Alcohol and tobacco use among rural Mexican adolescents: individual, familial, and community level factors.
Alcohol and tobacco use among rural Mexican adolescents: individual, familial, and community level factors.
复制标题
墨西哥农村青少年的酒精和烟草使用：个人、家庭和社区层面的因素。
DOI：
10.1016/j.jadohealth.2008.04.014
复制
发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Fernald,LiaCH
中科院分区：
文献类型：
--
作者：
Ozer,EmilyJ;Fernald,LiaCH
我们调查了个人、家庭和社区层面的因素对解释墨西哥农村青少年饮酒和吸烟的贡献。方法作为全国调查的一部分，来自墨西哥7个州333个贫困农村社区的3922名青少年及其母亲提供了关于家庭层面、社会经济和心理社会因素的横断面数据，以及关于物质使用和心理症状的个人层面数据。结果经抽样设计调整的广义线性模型显示，青少年饮酒与男性、年龄较大、就业和母亲饮酒有关。来自土著家庭，生活在以土著为主的社区，与较少饮酒有关。家庭收入、家庭规模和社区生活水平与青少年饮酒没有直接关系。目前吸烟与男性、年龄较大、更焦虑、母亲吸烟、母亲受教育程度较高有关。进一步的分析表明，青少年的酒精使用受到性别和种族的限制。结论除了男性性别和年龄作为危险因素的贡献外，母亲的物质使用是唯一解释墨西哥农村社区青少年酒精和香烟使用差异的原因。土著族裔和生活在以土著为主的社区环境中似乎赋予了与酒精有关的保护性利益。这些发现扩展了墨西哥和其他国家先前的研究，这些研究确定了发展背景和个人水平因素对青少年健康的综合重要性。
PURPOSEWe investigated the contributions of individual, family, and community-level factors for explaining alcohol use and smoking among rural Mexican adolescents.METHODSAs part of a national survey, 3922 adolescents and their mothers from 333 poor, rural communities in seven Mexican states provided cross-sectional data on family-level, socioeconomic, and psychosocial factors, and individual-level data on substance use and psychological symptoms. Community standard of living was also assessed.RESULTSGeneralized linear models adjusted for sampling design indicated that adolescents' use of alcohol was associated with being male, older, employment, and having a mother who used alcohol. Being from an indigenous family living in a majority-indigenous community was associated with less alcohol use. Family income, family size, and community standard of living were not directly associated with adolescents' alcohol use. Current smoking was associated with being male, older, and more anxious, having a mother who smoked, and having a mother with higher educational attainment. Further analyses indicated patterns in which adolescents' alcohol use was moderated by gender and ethnicity.CONCLUSIONSBeyond the contribution of male gender and age as risk factors, maternal substance use uniquely explained variability in alcohol and cigarette use among Mexican adolescents from rural communities. Indigenous ethnicity and living in majority-indigenous community settings appeared to confer protective benefits with respect to alcohol. These findings extend prior research in Mexico and in other countries that identify the combined importance of developmental contexts and individual-level factors for adolescent health.