Smoking and Membership in a Fraternity or Sorority: A Systematic Review of the Literature

Abstract

Objective: Fraternity and sorority members have higher rates of smoking than other college students. This systematic review examines studies that included fraternity/sorority membership in their investigation of smoking behaviors. Participants/Methods: Studies identified in MEDLINE, PsychInfo, JSTOR, CINAHL, ERIC, and Google Scholar published between 2003 and 2013 were included if they included fraternity and/or sorority membership, were written in English, published in a peer-reviewed journal, and had smoking as an outcome variable. Nineteen studies were identified for the review. Results: Fraternity/sorority members were more likely to be nondaily smokers. Members who lived in the fraternity/sorority house had higher rates of smoking than members who lived elsewhere. Fraternity/sorority member smoking was associated with alcohol and other substance use. The influence of no-smoking policies on fraternity/sorority member smoking was also examined. Conclusions: Fraternity/sorority membership was associated with higher rates of smoking, but this association was influenced by other substance use and environmental factors.     

Everything but racism: A critical analysis of Latina/o college sorority and fraternity research

The persisting disparity in college graduation rates along racial and ethnic lines combined with growing Latina/o college‐age population has compelled an increasing number of researchers to examine inequalities in higher education outcomes. Some of these researchers have attempted to better understand Latina/o college experiences by researching Latina/o Greek life. In this article, I review the literature on Latina/o sororities and fraternities. I identify four approaches in the scholarship: Latina/o student development through campus involvement, Latina/o ethnic identity development through sorority or fraternity participation, finding cultural congruence in sorority and fraternity membership, and perceived discrimination and racial climates in college. This article reveals that scholarship about Latina/o Greek life examining race and racism is severely limited. Given the scope of existing work, I suggest that analysts have examined “everything but racism.” I conclude by highlighting some of the research on higher education that centers race and ethnicity as an analytical focus, demonstrating deeply embedded processes that impact Latina/o college student success. I argue that research about race and racism in college points to significant opportunities for researchers seeking to examine how Latinas/os navigate such environments, as Greek life is woven into the social and academic fabric of higher education institutions.     

Extreme Ritualistic Alcohol Consumption Among College Students on Game Day

Abstract

Alcohol use and the related consequences associated with college football games are a serious public health issue for university communities. Objective: Examining “Extreme Ritualistic Alcohol Consumption” (ERAC), defined as consuming 10 or more drinks on game day for a male, and 8 or more drinks for a female, is the focus of this study. Participants: In the fall of 2006, college students ages 18 to 24 were randomly selected to complete the Game Day Survey. Methods: Researchers utilized a cross sectional research design to collect data. Results: Sixteen percent of the respondents engaged in ERAC on game day, whereas 36% drank 5 or more drinks (4 or more for females). Male, Caucasian, Greek (members of a social fraternity or sorority), and students of legal drinking age consumed alcohol at disproportionately high rates. Conclusion: Alcohol use is common on game day, with a significant percentage of students placing themselves at risk by drinking large amounts of alcohol.     

Using Theory-Based Constructs to Explore the Impact of Greek Membership on Alcohol-Related Beliefs and Behaviors: A Systematic Literature Review

By charter, national Greek organizations (ie, fraternities and sororities) place an emphasis on upholding personal integrity, academic scholarship, and development of campus leaders. Recent concerns, however, assert that the drinking behaviors of members of Greek organizations are antithetical to the mission of their universities. Objective: The author's purpose in this review was to systematically examine scientific literature addressing the effect of Greek affiliation on alcohol-related beliefs and behaviors. The internal and external influences affecting Greek members' alcohol-related beliefs and behaviors are organized into a frame-work of various health behavior theories, based on the ecological perspective's levels of influence. Results: Results provide a broad perspective into the individual characteristics, social peer network, and environmental aspects influencing alcohol-related behavior among Greek members. Findings suggest that Greek members comprise a subgroup that consumes alcohol in greater quantities, underscores and misperceives the risks of alcohol abuse, and emulates a social environment and culture in which drinking alcohol is a key part of life.     

Social Psychological Processes that Facilitate Sexual Assault within the Fraternity Party Subculture

Rape on the college campus has gained increasing amounts of attention in higher education, mainstream news, and public policy. The prevalence rates of rape are especially high among students who frequent campus parties, such as those hosted by fraternities. Researchers have described this increased risk by focusing on individual attitudes and behaviors of fraternity members or on the organizational norms and practices within the fraternity party subculture. To incorporate these studies into a single theoretical framework, this essay uses a social psychological approach to connect individual‐level attitudes, (sub)culture, and behavior. I describe and apply identity theory and affect control theory, two structural symbolic interactionist theories, to explain why certain men are drawn to high‐risk fraternities and how membership reinforces hostility toward and abuse of women. In doing so, I suggest several avenues for future research that would increase social psychological understanding of the heightened prevalence of sexual victimization within the fraternity party subculture.     

Alcohol Use in Students Seeking Primary Care Treatment at University Health Services

Abstract

Objective: Given the high rate of at-risk drinking in college students, the authors examined drinking behaviors and associated factors in students being seen in student health services for primary care visits from October 30, 2004, to February 15, 2007. Methods: Analyses were based on a Health Screening Survey completed by 10,234 college students seeking general medical treatment. Results: Alcohol use was similar to other studies with 57% (n = 5,840) meeting the National Institute on Alcohol Abuse and Alcoholism criteria for at-risk drinking. Twenty-six percent of the students reported smoking at least once in the last 3 months. Risk factors for at-risk drinking included young age, white males, drinking at a fraternity/sorority house, and use of tobacco. Conclusions: These findings support the widespread implementation of alcohol screening and intervention in university health services.     

Predictors of Smoking and Smokeless Tobacco Use in College Students: A Preliminary Study Using Web-Based Survey Methodology

Cigarette smoking and smokeless tobacco (SLT) use are associated with numerous health hazards and economic costs, and rates of tobacco use have recently increased among young adults. In this study, the authors compared predictors of smoking and SLT use among college students (N = 21,410) from 13 Texas universities using a Web-based survey. Results revealed that sex, belonging to a fraternity or sorority, participation in intercollegiate sports, peer influences, and ethnicity predicted smoking and SLT use. Although common factors predicted both lifetime and current smoking and SLT use, patterns of prediction differed across dependent variables. The authors discuss implications for developing tobacco prevention programs targeting specific risk factors salient to the young adult population.     

Predictors of smoking and smokeless tobacco use in college students: a preliminary study using web-based survey methodology

Cigarette smoking and smokeless tobacco (SLT) use are associated with numerous health hazards and economic costs, and rates of tobacco use have recently increased among young adults. In this study, the authors compared predictors of smoking and SLT use among college students (N = 21,410) from 13 Texas universities using a Web-based survey. Results revealed that sex, belonging to a fraternity or sorority, participation in intercollegiate sports, peer influences, and ethnicity predicted smoking and SLT use. Although common factors predicted both lifetime and current smoking and SLT use, patterns of prediction differed across dependent variables. The authors discuss implications for developing tobacco prevention programs targeting specific risk factors salient to the young adult population.     

Using the Ecological Model to understand influences on college student vaping

ABSTRACT

Objective The Ecological Model was used to examine the social and environmental influences of the college environment on e-cigarette use (vaping) among college students. Participants: Undergraduate college student e-cigarette users (vapers) across three large college campuses in the southwest US from Jan 2015- Aug 2016. Methods: Thirty-three interviews were conducted. Transcribed interviews were coded then analyzed for themes. Results: College student vapers report multiple levels of influence on their vaping beyond personal beliefs and peer influences, including parents, explicit campus and community messaging, community member requests, and respect for others. College student vapers also describe constant associations with smokers in allowable public places to vape. Conclusions: Parents, community members, campus policy, and the physical environment all influence where and when college students vape. Health communication messages to prevent college student vaping should incorporate alternative messages that are important to college students, such as respect for others and social image.     

Beyond High School

Abstract

This study examined interpersonal heterosexist discrimination by examining self-reported anti-gay behaviors of heterosexual college students. Respondents were 226 college students; 94.9% had perpetrated some form of discriminatory behavior and 32.7% had committed a behavior that was rated as moderately harmful or higher. A higher amount of self-reported discriminatory behavior was associated with being male, having more homophobic attitudes, and having lower GPAs. Discriminatory behaviors were not related to political ideology, religious influence, or interaction with gay men and lesbians. Neither discriminatory behaviors nor homophobic attitudes were related to academic year, age, membership in a social fraternity/sorority, or membership on an intercollegiate athletic team.     

A Peer-Facilitated Intervention to Reduce Risky Drinking Among Fraternity and Sorority Members

Results from a pilot study of a peer-facilitated brief motivational interview using personalized normative feedback with members of fraternities and sororities are presented. Eight fraternity and sorority houses were randomly selected and then randomized into treatment or control conditions. Quantitative data testing intervention efficacy indicated no differences between treatment and control group 30 days postintervention on measures of alcohol consumption and alcohol-related consequences. Qualitative information from follow-up focus groups of intervention participants identified themes related to intervention dosage, and credibility of the normative data and peer educator. Recommendations are made for future research and intervention strategies with this population.     

Should They Stay or Should They Go: Greek Housing on Campus as Substance Use Prevention?

Greek life on college campuses offers many student benefits, including leadership skills and career networking, but is also associated with risk factors such as excessive alcohol use. This cross-sectional study compares hazardous alcohol and drug use, and use of protective behavioral strategies among non-Greek and Greek-affiliated students at 2 universities and differences among students at a university that offers on-campus Greek housing and a college with off-campus Greek housing. Findings reveal that Greek-affiliated students report more alcohol use, and no difference in drug use or in protective behavioral strategies, than non-Greek students. Among Greek students, those living in on-campus Greek housing report significantly lower alcohol use than students residing in off-campus Greek housing. Regardless of Greek status, students at the college with off-campus Greek housing are significantly more likely to use alcohol and marijuana in a fraternity or sorority house than students at the university with on-campus Greek housing.     

The Efficacy of the Social Norms Approach to Substance Abuse Prevention Applied to Fraternity Men

Abstract

Students tend to overestimate the amount of alcohol consumed among their peers and often drink to that imaginary level. The social norms strategy, designed to correct norm misperceptions, has been correlated with a decrease in reported consumption in the general college population. However, it has had little or no impact among Greek students, the group that consumes the most alcohol. The authors investigated and subsequently found three possible flaws in the application of the social norms strategy that may account for the failure to decrease binge drinking among fraternity men: there is no predominant, healthy drinking norm in this population; students are influenced more by people within their network(s) than by others; and binge drinking is the norm in this group and may serve to perpetuate the problem. The findings, though preliminary, provide the first step in developing interventions beyond the social norms approach to address binge drinking among fraternity men.     

US campus fraternities and sororities and the young adult injury burden

Objective: To investigate whether the presence of fraternities and sororities was associated with a higher local injury rate among undergraduate-age youth. Methods: In 2016 we compared the rate of 2010–2013 youth (18–24 years) emergency department (ED) visits for injuries in Hospital Service Areas (HSA) with and without fraternities and sororities. ED visits were identified in the State Emergency Department Database (n=1,560 hospitals, 1,080 HSAs, 16 states). US Census Bureau and National Center for Education Statistics sources identified HSA population and campus (n=659) characteristics. A proprietary database identified campuses with fraternities and sororities (n=287). ED visits explicitly linked to fraternities and sororities in the National Electronic Injury Surveillance System–All Injury Program were used to identify injury causes for sub-group analysis. Results: HSAs serving campuses with fraternities and sororities had lower age 18–24 injury rates for all causes except firearm injuries (no difference). Conclusions: Fraternities and sororities were not associated with a higher injury rate at the population level among undergraduate-age youth. A major limitation is not being able to observe campus health services utilization.     

Using theory-based constructs to explore the impact of Greek membership on alcohol-related beliefs and behaviors: a systematic literature review

By charter, national Greek organizations (ie, fraternities and sororities) place an emphasis on upholding personal integrity, academic scholarship, and development of campus leaders. Recent concerns, however, assert that the drinking behaviors of members of Greek organizations are antithetical to the mission of their universities. OBJECTIVE: The author's purpose in this review was to systematically examine scientific literature addressing the effect of Greek affiliation on alcohol-related beliefs and behaviors. The internal and external influences affecting Greek members' alcohol-related beliefs and behaviors are organized into a frame-work of various health behavior theories, based on the ecological perspective's levels of influence. RESULTS: Results provide a broad perspective into the individual characteristics, social peer network, and environmental aspects influencing alcohol-related behavior among Greek members. Findings suggest that Greek members comprise a subgroup that consumes alcohol in greater quantities, underscores and misperceives the risks of alcohol abuse, and emulates a social environment and culture in which drinking alcohol is a key part of life.     

The Great Divide: Black Fraternal Ideals and Reality

Black Greek‐letter fraternities (herein after “BGLFs”) are unique and complex organizations with a rich history. Holding the ideals of high academic achievement, developing and sustaining fictive‐kinship ties, maintaining strong racial and gender identity, implementing a racial uplift agenda, and demonstrating a commitment to the perpetuity of their organizations together define BGLF members. Drawing upon the growing corpus of Black fraternity scholarship, this article first investigates the extent to which Black fraternities have remained faithful to these founding ideals. Second, it explores the ways in which Black fraternities articulate fidelity to these founding precepts. Third, it assesses the degree to which Black fraternities are currently consistent with these foundational ideals. And fourth, it examines the future of Black, collegiate‐based fraternalism in specific to contemporary challenges to BGLF's function and even existence, especially in regard to hazing. Broader implications, specifically in the legal realm, are discussed.     

Problem drinking among at-risk college students: The examination of Greek involvement,freshman status,and history of mental health problems

ABSTRACT

Objective: Scarce research has examined the combined effect of mental health difficulties and demographic risk factors such as freshman status and Greek affiliation in understanding college problem drinking. The current study is interested in looking at the interaction among freshman status, Greek affiliation, and mental health difficulties. Participants and Methods: Undergraduate students (N = 413) from a private and public Midwestern university completed a large online survey battery between January 2009 and April 2013. Data from both schools were aggregated for the analyses. Results: After accounting for gender, age, and school type, the three-way interaction indicated that the highest drinking levels were reported in freshman students who reported a history of mental health problems although were not involved in Greek life. Conclusions: Findings are discussed in the context of perceived social norms, as well as alcohol-related screenings and intervention opportunities on college campuses.     

Moderators of the Relationship Between Physical Activity and Alcohol Consumption in College Students

Abstract

Objective: Among college students, several studies have found a positive relationship between physical activity and alcohol use. The current study tested gender, Greek status, and ethnicity as potential moderators of the physical activity-alcohol use relationship. Participants: Participants were college freshmen (n = 310) endorsing alcohol/drug use. Methods: Students completed questionnaires assessing a number of health behaviors. Results: Results indicated that gender and Greek status were significant moderators of the relationship between physical activity and alcohol consumption. There was a positive relationship between physical activity and alcohol use for men and Greeks, but not for females and non-Greeks. Conclusions: These findings suggest that exercise does not serve as a protective factor for any of the subgroups of college students studied and is positively associated with drinking among college students who are men and/or involved with the Greek system.     

Social Facilitation Expectancies for Smoking: Psychometric Properties of a New Measure

Abstract

Objective: Expectancies about social outcomes for smoking are relevant to college student smokers, who frequently report “social smoking.” A new measure, the Social Facilitation Expectancies (SFE) scale, was developed to assess these beliefs. Participants: The SFE was administered to undergraduate college student smokers (N = 1,096; study completed in May 2011). Methods: Items were scored on a 5-point scale with a summed total score. The sample was randomly split and principle axis factoring and confirmatory factor analysis applied to determine scale structure. The structure was tested across sex and smoking groups and validation analyses were conducted. Results: A 9-item, 1-factor scale was replicated within each group. Higher SFE scores were observed among those with greater smoking experience and higher scores were associated with greater endorsement of other smoking-related beliefs. Conclusions: These preliminary findings provide support for the sound psychometric properties of this measure for use with young adult college students.     

Social Context of Smoking Hookah Among College Students: Scale Development and Validation

Abstract

Objective: To develop an instrument that measures the social context of hookah use among college students. Participants: A pool of 50 potential items, based on 44 in-depth interviews with regular college hookah smokers, was administered to a sample of 274 hookah users between October and December 2011. Methods: Participants were approached in hookah bars and asked to complete the survey. Results: A principle components analysis revealed 3 reliable factors: social facilitation, family/cultural influence, and alternative to smoking cigarettes and drinking. These were examined across different categories of hookah use: Weekly hookah users were more likely to smoke in a context of social facilitation than the other 2 groups. Similar effects were observed for family/cultural influence. Asians were more likely to smoke in a context of family and cultural influence than non-Asians. Conclusions: This scale has potential for identifying situation-specific contexts of hookah use that may help in designing effective interventions for college students.