Predictors of drinking patterns in adolescence: A latent class analysis
Predictors of drinking patterns in adolescence: A latent class analysis
复制标题
DOI：
10.1016/j.drugalcdep.2013.11.021
复制
发表时间：
2014-02-01
影响因子：
4.2
通讯作者：
Ameratunga, Shanthi
中科院分区：
文献类型：
--
作者：
Jackson, Nicki;Denny, Simon;Ameratunga, Shanthi
背景资料：单维度的酒精消费测量可能无法完全捕捉青少年饮酒的复杂性和酒精相关危害的经验。潜类分析提供了一个经验性的方法来了解不同的青少年饮酒patterns.Methods：潜类分析被用来创建在全国青年'07调查的5018个当前饮酒者之间的饮酒类型学。饮酒模式的决定因素进行了鉴定，使用多项式logistic regression.Results：四个潜在的类被确定，表现出增加消费的酒精相关结果的风险的整体增加。有一类人严重偏离了这一模式，他们有适度的消费模式，但与酒精有关的问题却不成比例地高。多项逻辑回归发现，属于高风险饮酒类型的最强预测因素是对定期饮酒持积极态度，购买自己的酒精，使用酒精的同龄人以及从朋友和/或其他成年人那里获得酒精。其他重要的预测因素包括男性，与朋友有很强的联系，父母对日常活动的了解程度较低以及与学校的联系较差。类成员也不同的ethnic.Conclusion：潜在的类的方法表现出不同的饮酒模式的学生群体之间的酒精相关的危害的变化。有必要进行纵向研究，以确定这种差异的原因，从而为制定有针对性的政策和预防性干预措施提供信息。立法控制，如提高法律的购买年龄和减少酒精的商业供应，将继续是减少对年轻人伤害的重要战略。(C)2013爱思唯尔爱尔兰有限公司版权所有。
Background: Uni-dimensional measures of alcohol consumption may be unable to fully capture the complexity of adolescent drinking and experience of alcohol-related harms. Latent class analysis provides an empirical method to understand different adolescent drinking patterns.Methods: Latent class analysis was used to create typologies of drinking among the 5018 current drinkers in the national Youth '07 survey. Determinants of drinking patterns were identified using multinomial logistic regression.Results: Four latent classes were identified, demonstrating an overall increase in risk of alcohol-related outcomes from increasing consumption. One class strongly deviated from this pattern, having moderate consumption patterns but disproportionately high levels of alcohol-related problems. Multinomial logistic regression found that the strongest predictors of belonging to high-risk drinking typologies were having a positive attitude to regular alcohol use, buying own alcohol, peers using alcohol, and obtaining alcohol from friends and/or other adults. Other significant predictors included being male, having a strong connection to friends, having parents with a low level of knowledge of their daily activities and poor connection to school. Class membership also varied by ethnicity.Conclusion: The latent class approach demonstrated variability in alcohol-related harms across groups of students with different drinking patterns. Longitudinal studies are necessary to determine the causes of this variability in order to inform the development of targeted policy and preventative interventions. Legislative controls, such as increasing the legal purchase age and reducing the commercial availability of alcohol, will continue to be important strategies for reducing harm in young people. (C) 2013 Elsevier Ireland'Ltd. All rights reserved.