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父亲的职业水平与青少年时期的酒精消费;模式与预测因素。

Occupational level of the father and alcohol consumption during adolescence; patterns and predictors.

作者信息

Droomers M, Schrijvers C T M, Casswell S, Mackenbach J P

机构信息

Department of Public Health, Erasmus University Rotterdam, The Netherlands.

出版信息

J Epidemiol Community Health. 2003 Sep;57(9):704-10. doi: 10.1136/jech.57.9.704.

Abstract

STUDY OBJECTIVE

This paper describes and attempts to explain the association between occupational level of the father and high alcohol consumption among a cohort of New Zealand adolescents from age 11 to 21.

DESIGN

Data were obtained from the longitudinal Dunedin multidisciplinary health and development study. At each measurement wave, those who then belonged to the quartile that reported the highest usual amount of alcohol consumed on a typical drinking occasion were categorised as high alcohol consumers. Potential predictors of high alcohol consumption included environmental factors, individual factors, and educational achievement measured at age 9, 11, or 13. Longitudinal logistic GEE analyses described and explained the relation between father's occupation and adolescent alcohol consumption.

SETTING

Dunedin, New Zealand.

PARTICIPANTS

About 1000 children were followed up from birth in 1972 until adulthood.

MAIN RESULTS

A significant association between fathers' occupation and adolescent alcohol consumption emerged at age 15. Overall adolescents from the lowest occupational group had almost twice the odds of being a large consumer than the highest occupational group. The association between father's occupation and high alcohol consumption during adolescence was explained by the higher prevalence of familial alcohol problems and friends approving of alcohol consumption, lower intelligence scores, and lower parental attachment among adolescents from lower occupational groups.

CONCLUSIONS

Socioeconomic background affects adolescent alcohol consumption substantially. This probably contributes to cumulation of disadvantage. Prevention programmes should focus on adolescents from lower socioeconomic groups and make healthier choices the easier choices by means of environmental change.

摘要

研究目的

本文描述并试图解释父亲的职业水平与一群11至21岁新西兰青少年高酒精消费量之间的关联。

设计

数据取自达尼丁多学科纵向健康与发展研究。在每次测量时,那些处于报告在典型饮酒场合通常饮酒量最高四分位数的人被归类为高酒精消费者。高酒精消费的潜在预测因素包括环境因素、个体因素以及在9岁、11岁或13岁时测量的教育成就。纵向逻辑广义估计方程分析描述并解释了父亲职业与青少年酒精消费之间的关系。

地点

新西兰达尼丁。

参与者

约1000名儿童从1972年出生起被随访至成年。

主要结果

15岁时,父亲的职业与青少年酒精消费之间出现显著关联。总体而言,来自职业地位最低群体的青少年成为大量饮酒者的几率几乎是职业地位最高群体的两倍。父亲职业与青少年时期高酒精消费之间的关联可以通过以下因素来解释:较低职业群体的青少年中,家庭酒精问题的患病率较高、朋友对饮酒的认可、智力得分较低以及父母依恋程度较低。

结论

社会经济背景对青少年酒精消费有重大影响。这可能导致不利因素的累积。预防项目应关注社会经济地位较低群体的青少年,并通过环境改变使更健康的选择成为更容易的选择。

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