Abstract

Background

Alcohol use and related problems often increase during emerging adulthood and are influenced by social networks. Investigating alcohol-specific feedback from network members may be useful for understanding social influences and designing interventions to reduce risky drinking among emerging adults.

Purpose/Objectives: This study examined whether drinking practices and consequences among emerging adult risky drinkers living in disadvantaged urban communities were influenced by receipt of encouragement, discouragement, or mixed messages about drinking from network members.

Methods

Risky drinkers ages 21–29 (N = 356; 228 females; mean age = 23.6 years) residing in the community were recruited using digitally implemented Respondent Driven Sampling, a peer-driven chain referral method. A web-based survey assessed drinking practices, negative alcohol-related consequences, and drinking feedback from social network members including friends, spouse/partner, and other family members.

Results

Negative binomial generalized linear modeling showed that discouragement of drinking by friends was associated with fewer drinking days and negative consequences, whereas discouragement by family members (excluding spouse/partner) was associated with more drinks per drinking day. Mixed feedback (sometimes encouraging, sometimes discouraging drinking) from friends and spouse/partner was associated with more drinking days and negative consequences.

Conclusions/Importance: Social network feedback had both risk and protective associations with drinking practices and problems among emerging adults, with discouragement to drink by friends appearing to serve a protective function. The findings suggest the utility of interventions delivered through social networks that amplify the natural protective function of friend discouragement of drinking, in addition to addressing established risks associated with peers.

中文翻译：

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生活在城市社区的新兴成年高风险饮酒者的社交网络反馈和饮酒结果

摘要

背景

在成年期，酒精使用和相关问题通常会增加，并受到社交网络的影响。调查来自网络成员的酒精特定反馈可能有助于了解社会影响和设计干预措施以减少新兴成年人的危险饮酒。

目的/目的：本研究调查了生活在不利城市社区的新兴成年高风险饮酒者的饮酒习惯和后果是否受到网络成员关于饮酒的鼓励、劝阻或混合信息的影响。

方法

 使用数字化实施的受访者驱动抽样（一种由同行驱动的连锁推荐方法）招募了居住在社区中的21-29 岁的风险饮酒者（N = 356；228 名女性；平均年龄 = 23.6 岁）。一项基于网络的调查评估了饮酒习惯、与酒精相关的负面后果以及社交网络成员（包括朋友、配偶/伴侣和其他家庭成员）的饮酒反馈。

结果

负二项式广义线性模型表明，朋友劝阻饮酒与饮酒天数减少和负面后果有关，而家庭成员（不包括配偶/伴侣）劝阻饮酒与每天饮酒量增加有关。来自朋友和配偶/伴侣的混合反馈（有时鼓励，有时不鼓励饮酒）与更多饮酒天数和负面后果有关。

结论/重要性：社交网络反馈与新兴成年人的饮酒习惯和问题既有风险又有保护性关联，朋友劝阻饮酒似乎起到了保护作用。研究结果表明，除了解决与同龄人相关的既定风险之外，通过社交网络提供的干预措施的效用可以放大朋友不鼓励饮酒的自然保护功能。