Mitigating the risk of alcohol use among university students

Background: The rising prevalence of alcohol use among youths in low resource settings is a major public health issue of concern, especially as alcohol use remains a leading contributor to deaths and disability globally. This study aimed to evaluate the effects of screening and brief intervention (SBI) on alcohol use risk among university students. Methods: In this quasi-experimental study, a total of 636 students were screened for alcohol use risk with the World Health Organization Alcohol, Smoking, and Substance Involvement Screening Test (WHO-ASSIST) version 3.1. All participants with moderate and high risk of alcohol use were administered brief intervention (BI) delivered by trained students at baseline, 1 month, and 3 months, with a final assessment in 6 months. Longitudinal data on their alcohol use risk were analyzed. Results: The mean age (standard deviation) of the participants was 21.13 (3.05) years and 44.5% were female. The prevalence of the current alcohol use based on the WHO-ASSIST was 49.2% ( n = 315). Following three sessions of BI, the repeated measures ANOVA indicated that the WHO-ASSIST mean score for high-risk alcohol users ( n = 44) fell from 33.23 (3.82) at baseline to 18.3 (9.84) at 6 th month. This difference was statistically significant. Similarly, the mean score for moderate alcohol users fell from 19.62 (2.97) at baseline to 11.31 (5.52) at 6 months. The difference was statistically significant. There were significant group-level differences in the risk score over the study period, for the low risk, moderate risk, and high-risk users at the end of the study. Conclusion: Screening and BI showed significant benefits on alcohol use risk. Our findings suggest SBI as a feasible and effective intervention for mitigating the risk of alcohol use among young students in resource-restricted settings. Further research using a robust sample to reflect differences in setting and student characteristics is warranted.