描述性饮酒规范和态度对饮酒结果的人与人之间影响的纵向分析。

IF 3 Q2 SUBSTANCE ABUSE
Angelo M. DiBello, Mary Beth Miller, Melissa R. Hatch, Nadine R. Mastroleo, Kate B. Carey
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引用次数: 0

摘要

背景:本研究旨在通过探索中度和重度饮酒的描述性规范和态度对饮酒结果(包括每周饮酒量、昏倒和酒精相关后果)的人际和个人影响,扩展与计划行为理论(TPB)相关的现有研究。虽然以前的研究关注的是人与人之间的影响,但这项研究独特地调查了人与人之间的影响以及随着时间的推移人与人之间的变化,使用了在12个月内收集的6个点的纵向数据。方法:纳入484名在校生(Mage = 18.66, SDage = 0.758;55.6%的男性)。参与者完成了描述性饮酒规范、对中度和重度饮酒的态度、饮酒意图和饮酒结果的测量,包括每周饮酒量、昏迷和酒精相关后果。我们运行了多水平模型来检验描述性饮酒规范和对中度和重度饮酒的态度对饮酒结果的独特人与人之间和人与人之间的影响。结果:总体而言,多层次模型的结果表明,在人与人之间的水平上,描述性规范与每周饮酒有关,对大量饮酒的更有利的态度与每周饮酒量和相关后果有关。在个人层面上,对重度饮酒的描述规范和态度的个人内部波动与每周饮酒、昏迷和酒精相关后果的增加有关,而对适度饮酒的有利态度与较低的昏迷几率和较少的酒精相关后果有关。结论:对饮酒的态度,特别是酗酒的态度,在人与人之间和人与人之间的水平上,都是酒精使用及其后果的有力预测因素。此外,对适度饮酒的态度也有保护作用。促进适度饮酒态度和减少重度饮酒态度以及描述性饮酒规范的干预措施可能会有效减少与酒精有关的危害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Longitudinal analysis for between- and within-person influences of descriptive alcohol drinking norms and attitudes on drinking outcomes

Longitudinal analysis for between- and within-person influences of descriptive alcohol drinking norms and attitudes on drinking outcomes

Background

The study aimed to expand on existing research related to the theory of planned behavior (TPB) by exploring both between-person and within-person effects of descriptive norms and attitudes toward moderate and heavy drinking on drinking outcomes, including drinks per week, blackouts, and alcohol-related consequences. While previous studies focus on between-person effects, this study uniquely investigates both between-person effects as well as within-person changes over time, using longitudinal data collected at six points over 12 months.

Methods

Participants included 484 mandated college students (Mage = 18.66, SDage = 0.758; 55.6% male). Participants completed measures of descriptive drinking norms, attitude toward moderate and heavy drinking, drinking intentions, and drinking outcomes, including drinks per week, blackout, and alcohol-related consequences. Multilevel models were run to examine the unique between-and within-person effects of descriptive drinking norms and attitude toward moderate and heavy drinking on drinking outcomes.

Results

Overall, the results from the multilevel models showed that at the between-person level, descriptive norms were associated with drinks per week, and a more favorable attitude toward heavy drinking was associated with higher weekly alcohol consumption and related consequences. At the within-person level, within-person fluctuations in descriptive norms and attitude toward heavy drinking were associated with higher weekly drinking, blackout, and alcohol-related consequences, while favorable attitude toward moderate drinking were associated with lower odds of blackouts and fewer alcohol-related consequences.

Conclusions

Attitudes toward drinking, particularly heavy drinking, at both between-person and within-person levels, are strong predictors of alcohol use and its consequences. Furthermore, attitude toward moderate drinking are protective. Interventions promoting a moderate drinking attitude and reducing heavy drinking attitude and descriptive drinking norms will likely be effective in reducing alcohol-related harm.

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