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      Alcohol Use and Sexual Violence among Nursing Students in Catalonia, Spain: A Multicentre Cross-Sectional Study

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          Abstract

          (1) Background: Sexual violence (SV) has become common in universities for reasons related to unwanted social/peer pressures regarding alcohol/drug use and sexual activities. Objectives: To identify perceptions of SV and alcohol use and estimate prevalence among nursing students in Catalonia, Spain. (2) Methods: Observational descriptive cross-sectional study of a convenience sample of nursing students attending public universities. (3) Results: We recruited 686 students (86.11% women), who reported as follows: 68.7% had consumed alcohol, 65.6% had been drunk at least once in the previous year, 62.65% had experienced blackouts and 25.55% had felt pressured to consume alcohol. Drunkenness and blackouts were related ( p < 0.000). Of the 15.6% of respondents who had experienced SV, 47.7% experienced SV while under the influence of alcohol and were insufficiently alert to stop what was happening, while 3.06% reported rape. SV was more likely to be experienced by women (OR: 2.770; CI 95%: 1.229–6.242; p = 0.014), individuals reporting a drunk episode in the previous year (OR: 2.839; 95% CI: 1.551–5.197; p = 0.001) and individuals pressured to consume alcohol (OR: 2.091; 95% CI: 1.332–3.281; p = 0.001). (4) Conclusions: Nursing instructors need to raise student awareness of both the effects of alcohol use and SV, so as to equip these future health professionals with the knowledge and skills necessary to deal with SV among young people.

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          Most cited references50

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          REVISING THE SES: A COLLABORATIVE PROCESS TO IMPROVE ASSESSMENT OF SEXUAL AGGRESSION AND VICTIMIZATION

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            Pluralistic ignorance and alcohol use on campus: some consequences of misperceiving the social norm.

            Four studies examined the relation between college students' own attitudes toward alcohol use and their estimates of the attitudes of their peers. All studies found widespread evidence of pluralistic ignorance: Students believed that they were more uncomfortable with campus alcohol practices than was the average student. Study 2 demonstrated this perceived self-other difference also with respect to one's friends. Study 3 traced attitudes toward drinking over the course of a semester and found gender differences in response to perceived deviance: Male students shifted their attitudes over time in the direction of what they mistakenly believed to be the norm, whereas female students showed no such attitude change. Study 4 found that students' perceived deviance correlated with various measures of campus alienation, even though that deviance was illusory. The implications of these results for general issues of norm estimation and responses to perceived deviance are discussed.
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              Changing Norms to Change Behavior.

              Providing people with information about the behavior and attitudes of their peers is a strategy commonly employed by those seeking to reduce behavior deemed harmful either to individuals (e.g., high alcohol consumption) or the collective (e.g., high energy consumption). We review norm-based interventions, detailing the logic behind them and the various forms they can take. We give special attention to interventions designed to decrease college students' drinking and increase environment-friendly behaviors. We identify the conditions under which norm information has the highest likelihood of changing the targeted behavior and discuss why this is the case.
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                Author and article information

                Contributors
                Role: Academic Editor
                Role: Academic Editor
                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                04 June 2021
                June 2021
                : 18
                : 11
                : 6036
                Affiliations
                [1 ]Health and Healthcare Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain; concepcio.fuentes@ 123456udg.edu (C.F.-P.); alba.berenguer@ 123456udg.edu (A.B.-S.); carolina.rascon@ 123456udg.edu (C.R.-H.)
                [2 ]Primary Care, Health Care Institute, 17005 Girona, Spain; zairareyes.94@ 123456gmail.com
                [3 ]Nursing Department, Faculty of Nursing, Rovira and Virgili University, Avinguda Catalunya, 35, 43002 Tarragona, Spain; mdolors.burjales@ 123456urv.cat
                [4 ]Department of Public Health, Mental Health and Perinatal Nursing, Faculty of Medicine, University of Barcelona, Feixa Llarga, s/n, 08907 L’Hospitalet del Llobregat, Spain; arigol@ 123456ub.edu (A.R.-C.); dolorsrodriguezmart@ 123456ub.edu (D.R.-M.)
                [5 ]Department of Fundamental Care and Medical Surgital Nursing, Faculty of Medicine and Health Sciences, School of Nursing, Consolidated Research Group on Gender, Identity and Diversity (2017-SGR-1091), University of Barcelona, 08036 Barcelona, Spain; emaestre@ 123456ub.edu
                [6 ]Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVic-UCC), C. Sagrada Família, 7, 08500 Vic, Spain; Paola.Galbany@ 123456uvic.cat
                Author notes
                [* ]Correspondence: david.ballester@ 123456udg.edu ; Tel.: +34-972-418771
                Author information
                https://orcid.org/0000-0003-3215-4795
                https://orcid.org/0000-0003-3775-1695
                https://orcid.org/0000-0002-5523-9954
                Article
                ijerph-18-06036
                10.3390/ijerph18116036
                8200010
                34199702
                da235a2f-b514-461d-b9bf-e187a66bd689
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( https://creativecommons.org/licenses/by/4.0/).

                History
                : 10 May 2021
                : 03 June 2021
                Categories
                Article

                Public health
                sexual violence,sexual assault,alcohol,leisure,nursing students
                Public health
                sexual violence, sexual assault, alcohol, leisure, nursing students

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