Stress and alcohol use in rural Chinese residents: A moderated mediation model examining the roles of resilience and negative emotions

Drug and Alcohol Dependence
Yan Wang, Xinguang Chen

Abstract

Little research has been done on alcohol use and dependence among rural residents in China, a sub-population that might be under increased stress due to the rapid modernization and urbanization processes. We aimed to assess rural residents' levels of stress, negative emotions, resilience, alcohol use/dependence and the complex relationships among them. Survey data from a large random sample (n=1145, mean age=35.9, SD=7.7, 50.7% male) of rural residents in Wuhan, China were collected using Audio Computer-Assisted Self-Interview. The sample had high prevalence of frequently perceived stress (47%) and high prevalence of ever (54.4%), past 30-day (40.4%), and binge drinking (13.8%). Approximately 11% met the criterion for intermediate to severe alcohol dependence. Mediation analysis indicated that the association between perceived stress (predictor) and alcohol dependence (outcome) was fully mediated by anxiety (indirect effect=.203, p<.01) and depression (indict effect=.158, p<.05); moderation analysis indicated that association between stress and two negative emotions (mediators) was significantly modified by resilience (moderator); an integrative moderated mediation analysis indicated that the indirect effect from stress to alco...Continue Reading

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Citations

Aug 16, 2018·Revista latino-americana de enfermagem·Aline Alves Dos Santos DulliusFábio de Souza Terra
Jul 23, 2020·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Rui TaoYi-Lang Tang

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