Epstein J A, Botvin G J, Baker E, Diaz T
Institute for Prevention Research, Cornell University Medical College, New York, New York 10021, USA.
J Stud Alcohol. 1999 Sep;60(5):595-604. doi: 10.15288/jsa.1999.60.595.
Inner-city black and Hispanic adolescents might be at great risk for alcohol use. Yet the etiology of drinking among these adolescents receives little attention. The purpose of this study was to examine the impact of social influences and problem behavior on alcohol use among Hispanic and black adolescents. The impact of these factors was also tested separately for girls and boys to determine the differences in etiology of alcohol use depending on gender.
A large sample of black and Hispanic seventh-grade students (N = 4,847, 52% female) self-reported alcohol use, demographic characteristics (gender, family structure, age, ethnicity and socioeconomic status), social influences to drink (peer norms, adult norms, their friends' use, their mother's use, their father's use, their siblings' use, and perceived availability of alcohol), and problem behaviors (cigarette smoking, marijuana use, getting into trouble). Teams of three to five data collectors administered the questionnaire following standardized protocol. These data were collected in class during a regular 40-minute period.
Logistic regressions indicated that social influences to drink from friends, peers, and family and problem behaviors including cigarette smoking and marijuana use were related to alcohol use across and within gender. Getting into trouble predicted drinking for boys but not girls.
Based on these findings, adolescent alcohol prevention programs need to include an awareness of the many social influences to drink, modify incorrectly perceived peer norms for drinking, involve family members in the prevention program and address an array of problem behaviors within one prevention intervention.
市中心的黑人及西班牙裔青少年可能面临酗酒的巨大风险。然而,这些青少年饮酒的病因很少受到关注。本研究的目的是检验社会影响和问题行为对西班牙裔及黑人青少年饮酒的影响。还分别对女孩和男孩测试了这些因素的影响,以确定饮酒病因在性别上的差异。
一大样本的黑人及西班牙裔七年级学生(N = 4,847,52%为女性)自我报告了饮酒情况、人口统计学特征(性别、家庭结构、年龄、种族和社会经济地位)、饮酒的社会影响(同伴规范、成人规范、朋友的饮酒情况、母亲的饮酒情况、父亲的饮酒情况、兄弟姐妹的饮酒情况以及感知到的酒精可获得性)和问题行为(吸烟、使用大麻、惹麻烦)。由三到五名数据收集者组成的团队按照标准化方案发放问卷。这些数据是在常规的40分钟课堂时间内收集的。
逻辑回归表明,来自朋友、同伴和家庭的饮酒社会影响以及包括吸烟和使用大麻在内的问题行为与不同性别及同性别的饮酒情况相关。惹麻烦预示着男孩饮酒,但对女孩则不然。
基于这些发现,青少年酒精预防项目需要考虑到诸多饮酒的社会影响,纠正错误的同伴饮酒规范认知,让家庭成员参与预防项目,并在一次预防干预中解决一系列问题行为。