Gender differences in problem drinking trajectories

问题饮酒轨迹的性别差异

• 批准号: 7141924
• 负责人: CONSTANCE M. WEISNER
• 金额: $ 28.87万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-12 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7141924
• 关键词: academic achievement; alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; clinical research; correctional institutions; emergency health services; employment /unemployment; gender difference; health care service utilization; human data; longitudinal human study; marriage /marital status; public assistance; self help organization; social support network

DESCRIPTION (provided by applicant): This alcohol services secondary analysis application studies gender differences in a unique , longitudinal study of a probability sample of 672 untreated dependent and problem drinkers, and 926 individuals entering alcohol treatment. The original study interviewed respondents in 1995-96, and 1, 3, 5, and 7 years later. Our primary aim is to better understand gender differences among problem and dependent drinkers in the roles of demographic characteristics and problem severity ("individual characteristics"), contacts and interventions from alcohol treatment and other health and human service agencies ("formal services"), and from social networks and 12-step involvement ("informal influences") in improving drinking trajectories over a 7 year period. We build on the literature and our study to date. Previously we examined gender as an important control variable. Our findings suggest the need for greater attention to gender differences in addressing questions about the influences of medical, psychiatric, criminal justice, and welfare services, as well as the workplace, 12-step participation, and social networks on alcohol consumption over time. Our approach draws upon modern methods for longitudinal data analysis, and from our experience working with these and similar data. We will use both Growth Curve Analysis (GCA) and Latent Class Growth Modeling (LCGM). We propose to address carefully hypothesized analyses of gender differences based on the literature, as well as our empirical work on the sample, using hierarchical modeling to assess gender differences in alcohol treatment and community agency utilization, and in AA use, over the 7 years. We examine how individual characteristics, informal influences and formal services affect individual drinking trajectories for women and men. We also examine underlying latent classes based on volume of alcohol consumed and on drinking patterns, and their effects on alcohol-related problems for men and women over the 7 years. Our findings have implications for interventions by social networks, by community agencies, and by alcohol treatment agencies, and will contribute to our understanding of the impact of gender differences in drinking as they are evidenced over time.

描述(由申请人提供)：这项酒精服务二次分析应用程序对672名未经治疗的依赖和问题饮酒者以及926名接受酒精治疗的个人进行了一项独特的纵向研究，研究了性别差异。最初的研究在1995-96年以及1、3、5、7年后对受访者进行了采访。我们的主要目标是更好地了解问题饮酒者和依赖饮酒者在人口统计学特征和问题严重性(“个人特征”)、来自酒精治疗和其他健康和人类服务机构的接触和干预(“正式服务”)、来自社交网络和12步参与(“非正式影响”)在改善饮酒轨迹方面的作用(“非正式影响”)中的性别差异。我们建立在文献和我们迄今为止的研究的基础上。在此之前，我们将性别作为一个重要的控制变量进行检验。我们的发现表明，在解决有关医疗、精神、刑事司法和福利服务以及工作场所、12步参与和社交网络随着时间的推移对饮酒的影响的问题时，需要更多地关注性别差异。我们的方法借鉴了用于纵向数据分析的现代方法，以及我们处理这些和类似数据的经验。我们将同时使用增长曲线分析(GCA)和潜在类别增长模型(LCGM)。我们建议在文献的基础上对性别差异进行仔细的假设分析，以及我们对样本的实证工作，使用分层模型来评估7年来酒精治疗和社区机构使用以及AA使用方面的性别差异。我们考察了个人特征、非正式影响和正式服务如何影响女性和男性的个人饮酒轨迹。我们还根据饮酒量和饮酒模式检查潜在的潜在类别，以及它们在过去7年中对男性和女性与酒精相关问题的影响。我们的发现对社交网络、社区机构和酒精治疗机构的干预具有启示意义，并将有助于我们理解饮酒性别差异的影响，因为随着时间的推移，这些影响是显而易见的。