Does participation in voluntary organizations protect against risky alcohol and tobacco use? Findings from the UK panel data

Does participation in voluntary organizations protect against risky alcohol and tobacco use? Findings from the UK panel data
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DOI:
10.1016/j.pmedr.2019.100885
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发表时间:
2019-06-01
影响因子:
2.8
通讯作者:
Luhmann, Maike
Luhmann, Maike
中科院分区:
医学3区
文献类型:
--
作者:
Pavlova, Maria K.;Luehr, Matthias;Luhmann, Maike

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利用文献中假定的社交网络对健康行为的异质性影响,我们测试了参与志愿组织的不同形式是否会随着时间的推移预测更多或更少的酒精和烟草消费。(访问https://osf.io/guzem/的预登记)我们使用了来自年轻(基线时年龄为14-29岁)、中年(40-50岁)和老年(65-75岁)英国成年人的面板数据,Ns= 1280-9073,随访时间为1991年至2014年。每年的吸烟措施包括状态和强度。1996年至2008年期间,每两年评估一次酒吧出勤率。2010年和2013年,有了更精确的酒精消费量衡量标准。我们对测量两次以上的结果进行了两级回归分析,对其他结果进行了残差变化分析。随着时间的推移(在人群中),对吸烟没有显着影响。志愿组织的活动预测年轻人的酒吧出席率略低。在剩余变化分析中,志愿组织的活动减少了年轻女性上周的乙醇消费量和间歇性大量饮酒的风险。这些影响主要涉及面向服务的组织。在中年人中,志愿组织的会员资格和会议出席率预测了更频繁的酒吧出席。剩余变化分析显示,志愿服务可以降低中年男性重度间歇性饮酒的风险。在老年人中,几乎没有显著的影响出现。在人与人之间,参与的所有指标都与吸烟减少有关,而会员资格与更多和活动较少的酒吧出席。因此,参与志愿组织和药物使用之间的大多数关联反映了个体间的差异。
Drawing on the literature that posits heterogeneous influences of social networks on health behaviors, we tested whether different forms of participation in voluntary organizations predicted more or less alcohol and tobacco consumption over time. (Access preregistration at https://osf.io/guzem/) We used panel data from younger (aged 14-29 at baseline), middle-aged (aged 40-50), and older (aged 65-75) UK adults, Ns= 1280-9073, followed from 1991 to 2014. Annual measures of smoking included status and intensity. Frequency of pub attendance was assessed biennially between 1996 and 2008. In 2010 and 2013, more precise measures of alcohol consumption were available. We conducted two-level regression analyses for the outcomes measured more than twice and residual change analyses for other outcomes. Over time (within persons), there were no significant effects on smoking. Activity in voluntary organizations predicted slightly less frequent pub attendance in younger adults. In residual change analyses, activity in voluntary organizations decreased last-week ethanol consumption and risk of heavy episodic drinking in younger women. These effects pertained mainly to service-orientated organizations. In middle-aged adults, membership and attendance at meetings of voluntary organizations predicted slightly more frequent pub attendance. Residual change analyses showed volunteering to reduce the risk of heavy episodic drinking in middle-aged men. In older adults, few significant effects emerged. Between persons, all indicators of participation were associated with less smoking, whereas membership was associated with more and activity with less frequent pub attendance. Thus, most associations between participation in voluntary organizations and substance use reflected interindividual differences.