Cheng Hui G, Phillips Michael R, Zhang Yuhong, Wang Zhizhong
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 3210 Humin Road, Shanghai 201108, China; Department of Epidemiology & Biostatistics, Michigan State University, 909 Fee Road, East Lansing, MI 48824, United States.
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 3210 Humin Road, Shanghai 201108, China; Department of Psychiatry, Emory University, 1518 Clifton Road, Atlanta, GA 30322, United States; Department of Global Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA, 30322, United States.
Addict Behav. 2017 Nov;74:156-161. doi: 10.1016/j.addbeh.2017.06.009. Epub 2017 Jun 13.
Drinking motives have been linked to alcohol consumption and drinking-related problems in western countries, but evidence about this relationship is largely lacking for Asian countries. We aim to assess the relationship between drinking motives and drinking-related outcomes in China, where alcohol use disorders are an increasingly important contributor to the overall burden of illness.
Validated Chinese versions of the Drinking Motives Questionnaire-Revised (DMQ-R) and the Alcohol Use Disorder Identification Test (AUDIT) were used to assess drinking motives and drinking-related outcomes among 612 current drinkers identified from a cross-sectional survey of a representative sample of 2425 adults living in Ningxia Province in 2013. Structural equation modeling was used to estimate the relationships linking specific drinking motives ('enhancement', 'conformity', 'social' and 'coping') to drinking-related outcomes ('level of alcohol consumption', 'alcohol dependence' and 'adverse consequences').
The enhancement motive is significantly associated with the level of alcohol consumption (β=0.52, 95% CI=0.27, 0.78). The conformity motive is associated with higher levels of alcohol dependence (β=0.74, 95% CI=0.50, 0.98) and adverse consequences of drinking (β=0.43, 95% CI=0.04, 0.81). The social motive and drinking to cope motive are not significantly associated with any of the three drinking outcomes.
The relationships between drinking motives and drinking-related outcomes in China are quite different from those reported in western countries. This study highlights the need to consider local context when adapting prevention or intervention strategies developed in western countries to address the problem of the harmful use of alcohol in China.
在西方国家，饮酒动机已被证明与酒精消费及饮酒相关问题有关，但亚洲国家在这方面的相关证据却极为匮乏。我们旨在评估中国饮酒动机与饮酒相关后果之间的关系，在中国，酒精使用障碍对整体疾病负担的影响日益重要。
采用经过验证的中文版修订饮酒动机问卷（DMQ-R）和酒精使用障碍识别测试（AUDIT），对2013年从宁夏回族自治区2425名成年人的代表性样本横断面调查中识别出的612名当前饮酒者的饮酒动机和饮酒相关后果进行评估。采用结构方程模型来估计特定饮酒动机（“强化”、“从众”、“社交”和“应对”）与饮酒相关后果（“酒精消费水平”、“酒精依赖”和“不良后果”）之间的关系。
强化动机与酒精消费水平显著相关（β=0.52，95%可信区间=0.27，0.78）。从众动机与更高水平的酒精依赖（β=0.74，95%可信区间=0.50，0.98）和饮酒不良后果（β=0.43，95%可信区间=0.04，0.81）相关。社交动机和为应对而饮酒动机与这三种饮酒后果均无显著关联。
中国饮酒动机与饮酒相关后果之间的关系与西方国家报道的情况有很大不同。本研究强调，在将西方国家制定的预防或干预策略应用于解决中国酒精有害使用问题时，需要考虑当地背景。
