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Participants were from 12 universities in the United States ( n\u2009=\u20092,163 college students, M\n                    <jats:sub>age\u2009<\/jats:sub>\n                    =\u200919.47), predominantly identified as White (74%), and female (68.7%), who completed measures of typical weekly drinking, risky drinking, ARNC, and PBSA use. ANOVAs revealed that the heavy alcohol users and risky drinkers reported significantly fewer total PBSA, subtype strategy use, and greater negative consequences than their counterparts. Harm reduction interventions may benefit from identifying and targeting college students who are engaging in heavy alcohol use and risky drinking regardless of sex.\n                  <\/jats:p>","DOI":"10.1177\/00472379241278325","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T10:45:49Z","timestamp":1724841949000},"page":"3-16","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Alcohol Protective Behavioral Strategy use and Negative Consequences Across Heavy Alcohol Users and Risky Drinkers"],"prefix":"10.1177","volume":"54","author":[{"given":"Skyler M.","family":"Hoover","sequence":"first","affiliation":[{"name":"School of Psychology, The Univerisity of Southern Mississippi, Hattiesburg, MS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Molly J.","family":"Swinney","sequence":"additional","affiliation":[{"name":"School of Psychology, The Univerisity of Southern Mississippi, Hattiesburg, MS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren A.","family":"Greenspoon","sequence":"additional","affiliation":[{"name":"School of Psychology, The Univerisity of Southern Mississippi, Hattiesburg, MS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2025-8856","authenticated-orcid":false,"given":"Michael B.","family":"Madson","sequence":"additional","affiliation":[{"name":"School of Psychology, The Univerisity of Southern Mississippi, Hattiesburg, MS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byron L.","family":"Zamboanga","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, The University of Arkansas, Fayetteville, AR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan","family":"Haga","sequence":"additional","affiliation":[{"name":"School of Psychology, The Univerisity of Southern Mississippi, Hattiesburg, MS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Harm Reduction Research Team **","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"bibr1-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.53.2.189"},{"key":"bibr2-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1080\/02791072.2021.2023240"},{"key":"bibr3-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2018.1456545"},{"key":"bibr4-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-022-00813-1"},{"key":"bibr5-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1097\/01.ALC.0000171940.95813.A5"},{"key":"bibr6-00472379241278325","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-018-1161-1"},{"key":"bibr7-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12913"},{"key":"bibr8-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.7.1.19"},{"key":"bibr9-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1037\/a0031788"},{"key":"bibr10-00472379241278325","doi-asserted-by":"publisher","DOI":"10.3109\/09687637.2013.766788"},{"key":"bibr11-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1177\/1073191118792091"},{"key":"bibr12-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1080\/15332640.2013.798848"},{"key":"bibr13-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2013.10.020"},{"key":"bibr14-00472379241278325","unstructured":"National Institute on Alcohol Abuse and Alcoholism (2023). Drinking levels defined. Retrieved from https:\/\/www.niaaa.nih.gov\/alcohol-health\/overview-alcohol-consumption\/moderate-binge-drinking."},{"key":"bibr15-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2020.106320"},{"key":"bibr16-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2013.08.006"},{"key":"bibr17-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1037\/pha0000498"},{"key":"bibr18-00472379241278325","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2013.03.010"},{"key":"bibr19-00472379241278325","volume-title":"Monitoring the future national survey results on drug use, 1975\u20132020: Volume II, College students and adults ages 19\u201360","author":"Schulenberg J. E.","year":"2021"},{"key":"bibr20-00472379241278325","volume":"114","author":"Schwebel F. 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