Preventing alcohol use among Hispanic adolescents through a family-based intervention: The role of parent alcohol misuse.
Preventing alcohol use among Hispanic adolescents through a family-based intervention: The role of parent alcohol misuse.
复制标题
通过基于家庭的干预措施防止西班牙裔青少年饮酒：父母滥用酒精的作用。
DOI：
10.1037/fam0001038
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Prado,Guillermo
中科院分区：
文献类型：
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作者：
Brincks,Ahnalee;Perrino,Tatiana;Estrada,Yannine;Prado,Guillermo
生命早期饮酒会增加长期酗酒和其他健康后果不佳的风险。美国西班牙裔如果出现酗酒或酒精依赖，获得治疗的可能性较小，因此预防性干预措施至关重要。 Familias Unidas 是一项以家庭为基础的干预措施，可有效预防西班牙裔青少年的毒品和性危险行为。这种干预措施对青少年饮酒的影响不太一致，可能受到父母因素的影响。该干预措施主要针对父母，应用有关保护性养育和家庭影响的研究，例如父母监督和积极沟通，最终减少青少年的危险行为。本研究对 Familias Unidas 干预措施的有效性随机对照试验进行了二次数据分析，检查了家长对青少年饮酒干预效果的调节因素。共有 746 个有 12-16 岁青少年的西班牙裔家庭被随机分为干预组或对照组。 Logistic 回归分析证实，在 30 个月的随访中，没有证据表明干预措施在减少 90 天青少年饮酒方面有效。然而，有证据表明，父母的滥用会减轻对青少年饮酒的干预效果。在父母报告其一生中曾发生过任何酒精滥用事件的青少年中，与对照组的青少年相比，干预措施与青少年在 30 个月时饮酒的几率较低有关。审查了潜在的原因和干预影响，包括父母的饮酒经历如何提高青少年风险意识并激发参与或保护行为。了解干预调节因素有助于塑造、瞄准和调整干预措施，以提高其有效性和影响范围。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）
Early-life alcohol use raises the risk of poor long-term alcohol and other health outcomes. US Hispanics are less likely to access treatment if they develop alcohol abuse or dependence, making preventive interventions critical. Familias Unidas is a family-based intervention effective in preventing drug and sexual risk behavior among Hispanic youth. The effects of this intervention specifically on youth alcohol use have been less consistent and may be affected by parental factors. The intervention is primarily delivered to parents to ultimately reduce youth risk behaviors, applying research on protective parenting and family influences, such as parental monitoring and positive communication. This study conducted secondary data analysis of an effectiveness randomized controlled trial of the Familias Unidas intervention, examining parent moderators of intervention effects on adolescent alcohol use. A total of 746 Hispanic families with 12–16-year-old adolescents were randomized to intervention or control. Logistic regression analyses confirmed no evidence of intervention effectiveness in reducing 90-day adolescent alcohol use at 30-month follow-up. However, there was evidence that parent misuse moderated intervention effects on adolescent alcohol use. Among youth whose parents reported any episode of alcohol misuse in their lifetime, the intervention was associated with lower odds of youth alcohol use at 30 months compared to youth in the control condition. Potential reasons and intervention implications are reviewed, including how parent alcohol use experiences might raise awareness of youth risks and motivate involvement or protective behaviors. Understanding intervention moderators can help shape, target, and adapt interventions to enhance their effectiveness and reach.(PsycInfo Database Record (c) 2023 APA, all rights reserved)