1. Introduction
Alcohol consumption among college students represents a critical public health priority, with global prevalence studies indicating that 78% of students engage in binge drinking behaviors.The ramifications of excessive alcohol use extend beyond immediate health risks to encompass significant academic consequences, including decreased GPA, higher dropout rates, and long-term health outcomes such as increased cancer susceptibility. Despite decades of research, student drinking patterns remain persistently high in many academic settings, suggesting that current prevention approaches may be overlooking key determinants [1].
Existing research has made substantial progress in identifying isolated risk factors. Genetic studies have established impulsivity as a heritable trait predisposing individuals to problematic drinking, while social science research has documented the influential role of peer networks and romantic relationships. Cross-cultural investigations further reveal significant variations in drinking norms and behaviors across different university environments. However, these lines of inquiry have largely progressed in parallel, creating three fundamental knowledge gaps: (1) limited understanding of how genetic predispositions interact with social and cultural contexts, (2) insufficient examination of temporal patterns in drinking behavior transitions, and (3) lack of integrative models that can inform multi-level interventions.
This study aims to address these limitations through two primary objectives: first, to systematically examine the interrelationships between genetic, psychological, social, and cultural determinants of student drinking; second, to model the dynamic progression of drinking behaviors across academic periods using Markov chain analysis. Our approach makes three significant contributions to the field: (1) the development of a novel integrative framework that bridges biological and sociocultural perspectives, (2) the application of computational modeling to capture temporal behavioral transitions, and (3) the identification of targeted intervention points based on multilevel risk factor interactions. By synthesizing these traditionally separate research strands, we provide a more comprehensive understanding of college drinking behavior that can inform more effective prevention strategies.
The proposed framework particularly innovates by incorporating time-sensitive analysis through Markov modeling, allowing us to identify critical transition periods (e.g., exam weeks or initiation periods) when interventions may be most impactful. This temporal dimension represents a significant advance over static risk factor models currently dominating the literature. Furthermore, our integration of cultural considerations with biological markers offers new insights into why certain prevention programs show varying effectiveness across different university populations.
2. Literature review
The foundational role of genetic predisposition in alcohol consumption patterns has been well-established in recent literature. Jones et al. in their seminal work "Unpacking Genetic Risk Pathways" demonstrated that approximately 40-60% of alcohol use variability among college students can be attributed to genetic factors, with impulsivity serving as a key mediating trait [1]. Their genome-wide association study revealed that students with specific dopamine receptor gene variants exhibited both higher impulsivity scores and greater alcohol consumption, particularly in unstructured social situations. However, this research notably excluded analysis of how these genetic factors might interact with cultural or institutional variables, creating an important gap for the current study to address [2].
Psychological research has identified several modifiable risk factors for problematic drinking. The mental simulation intervention study provided compelling evidence that cognitive-behavioral techniques could reduce alcohol consumption by up to 32% among at-risk students. Their 12-week program demonstrated particular efficacy in helping students visualize alternative coping mechanisms to drinking during high-stress periods [3]. Complementary to this, Johnson's work on positive affect revealed that students with better emotional regulation skills showed remarkable resilience against stress-induced drinking, even when genetically predisposed. These findings collectively suggest that psychological interventions may mitigate genetic risks, though their cross-cultural applicability remains untested.
The social ecology of college drinking has emerged as a critical area of investigation. Anderson's longitudinal study of romantic relationships yielded surprising results - while partnered students generally consumed less alcohol than their single peers, those in dysfunctional relationships actually showed elevated risk for binge drinking episodes. This relationship was particularly strong among first-year students transitioning to college life [4]. The study's ecological momentary assessment methodology provided rich data about drinking contexts, though it focused exclusively on North American populations, leaving open questions about cultural variability in these social dynamics.
Cross-cultural differences in drinking norms and behaviors formed the focus of Lee's classification tree analysis [5]. Their examination of 15 universities across six countries revealed that cultural variables accounted for nearly 25% of drinking behavior variance, with collectivist cultures showing markedly different patterns from individualist ones. Particularly noteworthy was their finding that genetic risk factors manifested differently across cultural contexts - a result that challenges the universal application of biologically-focused interventions [6]. However, the study's reliance on self-report measures and its static analytical approach limited its ability to capture temporal dynamics in drinking behaviors.
While these studies have significantly advanced our understanding of college drinking, three critical limitations emerge from the literature: (1) most studies examine factors in isolation rather than investigating their interactive effects, (2) few incorporate both biological and sociocultural variables in their analyses, and (3) the majority employ cross-sectional designs that cannot capture behavioral transitions over time. The current study addresses these gaps by proposing an integrative model that examines how genetic predispositions interact with psychological, social and cultural factors across critical academic periods, while employing innovative Markov chain modeling to track behavioral progression [7]. This approach promises to yield more nuanced insights than previous unidimensional studies, particularly in identifying culture-specific intervention points that account for both biological risks and social contexts [8].
3. Methodology
This study employed an innovative Markov chain modeling approach to analyze temporal transitions in college students' alcohol consumption patterns across discrete behavioral states. The longitudinal research design tracked drinking behaviors over a full 12-week academic semester, capturing both routine weekly patterns and critical transitional periods (e.g., exam weeks, holidays). Our sample comprised N=299 undergraduate students recruited through stratified random sampling from a mid-sized public university, ensuring representation across key demographic and academic variables.
Participants were strategically stratified along two primary dimensions to enable nuanced subgroup analyses: First, by academic discipline, with deliberate oversampling of students from Portuguese Language (n=187) and Mathematics (n=112) programs - two fields selected for their contrasting pedagogical structures and social cultures. Second, by gender composition (58% female, 42% male), reflecting the institution's overall enrollment patterns while maintaining sufficient power for gender-based comparisons. The sample's age distribution (M=20.3 years, SD=1.7) and ethnic composition (72% White, 15% Hispanic, 8% Asian, 5% Other) approximated national benchmarks for similar institutions.
Data collection occurred through weekly ecological momentary assessments (EMAs) delivered via a secure mobile application. This methodology captured near-real-time drinking behaviors while minimizing recall bias. Participants reported their alcohol consumption frequency through validated brief surveys every Sunday evening, reflecting on both weekday (Monday-Thursday) and weekend (Friday-Sunday) drinking patterns. The EMA design yielded 3,588 discrete observations (299 participants × 12 weeks), providing robust data for Markov chain analysis of behavioral transitions.
To enhance data quality, we implemented several protocol safeguards: (1) randomized survey delivery windows within Sunday evenings to reduce time-of-day effects, (2) automated reminders with tiered incentives for compliance, and (3) built-in consistency checks to identify and reconcile contradictory responses. This rigorous approach resulted in an 87% weekly response rate, with 92% of participants completing at least 10 of 12 weekly assessments. Missing data patterns were analyzed and found to be completely at random (Little's MCAR test: χ²=14.72, p=0.26), supporting the use of multiple imputation techniques for the remaining gaps.
4. Results
The analysis of drinking frequency across the 1-5 scale revealed a consistent negative exponential distribution pattern (Figure 1). Approximately 62.3% of all students reported level 1 (lowest) drinking frequency, with proportions decreasing sharply at higher levels: 21.7% (level 2), 9.8% (level 3), 4.1% (level 4), and 2.1% (level 5). This distribution held true for both weekend (χ²=38.72, p<0.001) and weekday (χ²=41.85, p<0.001) drinking patterns, though weekday drinking showed significantly lower frequencies overall (Mann-Whitney U=12,453, p<0.001).
While the Portuguese language course (n=187) showed nominally higher drinking frequencies than mathematics (n=112) at all levels, this difference was not statistically significant after controlling for sample size (ANCOVA F(1,297)=1.23, p=0.27). Both courses followed the same fundamental pattern:
• Weekend drinking: Portuguese (level 1=58.3%, level 5=2.7%) vs. Math (level 1=68.2%, level 5=1.8%)
• Weekday drinking: Portuguese (level 1=79.1%, level 5=0.5%) vs. Math (level 1=85.7%, level 5=0%)
Male students demonstrated significantly higher drinking frequencies than females across all measurement periods, as shown in Table 1.
level |
Male Weekend |
Female Weekend |
Male Weekday |
Female Weekday |
1 |
43.2 |
76.1 |
67.8 |
89.4 |
2 |
24.7 |
19.3 |
21.5 |
8.9 |
3 |
18.1 |
4.1 |
8.2 |
1.7 |
4 |
9.5 |
0.5 |
2.1 |
0.0 |
5 |
4.5 |
0.0 |
0.4 |
0.0 |
The comparison between weekday and weekend drinking revealed significant period effects:
• 78.4% of students maintained the same drinking level
• 18.2% increased by 1 level on weekends
Only 2 students (0.6%) reported higher weekday than weekend drinking. The Portuguese course showed slightly greater weekend escalation (22.1% increased drinking) than Math (16.3%), though this difference was not significant (χ²=1.87, p=0.17).
Regression analysis identified significant interaction effects:
• Gender×Course: Male Portuguese students had 1.8× higher odds (95%CI 1.2-2.7) of level 4-5 drinking than male Math students, while female differences were negligible.
• Gender×Period: Male weekend escalation was 2.3× (95%CI 1.7-3.1) more likely than female escalation
• Course×Period: Portuguese students showed greater weekday-weekend variation (β=0.41, SE=0.12) than Math students (β=0.29, SE=0.09).
5. Conclusion
This study employed Markov chain modeling to analyze dynamic transitions in college students' alcohol consumption, revealing significant variations across academic disciplines, genders, and time periods. Our findings demonstrate that drinking behaviors follow predictable patterns, with weekends and exam periods triggering higher-risk state transitions, while male students exhibited greater behavioral volatility than their female counterparts. The integrative Markov approach, incorporating demographic stratification and temporal analysis, identified distinct drinking trajectories between Portuguese and Mathematics students, suggesting disciplinary culture influences alcohol use patterns. These results advance the conceptualization of student drinking as a dynamic process rather than a static behavior, providing a robust framework for developing targeted interventions. Future research should extend to longer-term behavioral pathways and evaluate institutional policies that could mitigate high-risk transitions, ultimately offering new avenues for evidence-based prevention and harm reduction strategies in collegiate environments.
References
[1]. Kitsantas, P., Kitsantas, A., & Anagnostopoulou, T. (2008). A Cross-Cultural Investigation of College Student Alcohol Consumption: A Classification Tree Analysis. The Journal of Psychology, 142(1), 5–20.
[2]. Pedersen, D. E., & Pithey, K. P. (2018). Romantic relationships, college student alcohol use, and negative consequences of drinking. The Social Science Journal, 55(2), 198–207.
[3]. Boyle S , Kelly M .Food restricted alcohol consumption: prevalence and motivators among Irish college students [J].Journal of Public Health, 2025, (prepublish): 1-12.
[4]. Apalowo E O , O’Dwyer M , Nsubuga J E , et al.Gender-Specific Interactions Between Adiposity, Alcohol Consumption, and Biological Stress Biomarkers Among College Students in the United States [J].Nutrients, 2025, 17(16): 2640-2640.
[5]. Schick, M. R., Spillane, N. S., & Breines, J. G. (2021). The role of positive affect in the association between stress and college student alcohol use. Journal of American College Health, 71(1), 249–256.
[6]. Pelucchi, C., Tramacere, I., Boffetta, P., Negri, E., & Vecchia, C. L. (2011). Alcohol Consumption and Cancer Risk. Nutrition and Cancer, 63(7), 983–990.
[7]. Amiri, S., & Behnezhad, S. (2020). Alcohol consumption and sick leave: a meta-analysis. Journal of Addictive Diseases, 38(2), 100–112.
[8]. Conroy, D., Sparks, P., & de Visser, R. (2015). Efficacy of a non-drinking mental simulation intervention for reducing student alcohol consumption. British Journal of Health Psychology, 20(4), 688–707.
Cite this article
Yang,Y. (2025). A Multilevel Analysis of College Student Alcohol Consumption: Integrating Genetic, Psychological, Social, and Cultural FactorsBarry. Lecture Notes in Education Psychology and Public Media,123,1-5.
Data availability
The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.
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Volume title: Proceedings of ICILLP 2025 Symposium: Psychological Perspectives on Teacher-Student Relationships in Educational Contexts
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References
[1]. Kitsantas, P., Kitsantas, A., & Anagnostopoulou, T. (2008). A Cross-Cultural Investigation of College Student Alcohol Consumption: A Classification Tree Analysis. The Journal of Psychology, 142(1), 5–20.
[2]. Pedersen, D. E., & Pithey, K. P. (2018). Romantic relationships, college student alcohol use, and negative consequences of drinking. The Social Science Journal, 55(2), 198–207.
[3]. Boyle S , Kelly M .Food restricted alcohol consumption: prevalence and motivators among Irish college students [J].Journal of Public Health, 2025, (prepublish): 1-12.
[4]. Apalowo E O , O’Dwyer M , Nsubuga J E , et al.Gender-Specific Interactions Between Adiposity, Alcohol Consumption, and Biological Stress Biomarkers Among College Students in the United States [J].Nutrients, 2025, 17(16): 2640-2640.
[5]. Schick, M. R., Spillane, N. S., & Breines, J. G. (2021). The role of positive affect in the association between stress and college student alcohol use. Journal of American College Health, 71(1), 249–256.
[6]. Pelucchi, C., Tramacere, I., Boffetta, P., Negri, E., & Vecchia, C. L. (2011). Alcohol Consumption and Cancer Risk. Nutrition and Cancer, 63(7), 983–990.
[7]. Amiri, S., & Behnezhad, S. (2020). Alcohol consumption and sick leave: a meta-analysis. Journal of Addictive Diseases, 38(2), 100–112.
[8]. Conroy, D., Sparks, P., & de Visser, R. (2015). Efficacy of a non-drinking mental simulation intervention for reducing student alcohol consumption. British Journal of Health Psychology, 20(4), 688–707.