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Cancer Society of NZ Social and Behavioural Research Unit, Preventive and Social Medicine, Frederick St, Dunedin School of Medicine, University of Otago, PO Box 913, Dunedin, New Zealand. rob.mcgee@otago.ac.nz
We assessed the criterion-related validity of a contemplation ladder used to determine college students' readiness to reduce binge drinking. 1356 students in halls of residence in Dunedin, New Zealand completed a self-report survey including the contemplation ladder, AUDIT questionnaire, and other alcohol-related measures. Two groups of binge drinkers were identified, one reporting bingeing more than twice per week (n=645), and one bingeing 1-2 times per week (n=237). A third group did not report binge drinking (n=474). A higher readiness to change binge drinking was associated with more frequent bingeing, more interpersonal and academic problems with alcohol, less frequent use of cannabis, and living in a hall with a norm of binge drinking. The contemplation ladder for alcohol was sensitive to other alcohol-related behaviours, and may be useful in surveys of drinking where a brief measure of readiness to change is needed.
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