Wells Samantha, Graham Kathryn
Social, Prevention and Health Policy Research Department, Centre for Addiction and Mental Health, London, Ontario, Canada.
Addiction. 2003 Jan;98(1):33-42. doi: 10.1046/j.1360-0443.2003.00253.x.
The present study examines the relationships between: (1) alcohol involvement/perceived intoxication level of participants and aggression severity; (2) respondent drinking patterns and involvement in alcohol-related aggression; and (3) social context and alcohol-related aggression.
Random digit dialing (RDD) with computer assisted telephone interviewing (CATI) was used to obtain a random sample of Ontario adults aged 18-60 (response rate of 67%).
Respondents who reported that they had been involved personally in physical aggression in the past 12 months were the focus of the present study.
Questions were asked regarding the most recent incident of physical aggression, including whether the respondent and opponent drank alcohol prior to aggression, perceived intoxication levels at the time, number of participants, relationship to opponent, social context of aggression, time of day and day of week. Three items were used to assess aggression severity: injury to respondent, use of threats by respondent or opponent and police involvement.
(1) Injury to respondent and threats by respondent were not associated with alcohol involvement per se, but were significantly related to perceived level of alcohol intoxication; (2) drinking pattern of respondent was significantly associated with alcohol-related aggression but unrelated to aggression that did not involve alcohol; and (3) a number of contextual factors (e.g. gender, number of participants, time of day) were found to be associated with alcohol involvement in aggression.
The results suggest that both drinking pattern and contextual factors are important in distinguishing between alcohol-related aggression and non-alcohol-related aggression. As well, alcohol intoxication may be an important predictor of aggression severity.
本研究考察以下几方面的关系:(1)参与者的酒精摄入/感知醉酒程度与攻击严重程度;(2)受访者的饮酒模式与参与酒精相关攻击行为;(3)社会环境与酒精相关攻击行为。
采用随机数字拨号(RDD)结合计算机辅助电话访谈(CATI)的方式,对安大略省18 - 60岁的成年人进行随机抽样(应答率为67%)。
报告在过去12个月中曾亲自参与身体攻击行为的受访者是本研究的重点。
询问了关于最近一次身体攻击事件的问题,包括受访者和对手在攻击前是否饮酒、当时的感知醉酒程度、参与者人数、与对手的关系、攻击的社会环境、时间和星期几。使用三个项目来评估攻击严重程度:受访者受伤情况、受访者或对手使用威胁手段以及警方介入情况。
(1)受访者受伤和受访者使用威胁手段与酒精摄入本身并无关联,但与感知的酒精醉酒程度显著相关;(2)受访者的饮酒模式与酒精相关攻击行为显著相关,但与非酒精相关攻击行为无关;(3)发现一些背景因素(如性别、参与者人数、时间)与攻击行为中的酒精摄入有关。
结果表明,饮酒模式和背景因素在区分酒精相关攻击行为和非酒精相关攻击行为方面都很重要。此外,酒精中毒可能是攻击严重程度的一个重要预测因素。