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一项前瞻性三代研究中父母及祖父母大麻使用与儿童物质使用规范之间的关联

Associations Between Parental and Grandparental Marijuana Use and Child Substance Use Norms in a Prospective, Three-Generation Study.

作者信息

Bailey Jennifer A, Hill Karl G, Guttmannova Katarina, Epstein Marina, Abbott Robert D, Steeger Christine M, Skinner Martie L

机构信息

Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington.

Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington.

出版信息

J Adolesc Health. 2016 Sep;59(3):262-268. doi: 10.1016/j.jadohealth.2016.04.010. Epub 2016 Jun 3.

Abstract

PURPOSE

Using prospective longitudinal data from three generations, this study seeks to test whether and how parent and grandparent marijuana use (current and prior) predicts an increased likelihood of child cigarette, alcohol, and marijuana use.

METHODS

Using multilevel modeling of prospective data spanning three generations (n = 306 families, children ages 6-22), this study tested associations between grandparent (G1) and parent (G2) marijuana use and child (G3) past-year cigarette, alcohol, and marijuana use. Analyses tested whether G3 substance-related norms mediated these associations. Current G1 and G2 marijuana use was examined, as was G2 high school and early adult use and G1 marijuana use when G2 parents were in early adolescence. Controls included G2 age at G3 birth, G2 education and depression, and G3 gender.

RESULTS

G2 current marijuana use predicted a higher likelihood of G3 alcohol and marijuana use but was not related to the probability of G3 cigarette use. G3's perceptions of their parents' norms and G2 current marijuana use both contributed independently to the likelihood of G3 alcohol and marijuana use when included in the same model. G3 children's own norms and their perceptions of friends' norms mediated the link between G2 current marijuana use and G3 alcohol and marijuana use.

CONCLUSIONS

Results are discussed in light of the growing trend toward marijuana legalization. To the extent that parent marijuana use increases under legalization, we can expect more youth to use alcohol and marijuana and to have norms that favor substance use.

摘要

目的

本研究利用来自三代人的前瞻性纵向数据,旨在检验父母及祖父母使用大麻(当前及既往)是否以及如何预测子女使用香烟、酒精和大麻的可能性增加。

方法

本研究对涵盖三代人(n = 306个家庭,子女年龄在6至22岁之间)的前瞻性数据进行多层次建模,检验祖父母(第一代)和父母(第二代)使用大麻与子女(第三代)过去一年使用香烟、酒精和大麻之间的关联。分析检验了第三代与物质相关的规范是否介导了这些关联。研究考察了第一代和第二代当前使用大麻的情况,以及第二代在高中和成年早期使用大麻的情况,还有当第二代父母处于青春期早期时第一代使用大麻的情况。控制变量包括第二代在第三代出生时的年龄、第二代的教育程度和抑郁情况,以及第三代的性别。

结果

第二代当前使用大麻预测第三代使用酒精和大麻的可能性更高,但与第三代使用香烟的可能性无关。当纳入同一模型时,第三代对其父母规范的认知和第二代当前使用大麻的情况均独立地促成了第三代使用酒精和大麻的可能性。第三代儿童自身的规范以及他们对朋友规范的认知介导了第二代当前使用大麻与第三代使用酒精和大麻之间的联系。

结论

根据大麻合法化的发展趋势对结果进行了讨论。在大麻合法化的情况下,如果父母使用大麻的情况增加,我们可以预期会有更多青少年使用酒精和大麻,并且会形成有利于物质使用的规范。

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