Expected Problem Drinker Possible Self: Predictor of Alcohol Problems and Tobacco Use in Adolescents

Expected Problem Drinker Possible Self: Predictor of Alcohol Problems and Tobacco Use in Adolescents
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DOI:
10.1080/08897077.2014.988323
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发表时间:
2015-10-02
期刊:
影响因子:
3.5
通讯作者:
Park, Chang G.
Park, Chang G.
中科院分区:
医学3区
文献类型:
--
作者:
Lee, Chia-Kuei;Corte, Colleen;Park, Chang G.

文献摘要

被引文献

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背景:青少年通常同时使用酒精和烟草。根据信息加工的跨物质促进假说,与一种物质相关的认知结构通过增强认知加工而增加对另一种物质的使用。在这项研究中,作者通过确定8年级可能的酗酒者是否能预测9年级的酒精和烟草使用情况来验证这一假设。方法:对12个月的纵向数据集进行二次数据分析。结果变量为九年级的酒精消费、酒精问题和烟草使用。兴趣的主要预测因子是8年级预期问题饮酒者可能自我的存在。采用零膨胀伽马回归、零膨胀负二项回归和逻辑回归。结果:137名青少年在控制了已知的家庭、父母和同伴决定因素以及相应的八年级行为后,八年级预期的问题饮酒者可能自我预测了酒精问题,但与九年级的酒精消费水平无关。此外,在控制了已知的决定因素和同时存在的酒精问题后,8年级的预期问题饮酒者可能自我预测了9年级的烟草使用情况。结论:研究结果为跨物质促进假说提供了支持,表明旨在改变预期问题饮酒者可能自我的干预措施不仅可以减少青少年的酒精使用,还可以减少烟草使用。需要进一步的研究来确定吸烟内容是否包含在饮酒认知中,还是两个独立但相关的饮酒和吸烟认知解释了酒精和烟草使用之间的关系。
Background: Alcohol and tobacco use commonly co-occur in adolescents. According to the cross-substance facilitation of information processing hypothesis, cognitive structures related to one substance increase use of another related substance through enhanced cognitive processing. In this study, the authors test this hypothesis by determining whether a problem drinker possible self in 8th grade predicts alcohol and tobacco use in 9th grade. Methods: A secondary data analysis of a 12-month longitudinal dataset was conducted. The outcome variables were alcohol consumption, alcohol problems, and tobacco use in 9th grade. The main predictor of interest was presence of an expected problem drinker possible self in 8th grade. Zero-inflated gamma regression, zero-inflated negative binomial regression, and logistic regression were used. Results: Among 137 adolescents, controlling for known family, parent, and peer determinants, and corresponding 8th grade behavior, having an expected problem drinker possible self in 8th grade predicted alcohol problems, but not level of alcohol consumption in 9th grade. Moreover, the expected problem drinker possible self in 8th grade predicted tobacco use in 9th grade, controlling for known determinants and concurrent alcohol problems. Conclusions: Findings provide support for the cross-substance facilitation hypothesis, suggesting that interventions designed to modify the expected problem drinker possible self may reduce not only adolescent alcohol use but also tobacco use. Further studies are needed to determine whether smoking content is embedded in a drinking cognition or 2 separate but related drinking and smoking cognitions account for the association between alcohol and tobacco use.