Smit Koen, Kuntsche Emmanuel, Anderson-Luxford Dan, Labhart Florian
Centre for Alcohol Policy Research, La Trobe University, Building NR1, Melbourne, VIC 3086, Australia.
Centre for Alcohol Policy Research, La Trobe University, Building NR1, Melbourne, VIC 3086, Australia; Idiap Research Institute, Rue Marconi 19, 1920 Martigny, Switzerland; Addiction Switzerland, Avenue Ruchonnet 14, 1003 Lausanne, Switzerland.
Addict Behav. 2021 Mar;114:106749. doi: 10.1016/j.addbeh.2020.106749. Epub 2020 Nov 27.
Pre-drinking increases alcohol use on drinking nights, which is associated with various adverse alcohol-related consequences but what motivates people to do so, i.e. the role of pre-drinking motives (PDM) in this link, is unclear. The current study examined a) the association of three PDM factors (fun/intoxication, facilitation, and conviviality) with average night-level alcohol use, b) whether PDM are associated with adverse alcohol-related consequences (hangover, drunk driving, blackout, risky sex, injury, and fights) and c) whether PDM mediates the link between night-level alcohol use and negative consequences.
A sample of 204 young adult nightlife goers (48.8% males, M = 19 SD = 2.4) from Switzerland reported PDM at baseline, and subsequently participated in a 2-month event-level study. Regressions models assessed direct and mediated associations.
Fun/intoxication PDM predicted alcohol use in subsequent drinking nights (11.3 nights per participant on average), but not the two other PDM. No direct link between PDM and consequences was found. However, fun/intoxication PDM lead indirectly to more adverse consequences through higher alcohol use.
This study shows that predominantly 'fun/intoxication' predrinkers are at increased risk for alcohol consumption and consequences, but not those who predrink for conviviality or facilitation motives. The outcomes thus suggest the importance of specific PDM in preventing alcohol use for instance by tailoring interventions based on individuals' PDM in order to curb drinking and its associated consequences among young adults on weekend nights out.
预饮酒会增加饮酒当晚的酒精摄入量,这与各种与酒精相关的不良后果有关,但人们这样做的动机,即预饮酒动机(PDM)在这种关联中的作用尚不清楚。本研究考察了:a)三种PDM因素(娱乐/醉酒、促进和欢乐氛围)与每晚平均酒精摄入量之间的关联;b)PDM是否与酒精相关的不良后果(宿醉、酒后驾车、昏厥、危险性行为、受伤和打架)有关;c)PDM是否介导了每晚酒精摄入量与负面后果之间的联系。
来自瑞士的204名年轻成年夜生活参与者(48.8%为男性,M = 19,标准差 = 2.4)在基线时报告了PDM,随后参与了一项为期2个月的事件层面研究。回归模型评估了直接和中介关联。
娱乐/醉酒PDM预测了后续饮酒当晚的酒精摄入量(每位参与者平均11.3晚),但其他两种PDM则不然。未发现PDM与后果之间存在直接联系。然而,娱乐/醉酒PDM通过更高的酒精摄入量间接导致了更多不良后果。
本研究表明,主要出于“娱乐/醉酒”动机预饮酒的人饮酒及出现后果的风险增加,但出于欢乐氛围或促进动机预饮酒的人则不然。因此,研究结果表明特定的PDM在预防饮酒方面的重要性,例如通过根据个人的PDM量身定制干预措施,以遏制年轻人在周末外出夜生活时的饮酒行为及其相关后果。