应用行为经济学来理解成年期酒精后果的变化:性别和种族的纵向关系和差异。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Psychology of Addictive Behaviors Pub Date : 2024-06-01 Epub Date: 2023-06-29 DOI:10.1037/adb0000943
Samuel F Acuff, Kyla Belisario, Ashley Dennhardt, Michael Amlung, Jalie A Tucker, James MacKillop, James G Murphy
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引用次数: 0

摘要

目的:人口饮酒趋势显示出明显的发展周期性,从18岁到22岁,有害酒精的使用急剧增加,随后在20多岁时逐渐下降,尽管在一个亚组个体中存在持续的问题使用。横断面研究表明,酒精估值过高(高酒精需求)和缺乏无替代物质强化剂(高比例酒精相关强化剂)的行为经济指标是这一发育窗口期变化的潜在预测因素,但纵向证据很少。方法:本研究以初生成人(N = 497,年龄22.61岁,62%女性,48.69%白人,40.44%黑人)为样本,考察了过去一周重度饮酒天数(HDD)与酒精问题之间的前瞻性双向关系,以及酒精相关的比例强化(强化比)、酒精需求强度(零价格消费)、酒精需求Omax(最大支出)、使用随机截距交叉滞后面板模型进行五次评估(每4个月一次)的需求弹性变化(价格上涨期间消费的变化率)。结果:酒精问题和HDD在评估过程中有所减少。显著的人际效应表明,每个行为经济变量都与饮酒风险增加有关。强化比率的变化与酒精问题的减少呈正相关。多组不变性模型揭示了需求强度变化的不同风险路径,Omax预测了男性参与者酒精问题的变化,而强度变化预测了非白人参与者酒精问题的变化。结论:该研究为酒精相关的比例强化和需求作为减少饮酒的个人预测因子提供了一致的支持。(PsycInfo数据库记录(c) 2023 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Applying behavioral economics to understand changes in alcohol outcomes during the transition to adulthood: Longitudinal relations and differences by sex and race.

Objective: Population drinking trends show clear developmental periodicity, with steep increases in harmful alcohol use from ages 18 to 22 followed by a gradual decline across the 20s, albeit with persistent problematic use in a subgroup of individuals. Cross-sectional studies implicate behavioral economic indicators of alcohol overvaluation (high alcohol demand) and lack of alternative substance-free reinforcers (high proportionate alcohol-related reinforcement) as potential predictors of change during this developmental window, but longitudinal evidence is sparse.

Method: Using a sample of emerging adults (N = 497, Mage = 22.61 years, 62% female, 48.69% White, 40.44% Black), this study examined prospective, bidirectional relations between both past-week heavy drinking days (HDD) and alcohol problems and proportionate alcohol-related reinforcement (reinforcement ratio), alcohol demand intensity (consumption at zero price), alcohol demand Omax (maximum expenditure), and change in demand elasticity (rate of change in consumption across escalating price) over five assessments (every 4 months) using random intercept cross-lagged panel models.

Results: Alcohol problems and HDD decreased across assessments. Significant between-person effects indicated that each behavioral economic variable was associated with increased drinking risk. Change in reinforcement ratio was positively associated with decreases in alcohol problems. Multigroup invariance modeling revealed distinct risk pathways in that change in demand intensity and Omax predicted change in alcohol problems for male participants and change in intensity predicted change in alcohol problems for non-White participants.

Conclusion: The study provides consistent support for proportionate alcohol-related reinforcement and mixed support for demand as within-person predictors of reductions in drinking. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
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.
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