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放学后自我照料的八年级学生中的物质使用情况。

Substance use among eighth-grade students who take care of themselves after school.

作者信息

Richardson J L, Dwyer K, McGuigan K, Hansen W B, Dent C, Johnson C A, Sussman S Y, Brannon B, Flay B

机构信息

Department of Preventive Medicine, School of Medicine, University of Southern Carlifornia, Los Angeles 90033.

出版信息

Pediatrics. 1989 Sep;84(3):556-66.

PMID:2788869
Abstract

This investigation focused on substance use among children who regularly care for themselves after school (latchkey children). The data, collected from 4932 eighth-grade students, indicated that self-care is an important risk factor for alcohol, tobacco, and marijuana use. Data collected from 2185 parents validated these findings. Eighth-grade students, who took care of themselves for 11 or more hours a week, were at twice the risk of substance use as those who did not take care of themselves at all. This relationship held at all levels of sociodemographic status, extracurricular activities, sources of social influence, and stress. Of the 186 stratified tests of the relationship, 90% were significant; even those not found to be significant were in the direction expected. Path analyses suggest that risk-taking, having friends who smoke, and being offered cigarettes may partially explain the relationship between self-care and substance use. Those eighth-grade students who select friends who smoke and place themselves in situations in which they are offered cigarettes may be manifesting a desire to display their sense of maturity and independence. The fact that the increase in substance use occurred among almost all strata tested and the fact that mediation was not complete suggest that more than one mechanism may account for the associated increase in substance use. It is also possible that more time in self-care results in more unnoticed solitary trials of substances, as well as trials motivated by peer offers or peer pressure to use substances.

摘要

这项调查聚焦于放学后经常自己照顾自己的儿童(挂钥匙儿童)的物质使用情况。从4932名八年级学生收集的数据表明,自我照顾是饮酒、吸烟和使用大麻的一个重要风险因素。从2185名家长收集的数据证实了这些发现。每周自我照顾11个小时或更长时间的八年级学生,使用物质的风险是那些根本不自我照顾的学生的两倍。这种关系在社会人口统计学地位、课外活动、社会影响来源和压力的所有层面都成立。在对这种关系进行的186次分层测试中,90%具有显著性;即使那些未被发现具有显著性的测试结果也符合预期方向。路径分析表明,冒险、有吸烟的朋友以及有人提供香烟可能部分解释了自我照顾与物质使用之间的关系。那些选择吸烟的朋友并置身于有人向他们提供香烟情境中的八年级学生,可能表现出想要展示自己成熟感和独立感的愿望。物质使用增加几乎出现在所有测试分层中的这一事实,以及中介作用不完整这一事实表明,可能不止一种机制导致了物质使用相关的增加情况。自我照顾时间增加也有可能导致更多未被注意到的独自尝试物质的情况,以及因同伴提供或同伴压力而引发的使用物质的尝试。

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