父母监督、寻求刺激、预期社会利益及拒绝效能对中国青少年烟草和酒精使用的影响

Influence of Parental Monitoring, Sensation Seeking, Expected Social Benefits, and Refusal Efficacy on Tobacco and Alcohol Use in Chinese Adolescents.

作者信息

Yu Jincong, Wu Qingfeng, Yang Chengwu, Vrana Kent E, Zhou Li, Yang Longyu, Zhang Hui, Yan Dong, Li Jiang, Teng Shiwei, Gong Jie, Yan Yaqiong, Wang Zengzhen

机构信息

From the Department of Epidemiology and Biostatistics (JY, QW, LY, HZ, DY, JL, ST, ZW), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Division of Biostatistics (CY), Department of Public Health Sciences, and Office for Scholarship in Learning and Education Research (OSLER), College of Medicine, Pennsylvania State University, Hershey, PA; Department of Pharmacology (KEV), College of Medicine, Pennsylvania State University, Hershey, PA; Shenzhen Center for Disease Control and Prevention (LZ), Shenzhen, China; Chronic Disease Department (JG, YY), Wuhan Center for Disease Control and Prevention, Wuhan, China; Department of Preventive Medicine (QW), Gannan Medical University, Ganzhou, China; and Chongqing Health Information Center (JL), Chongqing, China.

出版信息

Medicine (Baltimore). 2016 Mar;95(11):e2814. doi: 10.1097/MD.0000000000002814.

DOI:10.1097/MD.0000000000002814

PMID:26986098

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4839879/

Abstract

The relationships between parental monitoring (PM), sensation seeking (SS), expected social benefits (ESB), refusal efficacy (RE), and tobacco and alcohol use (TAU) have been well documented among adolescents. However, the mechanisms by which these 4 determinants affect TAU remain unclear. Based on the Theory of Triadic Influence, this study aimed to explore how PM, SS, ESB, and RE simultaneously influenced TAU in Chinese adolescents. From September 2013 to June 2014, we used multistage cluster sampling to select 6269 students from 179 classes of 7 vocational high schools in 3 cities of China. Each student completed a battery of 5 measures: PM, SS, ESB, RE, and TAU. Then, we used structural equation modeling techniques and mediation analyses to investigate the relationships among these 5 measures, with TAU as the final dependent variable. Results demonstrated that the relationship between PM and TAU was fully mediated by ESB and RE (b = -0.18, P < 0.001), that SS influenced TAU directly (b = 0.10, P < 0.001) and indirectly through ESB and RE (b = 0.15, P < 0.001), and that ESB influenced TAU directly (b = 0.09, P < 0.001) and indirectly through RE (b = 0.28, P < 0.001).These findings indicate that the link between PM and SS to TAU among Chinese adolescents can be explained by ESB and RE. These 4 precursory determinants can play an important role in TAU prevention among adolescents in China.

摘要

父母监督（PM）、寻求刺激（SS）、预期社会收益（ESB）、拒绝效力（RE）与青少年烟草和酒精使用（TAU）之间的关系已有充分记载。然而，这4个决定因素影响TAU的机制仍不清楚。基于三元影响理论，本研究旨在探讨PM、SS、ESB和RE如何同时影响中国青少年的TAU。2013年9月至2014年6月，我们采用多阶段整群抽样方法，从中国3个城市7所职业高中的179个班级中选取了6269名学生。每名学生完成了5项测量：PM、SS、ESB、RE和TAU。然后，我们使用结构方程建模技术和中介分析来研究这5项测量之间的关系，以TAU作为最终因变量。结果表明，PM与TAU之间的关系完全由ESB和RE介导（b = -0.18，P < 0.001），SS直接影响TAU（b = 0.10，P < 0.001），并通过ESB和RE间接影响TAU（b = 0.15，P < 0.001），ESB直接影响TAU（b = 0.09，P < 0.001），并通过RE间接影响TAU（b = 0.28，P < 0.001）。这些发现表明，中国青少年中PM和SS与TAU之间的联系可以由ESB和RE来解释。这4个前置决定因素在中国青少年TAU预防中可发挥重要作用。