Drinker Identity: Key Risk Factor for Adolescent Alcohol Use
Drinker Identity: Key Risk Factor for Adolescent Alcohol Use
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DOI：
10.1111/josh.12603
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发表时间：
2018-03-01
影响因子：
2.2
通讯作者：
Stein，Karen F.
中科院分区：
文献类型：
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作者：
Lee，Chia-Kuei;Corte，Colleen;Stein，Karen F.
背景青少年饮酒仍然是一个严重的公共卫生问题，具有短期和长期的负面健康后果。用酒精来定义自己，这是一种与饮酒相关的身份，已经被证明可以预测高水平的酒精使用。由于青少年是身份发展最为突出的发展时期，因此预防酗酒者身份的发展和早期识别有发展中的酗酒者身份的青少年可能对预防和早期干预很重要。方法我们回顾了基于理论和证据的关于身份发展和饮酒者身份对青少年酒精使用行为的影响的文献，讨论了饮酒者身份的潜在决定因素，并讨论了未来对实践和研究的影响。结果有证据表明，饮酒者身份在青少年早期形成，并在青少年时期更加完善。饮酒者身份可以预测青少年和青年时期的酒精使用行为。还有一些证据表明，早期接触酒精可能有助于形成饮酒者身份。结论：基于身份的方法可能是一种有希望的策略，可以识别有酒精使用风险的青少年，并在学校环境中进行早期预防或治疗干预。
BACKGROUNDAdolescent alcohol use continues to be a critical public health problem with both short‐ and long‐term negative health consequences. Defining oneself in terms of alcohol, a drinking‐related identity, has been shown to predict high levels of alcohol use. Because adolescence is the developmental period during which identity development is most salient, preventing the development of the drinker identity and early identification of youth who have a developing drinker identity may be important for prevention and early intervention.METHODSWe review the theory‐ and evidence‐based literature about identity development and the effects of a drinker identity on alcohol use behaviors in adolescents, discuss potential determinants of the drinker identity, and discuss future implications for practice and research.RESULTSThere is some evidence that the drinker identity forms in early adolescence and becomes more well‐developed during adolescence. The drinker identity predicts alcohol use behaviors both concurrently and over time in adolescence and young adulthood. There is also some evidence that early exposure to alcohol may contribute to formation of the drinker identity.CONCLUSIONSIdentity‐based approaches may be promising strategies to identify adolescents who are at risk for alcohol use and to intervene with early prevention or treatment within the school setting.