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家庭和同伴因素对青少年至成年早期物质使用的预测:一项为期 11 年的前瞻性分析。

Family and peer predictors of substance use from early adolescence to early adulthood: an 11-year prospective analysis.

机构信息

Child and Family Center, University of Oregon, 195 West 12th Avenue, Eugene, OR 97401, USA.

出版信息

Addict Behav. 2012 Dec;37(12):1314-24. doi: 10.1016/j.addbeh.2012.06.020. Epub 2012 Jul 6.

Abstract

The focus of this study was social (i.e., family and peer) influences on substance use from early adolescence to early adulthood. A large, ethnically diverse sample of early adolescents (N=998) was followed from age 12 to age 23. We tested direct and indirect effects of parental monitoring, family relationship quality, and association with deviant peers on change in substance use across time. Outcomes for tobacco, alcohol, and marijuana use were analyzed as separate pathways within the same overall model. The results suggest that a significant shift in the nature of family influence occurred across adolescence and into early adulthood, but deviant peer influence was relatively consistent across this period. Specifically, parental monitoring and deviant peer association were predictive of substance use in early adolescence, but family relationship quality was a significant predictor across the transition to high school and generally continued to predict use into later adolescence, as did association with deviant peers. Deviant peers were the only significant predictor in early adulthood. Our results also suggested that parental monitoring and family relationship quality indirectly predicted later substance use by way of deviant peers, implying that an important aspect of the family context is its influence on choice of friends and peer group composition. Implications for family-based prevention and intervention are discussed.

摘要

本研究的重点是青少年早期到成年早期期间,社会(即家庭和同伴)对物质使用的影响。一项大型的、种族多样的青少年早期样本(N=998)从 12 岁跟踪到 23 岁。我们测试了父母监督、家庭关系质量以及与偏差同伴的关系对物质使用随时间变化的直接和间接影响。烟草、酒精和大麻使用的结果作为同一总体模型中的单独途径进行分析。研究结果表明,家庭影响的性质在青少年期发生了重大转变,并延续到成年早期,但偏差同伴的影响在整个时期相对稳定。具体而言,父母监督和偏差同伴的关系在青少年早期就预测了物质使用,但家庭关系质量是从高中过渡到后期青少年的重要预测因素,与偏差同伴的关系也是如此。偏差同伴是成年早期唯一的重要预测因素。我们的研究结果还表明,父母监督和家庭关系质量通过偏差同伴间接预测了以后的物质使用,这意味着家庭环境的一个重要方面是它对朋友选择和同伴群体组成的影响。讨论了基于家庭的预防和干预的意义。

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