Alcohol-Induced Blackouts as Predictors of Other Drinking Related Harms Among Emerging Young Adults.
Alcohol-Induced Blackouts as Predictors of Other Drinking Related Harms Among Emerging Young Adults.
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DOI：
10.1111/acer.13010
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发表时间：
2016-04
期刊：
影响因子：
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通讯作者：
White A
中科院分区：
文献类型：
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作者：
Hingson R;Zha W;Simons-Morton B;White A
与酒精相关的昏厥是一种失忆症，反映了大脑无法记录饮酒时发生的事情的记忆。本文研究了新兴成年人中停顿的发生率、预测因素和行为相关性，并研究了停顿问题是否可以比饮酒水平问题更好地作为其他酒精相关危害的风险标记。 2012-2013 年，2,140 名高中毕业一年后的受访者中有 1,463 名（68%）报告饮酒过。他们被问到，在过去的六个月里，他们是否因为喝酒而忘记了自己在哪里或做了什么。该调查还探讨了过去六个月的人口统计、药物使用行为和其他与酒精相关的问题。卡方和逻辑回归分析探讨了停电和其他酒精相关问题的双变量和多变量预测因素。 20% 曾饮酒的受访者表示在过去六个月内曾饮酒过。失忆在女性以及过去 30 天内使用多种药物、经常酗酒、酗酒、吸烟、体重较低和住在大学宿舍的女性中更为普遍。在控制饮酒水平后，停药是大多数其他酒精问题的最强独立预测因素，包括过去六个月因饮酒、缺课或上班、工作或学业落后、做了一些受访者后来后悔的事情、与朋友争吵、服药过量以及报告的酒精问题总数。它也是宿醉、损坏财产、受伤和与警察发生冲突的独立预测因素。由于停电表明饮酒水平会导致严重的认知和行为障碍，因此有关停电的问题可以作为重要而简单的筛查工具，以筛查遭受其他酒精相关危害的风险。需要对此主题进行额外的工作。
Alcohol-related blackouts are periods of amnesia that reflect the failure of the brain to record memories of what transpires while drinking. This paper examined the incidence, predictors, and behavioral correlates of blackouts among emerging adults and examined whether questions about blackouts could serve as better markers of risk for other alcohol related harms than questions about levels of consumption. In 2012-2013, 1,463 (68%) of 2,140 respondents one-year past high school reported having consumed alcohol. They were asked whether, in the past six months because of drinking, they forgot where they were or what they did. The survey also explored demographics, substance use behaviors, and other alcohol-related problems in the past six months. Chi square and logistic regression analyses explored bivariate and multivariate predictors of blackouts and other alcohol-related problems. Twenty percent of respondents who ever drank alcohol reported a blackout in the past six months. Blackouts were more prevalent among females and those who, in the past 30 days, used multiple drugs, more frequently binged, were drunk, smoked, had lower body weight, and lived in college dorms. After controlling for drinking levels, having a blackout was the strongest independent predictor of most other alcohol problems examined, including in the past six months because of drinking, missing class or work, getting behind in work or school, doing something respondents later regretted, arguing with friends, experiencing an overdose, and total number of alcohol problems reported. It was also an independent predictor of hangovers, damaging property, getting hurt, and trouble with police. Because blackouts indicate drinking at levels that result in significant cognitive and behavioral impairment, questions about blackouts could serve as important, simple screeners for the risk of experiencing other alcohol related harms. Additional work on this subject is warranted.