Background: University students’ alcohol use is a social concern in Hong Kong. While the association between sociodemographic factors and university students’ drinking behaviors has been widely studied, such research remains limited in the Hong Kong context. Methods: This study collected 147 valid responses from students at a public university in Hong Kong using self-administered questionnaires. Bivariate analyses and multivariable logistic and linear regression models were used to examine the correlates of four drinking-related outcomes, which were drinking status, binge drinking behavior, number of standard drinks, and AUDIT score. Results: Alcohol use is relatively common (81.6%). 44.2% of students engaged in binge drinking with different frequencies. Male gender and being international students were the most consistent correlates. While male gender showed increased risk, being international students demonstrated a protective effect. In addition, age and study year were significant correlates of the number of standard drinks, while on-campus residence was significantly associated with a higher likelihood of past-year drinking. Conclusion: Although alcohol misuse generally is not a serious problem at this public university in Hong Kong, a subgroup of students shows signs of problematic drinking. These findings suggest that alcohol prevention programs may be more effective if they are targeted at male students and those living on-campus rather than taking a uniform approach.
References
[1]
Abar, C., & Turrisi, R. (2008). How Important Are Parents during the College Years? A Longitudinal Perspective of Indirect Influences Parents Yield on Their College Teens’ Alcohol Use. Addictive Behaviors, 33, 1360-1368. https://doi.org/10.1016/j.addbeh.2008.06.010
[2]
Abdullah, A. S. M., Fielding, R., & Hedley, A. J. (2002). Patterns of Cigarette Smoking, Alcohol Use and Other Substance Use among Chinese University Students in Hong Kong. The American Journal on Addictions, 11, 235-246. https://doi.org/10.1080/10550490290088018
[3]
Ahmed, S., Abu-Ras, W., & Arfken, C. L. (2014). Prevalence of Risk Behaviors among U.S. Muslim College Students. Journal of Muslim Mental Health, 8, 5-19. https://doi.org/10.3998/jmmh.10381607.0008.101
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., Monteiro, M. G., & World Health Organization (2001). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. World Health Organization.
[6]
Bard, S. M., & Peacock, J. B. (1976). Smoking and Drinking Habits of Students at the University of Hong Kong: A Longitudinal Study. Public Health, 90, 219-225. https://doi.org/10.1016/s0033-3506(76)80052-2
[7]
Berkowitz, A. D., & Perkins, H. W. (1987). Recent Research on Gender Differences in Collegiate Alcohol Use. Journal of American College Health, 36, 123-129. https://doi.org/10.1080/07448481.1987.9939003
[8]
Davoren, M. P., Demant, J., Shiely, F., & Perry, I. J. (2016). Alcohol Consumption among University Students in Ireland and the United Kingdom from 2002 to 2014: A Systematic Review. BMC Public Health, 16, Article No. 173. https://doi.org/10.1186/s12889-016-2843-1
[9]
El Ansari, W., Sebena, R., & Stock, C. (2013). Socio-Demographic Correlates of Six Indicators of Alcohol Consumption: Survey Findings of Students across Seven Universities in England, Wales and Northern Ireland. Archives of Public Health, 71, Article No. 29. https://doi.org/10.1186/2049-3258-71-29
[10]
Gasparotto, G. D. S., Fantineli, E. R., & Campos, W. D. (2015). Tobacco Use and Alcohol Consumption Associated with Sociodemographic Factors among College Students. Acta Scientiarum. Health Sciences, 37, 11-18. https://doi.org/10.4025/actascihealthsci.v37i1.24109
[11]
Griffiths, S., Lau, J. T. F., Chow, J. K. W., Lee, S. S., Kan, P. Y. M. Y., & Lee, S. (2006). Alcohol Use among Entrants to a Hong Kong University. Alcohol and Alcoholism, 41, 560-565. https://doi.org/10.1093/alcalc/agl047
[12]
Harrell, Z. A. T., Huang, J. L., & Kepler, D. M. (2013). Brief Report: Affluence and College Alcohol Problems: The Relevance of Parent‐ and Child‐Reported Indicators of Socioeconomic Status. Journal of Adolescence, 36, 893-897. https://doi.org/10.1016/j.adolescence.2013.06.009
[13]
Huang, R., Ho, S. Y., Wang, M. P., Lo, W. S., & Lam, T. H. (2016). Sociodemographic Risk Factors of Alcohol Drinking in Hong Kong Adolescents. Journal of Epidemiology and Community Health, 70, 374-379. https://doi.org/10.1136/jech-2015-206418
[14]
Ji, C. Y., Hu, P. J., & Song, Y. (2012). The Epidemiology of Alcohol Consumption and Misuse among Chinese College Students. Alcohol and Alcoholism, 47, 464-472. https://doi.org/10.1093/alcalc/ags037
[15]
Kim, J. H., Chan, K. W. C., Chow, J. K. W., Fung, K. P., Fong, B. Y. F., Cheuk, K. K. et al. (2009). University Binge Drinking Patterns and Changes in Patterns of Alcohol Consumption among Chinese Undergraduates in a Hong Kong University. Journal of American College Health, 58, 255-265. https://doi.org/10.1080/07448480903295318
[16]
Kim, J., Yu, J. Z., Chan, R. H. W., Leung, K. L., Sumerlin, T. S., Fong, B. et al. (2020). Knowledge, Attitudes and Binge Drinking among Urban Chinese University Students in Hong Kong. European Journal of Public Health, 30, ckaa166.396. https://doi.org/10.1093/eurpub/ckaa166.396
[17]
Lorant, V., Nicaise, P., Soto, V. E., & d’Hoore, W. (2013). Alcohol Drinking among College Students: College Responsibility for Personal Troubles. BMC Public Health, 13, Article No. 615. https://doi.org/10.1186/1471-2458-13-615
[18]
Martin, C. C. (2019). High Socioeconomic Status Predicts Substance Use and Alcohol Consumption in U.S. Undergraduates. Substance Use & Misuse, 54, 1035-1043. https://doi.org/10.1080/10826084.2018.1559193
[19]
Najjar, L. Z., Young, C. M., Leasure, L., Henderson, C. E., & Neighbors, C. (2016). Religious Perceptions of Alcohol Consumption and Drinking Behaviours among Religious and Non-Religious Groups. Mental Health, Religion & Culture, 19, 1028-1041. https://doi.org/10.1080/13674676.2017.1312321
[20]
National Institute on Alcohol Abuse and Alcoholism (2026). Understanding Alcohol Drinking Patterns. https://www.niaaa.nih.gov/alcohols-effects-health/alcohol-drinking-patterns
[21]
Patock-Peckham, J. A., Hutchinson, G. T., Cheong, J., & Nagoshi, C. T. (1998). Effect of Religion and Religiosity on Alcohol Use in a College Student Sample. Drug and Alcohol Dependence, 49, 81-88. https://doi.org/10.1016/s0376-8716(97)00142-7
[22]
Reinert, D. F., & Allen, J. P. (2002). The Alcohol Use Disorders Identification Test (AUDIT): A Review of Recent Research. Alcoholism: Clinical and Experimental Research, 26, 272-279. https://doi.org/10.1111/j.1530-0277.2002.tb02534.x
[23]
Richards, D. K., Pearson, M. R., & Field, C. A. (2022). A Comprehensive Examination of Alcohol-Related Motivations among College Students: Unique Relations of Drinking Motives and Motivations for Drinking Responsibly. Experimental and Clinical Psychopharmacology, 30, 809-819. https://doi.org/10.1037/pha0000526
[24]
White, A., & Hingson, R. (2013). The Burden of Alcohol Use: Excessive Alcohol Consumption and Related Consequences among College Students. Alcohol Research: Current Reviews, 35, 201-218. https://doi.org/10.35946/arcr.v35.2.11
[25]
Wood, M. D., Read, J. P., Mitchell, R. E., & Brand, N. H. (2004). Do Parents Still Matter? Parent and Peer Influences on Alcohol Involvement among Recent High School Graduates. Psychology of Addictive Behaviors, 18, 19-30. https://doi.org/10.1037/0893-164x.18.1.19
[26]
Yi, S., Ngin, C., Peltzer, K., & Pengpid, S. (2017). Health and Behavioral Factors Associated with Binge Drinking among University Students in Nine ASEAN Countries. Substance Abuse Treatment, Prevention, and Policy, 12, Article 32. https://doi.org/10.1186/s13011-017-0117-2
[27]
Yu, B., & Wright, E. (2026). Paradoxes in Intercultural Communication, Acculturation Strategies and Adaptation Outcomes: International Students in Hong Kong. Journal of Multilingual and Multicultural Development, 47, 912-929. https://doi.org/10.1080/01434632.2024.2407909
[28]
Yuen, C. Y. M., Lee, M., & Leung, C. S. (2016). Religious Belief and Its Association with Life Satisfaction of Adolescents in Hong Kong. Journal of Beliefs & Values, 37, 103-113. https://doi.org/10.1080/13617672.2016.1141533