Profiles of alcohol intoxication and their associated risks in young adults' natural settings: A multilevel latent profile analysis applied to daily transdermal alcohol concentration data.

IF 3.2 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology of Addictive Behaviors Pub Date : 2024-08-01 DOI:10.1037/adb0001022

Michael A Russell, Veronica L Richards, Robert J Turrisi, Cara L Exten, Ivan Jacob Agaloos Pesigan, Gabriel C Rodríguez

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引用次数: 0

Abstract

Objective: Transdermal alcohol concentration (TAC) sensors capture aspects of drinking events that self-reports cannot. The multidimensional nature of TAC data allows novel classification of drinking days and identification of associated behavioral and contextual risks. We used multilevel latent profile analysis (MLPA) to create day-level profiles of TAC features and test their associations with (a) daily behaviors and contexts and (b) risk for alcohol use disorders at baseline.

Method: Two hundred twenty-two regularly heavy-drinking young adults (M_age = 22.3) completed the Alcohol Use Disorders Identification Test (AUDIT) at baseline and then responded to mobile phone surveys and wore TAC sensors for six consecutive days. MLPA identified day-level profiles using four TAC features (peak, rise rate, fall rate, and duration). TAC profiles were tested as correlates of daily drinking behaviors, contexts, and baseline AUDIT.

Results: Four profiles emerged: (a) high-fast (8.5% of days), (b) moderate-fast (12.8%), (c) low-slow (20.4%), and (d) little-to-no drinking days (58.2%). Profiles differed in the odds of risky drinking behaviors and contexts. The highest risk occurred on high-fast days, followed by moderate-fast, low-slow, and little-to-no drinking days. Higher baseline AUDIT predicted higher odds of high-fast and moderate-fast days.

Conclusions: Days with high and fast intoxication are reflective of high-risk drinking behaviors and were most frequent among those at risk for alcohol use disorders. TAC research using MLPA may offer novel and important insights to intervention efforts. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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青壮年自然环境中酒精中毒及其相关风险的概况：应用于每日透皮酒精浓度数据的多层次潜在特征分析。

目的：经皮酒精浓度（TAC）传感器能捕捉到自我报告无法捕捉到的饮酒事件的各个方面。经皮酒精浓度数据的多维性允许对饮酒日进行新的分类，并识别相关的行为和环境风险。我们使用多层次潜在特征分析（MLPA）创建了TAC特征的日级特征，并测试了它们与（a）日常行为和环境以及（b）基线酒精使用障碍风险之间的关联：222 名经常大量饮酒的年轻人（Mage = 22.3）在基线时完成了酒精使用障碍鉴定测试（AUDIT），然后回答了手机调查，并连续六天佩戴了 TAC 传感器。MLPA 使用四个 TAC 特征（峰值、上升率、下降率和持续时间）识别出日级特征。测试结果显示，TAC特征与日常饮酒行为、情境和基线AUDIT相关：出现了四种特征：（a）高-快（8.5%的天数），（b）中-快（12.8%），（c）低-慢（20.4%）和（d）少-无饮酒天数（58.2%）。危险饮酒行为的几率和环境各不相同。高快餐日的饮酒风险最高，其次是中快餐日、低快餐日和几乎不饮酒日。基线AUDIT越高，高快感和中快感发生的几率就越高：结论：高醉酒率和快速醉酒率反映了高风险饮酒行为，在有酒精使用障碍风险的人群中最为常见。使用 MLPA 进行的 TAC 研究可为干预工作提供新颖而重要的见解。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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来源期刊

Psychology of Addictive Behaviors Multiple-

CiteScore

4.90

自引率

11.80%

发文量

165

期刊介绍： Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.