早期生活中的逆境和成年后的饮酒问题:改善儿童不良体验的测量
Shenyu Zhang1, Adam M Lippert1
1Sociology Department, College of Liberal Arts and Sciences, University of Colorado Denver, Denver, CO, 80204, USA.
Social science & medicine (1982)
|February 14, 2026
概括
童年逆境 (CA) 与成人饮酒问题有关. 较低的社会支持加剧了这种风险,突出了过去的逆境和目前对酒精消费的支持的综合影响.
科学领域:
- 精神病学和公共卫生
- 心理测量和调查方法学
- 行为科学 行为科学
背景情况:
- 过度饮酒是一个主要的公共卫生问题.
- 儿童不良经历 (ACE) 与成年人饮酒问题有关,但测量和缓解因素需要进一步研究.
- 现有的研究在准确测量ACE和了解它们对问题饮酒的影响方面存在局限性.
研究的目的:
- 通过物件响应理论 (IRT) 完善ACE的测量.
- 调查社会支持感知在儿童逆境 (CA) 和问题饮酒之间的联系中所起的调节作用.
- 分析美国成年人对CA,社会支持和饮酒问题的人口水平数据.
主要方法:
- 利用一个双参数IRT模型和多次归算来增强ACE测量.
- 基于行为风险因素监测系统 (BRFSS) 数据的员工调查加权准二项式后勤回归.
- 检查了CA分数和感知到的社会支持在预测问题饮酒方面的相互作用.
主要成果:
- 较高的CA分数与问题饮酒的可能性增加有显著的关联.
- 发现了一种显著的相互作用效应:高CA和低社会支持的个体表现出问题饮酒的可能性最高.
- 该研究表明,过去的逆境和当前的社会支持对成年人饮酒问题的共同影响.
结论:
- 改进的心理测量方法,如IRT,可以加强健康研究中ACE的测量.
- 儿童时期的逆境和感知到的社会支持是成年人饮酒问题发展的关键,相互作用的因素.
- 研究结果强调,需要采取干预措施,解决过去的创伤和当前的社会支持,以减轻问题饮酒.
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