High Risk Drinking in Emerging Adult at Risk Women

描述（由申请人提供）：目前研究的广泛，长期目标是减少问题饮酒的患病率和新兴成年女性的风险亚组的相关伤害。先前的研究已经确定，特定的青年亚群危险饮酒的风险较高;这种差异对年轻的女同性恋和双性恋妇女来说尤其明显。这项拟议的研究旨在评估年轻女性危险饮酒的风险和保护因素，重点是自我药疗和社会影响。虽然更多的是关于饮酒行为的相对流行率在高危妇女，有很少的研究探讨饮酒的风险因素或保护因素，是特定于这一人群。此外，很少有研究探讨了可能的调解人和调解人饮酒的年轻高危妇女，特别是研究利用纵向或事件水平的方法。这些方法是至关重要的，以减少回忆失真，充分检查变量之间的时间关系，并了解随着时间的推移危险饮酒的发展。本申请的目的是测试自我药疗和应对动机的作用以及社会影响和身份显著性在预测年轻（18-25岁）高危女性的饮酒行为中的作用。我们将研究这些行为如何随着时间的推移而变化，并将进行一项较小的探索性研究，以研究饮酒女性的事件水平。为实现这一目标，研究将包括通过在线网络社区和广告招募的900名妇女。危险饮酒和拟议的调解人和调解人的饮酒将每年评估三年。一个由100名每周至少饮酒两次的女性组成的小组将每年完成两周的日常测量，以检查日常水平的风险因素和饮酒行为。具体目标是：1）测试高风险饮酒的自我治疗模型，其中随着时间的推移，检查与危险饮酒有关的压力源，心理困扰和饮酒以科普; 2）测试高风险饮酒的社会影响模型，其中随着时间的推移，检查与危险饮酒有关的社会影响，社会规范，社会动机和身份显着性; 3）研究压力、心理困扰、社会背景中的协变和特定情境的饮酒规范之间的事件水平的人内关系，以预测日常饮酒行为。 公共卫生相关性：新兴成年女性亚群因饮酒而产生负面后果的风险增加。然而，很少有研究集中在评估危险饮酒的风险和保护因素在这一人群中。本研究旨在为处于风险中的女性亚群开发高风险饮酒的解释模型，希望在未来的研究中提高我们制定量身定制的预防方案的能力。

DESCRIPTION (provided by applicant): The broad, long-term objective of the current research is to reduce the prevalence of problem drinking and related harm in at-risk subgroups of emerging adult women. Prior research has established that specific subgroups of youth are at elevated risk for hazardous drinking; this disparity is particularly striking for young lesbian and bisexual women. The proposed research aims to evaluate risk and protective factors for hazardous drinking in young women, focusing on both self-medication and social influences. Although more is known regarding the relative prevalence of drinking behaviors in at-risk women, there is little research examining risk factors or protective factors for drinking that are specific to this population. Furthermore, few studies have examined possible mediators and moderators of drinking in young at-risk women, especially studies utilizing longitudinal or event-level methodologies. These methodologies are critical in order to reduce recall distortion, adequately examine temporal relationships between variables, and understand the development of hazardous drinking over time. The purpose of the present application is test the role of self-medication and coping motives and the role of social influences and identity salience in predicting drinking behavior among young (age 18-25) at-risk women. We will examine both how these behaviors change over time and will also conduct a smaller exploratory study to examine drinking at the event-level women who drink. To accomplish this objective the study will include 900 women recruited through online networking communities and advertisements. Hazardous drinking and proposed mediators and moderators of drinking will be assessed annually for three years. A subgroup of 100 women who drink at least twice per week will complete two weeks of daily measures annually to examine risk factors and drinking behavior at the daily level. Specific aims are: 1) testing a self-medication model of high risk drinking, where stressors, psychological distress, and drinking to cope are examined in relation to hazardous drinking over time; 2) testing a social influences model of high risk drinking, where social influences, social norms, social motives, and identity salience are examined in relation to drinking hazardous drinking over time; 3) To examine event-level within-person relationships between stress, psychological distress, covariation in social contexts, and situation-specific drinking norms in predicting daily drinking behavior. PUBLIC HEALTH RELEVANCE: Subgroups of emerging adult women are at increased risk for negative consequences from alcohol consumption. However, little research has focused on evaluating risk and protective factors for hazardous drinking in this population. This research aims to develop explanatory models for high risk drinking for at risk subgroups of women in the hopes of increasing our ability to develop tailored prevention programs in future research studies.