High-intensity drinking and related consequences: Daily data from a national sample aged 19 to 22

项目摘要/摘要 年轻人高强度饮酒(连续饮酒10多杯)最近已被承认 作为一个严重的健康问题，需要迫切的研究关注。在最初的赠款期间 (R01AA023504)我们在回顾中记录了患病率、预测因素和发育变化 任何过去两周高强度饮酒的年龄在18岁至30岁之间通过二次数据分析 监测未来(MTF)研究。目前的应用是收集新的密集纵向数据，以 检查特定场合的预测因素和在以下时期酗酒和高强度饮酒的后果 饮酒最多的人的寿命(19-22岁)。关于特定场合的预测因素和信息 酗酒和高强度饮酒的短期和长期后果需要确定动机， 背景，以及对公共健康的影响，这些因素将这些重度饮酒区分开来。在基础上建设 我们最近的发现使用了具有全国代表性的监测未来(MTF)的两年一次的数据 研究中，目前的应用是从全国样本中进行新的初步纵向数据收集 高中生紧随其后进入青壮年。2018年MTF的参与者(18岁；N=2000) 12年级的基线调查将被选中(在高中酗酒者中进行过抽样)，为期4年。 基于网络的测量使研究跨越了进入青壮年的过渡期。长达56天的数据 将使用4次年度数据收集突发(每天连续14天)收集每个受访者的数据 每年对19岁、20岁、21岁和22岁的模特进行调查)。具体目标是审查：(1)何时和为谁 高强度饮酒最有可能通过关注场合级别的预测因素(例如，情感、动机)发生 饮酒、饮酒环境和其他物质使用)和随时间变化的发育预测因素(例如，大学 出席、就业、与父母同住)高强度饮酒(8+/10+饮酒)的性别比率 女性/男性)，相比之下，暴饮暴食(女性4-7，男性5-9)或中等(女性1-3，男性1-4) 饮酒场合；(2)严重后果(例如，停电、伤害、攻击性行为、性风险、 和消极的人际关系)与高强度(与适度和狂欢相比) 饮酒因天而异，并基于发育和社会人口学特征；以及(3)更长时间- 酒精相关后果的术语模式(18-22岁)及其是否因性别和社会角色不同而不同 包括教育经历(例如，2年和4年大学)。该项目将是第一个全国性的研究 以确定场合级别的预测者和场合级别的预测者 酗酒和高强度饮酒的特定场合的后果。这将为以下方面提供关键信息 针对年轻人中的高危酒精行为的健康促进和干预努力。

Project Summary/Abstract High-intensity drinking (consuming 10+ drinks in a row) among young adults has recently been acknowledged as a serious health problem that requires urgent research attention. During the initial grant period (R01AA023504) we documented prevalence, predictors, and developmental change in retrospective recall of any past 2-week high-intensity drinking from ages 18 to 30 through secondary data analysis of the national Monitoring the Future (MTF) study. The current application is to collect new intensive longitudinal data to examine occasion-specific predictors and consequences of binge and high-intensity drinking at the period of the lifespan (ages 19-22) where alcohol use is the greatest. Information on occasion-specific predictors and short- and long-term consequences of binge and high-intensity drinking is needed to identify the motives, contexts, and public health impacts that differentiate these heavy levels of alcohol consumption. Building on our recent findings that used biennial data from the nationally representative Monitoring the Future (MTF) study, the current application is to conduct new primary longitudinal data collection from a national sample of high school students followed into young adulthood. Participants (modal age 18; N=2000) from the 2018 MTF 12th-grade baseline surveys will be selected (with an oversample of high school binge drinkers) for a 4-year web-based measurement burst study across the transition into young adulthood. Up to 56 days of data collection per respondent will be obtained using 4 annual data collection bursts (14 consecutive days of daily surveys per year at modal ages 19, 20, 21, and 22). Specific aims are to examine: (1) when and for whom high-intensity drinking is most likely to occur by focusing on occasion-level predictors (e.g., affect, motives for drinking, drinking contexts, and other substance use) and time-varying developmental predictors (e.g., college attendance, employment, living with parents) of gender-specific rates of high-intensity drinking (8+/10+ drinks for women/men), compared to binge (4-7 for women, 5-9 for men) or moderate (1-3 for women, 1-4 for men) drinking occasions; (2) whether acute consequences (e.g., blackouts, injury, aggressive behavior, sexual risk, and negative interpersonal consequences) associated with high-intensity (compared to moderate and binge) drinking differ across days and based on developmental and sociodemographic characteristics; and (3) longer- term patterns of alcohol-related consequences (ages 18-22) and whether they differ by gender and social roles including educational experiences (e.g., 2-year and 4-year college). The project will be the first national study of both college attenders and non-attenders to identify occasion-level predictors and occasion-level consequences of specific occasions of binge and high-intensity drinking. This will provide critical information for health promotion and intervention efforts targeting high-risk alcohol behaviors among young adults.