年轻人接触含酒精内容的媒体：与高风险 2 年制和 4 年制大学生的危险饮酒和后果的关联。
Exposure to media with alcohol-related content across young adulthood: Associations with risky drinking and consequences among high-risk 2- and 4-year college students.
机构信息
Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA.
出版信息
Drug Alcohol Rev. 2024 Jan;43(1):98-110. doi: 10.1111/dar.13654. Epub 2023 Mar 29.
INTRODUCTION
Exposure to media with alcohol-related content is a known risk for alcohol use and related harms among young people. The present study used longitudinal self-report data on exposure to media with alcohol-related content to examine age trajectories across young adulthood and to estimate associations with heavy episodic drinking (HED) and negative consequences.
METHOD
Participants were 201 high-risk young adults enrolled in 2- and 4-year colleges (ages 18-25 at screening; 63.7% female). Repeated assessments occurred at four timepoints across a 12-month period.
RESULTS
Self-reported exposure to both positively and negatively portrayed alcohol-related media content decreased with age. Between-persons, controlling for alcohol use frequency, exposure to positive alcohol-related media content was positively associated with HED, and exposure to negative alcohol-related media content was inversely associated with HED; no within-person effects on HED were significant. For negative consequences, controlling for alcohol quantity, exposure to positive media content was associated with more negative consequences both between- and within-persons. Unexpectedly, exposure to negatively portrayed media content was positively associated with negative consequences at the within-person level.
DISCUSSION AND CONCLUSIONS
Trajectories in exposure to media with alcohol-related content showed that relatively younger participants reported greater exposure, highlighting the need for policy and prevention efforts to protect this vulnerable demographic. Findings generally indicated that positive portrayals of alcohol use increase alcohol-related risks. Moreover, increased exposure to negative portrayals in a given assessment was associated with more negative consequences-potentially by normalising or glorifying high-risk drinking and consequences, though mechanistic/causal research is needed.
简介
接触含有酒精内容的媒体是年轻人饮酒和相关危害的已知风险因素。本研究使用与酒精相关内容的媒体接触的纵向自我报告数据，来检验年轻人整个成年早期的轨迹，并估计与重度饮酒（HED）和负面后果的关联。
方法
参与者为 201 名高危年轻成年人，他们入读 2 年制和 4 年制大学（筛选时年龄为 18-25 岁；63.7%为女性）。在 12 个月的时间内，每隔四个时间点进行四次评估。
结果
自我报告的接触正面和负面描绘酒精相关媒体内容随年龄的增长而减少。在控制了饮酒频率的个体间水平上，接触正面的酒精相关媒体内容与 HED 呈正相关，接触负面的酒精相关媒体内容与 HED 呈负相关；HED 方面没有显著的个体内效应。对于负面后果，在控制了酒精量的个体间和个体内水平上，接触正面的媒体内容与更多的负面后果相关。出乎意料的是，接触负面描绘的媒体内容与个体内的负面后果呈正相关。
讨论和结论
接触与酒精相关内容的媒体的轨迹表明，相对年轻的参与者报告了更大的接触量，这突出了需要制定政策和预防措施来保护这一脆弱的群体。研究结果普遍表明，对饮酒的正面描绘增加了与酒精相关的风险。此外，在给定的评估中，接触更多的负面描绘与更多的负面后果相关，这可能是通过将高风险饮酒和后果正常化或美化，尽管需要进行机制/因果研究。
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