Grazioli Véronique S, Lewis Melissa A, Garberson Lisa A, Fossos-Wong Nicole, Lee Christine M, Larimer Mary E
Department of Community Medicine and Health, Lausanne University Hospital, Lausanne, Switzerland.
Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
J Stud Alcohol Drugs. 2015 May;76(3):452-8. doi: 10.15288/jsad.2015.76.452.
Alcohol expectancies (AEs) are positively associated with drinking behaviors, whereas the use of protective behavioural strategies (PBS) is negatively related to alcohol outcomes among young adults. PBS have been shown to weaken relationships between some alcohol risk factors and alcohol outcomes. This study aimed to examine longitudinally the moderating effect of PBS on the relationships between AEs and alcohol outcomes among young adults.
Participants (N = 188; 61.7% female) were U.S. young adults participating in a larger longitudinal study. Measures of PBS, AEs, alcohol use, and related consequences were used from the baseline and 12-month follow-up assessments.
Negative binomial hurdle models found that PBS (total score) significantly moderated the relationship between positive AEs and consequences, such that among high school seniors endorsing higher positive AEs, those using more PBS in high school reported fewer negative consequences 1 year later. PBS (Manner of Drinking) also moderated the relationship between negative AEs and alcohol use, revealing the use of PBS in high school as having a protective function against later drinking among participants with high positive AEs. Last, PBS (Serious Harm Reduction) significantly moderated the associations between positive AEs and alcohol use and between negative AEs and consequences, such that participants with higher AEs and higher PBS use in high school were at greatest risk for drinking and experiencing negative consequences later.
Overall, these findings suggest that PBS use may be protective by weakening relationships between positive AEs and alcohol outcomes. Limitations and future directions are discussed.
饮酒预期(AEs)与饮酒行为呈正相关,而保护性行为策略(PBS)的使用与年轻成年人的酒精相关后果呈负相关。研究表明,PBS能够削弱一些酒精风险因素与酒精相关后果之间的关系。本研究旨在纵向考察PBS对年轻成年人中AEs与酒精相关后果之间关系的调节作用。
参与者(N = 188;61.7%为女性)是参与一项更大规模纵向研究的美国年轻成年人。使用了基线和12个月随访评估中的PBS、AEs、酒精使用及相关后果的测量数据。
负二项障碍模型发现,PBS(总分)显著调节了积极AEs与后果之间的关系,即在认可较高积极AEs的高中毕业生中,高中时使用更多PBS的人在1年后报告的负面后果较少。PBS(饮酒方式)也调节了消极AEs与酒精使用之间的关系,表明高中时使用PBS对具有高积极AEs的参与者后来的饮酒具有保护作用。最后,PBS(严重危害减少)显著调节了积极AEs与酒精使用之间以及消极AEs与后果之间的关联,使得高中时AEs较高且PBS使用较多的参与者日后饮酒及经历负面后果的风险最大。
总体而言,这些发现表明使用PBS可能通过削弱积极AEs与酒精相关后果之间的关系而起到保护作用。讨论了研究的局限性和未来方向。