PROBLEM DRINKING IN WOMEN--A 20-YEAR NATIONAL STUDY

这项申请建议在2001年对1 550名妇女进行全国调查， 增加对妇女饮酒纵向模式的了解。 的 调查将包括1981年和1991年采访的700名妇女，350名妇女 1991年首次接受采访，2001年对500名年龄在21-30岁之间的妇女进行了新的抽样调查。 2001. （1986年和1996年还对妇女进行了抽样调查）。 结合2001年的调查和以前的调查， 所有年龄组的横断面数据，20年多波纵向 2001年40岁以上妇女的数据，以及2002年10年的纵向数据。 2001年，31-40岁的妇女。 本研究的具体目标是：（1）评估20年来 女性饮酒行为的趋势和年龄、时期和队列效应; (2)预测5岁、10岁和20岁女性年龄特异性变化的因素 饮酒行为;（3）对女性饮酒轨迹的影响 在整个成年寿命;（4）相关和预测较重的 老年妇女和育龄妇女饮酒;（5） 问题形式和访谈方式对女性饮酒的影响 自我报告;（6）女性饮酒模式与疾病的联系 饮食行为和使用处方精神药物;以及（7） 女性饮酒行为的跨国差异及其 前因和后果，使用国际数据 由我们的研究小组协调的合作项目。 在2001年的调查中，专业女性访问员将进行75- 一分钟的面对面访谈，使用了许多以前的问题， 关于饮酒模式、与饮酒有关的问题、 工作和家庭角色，抑郁症状，性和生殖 经验，以及与重要他人的关系。 新问题 将包括一个衡量特质冲动性和额外的问题， 关于暴饮暴食，雌激素替代疗法，抗抑郁药的使用， 以及老年人的健康问题。 数据分析将包括交叉- 表格、相关和回归分析;方差分析; 聚类分析（饮酒伙伴关系和饮酒轨迹）; 结构方程模型（2001年纵向预测 饮酒模式）;和广义估计方程，随机 回归模型、潜在转移分析和生存分析 (for比较趋势和轨迹以及用于预测轨迹）。 2001年的调查，结合1981年、1986年、1991年和1996年的数据， 调查，将产生最大的，最长期的，最详细的一套 关于美国妇女的纵向和生活历史数据尚未获得 饮酒及其前因和后果。 连同调查结果 性别与酒精问题国际合作项目， 这些数据的拟议分析所解决的问题应该提供一个强有力的 加强预防和治疗艾滋病毒/艾滋病工作的基础 世纪女性酗酒的问题

This application proposes a national survey of 1,550 women in 2001 to increase knowledge about longitudinal patterns of women's drinking. The survey will include 700 women interviewed in 1981 and 1991, 350 women first interviewed in 1991, and a new sample of 500 women age 21-30 in 2001. (Subsamples of women were also interviewed in 1986 and 1996). Combining the 2001 survey with preceding surveys will produce 20-year cross-sectional data for all age groups, 20-year multiwave longitudinal data from women over age 40 in 2001, and 10-year longitudinal data from women age 31-40 in 2001. Specific aims of the proposed research are to evaluate (1) 20-year trends and age, period, and cohort effects in women's drinking behavior; (2) predictors of 5-, 10- and 20-year age-specific changes in women's drinking behavior; (3) effects on and from women's drinking trajectories across the adult life span; (4) correlates and predictors of heavier drinking among older women, and among women of childbearing age; (5) effects of question formats and interview modes on women's drinking self-reports; (6) links of women's drinking patterns with disordered eating behavior and with use of prescribed psychoactive drugs; and (7) cross-national variations in women's drinking behavior and its antecedents and consequences, using data from an international collaborative project coordinated by our research group. In the 2001 survey, professional female interviewers will conduct 75- minute face-to-face interviews using many questions from previous surveys about drinking patterns, drinking-related problems, changes in work and family roles, depressive symptoms, sexual and reproductive experience, and relationships with significant others. New questions will include a measure of trait impulsivity and additional questions about binge eating, estrogen replacement therapy, antidepressant use, and health problems of older age. Data analysis will include cross- tabular, correlational, and regression analyses; analysis of variance; cluster analysis (of drinking partnerships and drinking trajectories); structural equation modeling (for longitudinal prediction of 2001 drinking patterns); and generalized estimating equations, random regression models, latent transition analysis, and survival analysis (for comparing trends and trajectories and for predicting trajectories). The 2001 survey, combined with data from the 1981, 1986, 1991, and 1996 surveys, will yield the largest, longest-term, and most detailed set of longitudinal and life-historical data yet available about U.S. women's drinking and its antecedents and consequences. Together with findings from the international collaborative gender and alcohol project, issues addressed by the proposed analyses of these data should provide a strong foundation for efforts to improve the prevention and treatment of women's problem drinking in the 21st century.