Adolescents' and their friends' health-risk behavior: Factors that alter or add to peer influence
Adolescents' and their friends' health-risk behavior: Factors that alter or add to peer influence
复制标题
DOI：
10.1093/jpepsy/26.5.287
复制
发表时间：
2001-07-01
影响因子：
3.6
通讯作者：
Spirito, A
中科院分区：
文献类型：
--
作者：
Prinstein, MJ;Boergers, J;Spirito, A
目的：研究青少年健康风险行为的风险模型，包括家庭功能障碍、社会接受和抑郁，这些因素可能会加剧或减轻青少年和同龄人风险行为之间的关联。方法：研究对象为527名9-12年级青少年。青少年报告了他们的物质使用（香烟和大麻的使用，大量的间歇性饮酒），暴力行为（携带武器，身体打架），自杀行为（自杀的想法和企图）以及他们的朋友的健康风险行为。结果：青少年的物质使用、暴力和自杀行为分别与朋友的物质使用、偏差和自杀行为相关。朋友的亲社会行为与青少年暴力和药物使用呈负相关。家庭功能障碍、社会接受和抑郁改变了同伴和青少年危险行为之间的关联程度。在累积风险因素模型中，每增加一个风险因素，青少年健康风险行为的比率就增加两倍。结论：结果支持风险的相加和相乘模型。讨论了干预和初级预防的意义。
Objective: To examine models of risk for adolescent health-risk behavior, including family dysfunction, social acceptance, and depression as factors that may compound or mitigate the associations between adolescents' and peers' risk behavior.Methods: Participants were 527 adolescents in grades 9-12. Adolescents reported on their substance use (cigarette and marijuana use, heavy episodic drinking), violent behavior (weapon carrying, physical fighting), suicidality (suicidal ideation and attempts), and the health-risk behavior of their friends.Results: Adolescents' substance use, violence, and suicidal behavior were related to their friends' substance use, deviance, and suicidal behaviors, respectively. Friends' prosocial behavior was negatively associated with adolescent violence and substance use. Family dysfunction, social acceptance, and depression altered the magnitude of association between peers' and adolescents' risk behavior. In cumulative risk factor models, rates of adolescent health-risk behavior increased twofold with each added risk factor.Conclusions: Results supported both additive and multiplicative models of risk. Implications for intervention and primary prevention are discussed.