Old Dominion University, Norfolk, VA, United States.
Virginia Consortium Program in Clinical Psychology, Norfolk, VA, United States.
Subst Use Misuse. 2024;59(1):69-78. doi: 10.1080/10826084.2023.2259463. Epub 2023 Dec 1.
: High-intensity drinking (HID), or drinking that doubles the binge threshold (i.e., 8+/10+ drinks for women/men), is associated with more negative consequences than binge-only drinking. However, research focusing on HID and factors that may delineate HID from other drinking behaviors is lacking. The present study evaluated if perceived norms for peer drinking behavior (i.e., descriptive norms for alcohol quantity and frequency and injunctive norms) differentiated high-intensity drinkers from other drinker statuses. Further, we evaluated the role of perceived norms on odds of HID engagement and HID frequency. Finally, college status, sex, and underage drinker status were evaluated as moderators of the association between perceived norms and HID status/frequency. : Participants were 623 emerging adult drinkers recruited Craigslist (68.7% male; 69.0% White). Participants completed an online survey on their drinking behaviors and related social factors. : Each domain of perceived norms positively associated with drinker status. Higher perceived norms were associated with greater odds of HID and predicted HID frequency. The association between quantity and frequency descriptive norms and HID engagement was stronger for nonstudents and was only significant for males. Underage drinker status did not moderate associations between perceived norms and HID engagement. : Findings provided evidence that perceptions of peer drinking behaviors are strong indicators of HID risk and may be especially useful for identifying high-intensity drinking males and nonstudents. The utility of perceived peer norms to differentiate this group of particularly risky drinkers suggests that social-influence-focused intervention approaches, including norms correction, may be efficacious in targeting HID among emerging adults.
: 高强度饮酒(HID),即饮酒量达到狂饮标准的两倍(女性为 8+/10+ 杯,男性为 4+/5+ 杯),与更严重的后果相关,比仅狂饮更严重。然而,目前缺乏针对 HID 以及可能将 HID 与其他饮酒行为区分开来的因素的研究。本研究评估了同伴饮酒行为的感知规范(即酒精数量和频率的描述性规范和禁令规范)是否能将 HID 与其他饮酒者区分开来。此外,我们评估了感知规范对 HID 参与和 HID 频率的影响。最后,我们评估了大学生身份、性别和未成年饮酒者身份对感知规范与 HID 状态/频率之间关系的调节作用。 : 参与者为 623 名新兴成年饮酒者,通过 Craigslist 招募(68.7%为男性;69.0%为白人)。参与者在线完成了一份关于饮酒行为和相关社会因素的调查。 : 感知规范的每个维度都与饮酒者状态呈正相关。较高的感知规范与 HID 的可能性更大和 HID 频率更高相关。对于非大学生,数量和频率描述性规范与 HID 参与之间的关联更强,而且仅对男性有意义。未成年饮酒者身份并未调节感知规范与 HID 参与之间的关系。 : 研究结果提供了证据,表明对同伴饮酒行为的感知是 HID 风险的强烈指标,可能特别有助于识别高危 HID 男性和非大学生。感知同伴规范可区分这一特别危险的饮酒者群体,这表明以社会影响为重点的干预方法,包括规范纠正,可能对针对新兴成年人的 HID 有效。