The effects of parental diagnosis and changing family norms on alcohol use and related problems among urban American Indian adolescents.
The effects of parental diagnosis and changing family norms on alcohol use and related problems among urban American Indian adolescents.
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父母诊断和改变家庭规范对美国城市印第安青少年饮酒及相关问题的影响。
DOI：
10.1111/j.1521-0391.2011.00129.x
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Silk-Walker,Patricia
中科院分区：
文献类型：
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作者：
Swaim,RandallC;Beauvais,Fred;Walker,RDale;Silk-Walker,Patricia
本研究调查了酒精滥用/依赖的父母诊断和青少年饮酒的家庭规范对城市美国印第安青年饮酒和酒精相关问题的作用。共有251个城市，美国印第安青年和他们的父母/照顾者从13岁到18岁。从13岁到18岁，反对饮酒的家庭规范减少，饮酒增加。相对于没有父母的诊断，青年与一个或两个父母诊断为酒精滥用/依赖不太可能感知家庭规范对酒精使用。与没有父母诊断的青少年相比，有两个父母诊断的青少年更有可能在18岁时报告酒精相关问题。随着时间的推移，对饮酒的家庭规范的快速下降与饮酒的快速增加有关。对酒精使用的家庭规范的较高比率保护青少年在13岁时的高使用率，但13岁时的酒精使用率较高，预示着18岁时更多的酒精相关问题。这些结果表明，青少年饮酒规范的沟通形式的家族史和家庭行为可能会影响使用率和最终的酒精相关问题。(Am J Addict 2011;00：1-8）
This study investigated the role of parental diagnosis of alcohol abuse/dependence and perceived family norms for adolescent drinking on alcohol use and alcohol‐related problems among urban American Indian youth. A total of 251 urban, American Indian youth and their parents/caregivers were followed from ages 13 to 18. Perceived family norms against alcohol decreased and alcohol use increased from ages 13 to 18. Relative to no parental diagnosis, youth with one or two parents diagnosed with alcohol abuse/dependence were less likely to perceive family norms against alcohol use. Youth with two parents diagnosed were more likely to report alcohol‐related problems at age 18 compared to no parental diagnosis. Faster rates of decrease in perceived family norms against alcohol use were associated with faster increases in alcohol use over time. Higher rates of perceived family norms against alcohol use protected youth from high rates of use at age 13, but higher rates of alcohol use at age 13 predicted more alcohol‐related problems at age 18. These results suggest that both family history and family behaviors in the form of communication of norms for adolescent alcohol use are likely to impact both rates of use and eventual alcohol‐related problems.(Am J Addict 2011;00: 1–8)