Peer drug use and adolescent polysubstance use: Do parenting and school factors moderate this association?

Peer drug use and adolescent polysubstance use: Do parenting and school factors moderate this association?
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DOI:
10.1016/j.addbeh.2016.08.004
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发表时间:
2017-01-01
影响因子:
4.4
通讯作者:
Williams, Joanne W.
Williams, Joanne W.
中科院分区:
医学2区
文献类型:
--
作者:
Chan, Gary C. K.;Kelly, Adrian B.;Williams, Joanne W.

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目的:本研究考察了同伴药物使用与青少年多种物质使用之间的关系,并调查了这种关系是否受到父母和/或学校因素的调节。方法:在澳大利亚维多利亚州的中学随机抽取9966名参与者(平均年龄14.3岁,男性49.34%)。从潜在分类分析中获得了3个30天多物质使用档案,没有药物使用(47.7%),主要是酒精使用(44.1%)和多物质使用(8.2%)。然后将这些资料回归到同伴吸毒、家庭冲突、父母监督、父母不赞成吸毒、学校承诺、学校亲社会参与奖励和学业失败,以及同伴吸毒与父母和学校各变量之间的相互作用。结果:相对于非吸毒者,同伴吸毒与多物质使用密切相关(OR = 30.91, p < 0.001),这种关联被父母不赞成吸毒所缓和(OR = 0.46, p < 0.001)。这表明父母的高度不赞成可能会减轻吸毒同伴的负面影响。学校承诺和家长监督与青少年多物质使用可能性的降低显著相关(p < 0.05),但对同伴吸毒与青少年多物质使用的关系没有调节作用。所有的分析都根据年龄、性别、居住地区、出生地和家庭富裕程度等关键人口因素进行了调整。结论:加强父母对药物使用的反对可能是减少青少年药物使用的重要策略。家长可能需要更多地融入主流预防项目。(C) 2016 Elsevier Ltd.版权所有。
Aims: This study examined the association between peer drug use and adolescent polysubstance use, and investigated if this association was moderated by parenting and/or school factors.Methods: The sample consisted of 9966 participants (mean age = 14.3; 49.34% males) randomly selected from secondary schools in Victoria, Australia. Three 30-day polysubstance use profiles were derived from latent class analysis no drug use (47.7%), mainly alcohol use (44.1%) and polysubstance use (8.2%). These profiles were then regressed on peer's drug use, family conflict, parental monitoring, parental disapproval of drug use, school commitment, reward for prosocial involvement in school and academic failure, and the interactions between peer's drug use and each of the parenting and school variables.Results: Relative to non-users, peer's drug use was strongly associated with polysubstance use (OR = 30.91, p < 0.001), and this association was moderated by parental disapproval of drug use (OR = 0.46, p < 0.001). This indicated that high level of parental disapproval may mitigate the negative influence of drug using peers. School commitment and parental monitoring were significantly associated with reduced likelihood of polysubstance use (p < 0.05), but they did not moderate the relationship between peer drug use and adolescent polysubstance use. All analyses were adjusted for key demographic factors such as age, gender, areas of residence, birth place and family affluence.Conclusion: Reinforcing parent disapproval of drug use may be an important strategy in reducing adolescent substance use. Parents may need to be more integrated into mainstream prevention programs. (C) 2016 Elsevier Ltd. All rights reserved.