Protective Behavioral Strategies as a Context-Specific Mediator: A Multilevel Examination of Within- and Between-Person Associations of Daily Drinking
Protective Behavioral Strategies as a Context-Specific Mediator: A Multilevel Examination of Within- and Between-Person Associations of Daily Drinking
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DOI：
10.1037/pha0000111
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发表时间：
2017-06-01
影响因子：
2.3
通讯作者：
Henson, James M.
中科院分区：
文献类型：
--
作者：
Braitman, Abby L.;Linden-Carmichael, Ashley N.;Henson, James M.
研究表明，饮酒者的环境和社会背景可能与饮酒结果存在差异。此外，虽然许多研究人员已经确定，更频繁地使用保护性行为策略（PBS）与较低的酒精消费量和负面后果有关，但很少有研究探讨一个人的饮酒环境如何促进或阻碍PBS的使用。本研究研究了每天饮酒的背景（即，在哪里和与谁）与消费水平和报告的酒精相关的问题之间的n = 284大学饮酒者（69.0%女性）直接，以及间接通过使用PBS。检查PBS的两个不同维度（即，“限制”或限制消费，和“避免”或避免在一般或特定的酒精情况下饮酒），以及它们与日常饮酒的关系。此外，我们还探讨了这些关系的个体内（跨时间的人内），以及个体间（人与人之间）。每日饮酒量采用每周日记设计进行评估。使用多层次结构方程模型，我们发现，环境背景（即，在酒吧或聚会上饮酒）与大量饮酒直接相关，并通过PBS间接涉及限制一个人的饮酒;这些影响仅发生在日常（人内）水平。此外，社会背景（即，与朋友饮酒）预测饮酒量增加，但与PBS使用无关。在控制了消费水平的情况下，与酒精相关的问题也有类似的发现。大学生饮酒干预措施可能会受益于在潜在危险的饮酒环境中增加PBS的使用，以帮助减少有问题的酒精使用。
Research indicates that a drinker's environmental and social context can be differentially associated with drinking outcomes. Further, although many researchers have identified that more frequent use of protective behavioral strategies (PBS) is associated with lower alcohol consumption and negative consequences, scant research has examined how one's drinking context may promote or hinder PBS use. The present study examined how the context of drinking each day (i.e., where and with whom) is associated with level of consumption and reported alcohol-related problems among n = 284 college drinkers (69.0% female) directly, as well as indirectly through the use of PBS. Two different dimensions of PBS are examined (i.e., "Limits" or limiting consumption, and "Avoidance" or avoiding alcohol in general or specific alcohol situations), as well as their relationship with daily drinking. Moreover, we explored these relationships intraindividually (within-person across time), as well as interindividually (between people). Daily drinking was assessed using a weekly diary design. Using multilevel structural equation modeling, we found that environmental context (i.e., drinking at a bar or party) is associated with heavier alcohol use directly and indirectly through PBS that involve limiting one's drinking; these effects occurred only at the daily (within-person) level. Additionally, social context (i.e., drinking with friends) predicts elevated drinking but is unrelated to PBS use. Similar findings were present for alcohol-related problems, controlling for consumption level. College student drinking interventions may benefit from a focus on increasing the use of PBS within potentially risky drinking environments to help reduce problematic alcohol use.