Jørgensen Morten Hulvej, Curtis Tine, Christensen Pia Haudrup, Grønbaek Morten
National Institute of Public Health, Øster Farimagsgade 5A,2, DK-1399 Copenhagen, Denmark.
Addiction. 2007 Apr;102(4):554-9. doi: 10.1111/j.1360-0443.2006.01697.x.
To examine strategies of harm minimization employed by teenage drinkers.
DESIGN, SETTING AND PARTICIPANTS: Two periods of ethnographic fieldwork were conducted in a rural Danish community of approximately 2000 inhabitants. The fieldwork included 50 days of participant observation among 13-16-year-olds (n = 93) as well as 26 semistructured interviews with small self-selected friendship groups of 15-16-year-olds (n = 32).
The teenagers participating in the present study were more concerned about social than health risks. The informants monitored their own level of intoxication, but in order to reduce alcohol consumption they depended upon support from their peers. The informants preferred drinking in the company of well-known and trusted peers, and during drinking episodes they supervised and intervened in each others' drinking to the extent that they deemed it necessary and possible. In regulating the social context of drinking they relied on their personal experiences more than on formalized knowledge about alcohol and harm, which they had learned from prevention campaigns and educational programmes.
In this study we found that teenagers may help each other to minimize alcohol-related harm, and teenage peer groups should thus be considered a resource for health promotion.
研究青少年饮酒者采用的危害最小化策略。
设计、背景与参与者：在丹麦一个约有2000名居民的农村社区进行了两个阶段的人种学实地调查。实地调查包括对13 - 16岁青少年（n = 93）进行50天的参与观察，以及对15 - 16岁自行选择的小友谊团体（n = 32）进行26次半结构化访谈。
参与本研究的青少年更关注社交风险而非健康风险。受访者会监测自己的醉酒程度，但为了减少酒精摄入量，他们依赖同伴的支持。受访者更喜欢在知名且值得信赖的同伴陪伴下饮酒，在饮酒过程中，他们会在认为必要且可行的程度上相互监督和干预对方饮酒。在调节饮酒的社交环境时，他们更多地依赖个人经验，而非从预防活动和教育项目中学到的关于酒精及危害的正规知识。
在本研究中我们发现，青少年可能会互相帮助以将与酒精相关的危害降至最低，因此青少年同伴群体应被视为促进健康的一种资源。
