Jongenelis Michelle I, Pettigrew Simone, Biagioni Nicole
a School of Psychology and Speech Pathology , Curtin University , Perth , Western Australia.
Subst Use Misuse. 2018 Apr 16;53(5):744-754. doi: 10.1080/10826084.2017.1363239. Epub 2017 Oct 20.
Mass-attended youth events represent a substantial public health challenge due to high levels of alcohol consumption and corresponding high rates of alcohol-related harm. Although previous research has documented the protective effect of high drinking refusal self-efficacy (DRSE) on alcohol consumption in general, there is a lack of research examining the role of DRSE in reducing consumption during mass-attended youth events and the factors associated with DRSE in these contexts.
This study aimed to identify potentially modifiable factors that influence DRSE and drinking intentions to inform interventions designed to reduce alcohol-related harm during mass-attended events.
Australian secondary school students (n = 586; 70% female) in their final two years of high school completed an online survey assessing their alcohol consumption intentions for Schoolies, their perceived degree of DRSE, and other individual and environmental factors. Path analysis was used to assess a mediational model examining factors associated with DRSE and alcohol consumption intentions.
DRSE was found to be significantly associated with intended alcohol consumption during Schoolies. Specifically, leavers who believed they would not be able to refuse others' offers of alcoholic drinks reported significantly greater alcohol consumption intentions. Results also revealed that DRSE was enhanced in those respondents who believed there would be a variety of non-drinking activities and non-alcoholic beverages available to them during Schoolies.
Results suggest the need to increase leavers' confidence in their ability to refuse unwanted alcoholic beverages and highlight the importance of providing celebration options that do not involve alcohol consumption.
由于大量饮酒以及相应的高酒精相关伤害发生率，面向大众的青年活动构成了重大的公共卫生挑战。尽管先前的研究已记录了较高的饮酒拒绝自我效能（DRSE）对一般饮酒行为的保护作用，但缺乏研究探讨DRSE在减少面向大众的青年活动期间饮酒量方面的作用以及在这些情况下与DRSE相关的因素。
本研究旨在确定影响DRSE和饮酒意图的潜在可改变因素，以为旨在减少面向大众活动期间酒精相关伤害的干预措施提供信息。
澳大利亚高中最后两年的中学生（n = 586；70%为女性）完成了一项在线调查，评估他们对毕业旅行期间饮酒的意图、他们感知的DRSE程度以及其他个人和环境因素。路径分析用于评估一个中介模型，该模型考察与DRSE和饮酒意图相关的因素。
发现DRSE与毕业旅行期间的预期饮酒量显著相关。具体而言，那些认为自己无法拒绝他人提供酒精饮料的毕业生报告的饮酒意图明显更高。结果还显示，那些认为在毕业旅行期间会有各种非饮酒活动和非酒精饮料可供选择的受访者，其DRSE有所增强。
结果表明有必要增强毕业生拒绝不需要的酒精饮料的信心，并强调提供不涉及饮酒的庆祝选择的重要性。
