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黑人大学生童年不良经历与饮酒行为:探究抑郁和应对性饮酒动机的中介作用

Adverse Childhood Experiences and Alcohol Use among Black College Students: Examining the Mediating Roles of Depression and Coping Drinking Motives.

作者信息

Banks Amanda N

机构信息

Department of Psychology, Prairie View A&M University, Prairie View, Texas, USA.

出版信息

Subst Use Misuse. 2023;58(14):1798-1804. doi: 10.1080/10826084.2023.2247058. Epub 2023 Aug 29.

DOI:10.1080/10826084.2023.2247058
PMID:37644693
Abstract

Over the past two decades, research has linked adverse childhood experiences (ACEs) to adult health-risk behaviors such as excessive alcohol use. Yet, few have investigated health-risk behaviors among Black college students. Research suggests that Black college students are at lower risk for hazardous drinking patterns, yet ACEs appear to alter the drinking patterns of Black students. Other studies have also shown depressive symptoms and coping-motivated drinking to predict greater alcohol consumption for this ethnic group. The current study investigated the relationship between ACEs and hazardous patterns of drinking, including frequency of alcohol use, binge, and heavy drinking episodes, using a sample of 282 Black students attending a historically black college/university (HBCU). Depressive symptoms and coping drinking motives were tested as serial mediators between ACEs and the three drinking patterns. Results revealed a significant indirect effect of ACEs on the frequency of alcohol use, binge, and heavy drinking episodes, through depressive symptoms and coping drinking motives. Depressive symptoms also independently mediated the relationship between ACEs and heavy drinking episodes. The finding suggested that drinking perhaps serves as a maladaptive coping strategy to address underlying early life stress and depression for Black students.

摘要

在过去二十年中,研究已将童年不良经历(ACEs)与成人健康风险行为(如过度饮酒)联系起来。然而,很少有人调查黑人大学生中的健康风险行为。研究表明,黑人大学生出现有害饮酒模式的风险较低,但童年不良经历似乎会改变黑人学生的饮酒模式。其他研究还表明,抑郁症状和以应对为动机的饮酒行为预示着该种族群体饮酒量会增加。本研究以282名就读于历史悠久的黑人学院/大学(HBCU)的黑人学生为样本,调查了童年不良经历与有害饮酒模式之间的关系,包括饮酒频率、暴饮和重度饮酒情况。抑郁症状和应对饮酒动机被作为童年不良经历与三种饮酒模式之间的系列中介变量进行了测试。结果显示童年不良经历通过抑郁症状和应对饮酒动机对饮酒频率、暴饮和重度饮酒情况产生了显著的间接影响。抑郁症状还独立介导了童年不良经历与重度饮酒情况之间的关系。该研究结果表明饮酒可能是黑人学生应对潜在早期生活压力和抑郁的一种适应不良的应对策略。

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