Assessing alcohol use in situ: Correlates of self-report vs. objective alcohol consumption.

Assessing alcohol use in situ: Correlates of self-report vs. objective alcohol consumption.
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DOI:
10.1016/j.addbeh.2022.107278
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发表时间:
2022-06
影响因子:
4.4
通讯作者:
Miller, Mary Beth
Miller, Mary Beth
中科院分区:
医学2区
文献类型:
--
作者:
Cox, Melissa;Chaney, Beth;McDonald, Leah;Miller, Mary Beth

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青年人饮酒的自我报告和客观测量之间的关联被过度消费水平所削弱;因此,酒精使用和消费的相关性之间的关联也可能因酒精测量而异。这项研究探讨了通过自我报告测量的大量饮酒的相关性在多大程度上也是客观测量的大量饮酒的指标。数据收集自164名酒吧顾客(54%男性; 73%白色,12%黑人,15%其他; 15%西班牙裔),因为他们离开了酒吧。参与者完成了一项拦截调查,包括自我报告的饮酒,人口统计学和社会环境因素的措施。呼吸酒精浓度(BrAC)阅读也使用手持呼吸测醉器设备获得。两个自我报告的结果之间的相关性,在酒吧前和在酒吧消费的饮料数量,和BrAC中的最低四分位数的BrAC读数显着,但在中等和高BrAC水平在很大程度上不显着。在自我报告的结果和BrAC中,当晚喝醉的意图是酒精消费的一个强有力的预测因素。社会因素(存在饮酒的同龄人,目睹醉酒的人)是自我报告的酒精使用的预测,但不是BrAC。AUDIT-C评分是客观测量酒精使用的唯一额外酒精行为预测指标。自我报告的结果和BrAC,以及它们与关键相关因素的关联,在最需要预防性干预的高水平中毒时出现分歧。进一步的研究和酒精预防实践的影响进行了讨论。
Associations between self-report and objective measurement of young adult alcohol use are weakened by excessive consumption levels; therefore, associations between correlates of alcohol use and consumption likely also differ by alcohol measurement. This study examined the extent to which correlates of heavy drinking measured via self-report are also indicators of heavy drinking measured objectively. Data were collected from 164 bar patrons (54% male; 73% White, 12% Black, 15% Other; 15% Hispanic) as they exited the bar. Participants completed an intercept survey including self-reported measures of drinking, demographics, and social-environmental factors. A breath alcohol concentration (BrAC) reading was also obtained using a handheld breathalyzer device. Correlations between two self-reported outcomes, number of drinks consumed prior to and at the bar, and BrAC were significant among those in the lowest quartile of BrAC readings, but largely non-significant at moderate and high BrAC levels. Intention to get drunk that night was a robust predictor of alcohol consumption across self-reported outcomes and BrAC. Social factors (presence of drinking peers, witnessing drunk others) were predictive of self-reported alcohol use but not BrAC. AUDIT-C score was the only additional alcohol behavior predictive of objectively measured alcohol use. Self-reported outcomes and BrAC, as well as their association with key correlates, diverge at high levels of intoxication, when preventive intervention is most needed. Implications for further research and alcohol prevention practice are discussed.
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