Department of Psychiatry, Chang Gung Memorial Hospital at Keelung, Keelung City 204, Taiwan.
College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan.
Int J Environ Res Public Health. 2022 May 1;19(9):5497. doi: 10.3390/ijerph19095497.
Family members of hazardous or harmful alcohol drinkers suffer many consequences of their relative’s alcohol-drinking behaviors and risk developing their own hazardous alcohol drinking behaviors. Studies of alcohol-related healthcare problems have mainly focused on patients, with few studies on their family members. This cross-sectional study explored factors predicting hazardous alcohol drinking behaviors in family members of hazardous alcohol-drinker patients. Participants were recruited from four randomly chosen hospitals in Taiwan. Data were collected using self-report questionnaires on family members’ alcohol use, perceived stress, coping mechanisms, social support, health, quality of life, protective factors against hazardous alcohol drinking, facilitative factors for hazardous alcohol drinking, and demographics. The 318 family members who participated in this study were divided by their Chinese-version Alcohol Use Disorders Identification Test scores into two groups: hazardous alcohol drinkers (score ≥ 8) and non-hazardous alcohol drinkers (score < 8). Significant factors predicting hazardous alcohol drinking behaviors were found by logistic regression to be the frequency of using general coping mechanisms (OR = 1.29, p < 0.01), the frequency of using strategies to cope with patients’ drinking-related behaviors (OR = 0.89, p < 0.01), factors protecting against hazardous alcohol drinking (OR = 0.76, p < 0.01) and factors facilitating hazardous alcohol drinking (OR = 1.52, p < 0.01). Interventions should be designed for family members of hazardous alcohol drinkers to address these four significant predictors.
危险或有害饮酒者的家庭成员会因亲人的饮酒行为而遭受许多后果，并面临自身危险饮酒行为的风险。研究酒精相关的医疗保健问题主要集中在患者身上，而对其家庭成员的研究较少。本横断面研究探讨了预测危险饮酒行为的因素，这些因素涉及危险饮酒患者的家庭成员。参与者从台湾的四家随机选择的医院招募。使用自我报告问卷收集关于家庭成员饮酒、感知压力、应对机制、社会支持、健康、生活质量、预防危险饮酒的保护因素、促进危险饮酒的因素以及人口统计学特征的数据。本研究共 318 名家庭成员，根据其中文版酒精使用障碍识别测试（AUDIT-C）评分分为两组：危险饮酒者（得分≥8）和非危险饮酒者（得分<8）。逻辑回归分析发现，预测危险饮酒行为的显著因素为一般应对机制的使用频率（OR=1.29，p<0.01）、应对患者饮酒相关行为的策略使用频率（OR=0.89，p<0.01）、预防危险饮酒的因素（OR=0.76，p<0.01）和促进危险饮酒的因素（OR=1.52，p<0.01）。应该为危险饮酒者的家庭成员设计干预措施，以解决这四个重要的预测因素。
