Alcohol Use Trajectories After High School Graduation Among Emerging Adults With Type 1 Diabetes
Alcohol Use Trajectories After High School Graduation Among Emerging Adults With Type 1 Diabetes
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DOI：
10.1016/j.jadohealth.2014.02.002
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发表时间：
2014-08-01
影响因子：
7.6
通讯作者：
Stump, Timothy E.
中科院分区：
文献类型：
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作者：
Hanna, Kathleen M.;Stupiansky, Nathan W.;Stump, Timothy E.
目的：探讨酒精参与轨迹和相关因素在一年后高中（HS）毕业的新兴成人1型diabetes.Methods：青年（N=181）自我报告的酒精使用在基线和每3个月为1年后HS毕业。还收集了有关父母-青少年冲突、糖尿病自我效能、主要生活事件、生活和教育情况、糖尿病管理、大麻使用、吸烟和血糖控制的数据。酒精使用的轨迹采用潜在类增长分析建模。使用方差分析、卡方检验或广义线性混合模型检验轨迹类别与特定显著变量之间的关联。结果：识别出的酒精涉入轨迹类别被标记为（1）一致涉入组（n=25，13.8%）在12个月内相对于其他组稳定、高使用率;（2）不断增长的参与组（n=55，30.4%），在整个12个月内增加使用;（3）最小受累组（n=101，55.8%），基本上没有涉及，直到第9个月。那些参与程度最低的人比那些持续参与的人有最好的糖尿病管理和更好的糖尿病自我效能。与那些最低限度的参与相比，越来越多的参与者更有可能独立生活的父母，那些一贯参与有更多的重大生活事件，和不断增长和一致的参与组更有可能尝试大麻和cigarettes.Conclusions：这个样本的新兴成人1型糖尿病有三个独特的模式，在HS后的第一年的酒精使用。(C)2014年青少年健康和医学协会。All rights reserved.
Objective: To explore alcohol involvement trajectories and associated factors during the year post-high school (HS) graduation among emerging adults with type 1 diabetes.Methods: Youth (N=181) self-reported alcohol use at baseline and every 3 months for 1 year post-HS graduation. Data were also collected on parent-youth conflict, diabetes self-efficacy, major life events, living and educational situations, diabetes management, marijuana use, cigarette smoking, and glycemic control. Trajectories of alcohol use were modeled using latent class growth analysis. Associations between trajectory class and specific salient variables were examined using analysis of variance, chi square, or generalized linear mixed model, as appropriate.Results: Identified alcohol involvement trajectory classes were labeled as (1) consistent involvement group (n=25, 13.8%) with stable, high use relative to other groups over the 12 months; (2) growing involvement group (n=55, 30.4%) with increasing use throughout the 12 months; and (3) minimal involvement group (n=101, 55.8%) with essentially no involvement until the ninth month. Those with minimal involvement had the best diabetes management and better diabetes self-efficacy than those with consistent involvement. In comparison with those minimally involved, those with growing involvement were more likely to live independently of parents; those consistently involved had more major life events; and both the growing and consistent involvement groups were more likely to have tried marijuana and cigarettes.Conclusions: This sample of emerging adults with type 1 diabetes has three unique patterns of alcohol use during the first year after HS. (C) 2014 Society for Adolescent Health and Medicine. All rights reserved.