Walukevich-Dienst Katherine, Hoang Annie N, Fairlie Anne M, Lewis Melissa A, Lee Christine M
Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington.
School of Social Work, University of Texas at Arlington, Arlington, Texas.
J Stud Alcohol Drugs. 2025 Jan;86(1):124-135. doi: 10.15288/jsad.23-00372. Epub 2024 Jul 3.
There is considerable variability in how young adults (YAs) perceive drinking-related consequences, and some researcher-identified "negative" consequences are viewed by YAs as neutral or even somewhat positive. Little is known about individual difference factors that may influence subjective evaluations of alcohol consequences.
We tested whether endorsement and subjective evaluation ("extremely negative" to "extremely positive") of 24 alcohol-related negative consequences differed by age (18-20, 21-27), past-3-month drinking frequency (three times/month or less, weekly or more), and current undergraduate status (4-year undergraduate, nonstudent). YAs were recruited for a longitudinal ecological momentary assessment study on cognitions and alcohol use. Participants in the analytic sample ( = 640; 48.1% White non-Hispanic/Latinx, 50.0% female, age = 22.2 years, = 2.3) reported past-3-month drinking. Past-3-month drinking frequency, negative consequences (total and item-level), and subjective evaluations of consequences were assessed cross-sectionally.
Compared with YAs age 18-20, YAs 21 and older experienced fewer total consequences, were significantly less likely to endorse experiencing physical/behavioral consequences, and rated these consequences more negatively if they were endorsed. YAs who drank weekly or more reported experiencing more consequences and were significantly more likely to experience all 24 consequences in comparison with YAs who drank three times/month or less. Subjective evaluation ratings did not significantly differ by drinking frequency. There were few differences between 4-year undergraduates and non-undergraduates; non-undergraduates rated several health/responsibility-related consequences more negatively.
Findings highlight the importance of identifying individual difference factors that contribute to subjective evaluation ratings and may be useful for tailoring brief, personalized alcohol interventions for YAs.
青年成年人(YAs)对饮酒相关后果的认知存在很大差异,一些研究人员认定的“负面”后果在青年成年人看来是中性的,甚至在某种程度上是正面的。关于可能影响酒精后果主观评价的个体差异因素,我们知之甚少。
我们测试了24种与酒精相关的负面后果的认同度和主观评价(从“极其负面”到“极其正面”)在年龄(18 - 20岁、21 - 27岁)、过去三个月饮酒频率(每月三次或更少、每周或更多)以及当前本科就读状态(四年制本科生、非学生)方面是否存在差异。青年成年人被招募参与一项关于认知与饮酒行为的纵向生态瞬时评估研究。分析样本中的参与者(n = 640;48.1%为非西班牙裔/拉丁裔白人,50.0%为女性,平均年龄 = 22.2岁,标准差 = 2.3)报告了过去三个月的饮酒情况。对过去三个月的饮酒频率、负面后果(总体及各项)以及后果的主观评价进行了横断面评估。
与18 - 20岁的青年成年人相比,21岁及以上的青年成年人经历的总体后果更少,认同经历身体/行为后果的可能性显著更低,并且如果认同这些后果,对其评价更负面。与每月饮酒三次或更少的青年成年人相比,每周或更多次饮酒的青年成年人报告经历的后果更多,并且经历所有24种后果的可能性显著更高。主观评价评分在饮酒频率方面没有显著差异。四年制本科生和非本科生之间差异不大;非本科生对一些与健康/责任相关的后果评价更负面。
研究结果凸显了识别有助于主观评价评分的个体差异因素的重要性,这可能有助于为青年成年人量身定制简短、个性化酒精干预措施。