Portland State University, Portland, Oregon.
RAND Corporation, Santa Monica, California.
J Stud Alcohol Drugs. 2020 Sep;81(5):655-663. doi: 10.15288/jsad.2020.81.655.
Social networks play an important role in the development of and recovery from problem drinking behaviors; however, few studies have measured the social networks of individuals convicted of driving under the influence (DUI) or assessed the relationship between social network characteristics and risk for DUI relapse and recidivism. The goal of this study is to describe the social network characteristics of a first-time DUI population in the 2 weeks before the DUI incident; examine demographic differences in social network characteristics by age, ethnicity, and gender; and assess the relationship between social network characteristics and risk factors for DUI.
We collected personal (egocentric) social network survey data from 94 participants (65% male) enrolled in a randomized clinical trial comparing the effects of cognitive behavioral therapy with usual care for individuals convicted of a first-time DUI. Multivariate models were used to assess the relationship between pre-DUI personal network characteristics and risk factors for DUI measured at baseline interview.
Results indicate that the proportion of drinking partners in one's personal network was positively associated with drinks per week, binge drinking, alcohol use, marijuana use, and alcohol-related consequences. Several dimensions of personal network support were inversely associated with risk factors for DUI.
The pre-DUI composition of personal networks has a strong relationship to baseline risk factors for DUI; networks composed of more risky individuals (e.g., drinking partners) were associated with greater substance use and drinking and driving behaviors. Networks with greater levels of social support were associated with lower likelihood of self-reported driving after drinking and intentions to drive after drinking. Interventions that target positive and negative aspects of personal networks may enhance clinical treatments.
社交网络在问题饮酒行为的发展和康复中起着重要作用;然而,很少有研究测量过因酒后驾车(DUI)而被定罪的个人的社交网络,也没有评估社交网络特征与 DUI 复发和再犯风险之间的关系。本研究的目的是描述首次 DUI 人群在 DUI 事件前 2 周的社交网络特征;按年龄、族裔和性别检查社交网络特征的人口统计学差异;并评估社交网络特征与 DUI 风险因素之间的关系。
我们从 94 名参加一项随机临床试验的参与者(65%为男性)中收集了个人(中心)社交网络调查数据,该试验比较了认知行为疗法对首次 DUI 定罪者的常规护理的效果。使用多变量模型评估 DUI 基线访谈时测量的 DUI 风险因素与 DUI 前个人网络特征之间的关系。
结果表明,个人网络中饮酒伙伴的比例与每周饮酒量、狂饮、饮酒、使用大麻和与酒精相关的后果呈正相关。个人网络支持的几个维度与 DUI 的风险因素呈负相关。
DUI 前个人网络的组成与 DUI 的基线风险因素密切相关;由风险较高的个体(如饮酒伙伴)组成的网络与更大的物质使用和酒后驾车行为有关。社交网络支持程度较高的网络与酒后驾车和酒后驾车意图的自我报告可能性较低有关。针对个人网络的积极和消极方面的干预措施可能会增强临床治疗效果。