Alcohol Treatment Centre, Lausanne University Hospital CHUV, Av. Beaumont 21 bis, Pavillon 2, CH-1011 Lausanne, Switzerland.
Alcohol Treatment Centre, Lausanne University Hospital CHUV, Av. Beaumont 21 bis, Pavillon 2, CH-1011 Lausanne, Switzerland.
Int J Drug Policy. 2014 Jul;25(4):700-8. doi: 10.1016/j.drugpo.2014.02.002. Epub 2014 Feb 15.
Peer pressure (PP) has been shown to play a major role in the development and continuation of alcohol use and misuse. To date, almost all the studies investigating the association of PP with alcohol use only considered the PP for misconduct but largely ignored other aspects of PP, such as pressure for peer involvement and peer conformity. Moreover, it is not clear whether the association of PP with alcohol use is direct or mediated by other factors. The aim of the present study was to investigate the association of different aspects of peer pressure (PP) with drinking volume (DV) and risky single-occasion drinking (RSOD), and to explore whether these associations were mediated by drinking motives (DM).
A representative sample of 5521 young Swiss men, aged around 20 years old, completed a questionnaire assessing their usual weekly DV, the frequency of RSOD, DM (i.e. enhancement, social, coping, and conformity motives), and 3 aspects of PP (i.e. misconduct, peer involvement, and peer conformity). Associations between PP and alcohol outcomes (DV and RSOD) as well as the mediation of DM were tested using structural equation models.
Peer pressure to misconduct was associated with more alcohol use, whereas peer involvement and peer conformity were associated with less alcohol use. Associations of drinking outcomes with PP to misconduct and peer involvement were partially mediated by enhancement and coping motives, while the association with peer conformity was partially mediated by enhancement and conformity motives.
Results suggest that PP to misconduct constitutes a risk factor, while peer conformity and peer involvement reflect protective factors with regard to alcohol use. Moreover, results from the mediation analyses suggest that part of the association of PP with alcohol use came indirectly through DM: PP was associated with DM, which in turn were associated with alcohol use.
同辈压力已被证明在酒精使用和滥用的发展和持续中起着重要作用。迄今为止，几乎所有研究同伴压力与酒精使用之间的关联的研究仅考虑了不端行为的同伴压力，但在很大程度上忽略了同伴压力的其他方面，例如同伴参与和同伴从众的压力。此外，同伴压力与酒精使用之间的关联是直接的还是通过其他因素介导的尚不清楚。本研究旨在调查不同方面的同伴压力（PP）与饮酒量（DV）和高危单次饮酒（RSOD）的关联，并探讨这些关联是否通过饮酒动机（DM）来介导。
对年龄在 20 岁左右的 5521 名瑞士年轻男性进行了一项代表性调查，调查内容包括他们通常每周的饮酒量、高危单次饮酒的频率、饮酒动机（即增强、社交、应对和从众动机）以及 3 个方面的同伴压力（即不端行为、同伴参与和同伴从众）。使用结构方程模型检验同伴压力与酒精结果（DV 和 RSOD）之间的关联以及 DM 的中介作用。
同伴不端行为压力与更多的饮酒量有关，而同伴参与和同伴从众与更少的饮酒量有关。饮酒结果与同伴不端行为和同伴参与的关联部分通过增强和应对动机来介导，而与同伴从众的关联部分通过增强和从众动机来介导。
结果表明，同伴不端行为压力构成了风险因素，而同伴从众和同伴参与是与酒精使用有关的保护因素。此外，中介分析的结果表明，同伴压力与酒精使用之间的部分关联是通过 DM 间接产生的：同伴压力与 DM 相关，而 DM 与酒精使用相关。
