; D013334:Students / Q000523:psychology*; D014495:Universities; D055815:Young Adult
keywords: Acculturation; Italy; alcohol drinking; binge drinking; students; young adults