Women and Alcohol in Gothenburg (WAG): Interviews

The study Women and Alcohol in Gothenburg (WAG) is a longitudinal study that started in 1986. WAG has data from four interview waves, 1989-1992, 1994-1998, 2000-2002, and 2013-14. The first three waves comprise data from 2421 interviews, including 1432 baseline interviews and 989 follow-up interviews. At the first data collection, 399 women participated in a personal interview, representing a response rate of 83%. The oldest women in the project were born in 1925, and the youngest in 1993. WAG is designed as a two stage study. In the first step, specific female birth cohorts included in the study population for the first time and registered in central and western districts of Gothenburg, received a 13-item alcohol problem screening questionnaire called Women Screening and Alcohol (SWAG). In the second step, women were selected for a structured interview by stratified sampling according to their scores in the SWAG questionnaire. This two-step way enables the group of women with alcohol problems to be greater than in a random sampling. Each wave of data collection consist of baseline interviews birth cohorts included for the first time, as well as follow-up interviews with earlier baseline cohorts. The structured interview questionnaire mainly comprises issues of alcohol habits and mental health, including psychiatric disorders. The questionnaire further covers topics such as women’s working life and family situation, socioeconomic background factors, legal and illegal drug use, past experience from childhood and adolescence and sexual abuse and physical violence during child- and adulthood. Psychiatric diagnoses have been established by clinician interviewers according to the International Classification of Disease (ICD), DSM-III-R and DSM-IV. In the third data collection between 2000 and 2002, the instrument called International Neuropsychiatric Interview (M.I.N.I) was included in the questionnaire and used for diagnostic purpose. Purpose: The primary aim of the project is to follow the development of drinking habits and alcohol problems, to examine the motives women have to drink alcohol, to study the negative consequences of alcohol and to study the relationship between alcohol problems, mental health disorders, anxiety and depression.哥德堡女性与酒精研究（Women and Alcohol in Gothenburg，以下简称WAG）是一项始于1986年的纵向研究。该研究共包含四轮访谈数据采集阶段，分别为1989-1992年、1994-1998年、2000-2002年以及2013-2014年。前三轮数据采集共包含2421人次访谈，其中包括1432次基线访谈与989次追踪访谈。在首次数据采集阶段，共有399名女性参与了个人访谈，应答率为83%。本研究纳入的女性受访者中，出生年份最早为1925年，最晚为1993年。 WAG采用两阶段研究设计。第一阶段：首次纳入研究队列且在哥德堡市中心及西区登记在册的女性出生群体，需填写一份包含13个项目的酒精问题筛查问卷——《女性酒精筛查量表》（Women Screening and Alcohol，以下简称SWAG）。第二阶段：根据SWAG问卷得分，通过分层抽样方法选取女性参与结构化访谈。该两阶段设计可使酒精问题女性受访者的占比高于单纯随机抽样的结果。 每一轮数据采集均包含针对首次纳入队列的女性的基线访谈，以及针对既往基线队列的追踪访谈。 本次研究使用的结构化访谈问卷核心内容涵盖饮酒习惯与精神健康状况（包括精神障碍），此外还涉及女性的工作生活与家庭处境、社会经济背景因素、合法与非法药物使用情况、童年及青少年时期过往经历，以及童年与成年时期遭受的性虐待与躯体暴力问题。精神障碍诊断由临床访谈医师依据《国际疾病分类》（International Classification of Disease，以下简称ICD）、《精神障碍诊断与统计手册第三版修订版》（DSM-III-R）及《精神障碍诊断与统计手册第四版》（DSM-IV）进行评定。在2000-2002年的第三轮数据采集中，研究问卷新增了《国际神经精神访谈量表》（International Neuropsychiatric Interview，以下简称M.I.N.I）用于诊断评估。 研究目的：本项目的核心目标为追踪女性饮酒习惯与酒精问题的发展演变，探究女性饮酒的动机，分析酒精摄入带来的不良后果，以及阐明酒精问题与精神障碍、焦虑及抑郁之间的关联。