Community variation in risk and protective factors and substance use outcomes
Community variation in risk and protective factors and substance use outcomes
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DOI：
10.1023/b:prev.0000045355.53137.45
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发表时间：
2004-12-01
影响因子：
3.5
通讯作者：
Arthur, MW
中科院分区：
文献类型：
--
作者：
Hawkins, JD;Van Horn, ML;Arthur, MW
社区是许多预防活动发生的环境。社区预防的一种方法是确定社区中物质使用最高的风险因素和最压抑的保护因素，然后选择和实施预防干预措施，以解决社区中最高的风险因素和最压抑的保护因素。这种方法假定社区之间在风险和保护方面存在可靠的差异，并且这些差异与社区之间物质使用的差异有关。本文利用美国 41 个社区 28,091 名学生的数据来解决这些问题。班级内相关系数用于评估社区之间在风险和保护因素水平方面存在可靠且有意义的差异的程度。然后，风险和保护因素的社区平均值与物质使用水平相关。研究结果表明，社区之间在特定风险和保护因素的水平上存在显着差异，并且这些差异与这些社区中不同的物质使用水平有关。这些结果为根据不同社区青少年经历的具体风险和保护因素调整社区范围内防止药物滥用的努力提供了经验基础。
Communities are the context in which many prevention activities take place. One approach to community prevention is to identify the most elevated risk factors and most depressed protective factors for substance use in a community and then to select and implement preventive interventions to address the most elevated risk factors and most depressed protective factors in the community. This approach presumes that there are reliable differences between communities in risk and protection and that these differences relate to differences in substance use across communities. This paper addresses these issues using data from 28,091 students in 41 communities across the U. S. Intraclass correlation coefficients are used to assess the degree to which there are reliable and meaningful differences between communities in levels of risk and protective factors. The community means of the risk and protective factors are then correlated with levels of substance use. Findings indicate that there are meaningful differences between communities in levels of specific risk and protective factors, and that those differences are related to different levels of substance use in these communities. These results provide an empirical foundation for tailoring community-wide efforts to prevent substance abuse to the specific profiles of risk and protective factors experienced by youths in different communities.