School culture as an influencing factor on youth substance use
School culture as an influencing factor on youth substance use
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DOI：
10.1136/jech.2006.048157
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发表时间：
2007-06-01
影响因子：
6.3
通讯作者：
Aveyard, Paul
中科院分区：
文献类型：
--
作者：
Bisset, Sherri;Markham, Wolfgang A.;Aveyard, Paul
目的：为了确定增值教育是否与青少年物质使用风险降低相关：早期开始饮酒（7年级每月定期饮酒），重度饮酒（每周> 10个单位）和定期使用非法药物。设计：酒精和药物使用的横断面自我报告调查。分析使用两个层次的逻辑模型与学校提供增值教育与学生的物质使用。增值教育措施源自教育和养育理论，建议学校提供适当的支持和控制，以提高学生的功能。通过比较学校之间观察到的和预期的考试成功率和逃学率，使其可操作。预期的考试成功率和逃学率是基于学校的社会人口概况。参与者：数据收集了15个西米德兰兹郡英语学区，包括来自166所英国中学的7年级，9年级和11年级的25789名学生。增值教育与早期饮酒风险降低相关（OR（95% CI）0.87（0.78至0.95））大量饮酒（OR 0.91（0.85至0.96））和非法药物使用（OR 0.90（0.82 ~ 0.98）），调整性别、年级、种族、住房使用权、免费校餐资格、与父母饮酒和邻里剥夺后。学校中物质使用的流行程度受到学校文化的影响。了解学校可通过何种机制增加学生的教育经验的价值，可能有助于制定有效的预防方案。
Objective: To determine whether value-added education is associated with lower risk of substance use among adolescents: early initiation of alcohol use (regular monthly alcohol consumption in grade 7), heavy alcohol use (> 10 units per week) and regular illicit drug use.Design: Cross-sectional self-reported survey of alcohol and drug use. Analysis used two-level logistic modelling to relate schools providing value-added education with pupils' substance use. The value-added education measure was derived from educational and parenting theories proposing that schools providing appropriate support and control enhance pupil functioning. It was operationalised by comparing observed and expected examination success and truancy rates among schools. Expected examination success and truancy rates were based on schools' sociodemographic profiles.Participants: Data were collected across 15 West Midlands English school districts and included 25 789 pupils in grades 7, 9 and 11 from 166 UK secondary schools.Results: Value-added education was associated with reduced risk of early alcohol initiation (OR (95% CI) 0.87 (0.78 to 0.95)) heavy alcohol consumption (OR 0.91 (0.85 to 0.96)) and illicit drug use (OR 0.90 (0.82 to 0.98)) after adjusting for gender, grade, ethnicity, housing tenure, eligibility for free school meal, drinking with parents and neighbourhood deprivation.Conclusions: The prevalence of substance use in school is influenced by the school culture. Understanding the mechanism through which the school can add value to the educational experience of pupils may lead to effective prevention programmes.