Why is work intensity associated with heavy alcohol use among adolescents?
Why is work intensity associated with heavy alcohol use among adolescents?
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DOI：
10.1016/s1054-139x(03)00206-4
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发表时间：
2004-01-01
影响因子：
7.6
通讯作者：
Russell, T
中科院分区：
文献类型：
--
作者：
Paschall, MJ;Flewelling, RL;Russell, T
目的：研究和解释青少年工作强度（每周工作小时数）与酗酒之间的关系。方法：采用参与全国青少年健康纵向研究的青少年代表性样本提供的两波家庭访谈数据进行分析。进行多项逻辑回归分析，以确定第1波较高的工作强度是否预示着大约1年后第2波较高的过去一年的重度饮酒水平，以及在调整了人口统计学特征、第1波之前的酒精使用情况、家庭、学校和同伴-个体领域的社会心理风险和保护因素后，工作强度与重度饮酒之间的关系的持续程度。结果：第1阶段较高的工作强度（11-20小时或超过20小时/周）预示着第2阶段的大量饮酒。然而，在调整了人口统计学特征和既往饮酒情况后，这些影响大大减弱。风险和保护因素，如学校承诺、朋友饮酒和犯罪行为也部分解释了工作强度和背景变量对酗酒的影响，表明这些因素可能是混杂因素和/或中介因素。结论：本研究表明，每周工作超过10小时会增加青少年重度饮酒的可能性，而工作强度的影响在很大程度上（但不是完全）可归因于人口统计学特征（如年龄、种族/民族、个人收入）、既往饮酒情况以及家庭、学校和同龄人个体因素。(C)青少年医学协会，2004年。
Purpose: To examine and explain the relationship between work intensity (number of hours worked per week) and heavy alcohol use among adolescents.Methods: Analyses were conducted with two waves of in-home interview data provided by a representative sample of adolescents who participated in-the National Longitudinal Study of Adolescent Health. Multinomial logistic regression analyses were conducted to determine whether a higher level of work intensity at Wave 1 predicted a higher level of past-year heavy drinking approximately 1 year later at Wave 2, and the degree to which the relationship between work intensity and heavy drinking persisted after adjusting for demographic characteristics, alcohol use before Wave 1, and psychosocial risk and protective factors in family, school, and peer-individual domains.Results: Higher levels of work intensity at Wave 1 (11-20 or more than 20 hours/week) were predictive of heavy drinking at Wave 2. However, these effects were substantially attenuated after adjusting for demographic characteristics and prior alcohol use. Risk and protective factors such as school commitment, friends' drinking, and delinquency also partially explained the effects of work intensity and background variables on heavy drinking, suggesting that these factors may act as confounders and/or mediators.Conclusions: This study suggests that working more than 10 h/week increases the likelihood of heavy alcohol use among adolescents, and that the effect of work intensity is largely, but not completely attributable to demographic characteristics (e.g., age, race/ethnicity, personal income), prior alcohol use, and family, school, and peer-individual factors. (C) Society for Adolescent Medicine, 2004.