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AIBs are associated with experiencing increased alcohol\u2010related consequences. To inform efforts to reduce alcohol\u2010related harms on especially risky drinking days that result in AIBs, we sought to identify contextual factors that contribute to excess AIB\u2010associated harms. This study aims to (1) examine relationships between AIBs and four consequence domains; and (2) explore how these relationships differ by social context and location.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Young adults (\n                      <jats:italic>N\u2009=<\/jats:italic>\n                      \u2009175, 52.6% female, 86.9% White,\n                      <jats:italic>M<\/jats:italic>\n                      <jats:sub>age<\/jats:sub>\n                      \u2009=\u200920.8) with recent heavy drinking and AIBs wore alcohol sensors and completed surveys about their consequences (including AIBs) and the social context and locations in which drinking occurred over six weekends. Four consequence domains included positive (reflective of desired alcohol expectancies), common (relatively acute, low potential for personal harm), uncommon (relatively serious, i.e., sexual, legal, great potential for personal harm), and alcohol\u2010related problems (related to impaired control and physical dependence). Multilevel structural equation models were conducted to test for main effects of AIBs and moderating effects of contextual factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>AIBs were significantly associated with experiencing 15% more positive consequences, 205% more common consequences, 367% more uncommon consequences, and 166% more alcohol\u2010related problems. AIBs were more strongly associated with common consequences and alcohol\u2010related problems when drinking occurred exclusively with family, friend(s), and\/or a romantic partner (vs. with a large group). AIBs were also more strongly associated with common consequences when drinking took place exclusively at a residential location (vs. non\u2010residential). No other significant moderating effects were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Days with an AIB were associated with experiencing significantly more positive and negative alcohol\u2010related consequences compared to days without an AIB. Our findings support the notion that the context in which drinking occurs is an important consideration for reducing alcohol\u2010related harms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70310","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T14:01:43Z","timestamp":1783692103000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Contextual Moderators of the Relationship Between Alcohol\u2010Induced Blackouts and Alcohol\u2010Related Consequences Among Young Adults"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1391-0607","authenticated-orcid":false,"given":"Veronica L.","family":"Richards","sequence":"first","affiliation":[{"name":"TSET Health Promotion Research Center, Stephenson Cancer Center University of Oklahoma Health Sciences  Tulsa Oklahoma USA"},{"name":"Department of Health Promotion Sciences University of 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