The Spirit Is Willing, But the Flesh is Weak: Why Young People Drink More Than Intended on Weekend Nights-An Event-Level Study
The Spirit Is Willing, But the Flesh is Weak: Why Young People Drink More Than Intended on Weekend Nights-An Event-Level Study
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DOI：
10.1111/acer.13490
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发表时间：
2017-11-01
影响因子：
3.2
通讯作者：
Kuntsche, Emmanuel
中科院分区：
文献类型：
--
作者：
Labhart, Florian;Anderson, Kristen G.;Kuntsche, Emmanuel
背景：周末晚上大量饮酒在年轻人中很常见，有人认为这是故意的。然而，对于在开始饮酒之前计划在多大程度上大量饮酒，以及哪些因素导致饮酒超过预期，人们知之甚少。方法：使用智能手机应用程序，对176名16-25岁的年轻人(平均年龄为19.1岁；49%为女性)在多个周五和周六晚上之前、期间和之后的饮酒意图、消费和饮酒环境进行了问卷调查(n=757)。结果：受试者每晚饮酒量为2.5杯(SD=2.8)，平均饮酒量为3.8杯(SD=3.9)。夜间经常外出、饮酒频率较高的人饮酒意向较高。参与者在361个晚上饮酒超过预期(47.7%)。对于男女来说，晚上8点前饮酒的次数、去多个地点、和更多的朋友在一起，都会导致个人和夜间饮酒量高于预期。男性外出饮酒和女性去夜总会时也会出现比预期更多的饮酒量。结论：让年轻人意识到饮酒量超过预期的倾向，特别是当饮酒开始于傍晚、从一个地点移动到另一个地点、包括一大群朋友时，可能是一个有效的预防目标。结构性措施，包括负责任的饮料服务，也可能有助于防止在多个地点过度饮酒。
Background: Heavy alcohol use is common among young adults on weekend nights and is assumed to be intentional. However, little is known about the extent to which heavy consumption is planned prior to the onset of drinking and what factors contribute to drinking more than intended. This study investigates drinking intentions at the beginning of an evening and individual and situational factors associated with a subsequent consumption over the course of multiple nights.Methods: Using a smartphone application, 176 young people aged 16 to 25 (mean age = 19.1; 49% women) completed questionnaires on drinking intentions, consumption, and drinking environments before, during, and after multiple Friday and Saturday nights (n = 757). Multilevel regressions were used to investigate individual-level and night-level factors associated with previous drinking intentions and subsequent deviations from intentions.Results: Participants intended to consume 2.5 drinks (SD = 2.8) per night yet consumed 3.8 drinks (SD = 3.9) on average. Drinking intentions were higher among those who frequently went out at night and engaged in more frequent predrinking. Participants drank more than intended on 361 nights (47.7%). For both genders, the number of drinks consumed before 8 PM, attending multiple locations, and being with larger groups of friends contributed to higher consumption than intended at the individual and the night levels. Heavier consumption than intended also occurred when drinking away from home for men and when going to nightclubs for women.Conclusions: Making young adults aware of the tendency to drink more than intended, particularly when drinking begins early in the evening, moves from location to location, and includes large groups of friends, may be a fruitful prevention target. Structural measures, including responsible beverage service, may also help in preventing excessive drinking at multiple locations.