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

这项申请提议在2001年对1550名妇女进行全国调查，以 增加对女性饮酒纵向模式的了解。这个 调查将包括在1981年和1991年接受采访的700名女性，350名女性 第一次采访是在1991年，对500名年龄在21-30岁的女性进行了新的样本调查 2001年。(1986年和1996年也对妇女的小样本进行了采访)。 将2001年的调查与以前的调查相结合，将产生20年的 所有年龄段的横截面数据，20年多波纵向 2001年来自40岁以上女性的数据，以及来自 2001年年龄在31-40岁的妇女。 拟议研究的具体目标是评估(1)20年 女性饮酒行为的趋势和年龄、时期和队列效应； (2)女性5、10和20岁年龄别变化的预测因子 饮酒行为；(3)饮酒轨迹对女性的影响 (4)体重增加的相关因素和预测因素 老年妇女和育龄妇女饮酒；(5) 提问方式和访谈方式对女性饮酒的影响 自我报告；(6)女性饮酒模式与行为紊乱的关系 (七)饮食行为和服用处方药； 女性饮酒行为的跨国差异及其影响因素 前因后果，使用一项国际研究的数据 由我们的研究小组协调的合作项目。 在2001年的调查中，专业女性访问者将进行75- 使用之前的许多问题进行分钟面对面采访 关于饮酒模式的调查，与饮酒有关的问题，变化 工作和家庭角色、抑郁症状、性和生殖 经验，以及与重要的其他人的关系。新问题 将包括衡量性格冲动的指标和其他问题 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； (饮酒伙伴关系和饮酒轨迹的)聚类分析； 结构方程模型(用于2001年的纵向预测 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 (用于比较趋势和轨迹以及预测轨迹)。 2001年的调查，结合1981、1986、1991和1996年的数据 调查，将产生最大、最长和最详细的一组 关于美国女性的纵向和生活史数据尚未获得 饮酒及其前因后果。与调查结果一起 来自国际合作的性别和酒精项目，问题 所提出的对这些数据的分析应该提供一个强有力的 努力改善预防和治疗艾滋病的基础 21世纪女性的饮酒问题。

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.