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50岁及以上成年人日常压力源与酒精使用的协变关系:压力源特征和个体因素的差异

Covariation of daily stressors and alcohol use among adults aged 50+ years: differences across stressor characteristics and individual factors.

作者信息

Miller Sara E, Maggs Jennifer L, Almeida David M

机构信息

Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, United States.

Department of Human Development and Family Studies, The Pennsylvania State University, United States.

出版信息

Ann Behav Med. 2025 Jan 4;59(1). doi: 10.1093/abm/kaaf041.

Abstract

BACKGROUND

Several theoretical frameworks suggest connections between stress and alcohol use. However, limited existing literature has focused on older adults, and associations may vary across stressor and individual characteristics.

PURPOSE

The current study extends the stress-drinking literature by assessing the same-day covariation of daily stressors and alcohol use among a national sample of adults aged 50+ years.

METHODS

Participants (N = 1,035; Mage=61.62 years; range = 50-83) were non-abstaining adults who participated in an 8-day daily diary project in the National Study of Daily Experiences.

RESULTS

Multilevel logistic regression analyses revealed no main effects of stressor exposure (OR = 1.07; 95% CI: 0.93, 1.24), stressor quantity (OR = 1.09; 95% CI: 0.98, 1.20), or stressor severity (OR = 1.06; 95% CI: 0.99, 1.14) on likelihood of same-day alcohol consumption. There were differences by stressor domain. Days with non-work stressors were associated with a 13% greater likelihood of alcohol use compared to days without non-work stressors (OR = 1.13; 95% CI = 1.004, 1.27). In contrast, likelihood of alcohol consumption did not differ between days with work stressors compared to days without work stressors (OR = 0.90; 95% CI = 0.71, 1.13). Several between-person factors were found to moderate associations between daily stressors and alcohol use. Specifically, older age, lower educational attainment, and reporting alcohol-related problems strengthened associations between some daily stressor characteristics and likelihood of same-day alcohol use.

CONCLUSIONS

Study findings suggest individual differences in middle-aged and older adults' drinking on days with daily stressors. Results may inform efforts to provide personalized alcohol use education and intervention to adults aged 50+ years.

摘要

背景

几种理论框架表明压力与饮酒之间存在联系。然而,现有文献中针对老年人的研究有限,且这种关联可能因压力源和个体特征的不同而有所差异。

目的

本研究通过评估50岁及以上成年人全国样本中日常压力源与饮酒行为的当日共变性,拓展了压力与饮酒关系的相关文献。

方法

参与者(N = 1035;年龄中位数 = 61.62岁;范围 = 50 - 83岁)为非戒酒成年人,他们参与了“日常经历全国研究”中的一项为期8天的每日日记项目。

结果

多水平逻辑回归分析显示,压力源暴露(比值比 = 1.07;95%置信区间:0.93,1.24)、压力源数量(比值比 = 1.09;95%置信区间:0.98,1.20)或压力源严重程度(比值比 = 1.06;95%置信区间:0.99,1.14)对当日饮酒可能性均无主要影响。压力源领域存在差异。与没有非工作压力源的日子相比,有非工作压力源的日子饮酒可能性高13%(比值比 = 1.13;95%置信区间 = 1.004,1.27)。相比之下,有工作压力源的日子与没有工作压力源的日子相比,饮酒可能性没有差异(比值比 = 0.90;95%置信区间 = 0.71,1.13)。研究发现了几个个体因素调节日常压力源与饮酒之间的关联。具体而言,年龄较大、教育程度较低以及报告有与酒精相关问题的情况会增强某些日常压力源特征与当日饮酒可能性之间的关联。

结论

研究结果表明,中老年成年人在有日常压力源的日子里饮酒存在个体差异。研究结果可为针对50岁及以上成年人提供个性化饮酒教育和干预的工作提供参考。

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