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非药物使用及特定药物使用的灵性作为高危青少年药物使用的一年期预测因素。

Non drug use- and drug use-specific spirituality as one-year predictors of drug use among high-risk youth.

作者信息

Sussman Steve, Skara Silvana, Rodriguez Yaneth, Pokhrel Pallav

机构信息

Department of Preventive Medicine, Institute for Health Promotion and Disease Prevention Research, University of Southern California, Keck School of Medicine, Alhambra, CA 91803, USA.

出版信息

Subst Use Misuse. 2006;41(13):1801-16. doi: 10.1080/10826080601006508.

Abstract

The present article explored two different dimensions of spirituality that might tap negative and positive relations with adolescent drug use over a 1-year period. Non-drug-use-specific spirituality measured how spiritual the person believes he or she is, participation in spiritual groups, and engagement in spiritual practices such as prayer, whereas drug-use-specific spirituality measured using drugs as a spiritual practice. Self-report questionnaire data were collected during 1997-1999 from a sample of 501 adolescents in 18 continuation high schools across southern California. Participants ranged in age from 14 to 19 and were 57% male, with an ethnic distribution of 34% White, 49% Latino, 5% African American, 7% Asian, and 5% other. A series of general linear model analyses were conducted to identify whether or not two different spirituality variables predict drug use (cigarettes, alcohol, marijuana, hallucinogens, and stimulants) at 1-year follow-up. After controlling for baseline drug use, non-drug-use-specific spirituality was negatively predictive of alcohol, marijuana, and stimulant use, whereas drug-use-specific spirituality failed to be found predictive of these variables one year later. Conversely, drug-use-specific spirituality was positively predictive of cigarette smoking and hallucinogen use, whereas non-drug-use spirituality failed to be found predictive of these variables. Our results provide new evidence that suggests that spirituality may have an effect on drug use among adolescents. The drug-use-specific measure of spirituality showed "risk effects" on drug use, whereas the other measure resulted in "protective effects," as found in previous research. Knowledge of the risk and protective patterns and mechanisms of spirituality may be translated into future drug use prevention intervention programs.

摘要

本文探讨了灵性的两个不同维度,这两个维度可能在一年的时间里揭示与青少年药物使用的正负关系。非特定于药物使用的灵性衡量了一个人认为自己有多灵性、参与灵性团体的情况以及参与祈祷等灵性实践的程度,而特定于药物使用的灵性则衡量将使用药物作为一种灵性实践的情况。1997年至1999年期间,从南加州18所成人继续教育高中的501名青少年样本中收集了自我报告问卷数据。参与者年龄在14岁至19岁之间,男性占57%,种族分布为34%白人、49%拉丁裔、5%非裔美国人、7%亚裔和5%其他种族。进行了一系列一般线性模型分析,以确定在一年的随访中,两个不同的灵性变量是否能预测药物使用(香烟、酒精、大麻、致幻剂和兴奋剂)。在控制了基线药物使用情况后,非特定于药物使用的灵性对酒精、大麻和兴奋剂的使用具有负向预测作用,而特定于药物使用的灵性在一年后未能被发现对这些变量具有预测作用。相反,特定于药物使用的灵性对吸烟和致幻剂的使用具有正向预测作用,而非特定于药物使用的灵性则未能被发现对这些变量具有预测作用。我们的结果提供了新的证据,表明灵性可能对青少年的药物使用有影响。特定于药物使用的灵性衡量指标对药物使用显示出“风险效应”,而另一个衡量指标则产生了“保护效应”,正如先前研究所发现的那样。对灵性的风险和保护模式及机制的了解可能会转化为未来的药物使用预防干预项目。

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