Alcohol culture, family structure and adolescent alcohol use: Multilevel modeling of frequency of heavy drinking among 15-16 year old students in 11 European countries
Alcohol culture, family structure and adolescent alcohol use: Multilevel modeling of frequency of heavy drinking among 15-16 year old students in 11 European countries
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DOI：
10.15288/jsa.2003.64.200
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发表时间：
2003-03-01
期刊：
影响因子：
--
通讯作者：
Rapinett, G
中科院分区：
文献类型：
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作者：
Bjarnason, T;Andersson, B;Rapinett, G
目的：在青少年中使用大量酒精的频率是由家庭结构和个人层面上使用大量酒精的倾向，以及社会层面上青少年中酒精的可用性和饮酒模式来研究的。分析包括直接影响和调节影响的社会层面的指标对个人层面的协会之间的家庭结构和频率的重度饮酒。方法：这项研究利用了塞浦路斯、法国、匈牙利、冰岛、爱尔兰、立陶宛、马耳他、斯洛伐克共和国、斯洛文尼亚、瑞典和联合王国参加1999年欧洲学校酒精和其他药物调查项目研究的34 001名学生的自我报告。对与双亲生活在一起的青少年、与单亲母亲生活在一起的青少年、与单亲父亲生活在一起的青少年、与母亲和继父生活在一起的青少年、与父亲和继母生活在一起的青少年以及与非亲生父母生活在一起的青少年进行了区分。多水平分析估计了社会水平因素对个体水平回归模型的截距和斜率的影响。结果：与亲生父母生活在一起的青少年比生活在任何其他安排中的青少年更少使用大量酒精。与单身母亲生活在一起比与单身父亲生活在一起或没有亲生父母生活在一起更少酗酒。全国啤酒销售数据和青少年大量饮酒的社会模式预测了更频繁的大量饮酒和生活在不完整家庭的更大影响。结论：青少年大量饮酒在所有类型的不完整家庭中更为常见。生活在不完整的家庭中的负面影响在酒精供应量更大和青少年饮酒更严重的社会中更大。
Objective: Frequency of heavy alcohol use among adolescents is examined by family structure and propensity toward heavy alcohol use on the individual level, and by alcohol availability and drinking patterns among adolescents on the societal level. The analysis includes direct effects and moderating effects of societal-level indicators on individual-level associations between family structure and frequency of heavy alcohol use. Method: The study drew upon self-reports from 34,001 students in Cyprus, France, Hungary, Iceland, Ireland, Lithuania, Malta, the Slovak Republic, Slovenia, Sweden and the United Kingdom participating in the 1999 European School Survey Project on Alcohol and Other Drugs study. Distinctions were drawn between adolescents living with both parents, a single mother, a single father, a mother and stepfather, a father and stepmother, and neither biological parent. The multilevel analysis estimated the effects of societal-level factors on the intercepts and slopes of individual-level regression models. Results: Adolescents living with both biological parents engaged less frequently in heavy alcohol use than those living in any other arrangements. Living with a single mother was associated with less heavy drinking than living with a single father or with neither biological parent. National beer sales figures and societal patterns of heavy adolescent alcohol use predicted more frequent heavy drinking and greater effects of living in nonintact families. Conclusions: Adolescent heavy drinking is more common in all types of nonintact families. The adverse effect of living in nonintact families is greater in societies where alcohol availability is greater and where adolescents drink more heavily.