目標：狂飲行為是最具危險性的飲酒行為，心理、環境、文化等因素皆可能影響狂飲行為 產生。由於台灣留學生的狂飲行為長期受到忽略，本研究旨在探討上述各因子對於台灣留學 生狂飲行為之影響。方法：本研究採自填式問卷於2012年收集資料，共522位在美國大學就讀 的台灣留學生完成填答。研究以階層羅吉斯迴歸來分析影響狂飲行為的因子，迴歸分析輸入 的順序為：(一)基本背景資料；(二)成癮物質使用習慣；(三)環境因素；(四)行為與心理因素； (五)文化涵化。結果：研究結果發現年齡較小、大學生（與研究生比）、與室友同住於校外、 有吸菸習慣者較有可能出現狂飲行為。此外，同儕的飲酒態度、自己對飲酒的預期效果、飲酒 導致負面事件與文化涵化等因子皆能預測台灣留學生的狂飲行為。性別、校園飲酒文化、與拒 絕飲酒信心則未具有顯著預測力。結論：同儕態度、對飲酒的預期效果、飲酒導致負面事件以 及美國文化的涵化程度為台灣留學生狂飲行為的重要危險因子。（台灣衛誌 2017；36(5)：487- 496）

Objectives: Binge drinking is the most dangerous drinking behavior and could be influenced by psychological, environmental, and cultural factors. Due to limited studies of international Taiwanese college students’ binge-drinking behavior, the aim of this study is to investigate the aforementioned factors influencing binge drinking behavior, focusing on international Taiwanese college students in the United States. Methods: A survey method was employed in 2012. In total, 522 valid responses were collected. A sequential logistic regression was applied to investigate determinants influencing binge-drinking behavior. Factors were entered by the following order: (1) demographics, (2) substance use, (3) environment, (4) behavioral and psychological factors, (5) acculturation. Results: The results showed factors of younger age, undergraduate status, living off campus with roommates, and being current smokers increased the likelihood of engaging in binge-drinking behavior. Moreover, peers’ attitude toward drinking, drinking expectancy, negative consequences of drinking, and acculturation were significant factors predicting international Taiwanese college students’ binge-drinking behavior. In contrast, gender, campus drinking culture, and confidence in refusing alcohol were not significant predictors. Conclusions: Peers’ attitude toward drinking, drinking expectancy, negative consequences of drinking, and acculturation are risk factors of international Taiwanese college students’ binge drinking behavior. (Taiwan J Public Health. 2017;36(5):487-496)