Risk factors for adolescent alcohol use following a natural disaster.
Risk factors for adolescent alcohol use following a natural disaster.
复制标题
自然灾害后青少年饮酒的危险因素。
DOI：
10.1017/s1049023x00001576
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发表时间：
2004
影响因子：
2.2
通讯作者：
Polusny,MelissaA
中科院分区：
文献类型：
--
作者：
Schroeder,JanineM;Polusny,MelissaA
1998年3月29日，一系列F-3和F-4级龙卷风在美国明尼苏达州南部的四个农村县造成了广泛的破坏。广泛的研究调查了灾难暴露对成年人心理功能的影响，包括酒精的使用。然而，关于灾难暴露后青少年饮酒的潜在风险因素的研究很少。假设假设人口统计学变量，如年龄和性别、先前饮酒、先前创伤史的程度、灾难暴露水平以及当前与灾难相关的创伤后应激障碍（PTSD）症状可以预测青少年的酒精使用情况。方法在自然灾害发生6个月后，对256名青少年进行问卷调查。使用分层、多元回归和逻辑回归分析确定青少年酒精使用的危险因素。结果较大的年龄、既往饮酒史和既往创伤史的程度与较高的酗酒水平显著相关。先前的创伤史和目前与灾害相关的创伤后应激障碍症状水平是青少年报告自龙卷风以来酒精消费量增加的重要危险因素。结论总体而言，创伤暴露程度与青少年酗酒程度呈正相关。与成年人类似，灾难后经历的创伤后应激症状会导致青少年饮酒量增加。
IntroductionOn 29 March 1998, a series of category F-3 and F-4 tornadoes caused wide-spread destruction in four rural southern Minnesota counties in the United States. Extensive research has examined the impact of disaster exposure on adults' psychological functioning, including alcohol use. However, there has been little research on potential risk factors for adolescents' alcohol use following disaster exposure.HypothesisIt was hypothesized that demographic variables such as age and gender, prior drinking involvement, extent of prior trauma history, level of disaster exposure, and current disaster-related, post-traumatic stress disorder (PTSD) symptomatology would predict alcohol use among adolescents.MethodsSix months following a natural disaster, survey data were collected from 256 adolescents assessing these factors. Risk factors for adolescents' alcohol use were identified using hierarchical, multiple regression and logistic regression analyses.ResultsGreater age, prior drinking involvement, and the extent of prior trauma history were significantly associated with higher levels of binge drinking. Prior trauma history and current levels of disaster-related PTSD symptomatology were significant risk factors for adolescents' report of increases in their alcohol consumption since the tornado.ConclusionIn general, the extent of trauma exposure was associated with greater binge drinking among adolescents. Similar to adults, post-traumatic stress symptoms experienced in the aftermath of a disaster can lead to increased alcohol consumption among adolescents.