University of Cincinnati, Cincinnati, Ohio.
University of Cincinnati College of Medicine, Cincinnati, Ohio.
J Ethn Subst Abuse. 2023 Apr-Jun;22(2):433-452. doi: 10.1080/15332640.2021.1952130. Epub 2021 Aug 2.
African American women experience a high prevalence of alcohol-related consequences, and no studies have explicitly examined the associations among lifetime interpersonal abuse, emotion dysregulation, and alcohol-related outcomes during the critical period of young adulthood within this population. This study used baseline data from a sample of African American young women ( = 560) who use alcohol, aged 18 to 24, enrolled in an HIV prevention intervention trial to examine whether emotion dysregulation mediated the relation between lifetime history of abuse and problematic alcohol use. Further, we sought to examine whether there were potential differential levels of problematic alcohol use based on the number of abuse types experienced. Multiple regression analyses showed that exposure to two or more forms of abuse was associated with problematic alcohol use, = .24, < .001, and heavy alcohol consumption, = .23, < .001, whereas history of a single form was not. Indirect effects of both single and multiple forms of abuse on problematic alcohol use (95% confidence interval [CI] [.16, 1.02]; [.46, 1.64]) and heavy alcohol consumption (95% CI [.02, .26]; [.05, .45]) via emotion dysregulation severity were found. Abuse and emotion dysregulation were associated with frequency of alcohol use and binge drinking, but not typical amount consumed. Hazardous alcohol consumption was prevalent among this sample of African American young women who use alcohol. This study provides preliminary evidence that emotion dysregulation may be an important mechanism buttressing the association between lifetime history of interpersonal abuse and problematic alcohol use among African American young women who use alcohol.
非裔美国女性经历了较高比例的与酒精相关的后果，而在该人群中，没有研究明确考察过一生中的人际虐待、情绪失调与成年早期关键时期的酒精相关后果之间的关联。本研究使用了一项针对非裔美国年轻女性（年龄在 18 至 24 岁之间，使用酒精）的 HIV 预防干预试验的样本基线数据，以检验情绪失调是否在一生中遭受虐待的历史与问题性饮酒之间的关系中起中介作用。此外，我们还试图检验是否存在基于所经历的虐待类型数量的潜在不同程度的问题性饮酒。多元回归分析显示，暴露于两种或多种形式的虐待与问题性饮酒有关， =.24， <.001，以及重度饮酒， =.23， <.001，而单一形式的虐待则没有。单一和多种形式的虐待对问题性饮酒（95%置信区间 [CI] [.16，1.02]；[.46，1.64]）和重度饮酒（95%CI [.02，.26]；[.05，.45]）的间接效应通过情绪失调严重程度来发现。在这个使用酒精的非裔美国年轻女性样本中，虐待和情绪失调与饮酒频率和狂饮有关，而与典型的饮酒量无关。该样本中存在危险的酒精消费。本研究提供了初步证据，表明情绪失调可能是支撑非裔美国年轻女性使用酒精者一生中的人际虐待史与问题性饮酒之间关联的一个重要机制。
