Drinking contexts, coping motive, simultaneous cannabis use, and high-intensity drinking among adults in the United States.

IF 2.1 4区医学 Q3 SUBSTANCE ABUSE

Alcohol and alcoholism Pub Date : 2024-05-14 DOI:10.1093/alcalc/agae038

Won Kim Cook, Camillia K Lui, Thomas K Greenfield, Meenakshi Subbaraman, Libo Li, William C Kerr

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引用次数: 0

Abstract

Aims: High-intensity drinking (HID), extreme drinking considerably above the level of heavy episodic drinking (HED), is associated with long-term health and social consequences. There is limited understanding of HID beyond young adulthood. This study aims to identify concurrent risk factors for HID, comparing age differences among all adults.

Methods: Multinomial logistic and linear regression modeling was performed using a nationally-representative sample of adults (analytic n = 7956) from the 2015 and 2020 National Alcohol Surveys. The outcomes were any HID of 8-11 drinks and 12+ drinks for men, and 8+ drinks for women, and corresponding frequencies. Concurrent risk factors included coping motive, sensation seeking, simultaneous use of alcohol and cannabis (SAC), and drinking at a bar or party. Analyses were stratified by age (18-29 vs. older) and sex.

Results: For younger men, sensation-seeking was significantly associated with HID (vs. no HED) at both levels and frequency of HID 8-11 drinks, while drinking to cope was only significant for 12+ drinks. For older men, drinking to cope was a consistent predictor for both HID level and its frequency, but sensation-seeking was not significant. Both coping and sensation-seeking were significantly associated with any HID for all women, while coping was significant for HID frequency for younger women. Frequent drinking at bars and parties were associated with greater odds of HID for all adults. With HED as referent, similar patterns of (though fewer significant) associations were observed.

Conclusions: Younger and older adults share similar risk factors for HID, with coping more consistent for older men.

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美国成年人的饮酒环境、应对动机、同时吸食大麻和高强度饮酒。

目的：高强度饮酒（HID），即大大超过偶发性大量饮酒（HED）水平的极端饮酒，与长期的健康和社会后果有关。目前对青年期以后的高强度饮酒了解有限。本研究旨在确定 HID 的并发风险因素，比较所有成年人的年龄差异：使用 2015 年和 2020 年全国酒精调查中具有全国代表性的成人样本（分析 n = 7956）进行了多项式逻辑和线性回归建模。结果是男性饮酒 8-11 次和 12 次以上、女性饮酒 8 次以上的任何 HID 及其相应频率。同时存在的风险因素包括应对动机、寻求感觉、同时使用酒精和大麻（SAC）以及在酒吧或聚会上饮酒。根据年龄（18-29 岁与更大年龄）和性别进行了分层分析：结果：对于年轻男性而言，在 8-11 次饮酒的 HID 水平和频率下，寻求感觉与 HID（相对于无 HED）显著相关，而饮酒应付仅在 12 次以上饮酒时显著相关。对于老年男性来说，为应付而饮酒对HID水平和频率的预测作用是一致的，但对寻求感觉的预测作用不明显。对于所有女性来说，应付型饮酒和寻求感觉型饮酒与任何 HID 都有显著相关性，而对于年轻女性来说，应付型饮酒与 HID 频率有显著相关性。在所有成年人中，经常在酒吧和聚会中饮酒与发生 HID 的几率增加有关。以HED为参照物，观察到了类似的关联模式（尽管显著性较低）：结论：年轻人和老年人具有类似的 HID 风险因素，老年男性的应对措施更为一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Alcohol and alcoholism 医学-药物滥用

CiteScore

4.70

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.