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西班牙裔青少年中酒精、烟草和药物使用早期开始的生态发展预测因素。

Ecodevelopmental predictors of early initiation of alcohol, tobacco, and drug use among Hispanic adolescents.

作者信息

Bacio Guadalupe A, Estrada Yannine, Huang Shi, Martínez Marcos, Sardinas Krystal, Prado Guillermo

机构信息

Department of Psychology, University of California-Los Angeles, USA.

Department of Public Health Sciences, University of Miami, USA.

出版信息

J Sch Psychol. 2015 Jun;53(3):195-208. doi: 10.1016/j.jsp.2015.02.001. Epub 2015 Mar 24.

Abstract

The purpose of this cross-sectional study was to test the transactional relationships of risk and protective factors that influence initiation of alcohol, tobacco, and drug use among Hispanic youth. Ecodevelopmental theory was used to identify factors at multiple ecological levels with a focus on four school-level characteristics (i.e. school socioeconomic status, school climate, school acculturation, and school ethnic composition). A sample of 741 Hispanic adolescents (M age=13.9, SD=.67) and their caregivers were recruited from 18 participating middle schools in Miami-Dade County, FL. Structural equation modeling was used to test the hypothesized ecodevelopmental model of early substance use, accounting for school clustering effects. Results provided strong support for the model (CFI=.95; RMSEA=.03). School SES was indirectly related to the likelihood of starting substance use through perceived peer use norms (β=.03, p<.02). Similarly, school climate had an indirect effect on substance use initiation through family functioning and perceptions of peer use norms (β=-.03, p<.01). Neither school ethnic composition nor school acculturation had indirect effects on initiation of substance use. Results highlight the importance of the interplay of risk and protective factors at multiple ecological levels that impact early substance use initiation. Further, findings underscore the key role of school level characteristics on the initiation of substance use and present opportunities for intervention.

摘要

这项横断面研究的目的是检验影响西班牙裔青少年开始饮酒、吸烟和吸毒的风险因素与保护因素之间的相互关系。生态发展理论被用于识别多个生态层面的因素,重点关注四个学校层面的特征(即学校社会经济地位、学校氛围、学校文化适应和学校种族构成)。从佛罗里达州迈阿密-戴德县的18所参与研究的中学招募了741名西班牙裔青少年(平均年龄 = 13.9,标准差 = 0.67)及其照顾者。采用结构方程模型来检验早期物质使用的假设生态发展模型,并考虑学校聚类效应。结果为该模型提供了有力支持(比较拟合指数 = 0.95;近似误差均方根 = 0.03)。学校社会经济地位通过感知到的同伴使用规范与开始使用物质的可能性间接相关(β = 0.03,p < 0.02)。同样,学校氛围通过家庭功能和对同伴使用规范的认知对物质使用的开始有间接影响(β = -0.03,p < 0.01)。学校种族构成和学校文化适应对物质使用的开始均无间接影响。结果凸显了多个生态层面的风险因素与保护因素相互作用对早期物质使用开始的重要性。此外,研究结果强调了学校层面特征在物质使用开始方面的关键作用,并提出了干预的机会。

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