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成年初期酒精使用的多维发展模型。

A multidimensional developmental model of alcohol use during emerging adulthood.

作者信息

Auerbach Karen J, Collins Linda M

机构信息

The Methodology Center and Department of Human Development and Family Studies, The Pennsylvania State University, 204 E. Calder Way, Suite 400, State College, Pennsylvania 16801, USA.

出版信息

J Stud Alcohol. 2006 Nov;67(6):917-25. doi: 10.15288/jsa.2006.67.917.

DOI:10.15288/jsa.2006.67.917
PMID:17061010
Abstract

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.

摘要

目的

纵向分析确定了酒精使用的独特多维类别,并研究了个体在成年早期这些类别之间的转变情况。

方法

采用潜在转变分析来确定一个酒精使用的发展模型,该模型纳入了使用的四个方面:过去一年的使用情况、使用频率、使用量和大量饮酒。参与者来自“降低青年成人转变风险”研究(N = 1143)。在平均年龄18.5岁、20.5岁和22.5岁时对参与者的酒精使用情况进行评估。

结果

通过探索性分析,确定了一个五类发展模型,作为对18.5岁至22.5岁参与者酒精使用情况的最佳描述。该模型由五个多维酒精使用潜在变量组成:不使用、偶尔少量使用、偶尔大量使用、频繁大量使用以及频繁大量使用且伴有大量饮酒。分析提供了关于在每个测量时点模型中每个潜在类别的参与者比例,以及在观察到的年龄期间参与者在潜在类别之间的转变模式的信息。

结论

尽管研究参与者在18.5岁至22.5岁之间的酒精使用总体上有所增加,但低水平酒精使用潜在类别的参与者随着时间推移更有可能保持在低水平潜在类别中,而中高水平潜在类别的参与者随着时间推移更有可能处于频繁大量使用且伴有大量饮酒的潜在类别中。讨论了对预防大量饮酒的启示。

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