Abstract

ObjectivesThis study examines the association between cultural orientation and drinking behaviors among university students. Cultural orientation is the measure of how the cultural values of individuals living in their own society are influenced by cultural values introduced from the outside.MethodsIn 2011, a cross-sectional survey collected data from 1279 university students from six universities in central China. Participants used a likert scale to rank a series of statements reflecting cultural values from the previously validated Chinese Cultural Orientation Scale and answered questions about their drinking behaviors and socio-demographic characteristics.ResultsStatistically significant differences in cultural orientation were observed for gender, hometown and type of university attendance. Traditional-oriented students were more likely to be occasional drinkers or nondrinkers, while marginal-oriented students, bicultural-oriented students and western-oriented students were more likely to be regular drinkers. Bicultural orientation (OR = 1.80, P<0.05) and marginal orientation (OR = 1.64, P<0.05) increased the likelihood of the student being regular drinking, compared to students with traditional orientations. Males (OR = 4.40, P<0.05) had a higher likelihood of regular drinking than females, graduate students (OR = 2.59, P<0.05) had a higher likelihood of regular drinking than undergraduates, students from urban areas (OR = 1.79, P<0.05) had a higher likelihood of regular drinking than those from towns/rural areas, and students attending key universities (OR = 0.48, P<0.05) had a lower likelihood of regular drinking than those attending general universities.ConclusionsCultural orientation influences drinking behaviors. Traditional cultural orientation was associated with less drinking while western cultural orientation, marginal cultural orientation and bicultural orientation were associated with more drinking. The role of gender, hometown and university attendance is partially moderated through the influence of cultural orientation. The relationship between a traditional cultural orientation and alcohol drinking suggests that traditional Chinese cultural values should be examined for their role in possibly reducing alcohol-related risks through education and policy initiatives.

Highlights

  • Reducing alcohol use, and high risk drinking patterns are important public health challenges, especially in countries experiencing rapid change

  • Cultural orientation was measured by using the Chinese Cultural Orientation Scale (CCOS) instrument, which contained 67 items representing ten subscales reflecting either Western or traditional cultural values

  • The distribution across the cultural orientation categories was found to be similar for graduates and undergraduates

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Summary

Introduction

Background Reducing alcohol use, and high risk drinking patterns are important public health challenges, especially in countries experiencing rapid change. To develop effective programs to reduce alcohol related risks there is a need to better understand psychosocial and cultural influences on drinking behavior. In societies where alcohol is an integral part of social life and is largely unregulated by law it is especially important to understand the psychological and cultural aspects of drinking behavior [1]. In 1999 China ranked the second in the world for increases in per capita consumption of pure alcohol among people aged 15 years and older [3]. China faces public health and social consequences from excessive alcohol use, and understanding the psychological and sociological dimensions of this behavior will be useful to educational planners and policymakers

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