Ritt-Olson Anamara, Milam Joel, Unger Jennifer B, Trinidad Dennis, Teran Lorena, Dent Clyde W, Sussman Steve
Institute for Health Promotion and Disease Prevention Research, University of Southern California, Alhambra, California 91803, USA.
J Adolesc Health. 2004 Mar;34(3):192-9. doi: 10.1016/j.jadohealth.2003.07.009.
To investigate the influence of two potentially protective factors, Health-as-a-Value and spirituality, on monthly alcohol, cigarette, and marijuana use in two multiethnic groups of adolescents varying in risk.
Three-hundred-eighty-two students from continuation/alternative high school, a population considered at risk for drug use, participated in the study. The other sample of 260 students was drawn from a medical magnet high school, and is considered to be at lower risk. Similar surveys containing measures of spirituality, "Health-as-a-Value," and monthly substance use, were distributed. Logistic regression analyses were performed.
The analyses revealed that spirituality was protective against monthly alcohol use and marijuana use in the lower risk sample. In the higher risk sample, spirituality was protective against all monthly use. "Health-as-a-Value" (HAV) was protective against monthly alcohol use in the low risk sample, and protective against all monthly use in the higher risk sample. Importantly, when both constructs were entered into the same model, spirituality and HAV were independently protective of all monthly use for the higher risk sample and of monthly alcohol use in the lower risk sample.
These findings extend earlier work on protective factors. "Health-as-a-Value" and spirituality may be protective against substance use in environments with different levels of use. Future studies should explore these findings in longitudinal analyses.
探讨两个潜在保护因素——健康价值观和精神性，对两组不同风险的多民族青少年每月饮酒、吸烟和吸食大麻行为的影响。
382名来自成人高中/替代高中的学生参与了本研究，这一群体被认为有药物使用风险。另一组260名学生样本来自一所医学特色高中，被认为风险较低。分发了包含精神性、“健康价值观”和每月物质使用量度的类似调查问卷。进行了逻辑回归分析。
分析显示，在低风险样本中，精神性对每月饮酒和吸食大麻行为具有保护作用。在高风险样本中，精神性对所有每月物质使用行为都具有保护作用。“健康价值观”（HAV）在低风险样本中对每月饮酒具有保护作用，在高风险样本中对所有每月物质使用行为都具有保护作用。重要的是，当将这两个构念纳入同一模型时，精神性和HAV对高风险样本中的所有每月物质使用行为以及低风险样本中的每月饮酒行为具有独立的保护作用。
这些发现扩展了早期关于保护因素的研究。“健康价值观”和精神性可能在不同使用水平的环境中对物质使用具有保护作用。未来的研究应在纵向分析中探索这些发现。
