Community epidemiology of risk and adolescent substance use: practical questions for enhancing prevention.
Community epidemiology of risk and adolescent substance use: practical questions for enhancing prevention.
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DOI：
10.2105/ajph.2011.300496
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发表时间：
2012-03
影响因子：
12.7
通讯作者：
Feinberg ME
中科院分区：
文献类型：
--
作者：
Feinberg ME
为了促进有效的预防办法，社区诊断模式帮助社区系统地评估风险因素并确定其优先次序，以指导选择预防性干预措施。这种日益广泛使用的模式主要依赖于个人层面的研究，将风险和保护因素与物质使用结果联系起来。我讨论了常见的假设在翻译这样的研究有关的定义风险因素海拔;的等价性，独立性和稳定性的风险因素和问题行为之间的关系;和社区差异的风险因素和风险因素的问题行为关系。探索这些假设可以提高社区内和跨社区的风险因素和物质使用的关系的理解，并提高社区诊断模型的有效性。这种方法也可以应用于个人和社区风险和结果相互交叉的其他公共卫生领域。
To promote an effective approach to prevention, the community diagnosis model helps communities systematically assess and prioritize risk factors to guide the selection of preventive interventions. This increasingly widely used model relies primarily on individual-level research that links risk and protective factors to substance use outcomes. I discuss common assumptions in the translation of such research concerning the definition of risk factor elevation; the equivalence, independence, and stability of relations between risk factors and problem behaviors; and community differences in risk factors and risk factor–problem behavior relations. Exploring these assumptions could improve understanding of the relations of risk factors and substance use within and across communities and enhance the efficacy of the community diagnosis model. This approach can also be applied to other areas of public health where individual and community levels of risk and outcomes intersect.