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创伤暴露大学生饮酒的潜在模式。

Latent Profiles of Alcohol Consumption Among College Students Exposed to Trauma.

出版信息

J Addict Nurs. 2021;32(1):3-13. doi: 10.1097/JAN.0000000000000379.

Abstract

BACKGROUND

Alcohol use/misuse is a costly public health problem, particularly among college students in the United States. Alcohol use tends to increase during adolescence and peaks in the early/mid-20s; however, there is significant heterogeneity among alcohol use during the college years. Several studies applying a mixture modeling framework to extract latent profiles of alcohol consumption have been conducted. However, none to our knowledge has included only those exposed to trauma, a group known to be at risk for alcohol misuse. The aim of this longitudinal study (n = 1,186) was to identify profiles of alcohol consumption and their associations with demographic and trauma-related constructs.

METHOD

Data were collected from a larger study of college students attending a large public university. Participants in the current study were, on average, 18.46 years old at study entry, primarily female (69.6%), and of diverse racial/ethnic backgrounds (e.g., 48.8% White, 20.4% Black, 16.8% Asian).

RESULTS

Results suggest evidence for four latent profiles. These classes include an initially high increasing, an initially high decreasing, an initially low decreasing, and an initially low increasing, the last of which had not been found. Using analyses of variance, profile membership was associated with number of traumas, probable posttraumatic stress disorder, broad drinking motives, and trauma-specific drinking-to-cope motives.

CONCLUSIONS

Results suggest that drinking motives and trauma-related factors are important correlates of these latent alcohol profiles. Work clarifying the longitudinal interrelations between profile membership and these factors is needed to help inform more effective prevention and intervention efforts.

摘要

背景

饮酒/滥用酒精是一个代价高昂的公共卫生问题,尤其是在美国的大学生中。饮酒倾向于在青少年时期增加,并在 20 岁出头达到高峰;然而,在大学期间饮酒存在显著的异质性。已经有几项应用混合建模框架来提取酒精消费潜在特征的研究。但是,据我们所知,没有一项研究仅包括那些接触过创伤的人,而这群人已知有酒精滥用的风险。本纵向研究(n=1186)的目的是确定酒精消费的特征,并探讨其与人口统计学和与创伤相关的结构的关联。

方法

数据来自于一项对一所大型公立大学的大学生进行的更大规模研究。当前研究的参与者在研究开始时平均年龄为 18.46 岁,主要是女性(69.6%),且具有多样化的种族/族裔背景(例如,48.8%是白人,20.4%是黑人,16.8%是亚洲人)。

结果

结果表明存在四个潜在特征的证据。这些类别包括最初高增长、最初高下降、最初低下降和最初低增长,最后一种尚未发现。使用方差分析,特征成员与创伤数量、可能的创伤后应激障碍、广泛的饮酒动机以及创伤特异性的饮酒应对动机有关。

结论

结果表明,饮酒动机和与创伤相关的因素是这些潜在的酒精特征的重要关联因素。需要进一步研究特征成员与这些因素之间的纵向相互关系,以帮助制定更有效的预防和干预措施。

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