Department of Medical Education and Clinical Sciences, Elson S. Floyd College of Medicine, Washington State University, Spokane, Washington, USA.
Center on Alcohol, Substance use And Addictions (CASAA), University of New Mexico, Albuquerque, New Mexico, USA.
Subst Use Misuse. 2021;56(4):501-509. doi: 10.1080/10826084.2021.1883656. Epub 2021 Feb 19.
American Indian (AI) adults have both high prevalence rates of alcohol abstinence and alcohol use disorders compared to non-Hispanic White adults. We investigated the applicability and validity of the Short Inventory of Problems (SIP) among AI urban adults and the moderating effect of biological sex.
AI adults from three Alcoholics Anonymous samples ( = 124) provided baseline, 3-, 6- and 9-month data. Measures included Form 90 and the SIP, which includes 5 domains of alcohol-related negative consequences including interpersonal, intrapersonal, physical, impulse control and social. Drinking frequency and intensity were assessed by percent days abstinent (PDA) and drinks per drinking day (DPDD).
Cronbach alphas of the SIP were similar between urban AI adults and the mainstream treatment-seeking population reported in the SIP manual. DPDD was a significant and positive predictor of all five SIP scales collected 9-months later. Higher PDA was significantly and negatively associated with later consequences, and all 5 SIP scales. Moderation tests indicated that the association between consequences and drinking intensity was stronger for AI females with fewer drinking days resulting in significantly fewer consequences for AI males relative to AI females.
Findings highlight the acceptability of SIP as a measure to assess drinking related consequences among AI urban adults, with clinical implications related to alcohol use and sex. Further research is warranted to examine differential drinking related outcomes among AI men and women in addition to adaptations of the SIP that more fully capture the range of negative drinking consequences.
与非西班牙裔白人成年人相比，美国印第安人（AI）成年人的戒酒率和酒精使用障碍率都很高。我们调查了短期问题清单（SIP）在城市 AI 成年人中的适用性和有效性，以及生物性别对其的调节作用。
来自三个匿名戒酒会样本的 AI 成年人（ = 124）提供了基线、3、6 和 9 个月的数据。测量包括表格 90 和 SIP，其中包括 5 个与酒精相关的负面后果领域，包括人际关系、内心、身体、冲动控制和社交。通过百分比天数戒酒（PDA）和每日饮酒量（DPDD）来评估饮酒频率和强度。
城市 AI 成年人的 SIP 克朗巴赫阿尔法与 SIP 手册中报告的主流治疗寻求人群相似。DPDD 是 9 个月后收集的所有五个 SIP 量表的显著正预测因子。较高的 PDA 与后来的后果以及所有 5 个 SIP 量表呈显著负相关。调节测试表明，对于 AI 女性来说，后果与饮酒强度之间的关联更强，因为 AI 女性饮酒天数较少，导致 AI 男性的后果明显少于 AI 女性。
研究结果强调了 SIP 作为评估城市 AI 成年人饮酒相关后果的一种可接受的测量方法，具有与酒精使用和性别相关的临床意义。需要进一步研究来检验 AI 男性和女性之间不同的饮酒相关结果，以及 SIP 的适应性，以更全面地捕捉负面饮酒后果的范围。
