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Gender differences in problem drinking trajectories

问题饮酒轨迹的性别差异

基本信息

批准号：
7285709
负责人：
CONSTANCE M. WEISNER
金额：
$ 26.91万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-12 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7285709
关键词：
Abstinence Accident and Emergency department Address Admission activity Affect Age Alcohol abuse Alcohol consumption Alcohol dependence Alcoholic beverage heavy drinker Alcohols Area Attention Behavior Characteristics Chemicals Child Class Classification Clinical Communities Community Services Consumption Criminal Justice Data Data Analyses Dependence Dependency Disease remission Education Employment Ethnic Origin Family Family history of Female Gender Gender Issues General Population Growth Health Health Insurance Health Services Health Services Accessibility Health Services Research Heavy Drinking Hospitalization Human Individual Inpatients Intervention Interview Jail Literature Longitudinal Studies Marriage Measures Medical Mental Health Methods Modeling Numbers Outcome Outpatients Pattern Pharmaceutical Preparations Physicians Play Population Prevention Primary Health Care Principal Investigator Probability Probability Samples Provider Range Rate Recording of previous events Recovery Relapse Research Personnel Resolution Respondent Role Sampling Services Severities Sex Characteristics Social Network Social Problems Social Welfare Social support Structure Sum Symptoms System Testing Time Unmarried Visit Week Woman Women&apos s Role Work Workplace alcohol abuse therapy alcohol related problem alcohol services anti social base binge drinking demographics drinking experience falls health care service utilization health disparity improved male medical specialties men probation problem drinker response service utilization social

项目摘要

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）：这项酒精服务二级分析应用程序通过一项独特的纵向研究，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体的概率样本进行了性别差异研究。最初的研究在1995年至1996年以及1年、3年、5年和7年后采访了受访者。我们的主要目的是更好地了解问题饮酒者和依赖饮酒者在人口特征和问题严重程度（“个人特征”）、酒精治疗和其他健康和人类服务机构（“正式服务”）的接触和干预以及社会网络和12步参与（“非正式影响”）在改善7年期间饮酒轨迹方面的作用方面的性别差异。我们以迄今为止的文献和研究为基础。之前我们研究了性别作为一个重要的控制变量。我们的研究结果表明，在解决医疗、精神病学、刑事司法和福利服务、工作场所、12步参与和社会网络对长期饮酒的影响等问题时，需要更多地关注性别差异。我们的方法借鉴了纵向数据分析的现代方法，以及我们处理这些数据和类似数据的经验。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研究，使用分层模型来评估7年来酒精治疗和社区机构利用以及AA使用中的性别差异。我们研究了个人特征、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。我们还研究了基于饮酒量和饮酒模式的潜在类别，以及它们在7年内对男性和女性酒精相关问题的影响。我们的研究结果对社会网络、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性别差异对饮酒的影响，因为这些影响是随着时间的推移而得到证明的。