Midanik L T, Soghikian K, Ransom L J, Polen M R
Division of Research, Kaiser Permanente Medical Care Program, Oakland, California.
Soc Sci Med. 1992 Jan;34(1):43-8. doi: 10.1016/0277-9536(92)90065-x.
The relation between alcohol problems and sense of coherence (SOC), a salutogenic model developed by Antonovsky, was assessed on a sample of 952 older members of a health maintenance organization. Data on alcohol problems (5-item index) and SOC (9-item scale) were obtained from mailed questionnaires. Multiple regression analyses indicated that SOC was a significant negative predictor of alcohol problems while controlling for alcohol consumption level, frequency of drunkenness and demographic characteristics. In addition, SOC scores were significantly higher for a subsample of lighter drinkers who reported no alcohol problems in the last year and had not been drunk in the last year (n = 419) as compared to heavier drinkers who reported at least one alcohol problem in the last year, and reported being drunk at least once in the last year (n = 107). These findings emphasize the importance of assessing factors which contribute to healthier behaviors as opposed to focusing exclusively on predictors of pathogenic outcomes.
对健康维护组织的952名老年成员样本进行了评估，以研究酒精问题与由安东诺夫斯基提出的健康生成模式——连贯感（SOC）之间的关系。关于酒精问题（5项指标）和连贯感（9项量表）的数据通过邮寄问卷获得。多元回归分析表明，在控制饮酒量、醉酒频率和人口统计学特征的情况下，连贯感是酒精问题的显著负向预测指标。此外，与去年报告至少有一个酒精问题且去年至少醉酒一次的重度饮酒者（n = 107）相比，去年报告无酒精问题且去年未醉酒的轻度饮酒者子样本（n = 419）的连贯感得分显著更高。这些发现强调了评估有助于形成更健康行为的因素的重要性，而不是仅仅关注致病结果的预测指标。
