Pre-College Pregaming: Practices, Risk Factors, and Relationship to Other Indices of Problematic Drinking During the Transition From High School to College

This study examined alcohol use and pregaming (i.e., drinking before going out) in the transition from high school to college and had 3 objectives: (1) evaluating pregaming prevalence and characteristics during this time, (2) determining whether it represents a unique risk for problematic drinking above-and-beyond traditional measures of consumption (i.e., quantity/frequency: QFI, and heavy episodic drinking: HED), and (3) identifying characteristics of individuals who pregame. Alcohol use and beliefs (i.e., self-reported quantity/frequency, pregaming practices, drinking game participation, alcohol-related problems, and expectancies) were assessed in entering freshmen (N = 1171) with prior alcohol use for the 3 months between high school and starting college. Results revealed that 65% of drinkers pregamed in the past, and most did so on fewer than 50% of their overall drinking occasions, consuming an average of 3 drinks in 27 min and most (87%) drank afterward. Hierarchical regression analyses indicated that pregaming frequency explained an additional 7.0% of variance in problematic alcohol use above-and-beyond overall drinking and demographic risk factors (e.g., gender, ethnicity, and Greek affiliation: R-2 = .43 for overall model). Separate analyses indicated that demographics did not moderate the relationship between pregaming and problems. Regression analyses predicting pregaming frequency identified 7 characteristics associated with this outcome including demographics (gender, ethnicity, Greek affiliation), heavy drinking, drinking game frequency, and 2 scales of the Alcohol Expectancy Inventory (AEI: Attractive and Woozy). Findings implicate pregaming as a common practice during the transition to college, and highlight the need for additional studies examining pregaming changes across the freshman year.