台灣留學生狂飲行為之研究

The study of binge drinking behavior among international Taiwanese college students

目標：狂飲行為是最具危險性的飲酒行為，心理、環境、文化等因素皆可能影響狂飲行為產生。由於台灣留學生的狂飲行為長期受到忽略，本研究旨在探討上述各因子對於台灣留學生狂飲行為之影響。方法：本研究採自填式問卷於2012年收集資料，共522位在美國大學就讀的台灣留學生完成填答。研究以階層羅吉斯迴歸來分析影響狂飲行為的因子，迴歸分析輸入的順序為：（一）基本背景資料；（二）成癮物質使用習慣；（三）環境因素；（四）行為與心理因素；（五）文化涵化。結果：研究結果發現年齡較小、大學生（與研究生比）、與室友同住於校外、有吸菸習慣者較有可能出現狂飲行為。此外，同儕的飲酒態度、自己對飲酒的預期效果、飲酒導致負面事件與文化涵化等因子皆能預測台灣留學生的狂飲行為。性別、校園飲酒文化、與拒絕飲酒信心則未具有顯著預測力。結論：同儕態度、對飲酒的預期效果、飲酒導致負面事件以及美國文化的涵化程度為台灣留學生狂飲行為的重要危險因子。

Objectives: Binge drinking is the most dangerous drinking behavior and could be influenced by psychological, environmental, and cultural factors. Due to limited studies of international Taiwanese college students' binge-drinking behavior, the aim of this study is to investigate the aforementioned factors influencing binge drinking behavior, focusing on international Taiwanese college students in the United States. Methods: A survey method was employed in 2012. In total, 522 valid responses were collected. A sequential logistic regression was applied to investigate determinants influencing binge-drinking behavior. Factors were entered by the following order: (1) demographics, (2) substance use, (3) environment, (4) behavioral and psychological factors, (5) acculturation. Results: The results showed factors of younger age, undergraduate status, living off campus with roommates, and being current smokers increased the likelihood of engaging in binge-drinking behavior. Moreover, peers' attitude toward drinking, drinking expectancy, negative consequences of drinking, and acculturation were significant factors predicting international Taiwanese college students' binge-drinking behavior. In contrast, gender, campus drinking culture, and confidence in refusing alcohol were not significant predictors. Conclusions: Peers' attitude toward drinking, drinking expectancy, negative consequences of drinking, and acculturation are risk factors of international Taiwanese college students' binge drinking behavior.