Prevalence of hazardous alcohol use among pharmacy students at nine U.S. schools of pharmacy

  • Clayton D. English
  • Jose A. Rey
  • Lauren S. Schlesselman


Hazardous use of alcohol continues to be recognized as a problem at the university level. Knowledge regarding alcohol consumption in healthcare professional students is limited, especially in regards to pharmacy students. Much of the information available focuses on pharmacy student drinking patterns in specific geographic regions or is simply outdated.

Objectives: This study was designed to assess levels of alcohol consumption and estimate the level of hazardous drinking among pharmacy students in a larger sample size that is representative of US pharmacy schools.

Methods: An anonymous survey regarding alcohol usage was offered to students at nine schools of pharmacy across the United States. The survey consisted of demographic questions, the World Health Organization Alcohol Use Disorders Identification Test (AUDIT), and questions that assess particular alcohol-induced behaviors.

Results: More than 25% of 1161 respondents had a total AUDIT score ≥ 8, which indicates a risk of alcohol-related problems. Students that were male, in their first or second professional year of school, not married, and without children were statistically more likely to have AUDIT scores in the hazardous drinking range. Grade point average and student housing did not statistically affect student’s AUDIT scores.

Conclusion: These results indicate that over one-fourth of pharmacy students surveyed have indicators of harmful alcohol use. Pharmacy schools should continue to address and confront hazardous alcohol use on campuses in order to curtail heavy alcohol consumption and reduce the risk of alcohol-related problems in pharmacy students.


Keywords: Alcohol Drinking. Students, Pharmacy. United States.


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1. Substance Abuse and Mental Health Services Administration. (2010). Results from the 2009 National Survey on Drug use and Health: Volume I. Summary of National Findings (Office of Applied Studies, NSDUH Series H-38A, HHS Publication No. SMA 10-4586 Findings). Rockville, MD.

2. Perkins HW. Surveying the damage: a review of research on consequences of alcohol misuse in college populations. J Stud Alcohol Suppl. 2002;14:91-100.

3. Substance Abuse and Mental Health Services Administration. (2002). Results from the 2001 National Household Survey on Drug Abuse: Volume I. Summary of National Findings (Office of Applied Studies, NHSDA Series H-17, DHHS Publication No. SMA 02-3758). Rockville, MD.

4. Slutske WS. Alcohol use disorders among US college students and their non-college-attending peers. Arch Gen Psychiatry. 2005;62(3):321-327.

5. American Psychiatric Association., American Psychiatric Association. Task Force on DSM-IV. Diagnostic and statistical manual of mental disorders : DSM-IV-TR. 4th ed. Washington, DC: American Psychiatric Association; 2000.

6. Timberlake DS, Hopfer CJ, Rhee SH, Friedman NP, Haberstick BC, Lessem JM, Hewitt JK. College attendance and its effect on drinking behaviors in a longitudinal study of adolescents. Alcohol Clin Exp Res. 2007;31(6):1020-1030.

7. Baldwin JN, Scott DM, Desimone Ii EM, Forrester JH, Fankhauser MP. Substance use attitudes and behaviors at three pharmacy colleges. Subst Abus. 2011;32(1):27-35.

8. Baldwin JN, Scott DM, Agrawal S, Bartek JK, Davis-Hall RE, Reardon TP, DeSimone EM. Assessment of alcohol and other drug use behaviors in health professions students. Subst Abus. 2006;27(3):27-37.

9. Kriegler KA, Baldwin JN, Scott DM. A survey of alcohol and other drug use behaviors and risk factors in health profession students. J Am Coll Health. 1994;42(6):259-265.

10. Noormohamed SE, Ferguson KJ, Baghaie A, Cohen LG. Alcohol use, drug use, and sexual activity among pharmacy students at three institutions. J Am Pharm Assoc (Wash). 1998;38(5):609-613.

11. McAuliffe WE, Rohman M, Breer P, Wyshak G, Santangelo S, Magnuson E. Alcohol use and abuse in random samples of physicians and medical students. Am J Public Health. 1991;81(2):177-182.

12. Miller CJ, Banahan III BF, Borne RF. A comparison of alcohol and illicit drug use between pharmacy students and the general college population. Am J Pharm Educ. 1990;54(1):27-30.

13. Murawski MM, Juergens JP. Analysis of longitudinal pharmacy student alcohol and other drug use survey data. Am J Pharm Educ. 2001;65:20-29.

14. Coleman EA, Honeycutt G, Ogden B, McMillan DE, O'Sullivan PS, Light K, Wingfield W. Assessing substance abuse among health care students and the efficacy of educational interventions. J Prof Nurs. 1997;13(1):28-37.

15. Kenna GA, Wood MD. Substance use by pharmacy and nursing practitioners and students in a northeastern state. Am J Health Syst Pharm. 2004;61:921-930.

16. U.S. Department of Commerce Economics and Statistics Administration U.S. Census Bureau. Accessed at, January 25th 2011.

17. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. The Alcohol Use Disorders Identification Test. Guidelines for Use in Primary Care. 2001.

18. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993;88(6):791-804.

19. Bohn MJ, Babor TF, Kranzler HR. The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. J Stud Alcohol. 1995;56(4):423-432.

20. Hays, R.D., Merz, J.F., Nicholas, R. Response burden, reliability, and validity of the CAGE, Short MAST, and AUDIT alcohol screening measures. Behavioral Research Methods, Instruments & Computers. 1995; 27:277-280.

21. Winters KC, Toomey T, Nelson TF, Erickson D, Lenk K, Miazga M. Screening for alcohol problems among 4-year colleges and universities. J Am Coll Health. 2011;59(5):350-357.

22. Jackson KM, Sher KJ, Gotham HJ, Wood PK. Transitioning into and out of large-effect drinking in young adulthood. J Abnorm Psychol. 2001;110(3):378-.91.

23. Shah AA, Bazargan-Hejazi S, Lindstrom RW, Wolf KE. Prevalence of at-risk drinking among a national sample of medical students. Subst Abus. 2009;30(2):141-149.

24. Ceylan-Isik AF, McBride SM, Ren J. Sex difference in alcoholism: who is at a greater risk for development of alcoholic complication? Life Sci. 2010;87(5-6):133-138.

25. Hingson R, Heeren T, Zakocs R, Winter M, Wechsler H. Age of first intoxication, heavy drinking, driving after drinking and risk of unintentional injury among U.S. college students. J Stud Alcohol. 2003;64(1):23-31.
How to Cite
English CD, Rey JA, Schlesselman LS. Prevalence of hazardous alcohol use among pharmacy students at nine U.S. schools of pharmacy. Pharm Pract (Granada) [Internet]. 2011Sep.14 [cited 2020Jul.8];9(3):162-8. Available from:
Original Research