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ELSA 2018 队列研究:阿根廷大一新生风险因素与饮酒结果之间关系的中介保护行为策略。

ELSA 2018 Cohort: Protective Behavioral Strategies as Mediators of the Relationship between Risk Factors and Alcohol Outcomes in Argentinean College Freshmen.

机构信息

Facultad de Psicología, Universidad Nacional de Córdoba, Córdoba, Bv. de la Reforma 1936 (5000) Argentina.

Instituto de Investigaciones Psicológicas, IIPsi-CONICET-UNC, Bv. de la Reforma 1936 (5000) Córdoba, Argentina.

出版信息

Alcohol Alcohol. 2021 Jun 29;56(4):460-469. doi: 10.1093/alcalc/agaa111.

DOI:10.1093/alcalc/agaa111
PMID:33164040
Abstract

AIMS

The present study examined which types of alcohol protective behavioral strategies ([PBSs], Manner of Drinking [MOD] strategies, Serious Harm Reduction [SHR] or Limiting/Stopping Drinking strategies [LSD]) mediate the effects of a comprehensive number of distal antecedents on alcohol drinking quantity and alcohol-related negative consequences.

METHODS

A sample of 762 last-month college freshman drinkers from Argentina (Mean age = 19.60 ± 3.80) completed a survey that assessed alcohol outcomes (drinking quantity during a typical week and alcohol-related negative consequences), frequency of use of PBS and a set of distal antecedents (i.e. age at drinking onset, drinking motives, college alcohol beliefs and impulsivity-like traits).

RESULTS

MOD significantly mediated the effects of college alcohol beliefs (higher beliefs were associated with lower MOD use) and coping motives (higher coping motives were associated with lower MOD use) on alcohol outcomes. SHR significantly mediated the effects of sex (women reported more frequent SHR use) and enhancement motives (higher motivation was associated with lower SHR use) on alcohol-related negative consequences.

CONCLUSION

Our findings partially support a mediational role of PBS in the association between risk factors and alcohol outcomes, and offer valuable information for the design of interventions to reduce alcohol use in South-American college students. More studies examining PBS as mediators of distal antecedents are needed to fully understand the peculiarities of these associations in different cultures.

摘要

目的

本研究旨在检验哪些类型的酒精保护性行为策略([PBSs]、饮酒方式[MOD]策略、严重减少伤害[SHR]或限制/停止饮酒策略[LSD])在综合考虑多种远端前因变量对饮酒量和与酒精相关的负面后果的影响中起中介作用。

方法

本研究选取了来自阿根廷的 762 名最近一个月内的大一新生饮酒者作为研究对象(平均年龄为 19.60±3.80 岁),他们完成了一份调查,该调查评估了饮酒结果(典型周的饮酒量和与酒精相关的负面后果)、PBS 的使用频率以及一系列远端前因变量(即饮酒起始年龄、饮酒动机、大学酒精信念和冲动特质)。

结果

MOD 显著中介了大学酒精信念(更高的信念与更低的 MOD 使用相关)和应对动机(更高的应对动机与更低的 MOD 使用相关)对饮酒结果的影响。SHR 显著中介了性别(女性报告更频繁地使用 SHR)和增强动机(更高的动机与更低的 SHR 使用相关)对与酒精相关的负面后果的影响。

结论

我们的研究结果部分支持了 PBS 在风险因素与饮酒结果之间的中介作用,并为在南美的大学生中设计减少饮酒的干预措施提供了有价值的信息。需要更多研究检验 PBS 作为远端前因变量的中介作用,以充分了解不同文化中这些关联的特点。

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