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养育方式对有机会尝试大麻风险的影响。

Influences of parenting practices on the risk of having a chance to try cannabis.

作者信息

Chen Chuan-Yu, Storr Carla L, Anthony James C

机构信息

Department of Mental Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA.

出版信息

Pediatrics. 2005 Jun;115(6):1631-9. doi: 10.1542/peds.2004-1926.

Abstract

BACKGROUND

Parenting practices have been linked with an array of adolescent health-compromising behaviors, but little is known about their possible long-lasting effects. In this study, we estimate the extent to which parental monitoring, parental involvement and reinforcement, and coercive parental discipline during primary school might exert a durable influence on the risk of transitioning into an early stage of youthful cannabis involvement, ie, the first chance to try cannabis.

METHODS

Data were from a prospective study of first-graders who entered an urban public school system in the middle 1980s. Parenting was assessed in fourth grade, and cannabis experiences were evaluated during periodic assessments from middle childhood through young adulthood.

RESULTS

The estimated risk of the first chance to try cannabis peaked around 16 to 18 years of age. Lower parental involvement and reinforcement and higher coercive parental discipline were associated modestly with a greater risk of cannabis exposure opportunity through the years of adolescence and into early adulthood (parental involvement and reinforcement: adjusted relative risk: 1.4; 95% confidence interval: 1.1-1.7; parental discipline: adjusted relative risk: 1.3; 95% confidence interval: 1.1-1.5); the estimated impact of parental monitoring was less durable.

CONCLUSIONS

Early-onset cannabis involvement can be hazardous. Certain parenting practices in the mid-primary school years may have a durable impact, perhaps helping to shield youths from having a chance to try cannabis throughout adolescence and into young adulthood.

摘要

背景

养育方式与一系列危害青少年健康的行为有关,但对其可能产生的长期影响知之甚少。在本研究中,我们估计小学阶段的父母监督、父母参与和强化以及强制性父母管教对过渡到青少年大麻使用早期阶段(即首次尝试大麻的机会)风险的持久影响程度。

方法

数据来自对20世纪80年代中期进入城市公立学校系统的一年级学生的前瞻性研究。在四年级时评估养育方式,并在从中年儿童期到青年期的定期评估中评估大麻使用经历。

结果

首次尝试大麻的估计风险在16至18岁左右达到峰值。较低的父母参与和强化以及较高的强制性父母管教与整个青春期和成年早期接触大麻的风险略有增加有关(父母参与和强化:调整后的相对风险:1.4;95%置信区间:1.1 - 1.7;父母管教:调整后的相对风险:1.3;95%置信区间:1.1 - 1.5);父母监督的估计影响持续时间较短。

结论

过早开始使用大麻可能有害。小学中期的某些养育方式可能会产生持久影响,或许有助于保护青少年在整个青春期和成年早期不接触大麻。

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