Increased drug use among old-for-grade adolescents
Increased drug use among old-for-grade adolescents
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DOI：
10.1001/archpedi.1996.02170300024006
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发表时间：
1996-05-01
影响因子：
--
通讯作者：
Doniger, AS
中科院分区：
文献类型：
--
作者：
Byrd, RS;Weitzman, M;Doniger, AS
目的：确定年龄比同年级大多数其他学生（“年级较大”）的学生是否更有可能报告从事酒精、烟草和毒品相关行为。设计：疾病控制和预防中心青少年风险行为调查的横断面分析。地点：纽约州门罗县。参与者：来自选定教室的总共 1396 名高中生；在学校内随机抽取 68 个教室，从全县 28 所学校中按比例抽取每所学校的学生人数。主要结果指标：按年级年龄划分的毒品相关行为发生率。结果：36% 的受访青少年年龄较大。调整多个潜在的混杂因素后，高年级高中生更有可能报告自己经常吸烟、咀嚼烟草、喝酒精饮料、与饮酒的人一起开车、在上次性交前使用酒精或其他药物、过去一个月使用可卡因、曾经使用快克以及使用注射或其他非法药物。结论：高年级状态是毒品相关行为的潜在重要标志。 青少年。青少年冒险行为的前因可能在青少年时期就开始了，预防学业失败或针对高年级儿童的干预措施可能会影响他们在青春期尝试或使用毒品的倾向。
Objective: To determine whether students older than most other students at their grade level (''old for grade'') are more likely to report engaging in alcohol, tobacco, and drug-related behaviors.Design: Cross-sectional analyses of the Centers for Disease Control and Prevention Youth Risk Behavior Survey.Setting: Monroe County, New York.Participants: A total of 1396 high school students from selected classrooms; 68 classrooms randomly selected within schools with the number of students per school proportionally selected from the 28 schools in the county.Main Outcome Measure: Rates of drug-related behaviors by age-for-grade status.Results: Thirty-six percent of adolescents surveyed were old for grade. Adjusting for multiple potential confounders, old-for-grade high school students were more likely to report being regular smokers, chewing tobacco, drinking alcoholic beverages, driving in a car with someone who had been drinking, using alcohol or other drugs before last sexual intercourse, using cocaine in the past month, ever using crack, and using injected or other illicit drugs.Conclusions: Old-for-grade status is a potentially important marker for drug-related behaviors in adolescents. The antecedents of adolescent risk-taking behavior may begin before the teen years, and prevention of school failure or interventions targeted toward old-for-grade children could affect their propensity to experiment with or use drugs during adolescence.