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社会环境对青少年酒精结果预期的影响:一项前瞻性分析。

Socio-environmental influences on adolescents' alcohol outcome expectancies: a prospective analysis.

作者信息

Martino Steven C, Collins Rebecca L, Ellickson Phyllis L, Schell Terry L, McCaffrey Daniel

机构信息

RAND, Pittsburgh, PA 15213-1516, USA.

出版信息

Addiction. 2006 Jul;101(7):971-83. doi: 10.1111/j.1360-0443.2006.01445.x.

Abstract

AIMS

To investigate the prospective influence of social influence and social bonding variables on the development of alcohol outcome expectancies among adolescents with and without drinking experience.

DESIGN

Longitudinal data from students in the control schools of a field trial designed to evaluate a school-based drug prevention program.

SETTING

A total of 19 middle schools in South Dakota, USA.

MEASUREMENTS

An alcohol outcome expectancy scale administered to 1410 students in grades 8 and 9. After using confirmatory factor analysis (CFA) to develop an expectancies measure, multiple-group (grade 8 drinkers versus grade 8 non-drinkers) path analysis was used to model 9th grade alcohol expectancies. Grade 8 social influence and bonding variables were used as predictors, controlling for grade 8 expectancies.

FINDINGS

At the bivariate level, peer and adult influences and social bonding variables were related consistently to alcohol outcome expectancies among drinkers and non-drinkers. A bivariate relationship between alcohol advertising and alcohol expectancies was found among drinkers only. In the multivariate model, greater alcohol use by important adults predicted independently increased alcohol positivity among drinkers; greater perceived approval of alcohol use by parents and peers predicted diminished perceived potency of alcohol among non-drinkers. Advertisement exposure and social bonding variables were not independent predictors of alcohol expectancies in the multivariate model.

CONCLUSIONS

These findings suggest that attempts to alter adolescents' alcohol expectancies are likely to fail unless they address the influence of immediate social models on these beliefs.

摘要

目的

探讨社会影响和社会联结变量对有饮酒经历和无饮酒经历青少年酒精结果预期发展的前瞻性影响。

设计

来自一项旨在评估基于学校的药物预防项目的现场试验中对照学校学生的纵向数据。

地点

美国南达科他州的19所中学。

测量

对1410名八年级和九年级学生进行酒精结果预期量表测试。在使用验证性因素分析(CFA)制定预期测量方法后,采用多组(八年级饮酒者与八年级非饮酒者)路径分析对九年级酒精预期进行建模。八年级的社会影响和联结变量用作预测因素,并对八年级预期进行控制。

研究结果

在双变量层面,同伴和成人影响以及社会联结变量与饮酒者和非饮酒者的酒精结果预期始终相关。仅在饮酒者中发现酒精广告与酒精预期之间存在双变量关系。在多变量模型中,重要成年人更多的饮酒行为独立预测了饮酒者中酒精积极性的增加;父母和同伴对饮酒的更高认可度预测了非饮酒者中对酒精效力感知的降低。在多变量模型中,广告曝光和社会联结变量并非酒精预期的独立预测因素。

结论

这些研究结果表明,除非解决直接社会榜样对这些信念的影响,否则试图改变青少年的酒精预期很可能会失败。

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