Department of Public Health, Ghent University, 9000 Ghent, Belgium, Association for Alcohol and other Drug problems, 1030 Brussels, Belgium.
Health Educ Res. 2013 Aug;28(4):640-50. doi: 10.1093/her/cyt036. Epub 2013 Mar 13.
High heavy drinking prevalence persists in students. Recently, drinking motivation received a lot of attention as an important determinant. Enhancement and coping motives are mostly positively related and conformity motives are mostly negatively related with heavy drinking. Relations are less clear for social motives. This study aimed at gaining more insight in the role of drinking motives in heavy drinking students. Overall, 15 897 Belgian university and college students (mean age: 20.7, SD = 2.6) anonymously participated in an online survey. Logistic regressions tested relationships between motives and problematic drinking (>weekly drinking, ≥monthly binge drinking and being at risk for problematic drinking by the Alcohol Use Disorders Identification Test [AUDIT]). Social motives had the highest prevalence, followed by enhancement, coping and conformity motives. Men engaged more in problematic drinking and reported more motives, except for coping. Enhancement, coping and social-motivated students have higher chances for problematic drinking, while the opposite is true for conformity-motivated students. Although this study found a similar ranking of motives as in other studies, a relationship between problematic drinking and all motives, including social motives, was revealed. This might indicate the different functions of social motives in heavy drinking in different cultures/sub-populations and countries. This finding is relevant for the development of interventions.
高比例的重度饮酒现象在学生群体中持续存在。最近，饮酒动机作为一个重要的决定因素受到了广泛关注。促进和应对动机大多与重度饮酒呈正相关，而遵从动机则大多与重度饮酒呈负相关。社交动机的关系则不太明确。本研究旨在深入了解饮酒动机在重度饮酒学生中的作用。总体而言，15897 名比利时大学生（平均年龄：20.7，SD=2.6）匿名参与了一项在线调查。逻辑回归检验了动机与问题性饮酒（每周饮酒>1 次、每月 binge 饮酒>1 次和酒精使用障碍识别测试 [AUDIT] 显示存在问题性饮酒风险）之间的关系。社交动机的流行程度最高，其次是促进、应对和遵从动机。男性更倾向于出现问题性饮酒行为，且报告的动机更多，除了应对动机。促进、应对和社交动机的学生出现问题性饮酒的可能性更高，而遵从动机的学生则相反。尽管本研究发现了与其他研究相似的动机排名，但问题性饮酒与所有动机（包括社交动机）之间存在关联。这可能表明在不同文化/亚群体和国家中，社交动机在重度饮酒中的不同功能。这一发现与干预措施的制定相关。
