Thrul Johannes, Kuntsche Emmanuel
Center for Tobacco Control Research and Education, University of California, San Francisco, San Francisco, CA, USA.
Addiction Switzerland, Research Institute, Lausanne, Switzerland.
Prev Sci. 2016 Jul;17(5):626-35. doi: 10.1007/s11121-016-0660-5.
While drinking motives are well-established proximal predictors of alcohol use, less is known about their role in event-level drinking behavior. The present study examines whether the interaction between individuals' drinking motives and the number of friends present at a given moment can predict alcohol consumption over the course of the evening. Using the Internet-based cell phone-optimized assessment technique (ICAT), 183 young adults (53.0 % female, mean age = 23.1) in French-speaking Switzerland completed cell phone questionnaires every Thursday, Friday, and Saturday evening over five weekends. A total of 7205 questionnaires completed on 1441 evenings were analyzed. Drinking motives and gender were assessed at baseline, while the hourly alcohol consumption rate and number of friends present were assessed at 8 p.m., 9 p.m., 10 p.m., 11 p.m., and midnight. Multilevel growth curve models with time-invariant and time-varying covariates were estimated for men and women separately. Among women, enhancement motives were associated with an increase in the hourly alcohol consumption rate over the course of the evening (b = .025; p < .05). The impact of the number of friends present on the hourly consumption rate was stronger among those women who scored high on coping motives at baseline (b = .028; p < .05). Among men, drinking motives were found to have no moderating effects. Results highlight the role of drinking motives and their interactions with situational characteristics in determining event-level drinking, especially among women. Strategies to prevent risky weekend drinking should focus on both the social environment in which drinking takes place (e.g., the drinking group) and individual drinking motives.
虽然饮酒动机是已被充分证实的酒精使用的近端预测因素,但对于它们在事件层面饮酒行为中的作用却知之甚少。本研究考察个体的饮酒动机与特定时刻在场朋友数量之间的相互作用是否能够预测整个晚上的酒精消费量。使用基于互联网的手机优化评估技术(ICAT),瑞士法语区的183名年轻人(53.0%为女性,平均年龄 = 23.1岁)在五个周末的每周四、周五和周六晚上完成手机调查问卷。共分析了在1441个晚上完成的7205份问卷。在基线时评估饮酒动机和性别,而在晚上8点、9点、10点、11点和午夜评估每小时酒精消费率和在场朋友数量。分别为男性和女性估计了具有时不变和时变协变量的多层次增长曲线模型。在女性中,增强动机与整个晚上每小时酒精消费率的增加相关(b = 0.025;p < 0.05)。在基线时应对动机得分高的女性中,在场朋友数量对每小时消费率的影响更强(b = 0.028;p < 0.05)。在男性中,发现饮酒动机没有调节作用。结果凸显了饮酒动机及其与情境特征的相互作用在决定事件层面饮酒中的作用,尤其是在女性中。预防危险周末饮酒的策略应同时关注饮酒发生的社会环境(例如饮酒群体)和个体饮酒动机。