Moderators of implicit and explicit drinking identity in a large US adult sample
Moderators of implicit and explicit drinking identity in a large US adult sample
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DOI：
10.1016/j.addbeh.2016.04.022
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发表时间：
2016-09-01
影响因子：
4.4
通讯作者：
Teachman, Bethany A.
中科院分区：
文献类型：
--
作者：
Lindgren, Kristen P.;Gasser, Melissa L.;Teachman, Bethany A.
饮酒身份（将自己视为饮酒者）是美国本科生样本中饮酒问题的潜在风险因素。这种风险是否会扩展到更广泛、更普遍的美国样本尚不清楚。此外，关于饮酒身份与有问题的饮酒关系的调节者，还存在一些关键的、未解答的问题；设计预防工作的一个重要问题。研究目的是评估饮酒身份的隐式和显式测量对问题饮酒的独特关联和交互作用，并评估年龄和性别作为饮酒身份与问题饮酒关系的潜在调节因素。 11,320 名 18-98 岁成年人样本完成了隐性和显性饮酒身份和问题饮酒的测量（酒精使用障碍识别测试；AUDIT）。正如预期的那样，内隐和外显的饮酒身份与 AUDIT 分数具有显着的正相关关系。调节分析表明存在微小但重要的相互作用。存在与协同效应一致的隐性与显性身份相互作用：较低的隐性和显性身份与成为不饮酒者的更大概率相关。年龄调节了显性但不隐性的身份：较低的饮酒身份似乎对年轻人更具保护作用。性别调节隐性身份，但不调节显性身份：在男性中观察到与隐性身份和审计分数的正相关较弱，这可能反映了对女性饮酒的耻辱。研究结果表明，饮酒身份作为问题饮酒风险因素的潜力延伸到了更普遍的美国样本，并且隐性和显性身份都应成为预防工作的目标。 (C) 2016 Elsevier Ltd. 保留所有权利。
Drinking identity (viewing oneself as a drinker) is a potential risk factor for problematic drinking in US undergraduate samples. Whether that risk extends to a broader, more general US sample is unknown. Additionally, there are critical, unanswered questions with respect to moderators of the drinking identity-problematic drinking relationship; an important issue for designing prevention efforts. Study aims were to assess the unique associations and interactive effects of implicit and explicit measures of drinking identity on problematic drinking, and to evaluate age and sex as potential moderators of the drinking identity-problematic drinking relationship. A sample of 11,320 adults aged 18-98 completed measures of implicit and explicit drinking identity and problematic drinking (the Alcohol Use Disorder Identification Test; AUDIT). Implicit and explicit drinking identity had positive, significant associations with AUDIT scores, as expected. Moderation analyses indicated small, but significant, interactions. There was an implicit by explicit identity interaction consistent with a synergistic effect: lower implicit and explicit identity was linked to a greater probability of being a non-drinker. Age moderated explicit but not implicit identity: lower drinking identity appeared to be more protective for younger individuals. Sex moderated implicit but not explicit identity: a weaker positive association with implicit identity and AUDIT scores was observed among men, potentially reflecting stigma against women's drinking. Findings suggest that drinking identity's potential as a risk factor for problematic drinking extends to a more general US sample and that both implicit and explicit identity should be targeted in prevention efforts. (C) 2016 Elsevier Ltd. All rights reserved.