Alcohol use in the year before marriage: Alcohol expectancies and peer drinking as proximal influences on husband and wife alcohol involvement

Alcohol use in the year before marriage: Alcohol expectancies and peer drinking as proximal influences on husband and wife alcohol involvement
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DOI:
10.1097/00000374-200011000-00009
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发表时间:
2000-11-01
影响因子:
3.2
通讯作者:
Mudar, PJ
Mudar, PJ
中科院分区:
医学3区
文献类型:
--
作者:
Leonard, KE;Mudar, PJ

文献摘要

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背景:青少年酗酒的模型包括个体差异、家庭和同龄人风险因素,表明青少年饮酒与同龄人饮酒之间存在显着关联。然而,同伴饮酒的影响尚未在成人饮酒的综合模型中得到广泛研究。本研究的目的是测试一个成人饮酒模型,该模型纳入了伴侣饮酒的潜在重要风险因素,并且假设近端风险因素(同伴饮酒、酒精预期)与成人饮酒密切相关,并调节更远端风险因素与饮酒之间的关系。 方法:对夫妇 (n = 389) 在第一次结婚时进行评估。丈夫和妻子在家中完成了单独的自填问卷。远端危险因素包括酗酒家族史、反社会行为和抑郁症状。在一个模型中测试了实质性关系,该模型包括与远端风险因素、近端风险因素和饮酒有关的配偶关系。结果:研究结果表明,饮酒预期和同伴饮酒与成人饮酒之间存在独特的关联。特别重要的是社交网络作为成人饮酒相关因素的重要性。以饮酒程度较高为特征的同伴网络与男性和女性的酗酒密切相关。这种关系独立于社会人口统计和个体差异因素、酒精预期和伴侣的饮酒情况。结果还证明了丈夫和妻子饮酒之间的相似性,这种关联不能归因于对其他危险因素的断言。结论:社交网络继续显着影响成年后的饮酒行为。同伴和伴侣饮酒对成人饮酒影响的相关性表明,直接的社会环境可能在婚姻过渡期间酗酒或问题饮酒的连续性/不连续性中发挥着重要作用。
Background: Models of adolescent alcohol involvement that include individual difference, family, and peer risk factors indicate a significant association between the drinking of adolescents and that of their peers. Peer drinking influences, however, have not been investigated extensively in integrative models of adult drinking. The purpose of this study was to test a model of adult drinking that incorporated the potentially important risk factor of partner drinking and in which proximal risk factors (peer drinking, alcohol expectancies) were hypothesized to be strongly associated with adult alcohol use and to mediate relationships between more distal risk factors and drinking.Methods: Couples (n = 389) were assessed at the time of their first marriage. Separate, self-administered questionnaires were completed at home by both husbands and wives. Distal risk factors included family history of alcoholism, antisocial behavior, and depressive symptomatology. Substantive relationships were tested in a model that included spousal associations with respect to distal risk factors, proximal risk factors, and drinking.Results: Findings demonstrate the unique association of alcohol expectancies and peer drinking with adult alcohol use. Of particular relevance is the significance of the social network as a correlate of adult drinking. A peer network characterized by a higher level of alcohol involvement was strongly associated with heavier drinking among both men and women. This relationship was independent of sociodemographic and individual difference factors, alcohol expectancies, and partner's drinking. Results also demonstrate the similarity between husband and wife drinking, an association that cannot be attributed to asserting with respect to the other risk factors.Conclusions: The social network continues to significantly impact drinking behavior in adulthood. The relevancy of peer and partner drinking influences to adult alcohol involvement suggests that the immediate social environment may have a prominent role in the continuity/discontinuity of heavy or problem drinking during the transition to marriage.