Department of Sociology and Anthropology, Montana State University, 2-128 Wilson Hall, Bozeman, MT 59717, USA.
Department of Sociology and Anthropology, Montana State University, 2-128 Wilson Hall, Bozeman, MT 59717, USA.
Addict Behav. 2014 Sep;39(9):1357-60. doi: 10.1016/j.addbeh.2014.04.024. Epub 2014 May 5.
American Indians are disproportionately burdened by alcohol-related problems. Yet, research exploring predictors of alcohol use among American Indians has been limited by cross-sectional designs and reservation-based samples. Guided by a life course developmental perspective, the current study used a subsample of American Indians (n=927) from the National Longitudinal Study of Adolescent Health (Add Health) to explore alcohol use (current drinking, usual number of drinks, and binge drinking) among this population. We examined whether adult social roles (i.e., cohabitation, marriage, parenthood, college enrollment, and full-time work) were linked to the rise and fall of alcohol use. Multi-level models demonstrated that adult social roles were linked to alcohol use at the within- and between-person levels. Becoming a parent was linked to a lower likelihood of being a current drinker, fewer alcoholic drinks, and less frequent binge drinking. Transitioning to full-time work was associated with a higher likelihood of being a current drinker and more frequent binge drinking. Results point to the importance of exploring within-group trajectories of alcohol use and highlight the protective and risky nature of adult social roles among American Indians.
美国印第安人在与酒精相关的问题上承受着不成比例的负担。然而，探索美国印第安人饮酒行为预测因素的研究受到了横断面设计和保留地样本的限制。本研究以生命历程发展视角为指导，利用青少年健康纵向研究（Add Health）中的美国印第安人亚组（n=927），探讨了这一人群的饮酒行为（当前饮酒、通常饮酒量和狂饮）。我们研究了成年社会角色（即同居、婚姻、为人父母、上大学和全职工作）是否与饮酒量的增减有关。多层次模型表明，成年社会角色与个体内和个体间的饮酒行为有关。成为父母与当前饮酒者的可能性降低、饮酒量减少和狂饮频率降低有关。转为全职工作与当前饮酒者的可能性增加和更频繁的狂饮有关。研究结果表明，探索饮酒行为的组内轨迹以及强调成年社会角色对美国印第安人的保护和风险性质具有重要意义。
