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

项目总结/摘要 年轻人的高强度饮酒（连续喝10杯以上）最近得到了承认 这是一个严重的健康问题，需要紧急的研究关注。在最初的赠款期间 （R 01 AA 023504）我们在回顾性回忆中记录了 任何过去2周的高强度饮酒，从18岁到30岁，通过二级数据分析的国家 监测未来（MTF）研究。目前的应用是收集新的密集的纵向数据， 检查特定的预测因素和后果的狂欢和高强度饮酒期间， 酒精使用量最大的寿命（19-22岁）。关于疾病特异性预测因子的信息， 需要对酗酒和高强度饮酒的短期和长期后果进行分析，以确定动机， 环境和公共健康影响，区分这些酒精消费的严重程度。基础上 我们最近的研究结果使用了具有全国代表性的监测未来（MTF）的两年期数据 研究，目前的应用程序是进行新的主要纵向数据收集从全国样本， 高中生也跟着进入了青年期。来自2018年MTF的参与者（模态年龄18岁; N=2000） 12年级的基线调查将被选择（与高中酗酒者的过度抽样）为4年 基于网络的测量突发研究跨越过渡到年轻的成年。最多56天的数据 将使用4次年度数据收集突发（每天连续14天， 每年在众数年龄19、20、21和22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饮酒水平预测因子（例如，影响，动机 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子（例如，学院 高强度饮酒（8+/10+杯）的性别比例 对于女性/男性），与暴饮暴食（女性4-7，男性5-9）或中度（女性1-3，男性1-4）相比 饮酒场合;（2）是否严重后果（例如，停电，受伤，攻击性行为，性风险， 和负面的人际关系后果）与高强度（相比，中度和狂欢） 饮酒量在不同的日子和基于发展和社会人口特征;（3）更长的时间- 酒精相关后果的术语模式（18-22岁）以及它们是否因性别和社会角色而异 包括教育经历（例如，2-四年制大学）。该项目将是第一个全国性的研究 的大学出席者和非出席者，以确定进修水平的预测因素和进修水平 特定场合的狂欢和高强度饮酒的后果。这将提供关键信息， 针对年轻人中高危饮酒行为的健康促进和干预工作。

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.