Räsänen Tiina, Lintonen Tomi, Tolvanen Asko, Konu Anne
School of Health Sciences, University of Tampere, Tampere, Finland.
Finnish Foundation for Alcohol Studies, Helsinki, Finland.
BMJ Open. 2016 Dec 22;6(12):e012468. doi: 10.1136/bmjopen-2016-012468.
During the adolescent period, risk-taking behaviour increases. These behaviours can compromise the successful transition from adolescence to adulthood. The purpose of this study was to examine social support as a mediator of the relation between problem behaviour and gambling frequency among Finnish adolescents.
Data were obtained from the national School Health Promotion Study (SHPS) from the years 2010 and 2011 (N=102 545). Adolescents were classified in the most homogeneous groups based on their problem behaviour via latent class analysis.
Path analysis indicated that social support was negatively associated with problem behaviour, and problem behaviour and social support were negatively related (except for social support from friends among boys) to gambling. Social support from parents and school mediated, albeit weakly, the relations between problem behaviour and gambling among girls and boys.
Problem behaviour may affect gambling through social support from school and parents. Thus prevention and intervention strategies should focus on strengthening adolescents' social support. In addition, because of the clustering of different problem behaviours instead of concentrating on a single form of problem behaviour multiple-behaviour interventions may have a much greater impact on public health.
在青少年时期，冒险行为会增加。这些行为可能会危及从青少年到成年的顺利过渡。本研究的目的是检验社会支持是否为芬兰青少年问题行为与赌博频率之间关系的中介因素。
数据取自2010年和2011年的全国学校健康促进研究（SHPS）（N = 102545）。通过潜在类别分析，根据青少年的问题行为将他们分为最同质的组。
路径分析表明，社会支持与问题行为呈负相关，问题行为和社会支持与赌博呈负相关（男孩中来自朋友的社会支持除外）。父母和学校的社会支持对女孩和男孩的问题行为与赌博之间的关系起到了中介作用，尽管作用较弱。
问题行为可能通过学校和父母的社会支持影响赌博。因此，预防和干预策略应侧重于加强青少年的社会支持。此外，由于不同问题行为的聚集性，多行为干预而非专注于单一形式的问题行为，可能会对公众健康产生更大影响。
