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向未成年青少年提供酒精饮料:我们应该向家长传达什么信息?

Providing alcohol for underage youth: what messages should we be sending parents?

作者信息

Kaynak Övgü, Winters Ken C, Cacciola John, Kirby Kimberly C, Arria Amelia M

机构信息

Treatment Research Institute, Philadelphia, Pennsylvania.

Treatment Research Institute, Philadelphia, Pennsylvania, Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota.

出版信息

J Stud Alcohol Drugs. 2014 Jul;75(4):590-605. doi: 10.15288/jsad.2014.75.590.

Abstract

OBJECTIVE

There have been conflicting findings in the literature concerning the risks to adolescents when parents provide them with alcohol. Studies have examined various ways in which parents directly affect adolescent alcohol consumption through provision (e.g., parental offers, parental allowance/supervision, parental presence while drinking, and parental supply). This review synthesizes findings on the direct ways parental provision can influence a child's alcohol consumption and related problems in an effort to provide parents with science-based guidance. We describe potential mechanisms of the relationship between these parental influences and adolescent problems, suggest future directions for research, and discuss implications for parents.

METHOD

Twenty-two studies (a mix of cross-sectional and longitudinal) that empirically examined the association between parental provision and adolescent drinking outcomes were reviewed.

RESULTS

Parental provision was generally associated with increased adolescent alcohol use and, in some instances, increased heavy episodic drinking as well as higher rates of alcohol-related problems. Data in support of the view that parental provision serves as a protective factor in the face of other risk factors were equivocal.

CONCLUSIONS

The nature and extent of the risks associated with parental provision, and the potential mechanisms underlying this association, are complex issues. Although more rigorous studies with longitudinal designs are needed, parents should be aware of potential risks associated with providing adolescents with alcohol and a place to drink. It is recommended that parents discourage drinking until adolescents reach legal age.

摘要

目的

关于父母向青少年提供酒精饮料所带来的风险,文献中的研究结果存在冲突。研究考察了父母通过提供酒精饮料(如父母主动提供、父母给予许可/监督、父母在饮酒时在场以及父母供应)直接影响青少年饮酒行为的各种方式。本综述综合了关于父母提供酒精饮料对孩子饮酒行为及相关问题的直接影响的研究结果,旨在为父母提供基于科学的指导。我们描述了这些父母影响与青少年问题之间关系的潜在机制,提出了未来的研究方向,并讨论了对父母的启示。

方法

对22项实证研究(包括横断面研究和纵向研究)进行了综述,这些研究考察了父母提供酒精饮料与青少年饮酒结果之间的关联。

结果

父母提供酒精饮料通常与青少年饮酒行为增加相关,在某些情况下,还与重度饮酒增加以及酒精相关问题发生率升高有关。关于父母提供酒精饮料在面对其他风险因素时可作为保护因素这一观点的数据并不明确。

结论

与父母提供酒精饮料相关的风险的性质和程度,以及这种关联背后的潜在机制,都是复杂的问题。尽管需要更多采用纵向设计的严谨研究,但父母应意识到向青少年提供酒精饮料及饮酒场所的潜在风险。建议父母在青少年达到法定年龄之前劝阻其饮酒。

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