Merianos Ashley L, Rosen Brittany L, Montgomery LaTrice, Barry Adam E, Smith Matthew Lee
1 School of Human Services, University of Cincinnati, Cincinnati, OH, USA.
2 Addiction Sciences Division, University of Cincinnati, Cincinnati, OH, USA.
J Sch Nurs. 2017 Dec;33(6):446-455. doi: 10.1177/1059840517717591. Epub 2017 Jul 4.
We performed a secondary analysis of Adolescent Health Risk Behavior Survey data ( N = 937), examining associations between lifetime alcohol and marijuana use with intrapersonal (i.e., risk perceptions) and interpersonal (e.g., peer approval and behavior) factors. Multinomial and binary logistic regression analyses contend students reporting lifetime alcohol use-compared to students who had never used alcohol or marijuana-perceived lower alcohol risk ( p < .001), higher friend drinking approval ( p < .001), and greater friend drinking ( p = .003). Using both alcohol and marijuana in one's life was associated with being in public schools ( p = .010), higher grade levels ( p = .001), lower perceived alcohol ( p = .011) and marijuana use risk ( p = .003), higher friend approval of alcohol ( p < .001) and marijuana use ( p < .001), and believed more friends used alcohol ( p < .001). Compared to lifetime alcohol only, perceived friend academic performance decreased the risk of lifetime alcohol and marijuana use ( p = .043). Findings are beneficial to school nurses with students experiencing effects associated with substance use.
我们对青少年健康风险行为调查数据（N = 937）进行了二次分析，研究终生饮酒和使用大麻与个人因素（即风险认知）和人际因素（如同伴认可和行为）之间的关联。多项和二元逻辑回归分析表明，与从未饮酒或使用过大麻的学生相比，报告终生饮酒的学生认为酒精风险较低（p < .001），朋友对饮酒的认可较高（p < .001），且朋友饮酒量较大（p = .003）。一生中同时使用酒精和大麻与就读公立学校有关（p = .010）、年级较高（p = .001）、感知到的酒精（p = .011）和大麻使用风险较低（p = .003）、朋友对酒精（p < .001）和大麻使用（p < .001）的认可度较高，并且认为更多朋友饮酒（p < .001）。与仅终生饮酒相比，感知到的朋友学业成绩降低了终生饮酒和使用大麻的风险（p = .043）。研究结果对处理与物质使用相关影响的学生的学校护士有益。
