Gender differences in the prediction of problem alcohol use in adulthood: Exploring the influence of family factors and childhood maltreatment
Gender differences in the prediction of problem alcohol use in adulthood: Exploring the influence of family factors and childhood maltreatment
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DOI：
10.15288/jsa.2001.62.486
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发表时间：
2001-07-01
期刊：
影响因子：
--
通讯作者：
Bernstein, DP
中科院分区：
文献类型：
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作者：
Galaif, ER;Stein, JA;Bernstein, DP
目的：本研究的目的是对比男性和女性在未来的关系中获得的面向家庭和酒精相关的变量在青春期，童年的身体，情感和性虐待收集回顾性的，后来的成年问题酒精使用。方法：在结构方程模型中，早期家庭过程（支持/结合，父母吸毒问题，父母离婚和童年虐待）和先前的酒精使用同时预测成人问题酒精使用在两个以后的时间点在纵向社区样本的426（305名女性）成人。结果如下：显着的关系，发现在时间和纵向的男性和女性的家庭过程中，儿童虐待和问题酒精使用。在青春期更大的家庭支持/结合预测在成年期较少的问题酒精使用。儿童时期经历过性虐待的男性和女性报告称，成年后酗酒的问题更多。问题酒精的使用在一段时间内是稳定的。男性在青春期和成年期报告了更多的问题酒精使用，女性报告了更多的早期性虐待。这些结果与那些发现儿童虐待和随后的酒精相关问题之间没有显着关系的结果相矛盾。参与者青春期的父母吸毒问题并不能直接预测成年后的问题酒精使用。这种关系更为间接，因为父母吸毒与家庭相关的伴随物有关，而这些伴随物又是成年后更多问题酒精使用的重要预测因素。结论：在这三个时间段内，问题酒精使用的稳定性很强，这表明不应忽视青春期的酒精使用;此外，在解决问题酒精使用方面需要注意家庭动态。
Objective: The purpose of this study was to contrast men and women in prospective relationships among family-oriented and alcohol-related variables obtained during adolescence, childhood physical, emotional and sexual abuse collected retrospectively, and later adult problem alcohol use. Method: In structural equation models, early family processes (support/bonding, parent drug-use problems, parental divorce and childhood maltreatment) and prior alcohol use simultaneously predicted adult problem alcohol use at two later time points in a longitudinal community sample of 426 (305 female) adults. Results: Significant relationships were found among family processes, childhood maltreatment and problem alcohol use within time and longitudinally for both men and women. Greater family support/bonding during adolescence predicted less problem alcohol use in adulthood. Men and women who experienced sexual abuse as a child reported more problem alcohol use in adulthood. Problem alcohol use was stable across time. Men reported more problem alcohol use in adolescence and adulthood, and women reported more early sexual abuse. These results contradict those that find no significant relationships between childhood abuse and subsequent alcohol-related problems. Parental drug use problems during the participant's adolescence did not directly predict problem alcohol use in adulthood. The relationship was more indirect in that parental drug use was associated with family-related concomitants that in turn were significant predictors of more problem alcohol use in adulthood. Conclusions: The strong stability for problem alcohol use across the three time periods is a signal that alcohol use in adolescence should not be ignored; furthermore, family dynamics need attention in addressing problem alcohol use.