Department of Justice Studies, Prairie View A&M University, Prairie View, TX 77446, USA.
PERSEREC, Peraton, Seaside, CA 93955, USA.
Int J Environ Res Public Health. 2021 Oct 21;18(21):11089. doi: 10.3390/ijerph182111089.
The present longitudinal study, for 12 years, followed a group of young adults, examining (1) whether/how victimization in childhood increased the likelihood of heavy drinking; (2) whether depression mediated the strain-heavy drinking relationship; and (3) whether/how relationships among strain, depression, and heavy drinking differed across two gender groups. Data came from the National Longitudinal Survey of Youth 1997 cohort, dating 2004-2015 (5 interview waves and 22,549 person-wave measurements total). We linked consumption of 5+ drinks (during the month prior) to four discrete measures of violent victimization, to one measure of stressful events, and to depression. We needed to consider repeat measures of the same variables over time, so we used generalized estimating equations (GEE) to analyze data. Depression was found to increase heavy drinking uniformly. Empirical evidence confirmed that in the strain-heavy drinking relationship, depression plays a minor mediating role. Gender moderated heavy drinking's associations. Specifically, bullying in childhood raised risk for female respondents. The current strain was associated with a higher risk of heavy drinking among male respondents. Childhood victimization, as well as current life stress, play an important role in depression and heavy drinking. Future research should focus on the development of specific, targeted care to reduce heavy drinking's harm and promote equity among Americans.
本纵向研究对一组年轻人进行了为期 12 年的随访，考察了以下几个方面：（1）童年期受侵害经历是否会增加大量饮酒的可能性；（2）抑郁是否在压力与大量饮酒之间起中介作用；（3）压力、抑郁和大量饮酒之间的关系在两个性别群体中是否存在差异。数据来自于国家青年纵向调查 1997 队列，时间跨度为 2004 年至 2015 年（共 5 次访谈和 22549 人次测量）。我们将在过去一个月内饮用 5 杯或以上的酒类（含酒精饮料）与四项暴力侵害的离散测量指标、一项压力事件的测量指标和抑郁情况进行关联。我们需要考虑同一变量在不同时间点的重复测量，因此使用广义估计方程（GEE）对数据进行分析。结果发现，抑郁会均匀地增加大量饮酒的可能性。实证证据证实，在压力与大量饮酒的关系中，抑郁起着次要的中介作用。性别对大量饮酒的关联有调节作用。具体来说，童年期受欺凌会增加女性受访者的风险。目前的压力与男性受访者大量饮酒的风险增加有关。童年期受侵害经历以及当前的生活压力，对抑郁和大量饮酒起着重要作用。未来的研究应集中于制定具体的、有针对性的护理方案，以减少大量饮酒的危害并促进美国人之间的公平。
