Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1100 NE 45th St., Seattle, WA 98195, United States.
Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1100 NE 45th St., Seattle, WA 98195, United States.
Addict Behav. 2018 Jun;81:150-156. doi: 10.1016/j.addbeh.2018.02.001. Epub 2018 Feb 22.
Drinking protective behavioral strategies (PBS) have been associated with reductions in alcohol use and alcohol-related consequences in young adults. PBS subscales, Limiting/Stopping (LS), Manner of Drinking (MOD), and Serious Harm Reduction (SHR), have been examined in the literature; LS, MOD, and SHR have mixed support as protective factors. Understanding moderators between PBS and alcohol use and related consequences is an important development in PBS research in order to delineate when and for whom PBS use is effective in reducing harm from alcohol use. Perceptions of vulnerability to negative consequences, included in health-risk models, may be one such moderator. The current study examined whether two types of perceived vulnerability (perceived vulnerability when drinking; perceived vulnerability in uncomfortable/unfamiliar situations) moderated the relations between LS, MOD, SHR strategies and alcohol use and related negative consequences. High-risk young adults (N = 400; 53.75% female) recruited nationally completed measures of PBS, alcohol use and related consequences, and measures of perceived vulnerability. Findings demonstrated that perceived vulnerability when drinking moderated the relations between MOD strategies and alcohol use. The interactions between perceived vulnerability when drinking and PBS did not predict alcohol-related consequences. Perceived vulnerability in unfamiliar/uncomfortable social situations moderated relations between MOD strategies and both alcohol use and related negative consequences; no other significant interactions emerged. Across both perceived vulnerability types and MOD strategies, those with the highest levels of perceived vulnerability and who used MOD strategies the most had the greatest decrements in alcohol use and related negative consequences. Prevention and intervention implications are discussed.
饮酒保护性行为策略（PBS）与年轻人饮酒量和与饮酒相关后果的减少有关。文献中已经研究了 PBS 子量表，包括限制/停止（LS）、饮酒方式（MOD）和严重伤害减少（SHR）；LS、MOD 和 SHR 作为保护因素的支持不一。了解 PBS 和饮酒及相关后果之间的调节因素是 PBS 研究的一个重要发展，以便确定 PBS 在何时以及对哪些人使用可以有效减少饮酒造成的伤害。易受负面后果影响的感知，包括在健康风险模型中，可能是这样的一个调节因素。本研究检验了两种类型的易受伤害感知（饮酒时的易受伤害感知；在不舒服/不熟悉的情况下的易受伤害感知）是否调节了 LS、MOD 和 SHR 策略与饮酒及相关负面后果之间的关系。全国范围内招募的高风险年轻人（N=400；53.75%女性）完成了 PBS、饮酒及相关后果以及易受伤害感知的测量。研究结果表明，饮酒时的易受伤害感知调节了 MOD 策略与饮酒之间的关系。饮酒时的易受伤害感知与 PBS 之间的相互作用并不能预测与酒精相关的后果。在不熟悉/不舒服的社交情况下的易受伤害感知调节了 MOD 策略与饮酒和相关负面后果之间的关系；没有出现其他显著的相互作用。在这两种易受伤害感知类型和 MOD 策略中，那些易受伤害感知程度最高、使用 MOD 策略最多的人，其饮酒量和相关负面后果下降幅度最大。讨论了预防和干预的意义。
