Perceived harm as a mediator of the relationship between social norms and marijuana use and related consequences among American Indian youth
Perceived harm as a mediator of the relationship between social norms and marijuana use and related consequences among American Indian youth
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DOI：
10.1016/j.drugalcdep.2017.09.021
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发表时间：
2017-12-01
影响因子：
4.2
通讯作者：
Conner, Bradley T.
中科院分区：
文献类型：
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作者：
Prince, Mark A.;Swaim, Randall C.;Conner, Bradley T.
背景资料：美国印第安人（AI）青年使用大麻的风险增加，与同一地区的非AI青年相比，保留地或附近的大麻使用率高出1.6-4.8倍（Stanley等人，2014年）。社会和法律的对大麻接受程度的变化的一个结果是青少年中感知的风险降低。目前尚不清楚这些对大麻相关伤害的看法的变化是否预示着人工智能青少年的使用率更高。对他人使用的感知（即，描述性规范）和批准（即，禁令规范）是大麻使用和后果的一致预测因素。此外，大规模的调查表明，性别是一个重要的主持人之间的关系规范和大麻的使用在AI samples.Method：目前的研究是一个大的流行病学研究的7日至12日年级自我认定的美国印第安学生（N = 3050）。我们研究了描述性和强制性规范和大麻的使用/后果之间的直接关系，AI青年，以及中介作用的感知伤害和调节作用的gender.Results：结果的多组路径分析揭示了一个类似的模式，男性和女性的调查结果。此外，有直接影响的描述性的，但不是禁令规范大麻的使用/后果，并通过知觉harmhold.Discussion从规范使用/后果的顺序路径：研究结果表明，规范的看法和知觉的伤害是大麻的使用/后果的前因，是大规模干预AI保留的主要目标。
Background: American Indian (AI) youth are at increased risk for marijuana use with marijuana use rates on or near reservations 1.6-4.8 times higher compared to non-AI youth in the same regions (Stanley et al., 2014). One outcome of the changing social and legal acceptance of marijuana is a decrease in perceived risk among adolescents. It is unknown whether these changes in perceptions of marijuana-related harm will presage higher rates of use among AI youth. Perceptions of others use (i.e., descriptive norms) and approval (i.e., injunctive norms) are consistent predictors of marijuana use and consequences. Moreover, large scale surveys have shown that gender is an important moderator of the relationship between norms and marijuana use in AI samples.Method: The current study is a large epidemiologic study of 7th-12th grade self-identified American Indian students (N = 3050). We examined the direct relations between descriptive and injunctive norms and marijuana use/consequences among AI youth, as well as the mediating role of perceived harm and the moderating role of gender.Results: Results of a multi-group path analysis revealed a similar pattern of findings for males and females. In addition, there were direct effects for descriptive but not injunctive norms on marijuana use/consequences, and the sequential pathway from norms to use/consequences via perceived harm held.Discussion: Findings suggest that normative perceptions and perceived harm are antecedents of marijuana use/consequences and are prime targets for large scale interventions on AI reservations.