RT Journal A1 Moreno MA, Christakis DA, Egan KG, Brockman LN, Becker T T1 ASsociations between displayed alcohol references on facebook and problem drinking among college students JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2012 FD February 1 VO 166 IS 2 SP 157 OP 163 DO 10.1001/archpediatrics.2011.180 UL http://dx.doi.org/10.1001/archpediatrics.2011.180 AB Objective  To examine the associations between displayed alcohol use and intoxication/problem drinking (I/PD) references on Facebook and self-reported problem drinking using a clinical scale.Design  Content analysis and cross-sectional survey.Setting  Facebook Web site (http://www.facebook.com/).Participants  The study included undergraduate students (age range, 18-20 years) at 2 state universities with public Facebook profiles.Main Exposures  The profiles were categorized into 1 of 3 distinct categories: Nondisplayers, Alcohol Displayers, and I/PD Displayers.Outcome Measures  An online survey measured problem drinking using the Alcohol Use Disorders Identification Test (AUDIT) scale. Analyses examined associations between alcohol display category and (1) AUDIT problem drinking category using logistic regression, (2) AUDIT score using negative binomial regression, and (3) alcohol-related injury using the Fisher exact test.Results  Among 307 profiles identified, 224 participants completed the survey (73% response rate). The average age was 18.8 years; 122 (54%) were female; 152 (68%) were white; and approximately 50% were from each university. Profile owners who displayed I/PD were more likely (odds ratio, 4.4; 95% CI, 2.0-9.4) to score in the problem drinking category of the AUDIT scale, had 64.0% (incidence rate ratio, 1.64; 95% CI, 1.27-11.0) higher AUDIT scores overall, and were more likely to report an alcohol-related injury in the past year (P = .002).Conclusions  Displayed references to I/PD were positively associated with AUDIT scores suggesting problem drinking as well as alcohol-related injury. Results suggest that clinical criteria for problem drinking can be applied to Facebook alcohol references.