预测青少年重度间歇性饮酒者成年后不再饮酒的因素：系统评价方案。
Predictors of aging out of heavy episodic drinking in emerging adults: a systematic review protocol.
机构信息
Department of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Ontario, Canada.
Peter Boris Centre for Addictions Research, St. Joseph's Healthcare Hamilton/McMaster University, 100 West 5th Street, Hamilton, Ontario, Canada.
出版信息
Syst Rev. 2019 Sep 4;8(1):230. doi: 10.1186/s13643-019-1139-9.
BACKGROUND
Heavy episodic drinking (HED) refers to alcohol consumption that exceeds the recommended threshold for a given episode and increases risk for diverse negative alcohol-related consequences. A pattern of weekly HED is most prevalent in emerging adults (i.e., age 18-25). However, rates of HED consistently decline in the mid to late twenties, referred to as 'aging out' or 'maturing out' of HED. Although many individual studies have followed changes in drinking behaviour over the transition to adulthood, there has yet to be a systematic review to identify consistent factors contributing to risk (i.e. failure to age out) and protection (i.e. successful aging out). The objective of this review will be to summarize and critically appraise the literature on factors contributing to aging out of HED among emerging adults.
METHODS
A systematic search of observational cohort studies following drinking behaviours in age cohorts overlapping with the emerging adulthood period will be conducted in MEDLINE, EMBASE, PsychInfo, and CINAHL. Two independent reviewers will evaluate identified studies for inclusion eligibility, extract study data, and assess the quality of included studies. Primary outcomes will be quantity/frequency of alcohol use (e.g. drinks/week) and severity of alcohol-related problems. Predictors of maturing out of HED will be reported narratively, and where appropriate, random effects meta-analyses will be conducted to provide pooled effect sizes. An evidence map will be created to characterize the overall pattern of findings.
DISCUSSION
This systematic review will provide a timely and warranted summary of published work contributing to understanding aging out of heavy episodic drinking. Our findings will provide critical commentary on the developmental course of HED during the transition from adolescence to adulthood and will be the first review to consider both protective and risk factors for maturing out of frequent binge drinking. By highlighting factors identifying those at-risk for prolonged heavy episodic drinking, our conclusions will have important treatment implications for primary, secondary, and tertiary intervention strategies.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42017078436 .
背景
重度间断性饮酒（HED）是指单次饮酒超过推荐量阈，增加各种不良酒精相关后果风险的行为。每周 HED 模式在成年早期（即 18-25 岁）最为常见。然而，在 20 多岁中期到后期，HED 的发生率持续下降，这被称为“年龄增长”或“HED 成熟”。尽管许多个体研究已经跟踪了成年过渡期的饮酒行为变化，但尚未有系统综述来确定导致风险（即未能成熟）和保护（即成功成熟）的一致因素。本综述的目的是总结和批判性评估关于成年早期 HED 成熟因素的文献。
方法
将在 MEDLINE、EMBASE、PsychInfo 和 CINAHL 中进行系统搜索，以查找与成年早期重叠的年龄队列的观察性队列研究，以了解饮酒行为。两名独立的审查员将评估纳入研究的纳入资格、提取研究数据并评估纳入研究的质量。主要结果将是酒精使用量/频率（例如，每周饮酒量）和酒精相关问题的严重程度。将叙述报告 HED 成熟的预测因素，并在适当的情况下进行随机效应荟萃分析，以提供汇总效应大小。将创建一个证据图来描述总体发现模式。
讨论
本系统综述将及时总结发表的关于理解 HED 成熟的研究工作。我们的发现将对从青春期到成年过渡期间 HED 的发展过程进行重要评论，并且将是第一个考虑成熟出频繁 binge 饮酒的保护和风险因素的综述。通过突出确定那些有长期 HED 风险的因素，我们的结论将对初级、二级和三级干预策略的治疗具有重要意义。
系统综述注册
PROSPERO CRD42017078436 。
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