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A confirmatory factor analysis of a revised motives for playing drinking games (MPDG-33) scale among university students in the United States 对美国大学生玩饮酒游戏动机量表(MPDG-33)修订版的确认性因子分析
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-30 DOI: 10.1093/alcalc/agae027
Byron L Zamboanga, Amie R Newins, Janine V Olthuis, Jennifer E Merrill, Heidemarie Blumenthal, Su Yeong Kim, Timothy J Grigsby, Patrick McClain, Dennis McChargue, Miguel Ángel Cano
Aim Participating in a drinking game (DG) is common practice among university students and can increase students’ risk for heavy drinking. Given the theoretical link between motivations to drink and alcohol use, careful consideration should be given to students’ motivations to play DGs. In this study, we examined the factor structure, internal consistency, and concurrent validity of a revised version of the motives for playing drinking games (MPDG) scale, the MPDG-33. Methods University students (n = 3345, Mage = 19.77 years, SDage = 1.53; 68.8% = women; 59.6% = White) from 12 U.S. universities completed a confidential online self-report survey that included the MPDG-33 and questions regarding their frequency of DG participation and typical drink consumption while playing DGs. Results Confirmatory factor analysis indicated the 7-factor model fit the data adequately, and all items had statistically significant factor loadings on their predicted factor. All subscales had adequate to excellent internal consistency and were positively correlated with the frequency of DG participation and the typical number of drinks consumed while playing DGs (though the correlations were small). Conclusion Findings suggest that the MPDG-33 can be reliably used in research and clinical settings to assess U.S. university students’ motives for playing DGs.
目的 参与饮酒游戏(DG)是大学生的常见行为,可能会增加学生大量饮酒的风险。鉴于饮酒动机与饮酒之间的理论联系,应仔细考虑学生玩饮酒游戏的动机。在本研究中,我们考察了修订版的饮酒游戏动机(MPDG)量表(MPDG-33)的因子结构、内部一致性和并发效度。方法 来自美国 12 所大学的大学生(n = 3345,Mage = 19.77 岁,SDage = 1.53;68.8% = 女性;59.6% = 白人)完成了一项保密的在线自我报告调查,其中包括 MPDG-33 以及有关他们参与酒类游戏的频率和玩酒类游戏时的典型饮酒量的问题。结果 证实性因素分析表明,7 个因素模型充分拟合了数据,所有项目在其预测因素上都具有统计意义上的因素负荷。所有分量表都具有充分到极好的内部一致性,并且与参与危险品游戏的频率和玩危险品游戏时的典型饮酒量呈正相关(尽管相关性很小)。结论 研究结果表明,MPDG-33 可以在研究和临床环境中可靠地用于评估美国大学生玩电子游戏的动机。
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引用次数: 0
Investigating the relationship between prenatal alcohol exposure and children’s behavioural and emotional development: analysis of the Growing Up in New Zealand study 调查产前酒精接触与儿童行为和情感发展之间的关系:新西兰成长研究分析
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-28 DOI: 10.1093/alcalc/agae029
Joanna Ting Wai Chu, Jessica McCormack, Yannan Jiang, Daniel Walsh, Holly Wilson, Samantha Marsh, Fiona Langridge, Chris Bullen
Aims To examine the relationship between prenatal alcohol exposure (PAE) and children’s behavioural and emotional development in a large generalizable sample of women and their children in Aotearoa New Zealand. Methods Using data from the Growing Up in New Zealand longitudinal cohort, we investigated the relationship between maternal PAE and behavioural and emotional development in 8-year-old children. We explored secondary outcomes including measures of language, executive function, academic achievement, and adaptive behaviour. Results We found no significant differences in the measures of behavioural and emotional development in children 8 years old based on alcohol consumption. No significant differences in behavioural and emotional development were found based on amount of PAE and when PAE occurred, despite controlling for a range of potential confounding factors, such as neighbourhood deprivation and maternal health measures. PAE was associated with significantly higher scores for parent-rated oral language indicating better oral language. In Māori mothers, PAE was significantly associated with an increased risk of higher scores on two of the Strengths and Difficulties Questionnaire subscales. Conclusions We did not find an association between PAE and behavioural and emotional development in children aged 8 years. PAE and behavioural and emotional development are difficult to measure accurately, and the moderating variables between them are complex. Future analyses will require larger cohorts of mothers and their children using precise measures of PAE and outcomes to enable more precise estimates of association.
目的 通过对新西兰奥特亚罗瓦地区的妇女及其子女进行大规模抽样调查,研究产前酒精暴露(PAE)与儿童行为和情感发育之间的关系。方法 我们利用 "新西兰成长"(Growing Up in New Zealand)纵向队列的数据,研究了母亲 PAE 与 8 岁儿童行为和情感发育之间的关系。我们探讨了次要结果,包括语言、执行功能、学业成绩和适应行为的测量。结果 我们发现,8 岁儿童的行为和情感发育指标与饮酒量无明显差异。尽管控制了一系列潜在的混杂因素,如邻里贫困程度和母亲的健康状况等,但在行为和情感发育方面并没有发现基于 PAE 量和 PAE 发生时间的明显差异。PAE与家长口语评分明显较高相关,表明口语较好。在毛利母亲中,PAE 与 "优势与困难问卷 "中两个分量表得分较高的风险增加有明显关联。结论 我们没有发现 PAE 与 8 岁儿童的行为和情绪发展之间存在关联。PAE与行为和情绪发展之间的关系很难准确测量,两者之间的调节变量也很复杂。未来的分析需要使用精确的 PAE 和结果测量方法,对母亲及其子女进行更大规模的队列研究,以便更精确地估计两者之间的关联。
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引用次数: 0
Alcohol to-go sales policies at on-premise drinking establishments near large public US universities during the COVID-19 pandemic 在 COVID-19 大流行期间,美国大型公立大学附近的店内酒水销售政策
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-18 DOI: 10.1093/alcalc/agae023
Erika M Rosen, Andrew Walker, Pamela J Trangenstein, Cassidy R LoParco, Melvin D Livingston, Adam E Barry, Matthew E Rossheim
Aims Sweeping policy changes during the COVID-19 pandemic increased alcohol availability through permitted to-go sales, potentially posing unique risks to college students. While to-go sales may make binge drinking more convenient, little remains known about these practices. Therefore, this study aimed to assess whether drinking establishments’ to-go sales practices are associated with their other operational practices and state policy. Method This cross-sectional analysis included 221 randomly selected bars, nightclubs, and restaurants within two miles of a large public university. Telephone interviews assessed establishment practices, and the Alcohol Policy Information System provided state alcohol to-go laws. Regression models tested whether establishment to-go sales practices were associated with their business practices (logistic regression) and state policy (generalized estimating equations). Results Nearly one-half (44.8%) of drinking establishments sold alcohol to-go. Establishments with higher vodka prices had nearly 30% higher odds of selling spirits to-go (aOR = 1.29) and establishments offering happy hours specials had more than twice the odds of selling beer (aOR = 2.22), wine (aOR = 2.53), and spirits to-go (aOR = 2.60). Additionally, establishments that implemented physical distance requirements had higher odds of selling wine to-go (aOR = 3.00). State to-go laws were associated with higher odds of selling wine (aOR = 3.99) and spirits to-go (aOR = 5.43) in the full sample and beer to-go (aOR = 4.92) in urban counties. Conclusions Establishments that sell alcohol to-go tend to engage in other practices designed to drive sales. Evaluations of alcohol to-go sales laws on risky consumption among priority populations, including college students, are urgently needed to inform decisions about how to appropriately regulate sales.
目的 在 COVID-19 大流行期间,大范围的政策变化通过允许外带销售增加了酒精的供应量,这可能会给大学生带来独特的风险。虽然外带销售可能会使狂饮变得更加方便,但人们对这些做法仍然知之甚少。因此,本研究旨在评估饮酒场所的即饮即售行为是否与其他经营行为和国家政策相关。方法 这项横断面分析包括在一所大型公立大学两英里范围内随机抽取的221家酒吧、夜总会和餐馆。电话访谈评估了场所的经营行为,酒精政策信息系统提供了各州的酒精外带法律。回归模型检验了场所的外带酒销售行为是否与其经营行为(逻辑回归)和州政策(广义估计方程)相关。结果 近二分之一(44.8%)的饮酒场所出售外带酒。伏特加价格较高的酒馆出售烈酒外带的几率高出近 30%(aOR = 1.29),提供欢乐时光特价的酒馆出售啤酒(aOR = 2.22)、葡萄酒(aOR = 2.53)和烈酒外带(aOR = 2.60)的几率是其他酒馆的两倍多。此外,实施物理距离要求的场所销售外带葡萄酒的几率更高(aOR = 3.00)。在全部样本中,各州的待售酒类法律与销售葡萄酒(aOR = 3.99)和烈性酒(aOR = 5.43)的几率较高有关,而在城市各县,销售啤酒(aOR = 4.92)的几率较高。结论 出售外带酒类的场所往往会采取其他旨在促进销售的做法。亟需评估酒类外卖销售法律对重点人群(包括大学生)风险消费的影响,以便为如何适当规范酒类外卖销售提供决策依据。
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引用次数: 0
Reductions in World Health Organization risk drinking level are associated with improvements in sleep problems among individuals with alcohol use disorder 降低世界卫生组织规定的危险饮酒量与改善饮酒障碍患者的睡眠问题有关
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-12 DOI: 10.1093/alcalc/agae022
Christian C Garcia, Dylan K Richards, Felicia R Tuchman, Kevin A Hallgren, Henry R Kranzler, Henri-Jean Aubin, Stephanie S O’Malley, Karl Mann, Arnie Aldridge, Michaela Hoffman, Raymond F Anton, Katie Witkiewitz
Aims Among individuals with alcohol use disorder (AUD), sleep disturbances are pervasive and contribute to the etiology and maintenance of AUD. However, despite increased attention toward the relationship between alcohol use and sleep, limited empirical research has systematically examined whether reductions in drinking during treatment for AUD are associated with improvements in sleep problems. Methods We used data from a multisite, randomized, controlled trial that compared 6 months of treatment with gabapentin enacarbil extended-release with placebo for adults with moderate-to-severe AUD (N = 346). The Timeline Follow-back was used to assess WHO risk drinking level reductions and the Pittsburgh Sleep Quality Index was used to assess sleep quality over the prior month at baseline and the end of treatment. Results Sleep problem scores in the active medication and placebo groups improved equally. Fewer sleep problems were noted among individuals who achieved at least a 1-level reduction (B = −0.99, 95% confidence interval (CI) [−1.77, −0.20], P = .014) or at least a 2-level reduction (B = −0.80, 95% CI [−1.47, −0.14], P = .018) in WHO risk drinking levels at the end of treatment. Reductions in drinking, with abstainers excluded from the analysis, also predicted fewer sleep problems at the end of treatment (1-level: B = −1.01, 95% CI [−1.83, −0.20], P = .015; 2-level: B = −0.90, 95% CI [−1.59, −0.22], P = .010). Conclusions Drinking reductions, including those short of abstinence, are associated with improvements in sleep problems during treatment for AUD. Additional assessment of the causal relationships between harm-reduction approaches to AUD and improvements in sleep is warranted.
研究目的 在酒精使用障碍(AUD)患者中,睡眠障碍是一种普遍现象,也是导致酒精使用障碍的病因之一。然而,尽管人们越来越关注饮酒与睡眠之间的关系,但系统性地研究治疗 AUD 期间减少饮酒是否与改善睡眠问题相关的实证研究却很有限。方法 我们使用了一项多地点随机对照试验的数据,该试验比较了中重度 AUD 成人(N = 346)接受 6 个月加巴喷丁恩那卡比缓释剂与安慰剂治疗的效果。基线和治疗结束时,采用时间轴跟踪回溯法评估世卫组织风险饮酒水平的降低情况,采用匹兹堡睡眠质量指数评估前一个月的睡眠质量。结果 有效药物组和安慰剂组的睡眠问题评分改善程度相当。治疗结束时,WHO风险饮酒水平至少降低1级(B = -0.99,95% 置信区间(CI)[-1.77, -0.20],P = .014)或至少降低2级(B = -0.80,95% CI [-1.47, -0.14],P = .018)的患者睡眠问题较少。在分析中排除禁酒者的情况下,饮酒量的减少也预示着治疗结束时睡眠问题的减少(1 级,B = -1.01, 95 CI [-1.47, -0.14]):B=-1.01,95% CI [-1.83,-0.20],P=0.015;2 级B=-0.90,95% CI [-1.59,-0.22],P = .010)。结论 减少饮酒(包括未戒酒)与 AUD 治疗期间睡眠问题的改善有关。有必要对减少危害治疗 AUD 与改善睡眠之间的因果关系进行进一步评估。
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引用次数: 0
Pulmonary symptoms associated with heavy alcohol consumption among people living with HIV: an analysis of the NHANES 1999–2010 与艾滋病病毒感染者大量饮酒有关的肺部症状:对 1999-2010 年国家健康调查(NHANES)的分析
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-06 DOI: 10.1093/alcalc/agae021
Moses New-Aaron, Mohleen Kang, Samantha M Yeligar
Aim This matched case–control study aimed to provide epidemiologic evidence of increased burden of respiratory symptoms and pulmonary function decline among people living with human immunodeficiency virus (HIV) and a history of heavy alcohol consumption. Methods Cases were participants with HIV (PWH; n = 75, 33%), and controls were participants without HIV (PWoH; n = 150, 67%). PWH were matched to PWoH by age and sex in the ratio of 1:2. Eligible participants responded to the respiratory health National Health and Nutrition Examination Survey questionnaire [prolonged coughs (≥3 months), bringing up of phlegm (≥3 months), and a history of wheezing or whistling in the chest (past year)]. The effects of both alcohol and HIV on participants’ pulmonary function were determined using linear regression analysis. Results History of heavy alcohol consumption was more prevalent among PWH (40%) compared to PWoH (27%). PWH who had a history of heavy alcohol consumption had a higher prevalence of coughing most days (45% vs. 4%, P = .0010), bringing up phlegm most days (31% vs. 0%, P = .0012), and wheezing or whistling in the chest (40% vs. 20%, P = .058) compared to participants who did not heavily consume alcohol. Furthermore, a history of heavy alcohol consumption was associated with decreased forced expiratory volume (ml) in 1 s/forced vital capacity among PWH (β = − 0.098 95% C.I. −0.16, −0.04, P = .03) after adjusting for having smoked at least 100 cigarettes in life. Conclusion A history of heavy alcohol use increased respiratory symptoms and suppressed pulmonary function among people living with HIV. This study provides epidemiological evidence of the respiratory symptom burden of people living with HIV who have a history of heavy alcohol consumption.
目的 这项配对病例对照研究旨在提供流行病学证据,证明有大量饮酒史的人类免疫缺陷病毒(HIV)感染者呼吸道症状和肺功能下降的负担加重。方法 病例为感染 HIV 的参与者(PWH;n = 75,33%),对照组为未感染 HIV 的参与者(PWoH;n = 150,67%)。PWH与PWoH的年龄和性别比例为1:2。符合条件的参与者回答了呼吸系统健康全国健康与营养调查问卷[长期咳嗽(≥3 个月)、咳痰(≥3 个月)、喘息或胸部啸叫史(过去一年)]。通过线性回归分析确定了酒精和艾滋病病毒对参与者肺功能的影响。结果 与艾滋病感染者(27%)相比,有大量饮酒史的艾滋病感染者比例更高(40%)。与没有大量饮酒的参与者相比,有大量饮酒史的艾滋病感染者在大多数日子里咳嗽(45% 对 4%,P = .0010)、大多数日子里咳痰(31% 对 0%,P = .0012)以及胸部喘息或呼啸(40% 对 20%,P = .058)的发生率更高。此外,在对一生中至少吸过 100 支烟进行调整后,大量饮酒史与吸烟者 1 秒钟内用力呼气量(毫升)/用力呼吸量减少有关(β = - 0.098 95% C.I. -0.16,-0.04,P = .03)。结论 大量饮酒史会加重 HIV 感染者的呼吸道症状并抑制肺功能。这项研究为有大量饮酒史的艾滋病病毒感染者的呼吸道症状负担提供了流行病学证据。
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引用次数: 0
How frequently is alcohol advertised on television in Canada?: A cross-sectional study 加拿大电视上的酒类广告频率如何?横断面研究
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-04 DOI: 10.1093/alcalc/agae020
Elise Pauzé, Adena Pinto, Monique Potvin Kent
Aims Alcohol marketing is a commercial driver of alcohol use, including among youth. This study sought to quantify and characterize alcohol advertising on broadcast television in Canada. Methods Open-source television program logs for January to December 2018 submitted to the Canadian Radio-television and Telecommunications Commission by 147 stations with alcohol advertisements were analyzed. Results Overall, 501 628 alcohol advertisements were broadcast. Four companies accounted for 83% of advertisements, namely, Anheuser-Busch in Bev (33.7%), Molson Coors (22.7%), Diageo (16.1%), and Arterra Wines Canada (10.8%). On conventional stations, advertising was highest on French-language stations [Median (Mdn) = 3224; interquartile range (IQR) = 2262] followed by those with programming in foreign/mixed languages (Mdn = 2679; IQR = 219) and English-language stations (Mdn = 1955; IQR = 1563). On speciality stations, advertising was most frequent on those primarily focused on sports programming (Mdn = 8036; IQR = 7393), movies and scripted shows (Mdn = 7463; IQR = 5937), and cooking (Mdn = 5498; IQR = 4032). On weekdays, 33% of alcohol ads aired from 6 to 9 a.m. and 3 to 9 p.m. and on weekends, 52% aired from 6 a.m. to 9 p.m. when children or adolescents are more likely to be watching television. On youth-oriented stations (n = 4), 7937 alcohol advertisements were broadcast with most airing from 9 p.m. to midnight (44–45%) or 12–6 a.m. (50%) on both weekdays and weekends. Conclusions While few alcohol advertisements were broadcast on youth-oriented stations, young people in Canada are likely exposed to such advertising on programming intended for older or general audiences (e.g. sports). More research is needed to ascertain the extent to which broadcast television constitutes a source of alcohol advertising exposure among youth and to inform policies aimed at protecting them from the influence of such exposure.
目的 酒精营销是包括青少年在内的酒精使用的商业驱动力。本研究旨在量化和描述加拿大广播电视中的酒精广告。方法 分析了147个电视台向加拿大广播电视和电信委员会提交的2018年1月至12月的开放源电视节目日志,其中有酒精广告。结果 共播出了 501 628 个酒类广告。四家公司的广告占 83%,即 Anheuser-Busch in Bev(33.7%)、Molson Coors(22.7%)、Diageo(16.1%)和 Arterra Wines Canada(10.8%)。在传统广播电台中,法语广播电台的广告投放最多[中位数 (Mdn) = 3224;四分位数间距 (IQR) = 2262],其次是外语/混合语广播电台(中位数 = 2679;IQR = 219)和英语广播电台(中位数 = 1955;IQR = 1563)。在专业电台中,以体育节目(Mdn = 8036;IQR = 7393)、电影和剧本节目(Mdn = 7463;IQR = 5937)以及烹饪节目(Mdn = 5498;IQR = 4032)为主的电台最常出现广告。在工作日,33%的酒类广告在上午 6 点至 9 点和下午 3 点至 9 点播出,而在周末,52%的酒类广告在上午 6 点至晚上 9 点播出,此时儿童或青少年更有可能在看电视。在面向青少年的电视台(n = 4)中,共播出了 7937 个酒类广告,其中大部分在晚上 9 点至午夜(44%-45%)或凌晨 12 点至 6 点(50%)播出,播出时间均为工作日和周末。结论 虽然在面向青少年的电台中播出的酒类广告很少,但加拿大的青少年很可能在面向老年人或普通观众的节目(如体育节目)中接触到此类广告。需要开展更多的研究,以确定广播电视在多大程度上成为青少年接触酒精广告的来源,并为旨在保护青少年免受此类广告影响的政策提供信息。
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引用次数: 0
Positive allosteric modulators of the GABAB receptor: a new class of ligands with therapeutic potential for alcohol use disorder GABAB 受体的正性异构调节剂:一类具有治疗酒精使用障碍潜力的新型配体
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-04-03 DOI: 10.1093/alcalc/agae018
Giancarlo Colombo
Background Positive allosteric modulators (PAMs) of the GABAB receptor constitute a new class of GABAB-receptor ligands. GABAB PAMs reproduce several pharmacological effects of the orthosteric GABAB receptor agonist, baclofen, although displaying a better safety profile. Aims This paper reviews the reducing or, frequently, even suppressing effects of all GABAB PAMs tested to date on multiple alcohol-related behaviours in laboratory rodents exposed to validated experimental models of human alcohol use disorder. Results Acute or repeated treatment with CGP7930, GS39783, BHF177, rac-BHFF, ADX71441, CMPPE, COR659, ASP8062, KK-92A, and ORM-27669 reduced excessive alcohol drinking, relapse- and binge-like drinking, operant alcohol self-administration, reinstatement of alcohol seeking, and alcohol-induced conditioned place preference in rats and mice. Conclusions These effects closely mirrored those of baclofen; notably, they were associated to remarkably lower levels of tolerance and toxicity. The recent transition of ASP8062 to clinical testing will soon prove whether these highly consistent preclinical data translate to AUD patients.
背景 GABAB 受体的正性异位调节剂(PAMs)是一类新的 GABAB 受体配体。GABAB PAMs 可再现正交 GABAB 受体激动剂巴氯芬的多种药理作用,但具有更好的安全性。目的 本文回顾了迄今为止测试过的所有 GABAB PAMs 对暴露于人类酒精使用障碍验证实验模型的实验室啮齿动物的多种酒精相关行为的降低甚至抑制作用。结果 使用 CGP7930、GS39783、BHF177、rac-BHFF、ADX71441、CMPPE、COR659、ASP8062、KK-92A 和 ORM-27669 对大鼠和小鼠进行急性或重复治疗可减少过度饮酒、复饮和狂饮、操作性酒精自我给药、酒精寻求的恢复和酒精诱导的条件性位置偏好。结论 这些效果与巴氯芬的效果非常相似;值得注意的是,这些效果与明显较低的耐受性和毒性有关。ASP8062 最近已进入临床试验阶段,不久将证明这些高度一致的临床前数据是否适用于 AUD 患者。
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引用次数: 0
Keeping you connected or keeping you addicted? Weekly use of social media platforms is associated with hazardous alcohol use and problem gambling among adults. 让你保持联系还是让你沉迷其中?成年人每周使用社交媒体平台与危险饮酒和问题赌博有关。
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-03-16 DOI: 10.1093/alcalc/agae024
Iina Savolainen, Atte Oksanen

Aims: A wide variety of social media platforms exist, each offering tailored solutions to attract specific target audiences based on their social media needs and interests. This diversity may pose a risk factor for the development or perpetuation of harmful behaviors. Research has established a connection between social media use and increased health risk behaviors. This six-wave exploratory longitudinal study investigated the associations between active social media use, hazardous alcohol use, and problem gambling among adult social media users.

Methods: Data were collected via surveys in 6-month intervals, starting in March-April 2021 (T1: N = 1530; Mage = 46.67; SD = 16.42; 50.33% male). Of the T1 respondents, 58.10% participated in T6 (n = 889). Measures included the frequency of use of different social media platforms, the 3-item Alcohol Use Disorders Identification Test (AUDIT-C), and the Problem Gambling Severity Index (PGSI). Hybrid multilevel regression models were used for analyses.

Results: We found positive within-person effects of weekly Facebook use and between-person effects of weekly use of Facebook, TikTok, and gambling-related online communities on drinking. These results suggest an increase in hazardous alcohol consumption over time among the platforms' active users. Weekly Instagram use had a negative between-person effect on hazardous alcohol use. Individuals using TikTok or gambling communities weekly were more prone to problem gambling compared to non-weekly users.

Conclusions: There are risks involved in the active use of some social media services among adult users. Prevention work, including digital health interventions, should be targeted according to the appropriate user group.

目的:社交媒体平台种类繁多,每个平台都根据特定目标受众的社交媒体需求和兴趣提供量身定制的解决方案,以吸引他们。这种多样性可能会成为有害行为发展或延续的风险因素。研究证实,社交媒体的使用与健康风险行为的增加之间存在联系。这项为期六周的探索性纵向研究调查了成年社交媒体用户中社交媒体的活跃使用、危险饮酒和问题赌博之间的关联:从 2021 年 3-4 月开始,每隔 6 个月通过调查收集数据(T1:N = 1530;Mage = 46.67;SD = 16.42;50.33% 为男性)。在 T1 受访者中,58.10% 的人参加了 T6(n = 889)。测量指标包括使用不同社交媒体平台的频率、三项目酒精使用障碍识别测试(AUDIT-C)和问题赌博严重程度指数(PGSI)。分析采用混合多层次回归模型:结果:我们发现,每周使用 Facebook 对饮酒有积极的人内效应,每周使用 Facebook、TikTok 和赌博相关网络社区对饮酒有积极的人际效应。这些结果表明,随着时间的推移,这些平台的活跃用户的危险饮酒量有所增加。每周使用 Instagram 对危险饮酒具有负的人际效应。与非每周使用TikTok或赌博社区的用户相比,每周使用TikTok或赌博社区的用户更容易出现赌博问题:结论:成人用户积极使用某些社交媒体服务存在风险。预防工作,包括数字健康干预,应根据适当的用户群体有针对性地进行。
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引用次数: 0
Exploring the relationship between solitary drinking and living without other adults on alcohol consumption during the COVID-19 pandemic. 探索 COVID-19 大流行期间独自饮酒与无其他成年人陪伴生活对酒精消费的影响。
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-03-16 DOI: 10.1093/alcalc/agae013
Yvette Mojica-Perez, Bree Willoughby, Dan Anderson-Luxford, Claire Wilkinson, Emmanuel Kuntsche, Sarah Callinan, Alison Ritter

Aims: The COVID-19 pandemic presents the opportunity to learn about solitary drinking as many people were forced to spend time at home. The aim of this study is to examine the relationship between solitary drinking and living without other adults on alcohol consumption.

Methods: A longitudinal study with four survey waves (between May and November 2020) obtained seven-day drinking diary data from Australian adults living in New South Wales. In May, a convenience sample of 586 participants (Mage = 35.3, SD = 14.8; 65.3% women) completed the first wave. Participants then completed a survey in June (n = 319, 54.4% response rate), July/August (n = 225, 38.4% response rate), and November (n = 222, 37.9% response rate). Information about alcohol consumption including risky drinking (more than four drinks on one occasion), household structure, solitary drinking, and demographics were collected. We conducted random-effects panel bivariate and multivariable regression analyses predicting the number of standard drinks and risky drinking.

Results: Participants with solitary drinking occasions consumed more and had more risky drinking occasions than participants with no solitary drinking occasions, which was also found to be the case during lockdown. Living without other adults was associated with less consumption and less risky drinking than living with other adults. However, participants who lived without other adults and had frequent solitary drinking occasions (solitary drinking in >50% drinking occasions) reported more consumption than participants without a solitary drinking occasion.

Conclusions: Individuals who consume alcohol alone and live without other adults or spend long periods of time at home may be more at risk of alcohol-related harm.

目的:COVID-19 大流行为了解独饮提供了机会,因为许多人被迫在家中度过。本研究旨在探讨独自饮酒与没有其他成年人陪伴的生活对酒精消费的影响:一项纵向研究共进行了四次调查(2020 年 5 月至 11 月),从居住在新南威尔士州的澳大利亚成年人那里获得了七天饮酒日记数据。5 月,方便抽样的 586 名参与者(年龄 = 35.3,SD = 14.8;65.3% 为女性)完成了第一波调查。随后,参与者分别于 6 月(样本数 = 319,回复率为 54.4%)、7 月/8 月(样本数 = 225,回复率为 38.4%)和 11 月(样本数 = 222,回复率为 37.9%)完成了调查。我们收集了包括危险饮酒(一次饮酒超过四杯)、家庭结构、单独饮酒和人口统计学特征在内的饮酒信息。我们对标准饮酒次数和风险饮酒进行了随机效应面板双变量和多变量回归分析:结果:与没有单独饮酒经历的参与者相比,有单独饮酒经历的参与者的饮酒量更大,风险饮酒的次数也更多。与与其他成年人一起生活的参与者相比,与其他成年人一起生活的参与者的饮酒量和风险饮酒量更少。然而,与没有单独饮酒场合的参与者相比,在没有其他成年人陪伴的情况下经常单独饮酒(单独饮酒占饮酒场合的50%以上)的参与者报告的饮酒量更高:结论:独自饮酒、没有其他成年人陪伴或长时间呆在家中的人可能更容易受到酒精相关伤害。
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引用次数: 0
Isolation and loneliness as pathways to heavy drinking early in the pandemic. 隔离和孤独是导致大流行病早期大量饮酒的途径。
IF 2.8 4区 医学 Q3 SUBSTANCE ABUSE Pub Date : 2024-03-16 DOI: 10.1093/alcalc/agae012
Michael Fendrich, Jessica Becker, Beth S Russell, Crystal L Park

Introduction: social isolation and forced quarantines during the early phases of the COVID-19 pandemic coincided with a steep and persistent rise in alcohol consumption among US adults. While the association between loneliness and drinking is well established, less is known about the impact of social isolation (a known correlate of loneliness) and the interplay between these two variables in relation to drinking.

Methods: we recruited US adults using the MTurk platform for an online survey in early April 2020. The initial survey was followed up with a second wave, 30 days later in mid to late May. Data from the current analyses focus on this second wave of data collection.

Results: we found significant direct effects on heavy drinking for both social isolation (c' = 0.495; P < .01) and loneliness (b = 0.071; P < .05). We also found a significant indirect path from social isolation to heavy drinking through social isolation's impact on elevating loneliness (a = 0.919; P < .001). The indirect effect of social isolation on the composite measure of heavy drinking was 0.0652 (0.919 × 0.071) and was significant at the 0.05 level after bootstrapping estimates of the variance were constructed.

Conclusions: those most isolated early in the pandemic were at increased risk for heavy drinking, in part because their social isolation led to increased loneliness. Post-pandemic research is needed to explore whether the relationships that stemmed from social isolation during the pandemic led to a persistent pattern of behavioral risk that maintained high rates of heavy drinking.

导言:在 COVID-19 大流行的早期阶段,社会隔离和强制隔离与美国成年人饮酒量的急剧和持续上升相吻合。虽然孤独与饮酒之间的关系已得到证实,但人们对社会隔离(孤独的一个已知相关因素)的影响以及这两个变量与饮酒之间的相互作用却知之甚少。方法:2020 年 4 月初,我们利用 MTurk 平台招募美国成年人进行在线调查。30 天后,即 5 月中下旬,我们又进行了第二次调查。结果:我们发现社会隔离对大量饮酒有显著的直接影响(c' = 0.495; P 结论:大流行早期最孤立的人群大量饮酒的风险增加,部分原因是他们的社会隔离导致孤独感增加。大流行后需要进行研究,以探讨大流行期间社会隔离所产生的关系是否会导致持续的行为风险模式,从而维持较高的大量饮酒率。
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引用次数: 0
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Alcohol and alcoholism
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