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1.
Health Commun ; : 1-12, 2023 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-37157149

RESUMO

Social media posts represent a major route by which youth share their substance use cognitions and experiences with others. Extant research has primarily examined relations between alcohol-related posts and posters' own alcohol use, yet little is known about the role of social media in the use of less socially accepted substances, namely tobacco and marijuana. Our study represents the first to examine the relative strength of this relation across alcohol, tobacco, and marijuana. The current research used a one-month time lag to tease apart the temporal ordering of substance-use-posting and participants' own substance use. A sample of 282 15-20-year-olds (Mage = 18.4, SD = 1.3, 52.9% female) in the United States completed two self-report surveys, one month apart. Results of a cross-lagged panel model revealed significant effects of alcohol and marijuana consumption on subsequent alcohol- and marijuana-related posting, respectively (i.e., selection effects). However, reverse relations (i.e., self-effects) were not significant. Further, we found no differences in the strength of selection effects across substances, suggesting they are similar for both more (alcohol) and less (marijuana and tobacco) socially acceptable substances. Results point to the importance of using young people's social media posts as a way to help identify individuals at risk for heightened substance use and social media as a mechanism for targeted prevention programming.

2.
Subst Use Misuse ; 58(6): 739-745, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36987941

RESUMO

Background: Alcohol-induced blackouts are periods of impaired memory in which an individual is unable to recount events that occurred while they were intoxicated and are associated with heavier drinking episodes. Objectives: The present study examined age and Fear of Missing Out (FoMO) as moderators of the association between peak number of drinks and experiencing alcohol-induced blackouts. Participants ages 15-25 (N = 411; Mean age = 21.4 (SD = 2.5); 61.6% female) completed baseline and daily surveys as part of a larger ecological momentary assessment study. Past month blackout experiences and peak number of drinks were reported at baseline and FoMO was reported in daily surveys one to three weeks following the baseline survey. Results: A zero-inflated negative binomial model was fit to examine the interaction between peak number of drinks with age and FoMO on alcohol-induced blacking out, controlling for relevant covariates. Findings indicated the association between peak number of drinks on the likelihood of alcohol-induced blacking out was significantly moderated by age. The association was stronger for younger compared to older individuals. Findings further indicated the associations between peak number of drinks on both the likelihood and average number of alcohol-induced blacking out was significantly moderated by FoMO. For individuals with higher levels of FoMO, the association between peak drinks and alcohol-induced blacking out was weaker for the likelihood of experiencing any blackouts and stronger for the number of blackouts. Conclusions: Findings provide support to previous literature examining age and FoMO as risk factors for alcohol-induced blackouts among adolescents and young adults.


Assuntos
Etanol , Transtornos da Memória , Humanos , Feminino , Adulto Jovem , Adolescente , Adulto , Masculino , Fatores de Risco , Transtornos da Memória/induzido quimicamente , Etanol/efeitos adversos , Inquéritos e Questionários
3.
Subst Use Misuse ; 58(8): 1030-1037, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37101350

RESUMO

Background: Research supports the notion that adolescents and young adults communicate about alcohol via text messages and that this form of communication is associated with alcohol use. However, little is known about how this compares to social media content sharing or about the timing of sending and receiving alcohol-related text messages and associations with alcohol-related outcomes. The present study aimed to 1) document whether adolescents and young adults are willing to share alcohol content via text messages they are not willing to share via social media, and 2) determine associations between frequency and timing of alcohol-related text messages (both sent and received) with self-reported alcohol use and consequences. Methods: A total of 409 participants (63.30% female; age 15-25, M = 21.10, SD = 2.69) completed a baseline survey as part of a larger study. Results: While 84.50% of participants reported that they were willing to send text messages referencing alcohol that they would not share on social media, 90.00% reported that their friends would be willing to do so. Results of negative binomial regressions indicated that sending and receiving more alcohol-related text messages per week and sending and receiving text messages before and during drinking, but not after drinking, were positively associated with typical drinks per week. Neither frequency of sending and receiving text messages or timing (before, during, after) were associated with negative consequences. Conclusions: Results suggest that frequency and timing of alcohol-related text messaging may provide insights into alcohol consumption patterns among adolescents and young adults and warrants future research.


Assuntos
Envio de Mensagens de Texto , Humanos , Adolescente , Feminino , Adulto Jovem , Adulto , Masculino , Comportamentos Relacionados com a Saúde
4.
Subst Use Misuse ; 57(7): 1111-1119, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35437097

RESUMO

Background: The vast majority of adolescents and young adults are active on social networking sites (SNSs). SNSs are influential, risk-conducive environments for alcohol use among adolescents and young adults. Specifically, posting or sharing alcohol-related content (ARC) is associated with higher levels of alcohol use. However, it is unknown if sharing different types of ARC associates differentially with alcohol use and consequences. Objective: The goal of the current project was to develop a measure of the likelihood of posting key types of ARC posted by adolescents and young adults and to examine their associations with SNS use patterns and actual alcohol-related behavior. Method: Participants were 15-20 years of age (n = 306; 46.7% male; 56.6% Caucasian/White; 27.0% Asian) who completed a battery of self-report measures. Results: Results from an exploratory factor analysis revealed four types of ARC: (1) self and friend consumption, (2) memes and viral photos, (3) status updates: others' drinking and consequences, and (4) pictures: others' drinking and consequences. Conclusions: Participants' likelihood of posting self and Friend Consumption was significantly associated with heightened Snapchat use, typical drinks per week, peak drinking, and negative drinking consequences. Whereas youth appear to share more readily alcohol-related viral posts and memes, it seems that the sharing of ARC that is specifically related to the participants' own use or friends' use is salient concerning alcohol use and problems. Therefore, interventions might consider sending targeted prevention messages to individuals who share certain types of ARC which are more associated with problematic alcohol behaviors.


Assuntos
Consumo de Bebidas Alcoólicas , Rede Social , Adolescente , Feminino , Amigos , Humanos , Masculino , Motivação , Autorrelato , Adulto Jovem
5.
Subst Use Misuse ; 57(2): 287-294, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34812094

RESUMO

Objective: It is critical to gain further understanding of etiologic factors, such as descriptive normative perceptions and behavioral willingness, that are associated with prescription stimulant misuse (PSM) among young adults. Our primary hypotheses were that descriptive normative perceptions for PSM (i.e., perceptions of how much and how often others engage in PSM) and perceived peer willingness (i.e., perceptions of how open others are to PSM under certain circumstances) would be positively associated with higher willingness to engage in PSM, which in turn would account for significant shared variance with self-reported PSM. Method: Data were collected from a U.S. sample of 18-20-year-olds (N = 1,065; 54.5% females; 70.5% White) recruited for a larger study on alcohol-related risky sexual behavior. Results: Findings indicated higher descriptive normative perceptions and higher perceived peer willingness were associated with higher participants' willingness to engage in PSM. Participants' own willingness was positively associated with PSM. Finally, participants' own willingness to use, descriptive normative perceptions, and perceived peer willingness were associated with higher willingness to engage in PSM, which accounted for significant shared variance with self-reported PSM. Conclusions: Findings suggest the potential utility of personalized feedback interventions for PSM that focus on constructs such as descriptive normative perceptions and behavioral willingness.


Assuntos
Estimulantes do Sistema Nervoso Central , Feminino , Humanos , Masculino , Grupo Associado , Prescrições , Assunção de Riscos , Adulto Jovem
6.
J Behav Med ; 44(1): 123-130, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-32944846

RESUMO

This study assessed alcohol and sex-related cognitions and behaviors, including alcohol-related sexual expectancies, descriptive norms, and protective behavioral strategies, associated with women's risk for an alcohol-exposed pregnancy. A national sample of young adults ages 18-20 years was subset to women who were capable of pregnancy and sexually active (n = 422). The outcome was risk of alcohol-exposed pregnancy as determined by contraceptive status and heavy-episodic drinking. SAS version 9.4 was used to estimate logistic regression models. Alcohol-related sexual expectancies related to enhancement were significantly associated with increased odds of alcohol-exposed pregnancy risk. In contrast, women who reported the use of more safe sex (non-condom related) protective behavioral strategies (e.g., talk to partner about birth control use) were at decreased odds of alcohol-exposed pregnancy risk. Future interventions to reduce the risk of alcohol-exposed pregnancies should consider alcohol-related sexual expectancies and safer sex protective behavioral strategies as leverage points.


Assuntos
Preservativos , Comportamento Sexual , Adolescente , Adulto , Consumo de Bebidas Alcoólicas , Cognição , Feminino , Humanos , Gravidez , Sexo Seguro , Adulto Jovem
7.
Prev Sci ; 18(4): 373-381, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-27995431

RESUMO

Personalized normative feedback (PNF) interventions have been shown to be efficacious at reducing college student drinking. Because descriptive norms have been shown to mediate PNF efficacy, the current study focused on examining additional prototype willingness model social reaction cognitions, namely, prototypes and willingness, as mediators of intervention efficacy. We expected the PNF interventions to be associated with increased prototype favorability of students who do not drink, which would in turn be associated with decreased willingness to drink and subsequently, less drinking. The current study included 622 college students (53.2% women; 62% Caucasian) who reported one or more heavy drinking episodes in the past month and completed baseline and three-month follow-up assessments. As posited by the framework of the prototype willingness model, sequential mediation analyses were conducted to evaluate increases in abstainer prototype favorability on willingness on drinking, and subsequently willingness to drink on drinking behavior. Mediation results revealed significant indirect effects of PNF on three-month drinking through three-month prototypes and willingness, indicating that the social reaction pathway of the prototype willingness model was supported. Findings have important implications for PNF interventions aiming to reduce high-risk drinking among college students. Study findings suggest that we should consider looking at additional socially-based mediators of PNF efficacy in addition to perceived descriptive norms.


Assuntos
Consumo de Bebidas Alcoólicas/psicologia , Cognição , Modelos Psicológicos , Adulto , Retroalimentação , Feminino , Humanos , Masculino , Estudantes , Adulto Jovem
8.
Prev Sci ; 15(1): 85-93, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23404667

RESUMO

Within the domain of risk-related behavior, many times the decision to engage is not a product of premeditation or intention. The prototype willingness model was created to capture and explain the unintended element of risk behavior. The present study aimed to evaluate the importance of willingness versus intention, two important constructs within the prototype willingness model, in relation to spring break drinking behavior when assessed at both high and low extremities. College undergraduates (N = 275) completed questionnaires prior to spring break regarding their anticipated spring break activities. Willingness and intention were assessed for different levels of risk. Specifically, participants indicated the extent to which they intended to (a) get drunk and (b) drink enough to black out or pass out; and the extent to which they were willing to (a) get drunk and (b) drink enough to black out or pass out. When classes resumed following spring break, the students indicated the extent to which they actually (a) got drunk and (b) drank enough to black out or pass out. Results demonstrated that when the health-related risk was lower (i.e., getting drunk), intention was a stronger predictor of behavior than was willingness. However, as the level of risk increased (i.e., getting drunk enough to black out or pass out), willingness more strongly predicted behavior. The present study suggests that willingness and intentions differentially predict spring break alcohol-related behavior depending on the extremity of behavior in question. Implications regarding alcohol interventions are discussed.


Assuntos
Consumo de Bebidas Alcoólicas/psicologia , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/prevenção & controle , Feminino , Humanos , Masculino , Modelos Psicológicos , Estações do Ano , Adulto Jovem
9.
Drug Alcohol Rev ; 43(1): 111-121, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36788285

RESUMO

INTRODUCTION: While adolescent substance use (SU) may be viewed as normative, SU can quickly escalate leading to consequences. Social media use may increase SU risk. Despite using social media to connect with others, adolescents also view depictions of glamorised SU by both peers and influential figures. Exposure to online alcohol and marijuana content may impact subjective norms (i.e., injunctive and descriptive) ultimately leading to increased offline SU. Data from a multi-wave project was collected to assess whether subjective norms-mediated associations between exposure to alcohol and marijuana content by peers and influential figures on Instagram and Snapchat and offline SU. METHODS: At Wave 1, participants were 264 adolescents (Mage  = 14.91, 51% female, 86% White, 85% Hispanic/Latino/a/x). RESULTS: Injunctive norms significantly mediated associations between exposure to alcohol content posted by peers and influential figures on Instagram and Snapchat and offline alcohol use. Injunctive norms significantly mediated associations between exposure to marijuana content posted by peers and influential figures on Instagram, and peers on Snapchat and offline marijuana use. Descriptive norms significantly mediated associations between exposure to alcohol content posted by peers on Instagram, as well as peers and influential figures on Snapchat and offline alcohol use. DISCUSSION AND CONCLUSION: Increased exposure to online SU content was more consistently associated with injunctive norms rather than descriptive norms. Future research should examine which social media features (e.g., the like button) contribute to increased subjective norms. Overall, findings suggest that social media may strongly convey approval of SU behaviours rather than actual use.


Assuntos
Cannabis , Fumar Maconha , Transtornos Relacionados ao Uso de Substâncias , Humanos , Adolescente , Feminino , Masculino , Consumo de Bebidas Alcoólicas/epidemiologia , Etanol , Grupo Associado , Normas Sociais
10.
Addict Behav ; 155: 108040, 2024 08.
Artigo em Inglês | MEDLINE | ID: mdl-38657402

RESUMO

OBJECTIVE: This study examined daily associations between alcohol use, cannabis use, and simultaneous alcohol and cannabis/marijuana (SAM) use with the likelihood of hooking up (uncommitted sexual encounter that may or may not include intercourse). METHOD: We used a longitudinal measurement burst ecological momentary assessment (EMA) design with 3-week EMA bursts with daily measurements repeated quarterly across 12 months. 1,009 (57 % female, Mean age = 20.00 [SD = 3.21]) Texan adolescents and young adults ages 15-25 participated in the study. Mixed effects logistic regression models were estimated using maximum likelihood estimation to evaluate the associations between substance use and hooking up. RESULTS: Within-person results indicated that participants were more likely to hook up on days with alcohol use and on days with cannabis use, but not on days with SAM use. Participants were also more likely to hook up on drinking days with higher-than-usual alcohol use. Between-person results indicated that participants who used alcohol more often or cannabis more often on average were more likely to hook up, and participants who tended to drink more on drinking days were more likely to hook up. CONCLUSIONS: Given the significant daily-level associations between alcohol and cannabis use and hooking up behavior, public health initiatives should focus on developing interventions to reduce alcohol and cannabis use and promote safer hooking up behavior among adolescents and young adults.


Assuntos
Avaliação Momentânea Ecológica , Uso da Maconha , Humanos , Adolescente , Feminino , Masculino , Adulto Jovem , Adulto , Uso da Maconha/epidemiologia , Uso da Maconha/psicologia , Estudos Longitudinais , Estados Unidos/epidemiologia , Comportamento Sexual/estatística & dados numéricos , Comportamento Sexual/psicologia , Consumo de Álcool por Menores/estatística & dados numéricos , Consumo de Álcool por Menores/psicologia , Consumo de Bebidas Alcoólicas/epidemiologia , Consumo de Bebidas Alcoólicas/psicologia , Texas/epidemiologia
11.
J Stud Alcohol Drugs ; 2024 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-38842824

RESUMO

OBJECTIVE: Despite protective behavioral strategies (PBS) being an important part of alcohol prevention programs, utilization of PBS is sub-optimal, and research is needed to determine factors associated with use and non-use of PBS. The present study examined daily-level associations between situational familiarity (i.e., familiarity with locations and people) and the use of alcohol-related PBS among adolescents and young adults. METHOD: Participants (analysis N = 564, 55.1% females, 45.2% White, Non-Hispanic, ages 15 to 25, mean = 21.07 years [SD = 2.79]) were part of a longitudinal ecological momentary assessment burst study on cognitions and alcohol use. Mixed effects Poisson models were used to analyze data for engagement in PBS (i.e., serious harm reduction, stopping/limiting, and manner of drinking PBS). RESULTS: Within-person results indicated when participants had elevated (i.e., higher than their own average) familiarity with their location, they were less likely to use serious harm reduction PBS (Rate ratio [RR] = 0.94, p < 0.001) and stopping/limiting PBS (RR = 0.95, p < 0.001). Results showed that on drinking days with elevated familiarity with people, individuals were more likely to use serious harm reduction PBS (RR = 1.03, p = 0.01). There were no significant daily-level associations between familiarity with people or location and manner of drinking PBS. CONCLUSION: The study suggests PBS use, particularly for serious harm reduction and stopping/limiting strategies, varies among adolescents and young adults based on familiarity with location and people. Alcohol prevention interventions, including just-in-time interventions, should consider how to promote PBS use particularly in familiar locations and with less familiar people.

12.
Addict Behav ; 153: 108004, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38457988

RESUMO

Research indicates general willingness to drink (i.e., "How willing are you to drink tonight?") fluctuates day-to-day and is associated with daily-level drinking. However, it is unknown whether willingness to engage in specific alcohol-related behaviors is associated with actual engagement in those behaviors above and beyond general willingness to drink at the daily level. The present study examined whether daily-level willingness to engage in specific behaviors (i.e., pre-gaming, blacking out, hooking up) predicted engaging in those respective behaviors on drinking days above and beyond one's general willingness to drink. Participants included adolescents and young adults who were part of a longitudinal ecological momentary assessment (EMA) study on cognitions and alcohol use. Participants (N = 675; 43 % male) who reported drinking on weekend days (i.e., Friday and Saturday [N = 3,727 days]), were included. The study involved a 3-week EMA burst design with bursts occurring quarterly over 12 months. Multilevel logistic regressions indicated on drinking days when participants reported being more willing than their own average to pre-game (OR = 1.77, p <.001), black out (OR = 1.46, p <.05), or drink before hooking up (OR = 1.68, p <.001), they were more likely to pregame, black out, and hook up, respectively, whereas general willingness to drink was not associated with any outcomes at the daily level.Results suggest willingness to engage in specific behaviors may be essential to target in prevention programming in comparison to general willingness to drink when aiming to reduce specific risk behaviors.


Assuntos
Consumo de Bebidas Alcoólicas , Assunção de Riscos , Humanos , Masculino , Adolescente , Adulto Jovem , Feminino , Estudos Longitudinais , Cognição , Avaliação Momentânea Ecológica
13.
J Stud Alcohol Drugs ; 84(5): 700-709, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37306372

RESUMO

OBJECTIVE: Experimental research has demonstrated that when alcohol-related content is viewed on social media, adolescents and young adults tend to have favorable attitudes toward alcohol use. However, limited research focuses on social media norms for abstaining from alcohol use. The current study examined the role of descriptive and injunctive alcohol-abstaining-and-drinking norms via experimentally manipulated social media profiles. Experimental effects on descriptive and injunctive normative perceptions and subsequent behavior were tested. METHOD: Participants (N = 306; ages 15-20 years) were recruited from the Seattle metropolitan area to complete a baseline survey and view researcher-fabricated social media profiles. Using stratified random assignment (birth sex and age), participants were randomized into one of three conditions: (a) alcohol abstaining and drinking, (b) alcohol abstaining, and (c) attention control. RESULTS: The alcohol-abstaining-and-drinking condition reported greater drinking descriptive norms compared with participants in either the alcohol-abstaining or the attention-control conditions at post-experiment and 1-month follow-up. The alcohol-abstaining-and-drinking condition reported lower abstaining descriptive norms (i.e., perceiving fewer peers abstain) compared with those in the alcohol-abstaining condition at post-experiment and lower abstaining injunctive norms compared with those in the attention-control condition at 1-month follow-up. CONCLUSIONS: Exposure to social media profiles containing both alcohol-drinking and alcohol-abstaining messages was respectively associated with individuals perceiving that peers were consuming alcohol more often and that fewer peers were abstaining. The present findings are consistent with prior experimental research that indicates alcohol displays on social media are associated with riskier drinking cognitions.


Assuntos
Transtornos Relacionados ao Uso de Álcool , Mídias Sociais , Humanos , Adolescente , Adulto Jovem , Normas Sociais , Consumo de Bebidas Alcoólicas/epidemiologia , Grupo Associado , Atitude
14.
Addict Behav ; 143: 107697, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-36965214

RESUMO

BACKGROUND: Adolescence is an important developmental period in which to understand the cognitive underpinnings of risky alcohol use. Normative perceptions, such as descriptive and injunctive norms, are one of the strongest and most consistent predictors in adolescent drinking research. Thus, it is essential to examine which drinking cognitions (e.g., attitudes, prototypes, perceived vulnerability) are associated with normative drinking perceptions using repeated daily-level data among adolescents. The present study assessed associations between drinking cognitions and normative perceptions using an intensive daily longitudinal design. METHODS: Participants were ages 15-17 years (N = 306; 61.4% female; Mage (SD) = 16.0 (0.8)) who were part of a larger ecological momentary assessment study (EMA) on drinking cognitions and alcohol use. The study design consisted of a 3-week EMA burst design (8 surveys per week, up to 2x/day) that was repeated quarterly over the 12-month study. The present analyses used the afternoon assessment for all measures. RESULTS: Our multilevel model results demonstrated that drinking attitudes, prototypes of a typical drinker, and perceived vulnerability were positively associated with both descriptive and injunctive drinking norms between individuals and within individuals across days. CONCLUSIONS: Current findings have important clinical implications as they demonstrated how specific drinking cognitions were associated with variability in normative perceptions at the daily level. Findings support the delivery of intervention messaging to adolescents on days when drinking attitudes, prototypes of a typical drinker, and perceived vulnerability are elevated.


Assuntos
Consumo de Bebidas Alcoólicas , Consumo de Álcool por Menores , Humanos , Adolescente , Feminino , Masculino , Consumo de Bebidas Alcoólicas/psicologia , Estudos Longitudinais , Consumo de Álcool por Menores/psicologia , Cognição , Atitude , Universidades
15.
Psychol Addict Behav ; 37(8): 1030-1038, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37471009

RESUMO

OBJECTIVE: Although there is growing evidence that alcohol use at the daily level is associated with positive but not negative affect, results are mixed when examining marijuana use and simultaneous alcohol and marijuana (SAM) use (i.e., use with overlapping effects). In addition, less is known about these daily level associations among diverse samples of adolescents and young adults. The present study will address these gaps. METHOD: Participants (N = 1,006; 57.3% female, 43.1% White, Non-Hispanic, ages 15-25; Mage = 20.0) were part of a study on substance use that consisted of a 3-week ecological momentary assessment (EMA) burst design (eight surveys per week, up to 2×/day) that was repeated quarterly over a 12-month period. RESULTS: Within-person results indicated that on days with elevated positive affect, participants reported consuming more drinks, whereas positive affect was not significant for hours high from marijuana. In addition, on days with elevated negative affect, participants reported fewer hours high from marijuana. No association was found between negative affect and number of drinks. Finally, within-person results indicated that on alcohol or marijuana days with elevated positive affect, individuals were more likely to report SAM use. There was no association found between negative affect and SAM use. CONCLUSIONS: Results have implications such that in-the-moment interventions for alcohol and SAM use may be more salient when individuals have higher positive affect than average, whereas such interventions may be more relevant for marijuana use when negative affect is lower compared to average levels. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Assuntos
Cannabis , Fumar Maconha , Uso da Maconha , Transtornos Relacionados ao Uso de Substâncias , Humanos , Feminino , Adolescente , Adulto Jovem , Adulto , Masculino , Uso da Maconha/epidemiologia , Fumar Maconha/epidemiologia , Consumo de Bebidas Alcoólicas/epidemiologia , Etanol
16.
Addict Behav ; 138: 107571, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36502745

RESUMO

This study aimed to compare negative alcohol-related sexual experiences among individuals who used (1) alcohol only, (2) alcohol plus marijuana, and (3) alcohol plus marijuana and stimulants. Participants in the analytic sample (N = 1,015; Mean age = 19.16 (SD = 0.79); 45.42% male) completed an online baseline survey as part of an intervention study. A hurdle negative binomial model examined the associations between polysubstance use and negative alcohol-related sexual experiences. Models examined if experiences varied by demographic factors. Compared to participants that only used alcohol, those who used alcohol plus marijuana and stimulants reported a higher likelihood and average number of negative alcohol-related sexual experiences in the past 3 months. Participants that used alcohol plus marijuana had a higher likelihood of having a negative alcohol-related sexual experience in the past 3 months compared to those who only used alcohol. These findings suggest the number and risk for negative alcohol-related sexual experiences increases with the number of substances being used.


Assuntos
Consumo de Bebidas Alcoólicas , Transtornos Relacionados ao Uso de Substâncias , Humanos , Masculino , Adulto Jovem , Adulto , Feminino , Consumo de Bebidas Alcoólicas/epidemiologia , Comportamento Sexual , Inquéritos e Questionários , Transtornos Relacionados ao Uso de Substâncias/epidemiologia
17.
Addict Behav ; 137: 107497, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36194978

RESUMO

The present study examined occasion-level associations between cognitions (willingness to drink, descriptive norms, and injunctive norms) and situational factors (familiarity with people and locations) with playing drinking games (DGs) among adolescents and young adults. Further, this study tested the associations between playing DGs, the number of drinks consumed, and the negative consequences experienced at the occasion level. Participants were 15-25-year-olds (N = 688; 43% male, 47% White, Non-Hispanic, Mean age = 21.18) who were part of a longitudinal ecological momentary assessment (EMA) study on cognitions and alcohol use. The study design consisted of a 3-week EMA burst design (8 surveys per week) that was repeated quarterly over the 12-month study (up to 2x/day) per participant. Multilevel models showed that occasion-level risks (higher willingness, higher descriptive norms, and less familiarity with people) were associated with playing DGs. When examining the within-person associations between DGs and number of drinks, results showed that playing DGs was associated with consuming more drinks. For consequences, DGs were not uniquely predictive of experiencing more consequences and riding in a vehicle with a driver who had been drinking. This study contributes to the literature by examining associations between cognitions and situational factors with DGs and the role DGs play in experiencing negative consequences among a diverse sample of adolescents and young adults.


Assuntos
Consumo de Bebidas Alcoólicas , Cognição , Adulto Jovem , Humanos , Adolescente , Masculino , Adulto , Feminino , Consumo de Bebidas Alcoólicas/epidemiologia , Avaliação Momentânea Ecológica , Inquéritos e Questionários , Relações Interpessoais
18.
JMIR Res Protoc ; 12: e43986, 2023 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-36716301

RESUMO

BACKGROUND: Underage drinking and related risky sexual behavior (RSB) are major public health concerns on United States college campuses. Although technology-delivered personalized feedback interventions (PFIs) are considered a best practice for individual-level campus alcohol prevention, there is room for improving the effectiveness of this approach with regard to alcohol-related RSB. OBJECTIVE: The aims of this study are to (1) evaluate the impact of a brief PFI that integrates content on alcohol use and RSB and is adapted to include a novel cross-tailored dynamic feedback (CDF) component for at-risk first-year college students and (2) identify implementation factors critical to the CDF's success to facilitate future scale-up in campus settings. METHODS: This study uses a hybrid type 1 effectiveness-implementation design and will be conducted in 3 phases. Phase 1 is a stakeholder-engaged PFI+CDF adaptation guided by focus groups and usability testing. In phase 2, 600 first-year college students who drink and are sexually active will be recruited from 2 sites (n=300 per site) to participate in a 4-group randomized controlled trial to examine the effectiveness of PFI+CDF in reducing alcohol-related RSB. Eligible participants will complete a baseline survey during the first week of the semester and follow-up surveys at 1, 2, 3, 6, and 13 months post baseline. Phase 3 is a qualitative evaluation with stakeholders to better understand relevant implementation factors. RESULTS: Recruitment and enrollment for phase 1 began in January 2022. Recruitment for phases 2 and 3 is planned for the summer of 2023 and 2024, respectively. Upon collection of data, the effectiveness of PFI+CDF will be examined, and factors critical to implementation will be evaluated. CONCLUSIONS: This hybrid type 1 trial is designed to impact the field by testing an innovative adaptation that extends evidence-based alcohol programs to reduce alcohol-related RSB and provides insights related to implementation to bridge the gap between research and practice at the university level. TRIAL REGISTRATION: ClinicalTrials.gov NCT05011903; https://clinicaltrials.gov/ct2/show/NCT05011903. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/43986.

19.
Cyberpsychol Behav Soc Netw ; 25(8): 489-495, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35639101

RESUMO

Interpersonal electronic surveillance (IES) refers to monitoring a partner's location, conversations, and other private information such as search history. Although IES has been linked to relationship functioning, this work does not take into account the dyadic nature of relationships using data from both members of a dating pair. Thus, this study aimed to document rates and concordance of IES perpetration among a college sample of dating pairs, explore whether rates of IES perpetration differ by gender, and describe how each partner's IES perpetration is associated with trust, jealousy, negative relationship behaviors, and explore whether any associations are moderated by gender. A total of 136 couples (age 18-25 years) participated in a study wherein each member of the couple reported IES perpetration, trust, jealousy, and negative relationship behaviors. Results indicated that 44 percent of the sample presented with either one or both partners engaging in IES perpetration. Furthermore, results of actor-partner interdependence models indicated that there were significant actor effects for all outcomes such that one's own IES perpetration was related to lower trust in the partner, higher jealousy, and engagement in more negative partners toward the partner. However, no significant partner effects emerged. Results further indicated that actor effects were present for women, but not men. Overall, results of this study indicate that dyadic examinations of IES perpetration may shed light into the ways that couples use technology and that future research is warranted to determine how to prevent IES perpetration and ultimately potential relationship consequences.


Assuntos
Relações Interpessoais , Parceiros Sexuais , Adolescente , Adulto , Eletrônica , Feminino , Humanos , Ciúme , Confiança , Adulto Jovem
20.
Addict Behav ; 129: 107261, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35114629

RESUMO

BACKGROUND: Adolescent exposure to alcohol-related social networking site (SNS) content is associated with their own alcohol use. However, there is a need to better understand the relationship between varying levels of adolescent SNS use and alcohol-related risks. In this study, we sought to identify distinct patterns of SNS use across multiple platforms (Facebook, Instagram, and Snapchat) and to assess associations between those patterns and alcohol use outcomes. METHODS: Data were collected as part of a baseline assessment for a larger longitudinal experimental study. Participants (N = 306, age 15-20) completed measures of demographics, SNS use, and alcohol use. RESULTS: Using latent profile analysis (LPA), three SNS use profiles were empirically derived: low SNS users (27.5%), high frequency, low duration users (47.4%), and high frequency, high duration users (25.2%). Significant differences in daily drinking (F [2, 301] = 3.39, p = 0.035) and AUDIT scores (F [2, 289] = 6.15, p = 0.002) were observed for the three profiles, with members of the high frequency, high duration profile reporting significantly more weekly drinks and higher AUDIT scores when compared to the other two profiles. CONCLUSION: These findings imply that a combination of high frequency and high duration SNS use may place individuals at risk for potentially problematic drinking. Given many clinicians have limited opportunities to delve into their patients' SNS use patterns, results suggest that a simple understanding of frequency and duration of use may provide enough information to indicate who may be at risk.


Assuntos
Mídias Sociais , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Humanos , Estudos Longitudinais , Rede Social , Adulto Jovem
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