The direct effect of drinking to cope on alcohol problems is not mediated by alcohol consumption: Invariance across gender and countries.
The direct effect of drinking to cope on alcohol problems is not mediated by alcohol consumption: Invariance across gender and countries.
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DOI：
10.1016/j.abrep.2022.100469
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发表时间：
2022-12
影响因子：
--
通讯作者：
Hogarth, Lee
中科院分区：
文献类型：
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作者：
Shuai, Ruichong;Bravo, Adrian J;Anker, Justin J;Kushner, Matt G;Hogarth, Lee
为了科普负面情绪而饮酒会直接导致酒精问题。这种独特的易感性不能用消费水平来解释。这种独特的易感性在不同性别和国家之间是不变的。为了科普负面影响而饮酒会带来酒精问题的直接风险，而与更多的酒精消费无关（即，赋予对酒精伤害悖论的易感性）。然而，目前尚不清楚这种风险是否在性别和国家之间普遍存在。目前的研究应用路径分析两个横断面样本的18-25岁的本科危险饮酒的学生招募从英国（研究1; N = 873）和国际（研究2; N = 4064招募在阿根廷，加拿大，南非，西班牙，乌拉圭，美国和英国）。饮酒动机问卷（DMQ）测量了饮酒以科普负面影响和饮酒以增强正面影响（即，增强动机）。酒精使用障碍识别测试（AUDIT）测量酒精消费和问题。在这两项研究中，通过饮酒来科普负面情绪对酒精问题有直接影响。（S1：β = 0.259，SE = 0.031，p <0.001; S2：β = 0.255，SE = 0.017，p <0.001），只有可忽略的一部分效应是由饮酒介导的（S1：2.58%，p =.550; S2：0.79%，p=.538）。相比之下，通过饮酒来增强积极情绪对酒精问题的直接影响较小（S1：β = 0.000，SE = 0.033，p = 0.989; S2：β = 0.044，SE = 0.017，p = 0.009），并且这种效应的很大一部分是由更多的饮酒量介导的（S1：99.76%，p <.001; S2：60.36%，p <.001）。至关重要的是，在这两项研究中，饮酒对酒精问题的直接影响在性别和国家之间是不变的。这些研究结果表明，支持饮酒以科普负面影响的人特别容易受到酒精伤害悖论的影响，即更大的酒精问题不能用更多的酒精消费来解释，这种易感性在性别和国家之间很常见。
Drinking to cope with negative affect confers a direct risk of alcohol problems. This unique susceptibility cannot be explained by consumption level. This unique susceptibility is invariant across gender and countries. Drinking to cope with negative affect confers a direct risk of alcohol problems independently of greater alcohol consumption (i.e., confers susceptibility to the alcohol harm paradox). However, it remains unclear whether this risk is common across gender and countries. The current study applied path analysis to two cross-sectional samples of 18–25-year-old undergraduate hazardous drinking students recruited from the UK (Study 1; N = 873) and internationally (Study 2; N = 4064 recruited in Argentina, Canada, South Africa, Spain, Uruguay, USA, and England). The Drinking Motives Questionnaire (DMQ) measured drinking to cope with negative affect and drinking to enhance positive affect (i.e., enhancement motives). The Alcohol Use Disorders Identification Test (AUDIT) measured alcohol consumption and problems. In both studies, drinking to cope with negative affect had a direct effect on alcohol problems (S1: β = 0.259, SE = 0.031, p <.001; S2: β = 0.255, SE = 0.017, p <.001), and only a negligible proportion of this effect was mediated by alcohol consumption (S1: 2.58 %, p =.550; S2: 0.79 %, p=.538). By contrast, drinking to enhance positive affect had a smaller direct effect on alcohol problems (S1: β = 0.000, SE = 0.033, p =.989; S2: β = 0.044, SE = 0.017, p =.009), and a substantial proportion of this effect was mediated by greater alcohol consumption (S1: 99.76 %, p <.001; S2: 60.36 %, p <.001). Crucially, in both studies, the direct effect of drinking to cope on alcohol problems was invariant across gender and countries. These findings suggest that individuals who endorse drinking to cope with negative affect are uniquely susceptible to the alcohol harm paradox, that is, greater alcohol problems which cannot be explained by greater alcohol consumption, and this susceptibility is common across gender and countries.