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Protective Behavioral Strategies and Alcohol Consumption: The Moderating Role of Drinking-Group Gender Composition.

ABSTRACT: : Background. There is international concern about the negative consequences for health related to young people's alcohol consumption. Peer relationships can play a positive and protective role to cope with risky behaviors associated with alcohol consumption. Objective. This study investigated the influence of protective behavioral strategies (PBS) on alcohol consumption and the moderating role of drinking-group gender composition and drinking-group size. Methods. The sample comprised 286 youths (mean age = 23.49; SD = 2.78; 67.5% female). Participants reported their protective behavioral strategies, their alcohol consumption and the size (overall mean = 7.44; SD = 3.83) and gender composition (62.58% mixed; 19.93% all-female; 9.8% all-male) of their social drinking groups. The mean sizes of mixed, all-female, and all-male groups were 8.27, 5.34, and 6.2, respectively. Results. Data showed that women consume less alcohol and use more protective strategies than men, particularly those strategies directed at avoiding negative consequences. Furthermore, the number of men in a group influences protective strategies and consumption, therefore drinking-group gender composition moderates the relationship between protective strategies and alcohol consumption. The more protective strategies that young adults use, the lower their alcohol consumption. This relationship is moderated by the size of the group. Conclusion. Strategies to prevent risky drinking behavior should focus on both PBS shared by drinking-group members and the training in individual PBS associated with drinking behavior. Finally, taking into account the relationship between drinking-group gender composition and protective behavioral strategies for alcohol consumption, a positive protector role for individual and group habits in relation to alcohol consumption is discussed.

SUBMITTER: Tabernero C

PROVIDER: S-EPMC6427807 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

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Protective Behavioral Strategies and Alcohol Consumption: The Moderating Role of Drinking-Group Gender Composition.

Tabernero Carmen C Gutiérrez-Domingo Tamara T Luque Bárbara B García-Vázquez Olaya O Cuadrado Esther E

International journal of environmental research and public health 20190312 5

:Background. There is international concern about the negative consequences for health related to young people's alcohol consumption. Peer relationships can play a positive and protective role to cope with risky behaviors associated with alcohol consumption. Objective. This study investigated the influence of protective behavioral strategies (PBS) on alcohol consumption and the moderating role of drinking-group gender composition and drinking-group size. Methods. The ...[more]

PMID: 30871129

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Project description:BACKGROUND:Prior research on alcohol consumption and pain has yielded inconsistent results regarding the directionality of effects for both consumption-to-pain and pain-to-consumption relations. The present study sought to examine directionality of these relations by testing bidirectional longitudinal associations between consumption and pain interference, a crucial aspect of pain that captures pain-related disability and has been regarded as a valuable measure of treatment outcome. In addition, this study explored possible moderation of these bidirectional longitudinal associations by gender and alcohol use disorder (AUD) symptomatology. METHODS:Analyses included 29,989 current/former drinkers who were interviewed at both waves (2001 and 2004) of the U.S. National Epidemiological Survey on Alcohol and Related Conditions (NESARC). Analyses used self-report data from both waves on past-year average daily volume of alcohol consumed and past-month pain interference (1 item from the Medical Outcomes Study 12-item Short-Form Health Survey [MOS-SF-12]). AUDADIS-IV data from Wave 1 were used to index baseline AUD symptomatology (i.e., symptom count). Cross-lagged panel modeling and multigroup analyses were employed. RESULTS:Regarding the consumption-to-pain-interference relation, in general, higher baseline alcohol consumption was associated with lower subsequent pain interference at follow-up. However, among men with higher AUD-symptom counts, the opposite pattern emerged, with higher baseline alcohol consumption being significantly related to higher subsequent pain interference at follow-up. Regarding the pain-interference-to-consumption relation, higher baseline pain interference was significantly associated with lower subsequent alcohol consumption at follow-up, and no moderating effects were observed. CONCLUSIONS:The distinctive patterns of the consumption-to-pain-interference relation observed among men with elevated AUD symptomatology suggest that this relation might be driven by different mechanisms across different groups of individuals. Specifically, the detrimental effect of alcohol on pain interference might emerge at relatively advanced stages of AUD among men, consistent with Koob's Dark Side of Alcohol Addiction theory in human research.

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Protective Behavioral Strategies and Alcohol Consumption: The Moderating Role of Drinking-Group Gender Composition.

Publications

Protective Behavioral Strategies and Alcohol Consumption: The Moderating Role of Drinking-Group Gender Composition.

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