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一项关于中年成年人饮酒情况及婚姻伴侣对饮酒影响的前瞻性研究。

A prospective study of alcohol use among middle-aged adults and marital partner influences on drinking.

作者信息

Windle Michael, Windle Rebecca C

机构信息

Department of Behavioral Sciences and Health Education, Emory University, Atlanta, Georgia.

出版信息

J Stud Alcohol Drugs. 2014 Jul;75(4):546-56. doi: 10.15288/jsad.2014.75.546.

Abstract

OBJECTIVE

The purpose of this three-wave longitudinal study was twofold. First, prevalence data on alcohol characteristics (e.g., drinks per day, heavy episodic drinking [HED]) were provided for a community sample of middle-aged adults. Aggregate (or group) and individual levels of stability of these characteristics across a 10-year interval were a major focus. Second, an actor-partner interdependence model (APIM) was used to test husbands' and wives' mutual influences on each other's alcohol use.

METHOD

Prospective data were collected from the middle-aged parents of a cohort study that originally targeted adolescents. Three measurement occasions occurred at baseline, 5 years later, and an additional 5 years later. Data from 597 men and 847 women were used to derive prevalence data on alcohol use, and 489 intact marital dyads were used to test spouses' interdependence on alcohol use and HED in the APIMs.

RESULTS

The majority of men and women reported alcohol use at each measurement occasion, and the average number of drinks per day was highly similar across time, as was the percentage reporting HED. There was substantial stability at the individual level in the amount of alcohol consumed and HED between waves of measurement. Marital partners had significant but modest effects on each other's alcohol use. Wives had a somewhat greater influence on their husbands' drinking than vice versa.

CONCLUSIONS

The majority of middle-aged adults consumed alcohol at a low to moderate level. However, there is heterogeneity in alcohol use patterns, and a significant minority reported at-risk levels of alcohol use and HED.

摘要

目的

这项三波纵向研究的目的有两个。首先,为一个中年成年人社区样本提供了酒精特征(例如,每日饮酒量、重度饮酒)的患病率数据。这些特征在10年间隔内的总体(或群体)和个体稳定性水平是主要关注点。其次,使用了行为者-伴侣相互依赖模型(APIM)来检验丈夫和妻子对彼此饮酒行为的相互影响。

方法

前瞻性数据来自一项最初针对青少年的队列研究中的中年父母。在基线、5年后以及再过5年后进行了三次测量。来自597名男性和847名女性的数据用于得出饮酒情况的患病率数据,489对完整婚姻二元组用于在APIM模型中检验配偶在饮酒和重度饮酒方面的相互依赖性。

结果

在每次测量时,大多数男性和女性都报告有饮酒行为,而且随着时间推移,每日平均饮酒量高度相似,报告重度饮酒的百分比也是如此。在各次测量波次之间,个体层面的饮酒量和重度饮酒情况具有相当大的稳定性。婚姻伴侣对彼此的饮酒行为有显著但适度的影响。妻子对丈夫饮酒的影响略大于丈夫对妻子饮酒的影响。

结论

大多数中年成年人饮酒量处于低至中等水平。然而,饮酒模式存在异质性,相当一部分人报告有饮酒风险水平和重度饮酒情况。

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