Identity and Drinking: A Longitudinal Follow-Up

（订正） 描述（由申请人提供）：我们建议扩展目前资助的（K 01）饮酒横断面研究。具体来说，我们将研究随着时间的推移，在不同的样本中，女性谁被认为是在酒精相关问题的高风险的酒精使用模式和大量饮酒和饮酒相关问题的风险和保护因素的变化。然而，很少有研究涉及这一妇女群体中与大量饮酒或饮酒相关问题相关的风险和保护因素;很少有研究包括适当的比较组;也没有进行大样本的纵向研究。此外，过去的研究包括主要是白色，受过良好教育，中产阶级，25至40岁之间的样本。因此，本研究的具体目的是：1）描述和比较饮酒模式（饮酒水平、间歇性大量饮酒、中毒）和饮酒相关问题（不良饮酒后果，依赖症状）在几个年龄和种族/民族群体的妇女; 2）检查3年内饮酒模式的变化以及变化的预测因素（在基线[在当前研究中]和3年后测量）;和3）开发与大量饮酒和饮酒相关问题相关的风险和保护因素模型，并测试这些模型在几个年龄和种族/少数民族群体中的拟合度。拟议的研究将使用全国妇女健康和生活经验研究（NSHLEW）访谈协议和措施。数据将通过计算机辅助的面对面访谈收集，该访谈从芝加哥和周边郊区招募了450名参与当前研究的人员。这些女性目前年满18岁或以上，将在基线访谈后3年重新进行访谈。将使用来自国家住房、土地和福利部的城市和郊区妇女进行比较。各种统计技术，包括结构方程模型，将用于确定最重要的风险和保护因素，预测饮酒模式和问题。 了解增加或缓冲风险的因素将有助于制定更具文化相关性的预防和干预战略。 更好地了解酒精的使用也将提供重要的理论和实践信息的影响，性别和遵守（或不遵守）规范对妇女使用酒精。

(Revised) DESCRIPTION (provided by applicant): We propose to extend a currently funded (K01) cross-sectional study of drinking. Specifically, we will examine changes over time in patterns of alcohol use and in risk and protective factors for heavy drinking and drinking-related problems among a diverse sample of women who are assumed to be at heightened risk for alcohol-related problems. However, very few studies have addressed risk and protective factors associated with heavy drinking or drinking-related problems among this group of women; few have included appropriate comparison groups; and no longitudinal studies of large samples have been conducted. Further, past studies have included samples that are primarily white, well educated, middle class, and between 25 and 40 years old. Thus, the specific aims of the study are to: 1) Describe and compare patterns of drinking (drinking levels, heavy episodic drinking, intoxication) and drinking-related problems (adverse drinking consequences, dependence symptoms) in women across several age and racial/ethnic groups; 2) Examine changes in drinking patterns, and predictors of change, over 3 years (measured at baseline [in the current study] and 3 years later); and 3) Develop models of risk and protective factors associated with heavy drinking and drinking related problems and test the fit of these models across several age and racial/ethnic minority groups. The proposed research will use the National Study of Health and Life Experiences of Women (NSHLEW) interview protocol and measures. Data will be collected using computer-assisted, face-to-face interviews with the 450 recruited for the current study from Chicago and surrounding suburbs. These women, currently 18 years old or older, will be reinterviewed 3 years from their baseline interviews. Urban and suburban women from the NSHLEW will be used for comparison. A variety of statistical techniques, including structural equation modeling, will be used to identify the most important risk and protective factors in predicting drinking patterns and problems. Understanding factors that increase or buffer risk will permit the development of more culturally relevant prevention and intervention strategies. Greater understanding of alcohol use will also provide important theoretical and practical information about the influence of gender and adherence (or nonadherence) to norms on women's use of alcohol.