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Alcohol mixed energy drinks (AmED) may promote excessive alcohol intake and risk-taking among college students.  Objective:  To understand the relationship between AmED use and risky behavior as well as attitudes and motivations for AmED use.  Participants:  Undergraduate college students N = 422 (Study 1), N = 37 (Study 2).  Methods:  Using a mixed-methods approach, we first surveyed undergraduate students about their AmED and alcohol consumption and a series of risk behaviors, self-efficacy, and beliefs (Study 1). We then conducted focus groups within the same population to better understand attitudes, knowledge, and motivations for using AmED (Study 2).  Results:  Recent AmED use was significantly associated with an increased number of reported binge drinking occasions and self-reported driving while intoxicated events. Our qualitative data analyses revealed two major themes associated with AmED consumption: factors encouraging AmED use and decisions about driving while under the influence of alcohol.  Conclusions:  These findings add to the literature of beliefs and motivations for AmED use among college students.

Alcohol mixed energy drink usage and risk-taking among college students in Western New York State