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与青少年饮酒减少相关的养育因素:一项纵向研究的系统评价。

Parenting factors associated with reduced adolescent alcohol use: a systematic review of longitudinal studies.

机构信息

Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Locked Bag, 10 Parkville, Melbourne 3052, Victoria, Australia.

出版信息

Aust N Z J Psychiatry. 2010 Sep;44(9):774-83. doi: 10.1080/00048674.2010.501759.

Abstract

OBJECTIVE

To identify parenting strategies associated with adolescent alcohol consumption that parents can use to implement new national guidelines regarding alcohol consumption by people under the age of 18.

METHODS

A systematic search of academic literature employing the PRISMA method identified 77 relevant articles. Inclusion criteria for the review were (i) longitudinal cohort studies; (ii) measurement of one or more parenting factors during adolescence or pre-adolescence (between the ages of 8 and 17) as a predictor (iii) outcome measurement of any alcohol use and/or alcohol related problems during adolescence at least one time point after the initial parenting factor was measured, and/or problem drinking in adulthood. Studies were excluded if alcohol use was combined with other substance use or problem behaviour as an outcome variable, or if different parenting factors were combined as a single predictor variable for analysis. Stouffer's method of combining p values was used to determine whether associations between variables were reliable.

RESULTS

Twelve parenting variables were investigated in these studies: parental modelling, provision of alcohol, alcohol-specific communication, disapproval of adolescent drinking, general discipline, rules about alcohol, parental monitoring, parent-child relationship quality, family conflict, parental support, parental involvement, and general communication. We found that delayed alcohol initiation was predicted by: parental modelling, limiting availability of alcohol to the child, parental monitoring, parent-child relationship quality, parental involvement and general communication. Reduced levels of later drinking by adolescents were predicted by: parental modelling, limiting availability of alcohol to the child, disapproval of adolescent drinking, general discipline, parental monitoring, parent-child relationship quality, parental support and general communication.

CONCLUSIONS

A number of parenting strategies were identified that parents can use to reduce their adolescent's alcohol consumption. These could be promoted to parents to help them implement new national guidelines on alcohol use.

摘要

目的

确定与青少年饮酒相关的父母教养策略,以便父母能够实施新的全国性准则,限制 18 岁以下人群的饮酒行为。

方法

采用 PRISMA 方法对学术文献进行系统检索,共确定了 77 篇相关文章。纳入本综述的标准为:(i)纵向队列研究;(ii)在青少年或青春期前期(8 至 17 岁)期间测量一个或多个父母教养因素,作为预测指标;(iii)至少在初始父母教养因素测量后一次测量青少年时期的任何饮酒和/或与酒精相关问题的结果,或成年期的问题饮酒。如果将饮酒与其他物质使用或问题行为作为因变量进行结合,或者如果将不同的父母教养因素作为单一预测变量进行分析,则排除这些研究。采用 Stouffer 方法对 p 值进行合并,以确定变量之间的关联是否可靠。

结果

在这些研究中,共调查了 12 种父母教养变量:父母榜样作用、提供酒精、酒精特定沟通、不赞成青少年饮酒、一般纪律、关于酒精的规则、父母监督、亲子关系质量、家庭冲突、父母支持、父母参与度和一般沟通。我们发现,以下因素可预测青少年延迟饮酒的发生:父母榜样作用、限制儿童获得酒精的机会、父母监督、亲子关系质量、父母参与度和一般沟通。以下因素可预测青少年后期饮酒量减少:父母榜样作用、限制儿童获得酒精的机会、不赞成青少年饮酒、一般纪律、父母监督、亲子关系质量、父母支持和一般沟通。

结论

确定了一些父母教养策略,父母可以使用这些策略来减少青少年的饮酒行为。可以向父母推广这些策略,帮助他们实施新的全国性饮酒准则。

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