COURTESY RICHARD RICE
Poster for a public health program aimed at reducing misperceptions about drinking at Virginia Commonwealth University
Though well meaning perhaps, shocking headlines in the media
and related scare tactics may inadvertently serve to further
inflate students' misperception that their peers are largely out
of control when it comes to alcohol. Our research tells quite a different
story: College students consistently overestimate the extent to
which their peers engage in high-risk drinking and, more importantly,
this misperception correlates strongly with personal consumption. In
point of fact, the norm among college students is to drink moderately
if at all. And promoting this good news is an essential element of the
health promotion strategy known as the social norms approach.
The powerful impact that norms have on both thought and
behavior is a well established area of research in the social sciences.
One question that previous research has largely neglected, however,
is whether normative influences are driven by what an individual's
peers actually do and think (i.e., the reality) or by what that individual
believes (i.e., the perception). The social norms model proposes that
many problem behaviors may be due largely to the desire or pressure
to conform to erroneously perceived norms. Addressing these
misperceptions has proven effective.
More than 50 studies have now documented college students'
overestimates of peer drinking norms, and a number of these have
also shown that misperceptions positively correlate with personal
consumption.1 Our recent study based on the largest national
database of college students analyzed to date, including more than
76,000 students at 130 colleges and universities yielded several
major findings that further confirm the underpinnings of the social
norms approach.2 First, a consistently large percentage of students
nationwide (more than 70%) overestimated the quantity of alcohol
consumed by their peers. Second, perception of campus drinking
norm was by far the strongest predictor of personal consumption,
stronger even than the actual campus drinking norm. Third, reduced
levels of high-risk drinking and negative consequences were found
among students attending the relatively few schools (i.e., less than
8% of the sample) where exposure to prevention information was
associated with lower misperceptions of the campus drinking norm
compared to students attending other schools.
Norm-based interventions use various strategies to consistently
communicate the truth about a target population's actual norms of
health, protection, and the avoidance of risk behaviors. With repeated
exposure to a variety of positive, data-based messages, misperceptions
that help sustain problem behavior are reduced, and a greater
proportion of the population begins to act in accord with the more
accurately perceived norms of health, protection, and safety. A campaign
at Virginia Commonwealth University that included the poster
(shown above) reduced misperceptions about high-risk alcohol
use by half. An expected 8% increase in drinking rates as the school
demographic switched from commuter to residential was essentially
nullified. Although most of the positive results documented in the literature concern college student alcohol use, this approach has been
employed effectively to address other issues as well, such as adolescent
substance use, tax compliance, and seatbelt use.
In 2002, when the National Institute on Alcohol Abuse and Alcoholism
(NIAAA) issued its Task Force Report on College Drinking, the
NIAAA Panel on Prevention and Treatment noted that "several institutions
that persistently communicated accurate norms have experienced
reductions of up to 20% in high-risk drinking over a relatively
short period of time."3 This is an impressive recommendation for
institutions that may be grappling with the issue of student drinking.
Richard Rice, is the coordinator of education and information at the National
Social Norms Resource Center at Northern Illinois University
References
1. A.D. Berkowitz, "An overview of the social norms approach." In: Lederman, L.C.
and Stewart, L.P (Eds.), Changing the Culture of College Drinking: A Socially
Situated Health Communication Campaign. Cresskill, NJ: Hampton Press, pp.
193-214, 2005.
2. H.W. Perkins et al., "Misperceiving the college drinking norm and related
problems: A nationwide study of exposure to prevention information,
perceived norms and student alcohol misuse," J Stud Alcohol, 66:470-8, 2005.
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