Reciprocal relations between stressors and drinking behavior: a three-wave panel study of late middle-aged and older women and men
Reciprocal relations between stressors and drinking behavior: a three-wave panel study of late middle-aged and older women and men
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DOI：
10.1046/j.1360-0443.1999.94573712.x
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发表时间：
1999-05-01
期刊：
影响因子：
6
通讯作者：
Moos, RH
中科院分区：
文献类型：
--
作者：
Brennan, PL;Schutte, KK;Moos, RH
的目标。研究中老年女性和男性压力源与饮酒行为之间的相互关系。设计、设置和参与者。一个由621名女性和941名男性组成的社区样本（平均年龄为61岁）分三次提供了关于他们生活压力源和饮酒行为的信息：初次评估、1年后评估和4年后评估。采用结构方程模型和显变量来检验压力源与饮酒行为之间的跨时间关系。发现。压力源并不预示更重或更频繁的饮酒，事实上，在女性中，健康压力源的增加预示着饮酒量的减少；在男性中，经济压力的增加抑制了饮酒。在某些生活领域较高的压力源水平确实预示着后来的饮酒问题。对于男性和女性来说，最初更多的饮酒问题导致了更多的经济和配偶压力。与预期相反，对女性来说，更频繁的饮酒预示着更少的负面生活事件、健康压力因素和财务压力因素，而对男性来说，更少的健康压力因素。结论。研究结果表明，在老年人中可能存在一种有害的反馈循环，即有问题的饮酒和生活压力因素相互加剧，但也存在一种良性的反馈循环，即适度饮酒和生活压力因素相互减少。
Aim. To examine reciprocal relations between stressors and drinking behavior among late-middle-aged and older women and men. Design, setting, and participants. A community sample of 621 women and 941 men (mean age = 61) provided information about their life stressors and drinking behavior at three times: initial assessment, 1 year later and 4 years later. Structural equation modeling with manifest variables was used to examine cross-temporal relations between stressors and drinking behavior. Findings. Stressors did not predict heavier or more frequent drinking In fact, among women, increased health stressors predicted a reduction of alcohol consumption; among men, increased financial stressors suppressed alcohol consumption. Higher stressor levels in some life domains did foreshadow later drinking problems. More initial drinking problems resulted in more subsequent financial and spouse stressors for both women and men. Contrary to expectation, more frequent alcohol consumption presaged fewer negative life events, health stressors, and financial stressors for women, and fewer health stressors for men. Conclusions. The findings suggest that among older adults there may be a harmful feedback cycle whereby problematic drinking and life stressors exacerbate each other, but also a benign feedback cycle in which moderate alcohol consumption and life stressors reduce each other.