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在全国代表性样本中,社区联系与青少年物质使用之间的关联。

Associations between community attachments and adolescent substance use in nationally representative samples.

机构信息

School of Behavioral and Organizational Sciences, Claremont Graduate University, Claremont, California 91711, USA.

出版信息

J Adolesc Health. 2012 Oct;51(4):325-31. doi: 10.1016/j.jadohealth.2011.12.030. Epub 2012 Mar 3.

DOI:10.1016/j.jadohealth.2011.12.030
PMID:22999832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3699306/
Abstract

PURPOSE

Social capital and social attachment theories of substance use argue that positive bonds to society and the conventional values they promote deter adolescents from substance use. Using nationally representative samples of U.S. high school seniors, we hypothesized that adolescents' community attachments, measured by social trust, social responsibility, and religiosity, would be negatively associated with lifetime and 30-day substance use.

METHOD

We used repeated cross-sectional nationally representative high school senior data from 1976 to 2008 Monitoring the Future Study cohorts (weighted N = 64,246; 51.6% female). Participation rate ranged from 77% to 86% across years. A series of multiple linear and logistic regressions examined unique associations of adolescents' social trust, social responsibility, and religiosity with lifetime and 30-day use of cigarettes, alcohol, marijuana, hallucinogens, cocaine, amphetamines, barbiturates, tranquilizers, and narcotics. Models controlled for gender, race, college aspirations, high school grades, parents' education, and survey year.

RESULTS

Social trust, social responsibility, and religiosity showed independent negative associations with use of cigarettes, alcohol, marijuana, and six other types of drugs. After accounting for controls, community attachments related to lower lifetime and past 30-day use. Associations were consistent across measures, except social responsibility was not associated with binge drinking or lifetime illicit drugs besides marijuana.

CONCLUSIONS

Study strengths included nationally representative samples, diverse substance use measures, and inclusion of controls. We extend theory by suggesting that distinct aspects of adolescents' community attachments uniquely relate to lower substance use. Results suggest potential public health benefits of integrating promotion of community attachments with substance use prevention.

摘要

目的

物质使用的社会资本和社会依附理论认为,与社会的积极联系以及它们所倡导的传统价值观会阻止青少年使用物质。本研究使用美国高中生的全国代表性样本,假设青少年对社区的依附感(通过社会信任、社会责任感和宗教信仰来衡量)与终生和 30 天物质使用呈负相关。

方法

我们使用了来自 1976 年至 2008 年监测未来研究队列的全国代表性高中生重复横断面数据(加权 N = 64246;51.6%为女性)。参与率在各年份中从 77%到 86%不等。一系列多元线性和逻辑回归检验了青少年社会信任、社会责任感和宗教信仰与终生和 30 天使用香烟、酒精、大麻、迷幻剂、可卡因、安非他命、巴比妥类药物、镇静剂和麻醉剂之间的独特关联。模型控制了性别、种族、上大学的愿望、高中成绩、父母的教育程度和调查年份。

结果

社会信任、社会责任感和宗教信仰与吸烟、饮酒、大麻和其他六种类型的药物使用呈独立负相关。在考虑到控制因素后,社区依附与终生和过去 30 天的使用量较低有关。关联在各种测量方法中是一致的,除了社会责任感与狂饮或除大麻以外的终生非法药物无关。

结论

本研究的优势包括全国代表性样本、多样化的物质使用测量以及控制因素的纳入。我们通过表明青少年社区依附的不同方面与较低的物质使用有关,扩展了理论。结果表明,将社区依附的促进与物质使用预防相结合可能具有潜在的公共卫生益处。

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