刚成年期酒精使用的多维发展模型。

Karen J Auerbach, Linda M Collins
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引用次数: 94

摘要

目的:纵向分析确定了独特的多维酒精使用类别,并检查了这些类别中个体在成年初期的运动。方法:使用潜在过渡分析来确定酒精使用的发展模型,该模型包含四个方面的使用:过去一年的使用,使用频率,使用数量和重度间歇性饮酒。参与者来自“降低年轻人过渡期风险”研究(N = 1143)。参与者的平均饮酒年龄分别为18.5岁、20.5岁和22.5岁。结果:通过探索性分析,确定了一个五级发展模型最能描述参与者在18.5至22.5岁之间的酒精使用。该模型由5个多维酒精使用潜在变量组成:不使用、偶尔低使用、偶尔高使用、频繁高使用和频繁高使用伴重度间歇性饮酒。分析提供了关于模型中每个潜在类别的参与者在每个测量场合的比例和参与者在观察年龄期间在潜在类别之间运动的模式的信息。结论:尽管在18.5岁至22.5岁的研究参与者中,酒精使用总体上有所增加,但随着时间的推移,低水平酒精使用潜在类别的参与者更有可能保持在低水平潜在类别,而中等和高水平潜在类别的参与者更有可能随着时间的推移而处于频繁的高使用和严重的间歇性饮酒潜在类别。对预防重度间歇性饮酒的影响进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A multidimensional developmental model of alcohol use during emerging adulthood.

Objective: Longitudinal analyses identified unique multidimensional classes of alcohol use and examined individuals' movement among these classes during emerging adulthood.

Method: Latent transition analysis was used to identify a developmental model of alcohol use incorporating four aspects of use: use in the past year, frequency of use, quantity of use, and heavy episodic drinking. Participants were drawn from the Reducing Risk in Young Adult Transitions study (N = 1,143). Participants' alcohol use was assessed at mean ages of 18.5, 20.5, and 22.5 years.

Results: Through exploratory analysis, a five-class developmental model was identified as the best description of participants' alcohol use between ages 18.5 and 22.5 years. This model consisted of five multidimensional alcohol-use latent variables: no use, occasional low use, occasional high use, frequent high use, and frequent high use with heavy episodic drinking. Analyses provided information regarding the proportion of participants in each latent class in the model at each measurement occasion and patterns of participants' movement among latent classes during the observed age period.

Conclusions: Although alcohol use increased overall for study participants between ages 18.5 and 22.5, participants in lower-level alcohol-use latent classes were more likely to remain in low-level latent classes over time, and participants in moderate- and high-level latent classes were more likely to be in the frequent high use with heavy episodic drinking latent class over time. Implications for the prevention of heavy episodic drinking are discussed.

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