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S77Poster Abstracts / 48 (2011) S18–S120

of Belief that Substance Use is Treatable, Belief that Physicianshave a Responsibility to perform SBIRT, and Belief that Physi-cian use of SBIRT will Improve Treatment Success were con-structed. Four measures of previous year SBIRT training wereentered as potential predictor variables. These includedchange in score on an SBIRT Knowledge test and self-reportedmeasures of didactic hours of SBIRT training, percent of pa-tients seen with substance use issues, and extent of clinicalexperience with substance use in the past year. Baseline atti-tude, age, being a resident of color, personally knowing some-one with an alcohol abuse problem, gender, and level of resi-dency training were entered as control variables.Results: The mean age of the residents was 32.0 years, 57%were pediatric residents, 62% were residents of color (33%Latino, 27% Asian, 2% African American), and 76%were female.The strongest predictor of positive attitude at 12 months wasbaseline attitude. Increase in score on the SBIRT Knowledgetest was also consistently correlated with positive attitude at12 months.Conclusions: Positive baseline attitude about the clinicalmanagement of substance use was the strongest predictor ofpositive attitude at 12months; however, increased knowledgeabout SBIRT was also correlated with positive attitudes. Toincrease the likelihood that adolescents will have access toeffective clinicalmanagement of substance use, residency pro-grams should actively recruit students with positive baselineattitudes. Increasing knowledge about SBIRT during residencytraining will further increase the likelihood that future pedia-tricians and family physicians believe that substance use istreatable, that they have a responsibility to manage substanceuse, and that their interventions will improve treatment suc-cess.Sources of Support: Substance Abuse and Mental Health Ser-ices Administration.

115.

ASSOCIATIONS BETWEEN DISPLAYED ALCOHOL REFERENCESON FACEBOOK AND SELF-REPORTED PROBLEM ALCOHOLUSEMegan Moreno, MD, MSEd, MPH2, Katie Egan,EMT5, Tara Becker, MS, PhD2, Libby Brockman,S3, Michael Swanson, BA4, Dimitri Christakis,D, MPH1. 1Seattle Children’s Research

nstitute 2University of Wisconsin 3University ofisconsin Madison 4University of Wisconsin

School of Medicine and Public Health5University of Wisconsin-Madison

Purpose: Social networking sites (SNSs) are popular amongcollege students; references to alcohol use, intoxication, andproblem drinking are commonly displayed on SNS profiles.The validity of SNS references to alcohol use as an indicator ofproblem drinking remains unexplored. The purpose of thisstudywas to examine the association between displayed alco-hol references and self-reported alcohol consumption.Methods: Public Facebook profiles of undergraduates aged 18to 20 from two state universities were examined for displayedalcohol references by three trained coders. Profiles were cate-gorized into one of three distinct categories: no alcohol refer-

ences, alcohol references and intoxication/problem drinking

eferences. A 20% subsample was evaluated for interrater reli-bility; Cohen’s kappa for categorization of alcohol referencesas 0.82. An online surveywas administeredmeasuring prob-

em drinking using the AUDIT scale. Analyses included logisticegression to examine the relationship between alcohol dis-lay category and odds of meeting problem drinking criteria,nd negative binomial regression to examine the relationshipetween alcohol display category and AUDIT score.esults: A total of 224 participants completed the survey (75%esponse rate), of these, the average age was 18.8 years, 12254%) were female, 152 (68%) were white, and approximatelyalf were from each university. On Facebook profiles: 64%isplayed no alcohol, 20% displayed alcohol and 16% displayedntoxication/problem drinking. Profile owners who displayedntoxication/problem drinking were more likely to score intohe problem drinking category of the AUDIT scale (OR � 4.4;5% CI: 2.0-9.4) and had 63% (95% CI: 27%-110%) higher AUDITcores overall.onclusions: Displayed references to intoxication/problemrinking on Facebook were positively associated with AUDITcores suggesting problem alcohol use. Results suggest thatlinical criteria for problem drinking can be applied to Face-ook alcohol references in consideration of future research orntervention efforts.ources of Support: The work described was supportedy award K12HD055894 from NICHD and by award21AA017936-01A1 from NIAAA.

116.

ALCOHOL ON UNDERGRADUATE MALES’ FACEBOOKPROFILESKatie Egan, EMT2, Megan Moreno, MD, MSEd,MPH1. 1University of Wisconsin 2University ofisconsin-Madison

Purpose: Over 90% of college students report alcohol con-sumption in the past year, andmale students aremore likely tosuffer morbidity and mortality from their alcohol use. Per-ceived peer alcohol use is a predictor of consumption in col-lege males; frequent references to alcohol on Facebook mayencourage alcohol consumption. Thepurpose of this studywasto perform a content analysis of male undergraduates’ Face-book profiles for references to alcohol use.Methods: Facebook profiles of male undergraduate studentsat a large Midwestern university were identified through asearch of public profiles (n � 225). Profiles were included ifthey reported age of 18-22 years old and were currently en-rolled undergraduates. Content analysis of Facebook profilesincluded references to alcohol from the date the profile wasformed until date of June 1, 2009. Prevalence was identifiedand compared by grade and age. The time that each referenceoccurred was recorded. ANOVA was used to compare meansbetween groups.Results: Profiles of 225 undergraduate males were evaluated.The average agewas19.9 years, and68%of profiles belonged tostudents who were under the legal drinking age of 21 years.Alcohol referenceswere present on 85.3% of profiles; the prev-alence of alcoholwas similar across eachundergraduate grade.The average number of alcohol references per profile was 8.5,

but increased with undergraduate year (p � .003; CI: 1.5-7.5).