Department of Psychiatry, University of Michigan, North Campus Research Complex, Ann Arbor, MI, USA.
Addiction Center, University of Michigan, North Campus Research Complex, Ann Arbor, MI, USA.
Subst Abus. 2022;43(1):713-721. doi: 10.1080/08897077.2021.2007513.
High-intensity drinking (HID; 8+ U.S. standard drinks for women, 10+ men) is initiated during adolescence/emerging adulthood, increasing risk for negative outcomes, including blackouts. We examined baseline data from a study of risky drinking youth to identify factors associated with HID. Risky drinkers (ages 16-24) were recruited online (positive 3-month AUDIT-C score) as part of a larger study to examine social media interventions for risky drinking. We used baseline survey data to examine HID in relation to demographics, substance use-related variables, and individual and social factors. Among 931 risky drinkers, 29.8% reported past-month HID, and those with HID reported greater substance use and consequences. In multivariable analysis, HID was associated with male sex; greater social motives, impulsivity, and motivation; lower self-efficacy; and greater likelihood of not living with parents, drinking with important peers, and parental disapproval of posting drinking pictures. When examining age group interactions (16-20; 21-24), underage drinkers with high sensation-seeking scores and lower parental disapproval of posting drinking pictures on social media reported greater HID. Among risky drinking youth, male sex, social motives, impulsivity, higher motivation to and lower-self-efficacy to reduce drinking, living away from parents, more frequent drinking with important peers, and lower parental disapproval of posting drinking pictures on social media were positively associated with HID. Further, HID was associated with greater health consequences, underscoring the need for HID interventions. Such interventions may benefit from enhancing motivation and self-efficacy, particularly in social contexts, as well as increasing positive peer and leisure activities to reduce HID.
高强度饮酒（HID；女性 8 个以上美国标准饮品，男性 10 个以上）始于青少年/成年早期，增加了出现负面后果的风险，包括断片。我们研究了一项危险饮酒青年研究的基线数据，以确定与 HID 相关的因素。危险饮酒者（16-24 岁）通过在线招募（阳性 AUDIT-C 得分 3 个月），作为一项更大的研究的一部分，以研究社交媒体干预危险饮酒的研究。我们使用基线调查数据来检查与人口统计学、与物质使用相关的变量以及个人和社会因素相关的 HID。在 931 名危险饮酒者中，29.8%报告过去一个月有 HID，有 HID 的人报告了更多的物质使用和后果。在多变量分析中，HID 与男性性别、更大的社交动机、冲动性和动机、更低的自我效能感以及更有可能不与父母同住、与重要同伴一起饮酒以及父母不赞成在社交媒体上发布饮酒照片有关。当检查年龄组交互作用（16-20 岁；21-24 岁）时，高感觉寻求评分和父母不赞成在社交媒体上发布饮酒照片的未成年饮酒者报告了更大的 HID。在危险饮酒青年中，男性性别、社交动机、冲动性、更高的减少饮酒的动机和更低的自我效能感、远离父母、更频繁地与重要同伴饮酒以及父母不赞成在社交媒体上发布饮酒照片与 HID 呈正相关。此外，HID 与更大的健康后果相关，强调了需要进行 HID 干预。这种干预可能受益于增强动机和自我效能感，特别是在社交环境中，并增加积极的同伴和休闲活动以减少 HID。
