A comprehensive community approach to adolescent drug abuse prevention: effects on cardiovascular disease risk behaviors.
A comprehensive community approach to adolescent drug abuse prevention: effects on cardiovascular disease risk behaviors.
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DOI：
10.3109/07853898909149937
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发表时间：
1989-06
影响因子：
4.4
通讯作者：
M. Pentz;C. Johnson;C. Johnson;James H. Dwyer;James H. Dwyer;David M. Mackinnon;David M. Mackinnon;William B. Hansen;William B. Hansen;Brian R. Flay;Brian R. Flay
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文献类型：
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作者：
M. Pentz;C. Johnson;C. Johnson;James H. Dwyer;James H. Dwyer;David M. Mackinnon;David M. Mackinnon;William B. Hansen;William B. Hansen;Brian R. Flay;Brian R. Flay
本文报道了一项多社区药物预防试验对青少年及其父母使用香烟、酒精和大麻的影响，对父母预防实践的影响，以及家庭健康行为与青少年吸烟和饮酒的关系。每年对来自15个社区地区(n=5008)所有学校的6/7年级学生进行基于人口的自我报告调查。学生们还接受了吸烟的呼出空气(CO)测量，以提高自我报告吸烟和吸毒的准确性。在一年的随访期(n=620)，也对父母进行了调查。对学生数据的Logistic回归分析表明，在一年的随访中，计划组每月的药物使用流行率平均是对照组的一半(吸烟3.4vs14.5%，酒精使用4.2vs9.6%，大麻使用3.5vs7.6%)；每周使用率的影响类似，并在两年的随访中保持不变。一年随访的家长数据分析显示，方案组家长将药物预防实践和个人参与预防方案评为极其重要，与孩子讨论预防措施，定期锻炼的几率高于对照组家长；而儿童最近一周感知到的香烟和大麻使用以及自我饮酒的几率较低(每种物质预防评级的平均优势比=1.85，1.72，1.37，1.53；使用项目的优势比0.34，0.73，0.59；P<.10-.002)。
This paper reports the effects of a multi-community drug prevention trial on the use of cigarettes, alcohol, and marijuana in early adolescents and their parents, effects on parent prevention practices, and the relationship of family health behaviors to adolescent cigarette and alcohol use. Annual self-report surveys were administered to a population-based sample of 6/7th grade students from all schools in a 15 community area (n = 5008). Students were also administered an expired air (CO) measure of cigarette smoking to increase the accuracy of self-reported smoking and drug use. A sub-sample of parents were also surveyed at one year follow-up (n = 620). Logistic regression analyses of student data indicated that program groups were increasing in monthly drug use prevalence rates at an average of half the rates of control groups at one year follow-up (3.4 vs 14.5% for cigarette use, 4.2 vs 9.6% for alcohol use (greater than 1 drink), 3.5 vs 7.6% for marijuana use); effects were similar for weekly use rates, and have been maintained at two year follow-up. Analyses of parent data at one year follow-up indicated that the odds of program group parents rating drug prevention practices and personal involvement in prevention programs as extremely important, discussing prevention with their children, and exercising regularly were higher compared to control group parents; and perceived child use of cigarettes and marijuana, and self-use of alcohol in the last week was lower (odds ratios averaged across prevention ratings for each substance = 1.85, 1.72, 1.37, 1.53; for use items .34, .73, .59; P less than .10-- .002).