Social and coping reasons for drinking: Predicting alcohol misuse in adolescents
Social and coping reasons for drinking: Predicting alcohol misuse in adolescents
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DOI：
10.15288/jsa.1999.60.491
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发表时间：
1999-07-01
期刊：
影响因子：
--
通讯作者：
Barnes, GM
中科院分区：
文献类型：
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作者：
Bradizza, CM;Reifman, A;Barnes, GM
目的：饮酒动机模型表明饮酒原因与饮酒量之间存在正相关关系。本研究考察了种族、性别和年龄作为黑人和白人青少年社会和应对动机与酒精滥用之间关系的调节因子。方法：采用随机数字拨号电话方法，选取13 - 16岁青少年中有代表性的699名（占54%）男性和女性。大约每隔一年对研究对象及其家庭进行六次面对面访谈。收集的信息评估了酒精使用、饮酒的社会和应对动机以及心理困扰。结果：采用多因素分析，包括横断面和纵向logistic回归分析以及生存分析来检验饮酒动机与青少年酒精滥用的关系。与我们的预测相反，社会动机在某种程度上比应对动机更能预测酒精滥用，尤其是在青春期中后期。然而，有一些有限的证据表明，在青春期中期，应对动机和酒精滥用之间存在显著的关系。一些支持种族差异的研究发现，社会动机在白人中比在黑人中更能预测酒精滥用，而应对动机在黑人中更能预测酒精滥用。在饮酒动机和酒精滥用的关系中，几乎没有发现性别差异。结论：这些发现表明社会和应对动机在青春期中后期比在青春期早期更倾向于影响酒精滥用。研究动机的发展及其影响饮酒行为的机制是必要的。
Objective: Motivational models of alcohol consumption suggest a positive relationship between reasons for drinking and the amount of alcohol consumed. The present study examined race, gender, and age as moderators of the relationship between social and coping motives and alcohol misuse in black and white adolescents. Method: A representative population sample (N = 699) of male and female (54%) adolescents between the ages of 13 and 16 was recruited using a random-digit-dial telephone procedure. Six face-to-face interviews with subjects and their families were carried out at approximately yearly intervals. Information gathered assessed alcohol use, social and coping motives for drinking, and psychological distress. Results: Multiple analyses, including both cross-sectional and longitudinal logistic regression analyses and survival analysis were used to examine the relationship of drinking motives to adolescent alcohol misuse. Contrary to our predictions, social motive was a somewhat better predictor of alcohol misuse than was coping motive, particularly during mid- to late adolescence. However, there was some limited evidence of a significant relationship between coping motives and alcohol misuse in the mid-adolescent age group. Some support was found for racial differences such that social motives are better predictors of alcohol misuse among whites than among blacks and coping motives are better predictors among blacks. Few gender differences were found in the relationship of drinking motives and alcohol misuse. Conclusions: These findings suggest a stronger tendency for social and coping motives to influence alcohol misuse during mid to late than in early adolescence. Research examining the development of motives and the mechanisms by which they influence drinking behavior is needed.