Park Sunhee, Kim Junghee, Hwang Heejin
a College of Nursing Science, East-West Nursing Research Institute , Kyung Hee University , Seoul , Republic of Korea.
b Department of Nursing, Graduate School , Kyung Hee University , Seoul , Republic of Korea.
Am J Drug Alcohol Abuse. 2018;44(3):358-367. doi: 10.1080/00952990.2017.1398755. Epub 2017 Dec 1.
Despite the greater risk of lifetime smoking among high sensation seekers, it is difficult to change a sensation seeking tendency through interventions. Therefore, it is important to identify a modifiable factor mediating the link between these two conditions in order to weaken or disconnect the association.
Based on the literature, deviant peers may play a pivotal role in explaining this association. Thus, we aimed to investigate the mediating effect of deviant peers on the association between sensation seeking and lifetime smoking among Korean adolescents.
We analyzed secondary data obtained from 876 high school students. Approximately 51% of the participants were male. In order to investigate the mediating effect of deviant peers after controlling for 16 factors, we tested an indirect effect in a simple mediation model using the PROCESS macro, which is a regression-based approach.
We found a significant total effect of sensation seeking on lifetime smoking: greater risk of lifetime smoking among high sensation seekers. In addition, we found a significant mediating effect of deviant peers on the association between the two conditions. Specifically, higher sensation seeking successfully predicted a greater number of deviant peers, which, in turn, successfully predicted greater risk of lifetime smoking.
Given difficulties in directly changing levels of sensation seeking and the significant mediating effect of deviant peers on the association between the two conditions, prevention strategies focusing on peers may be advantageous for high sensation seekers in reducing their risk of lifetime smoking in adolescence.
尽管高感觉寻求者终生吸烟的风险更高,但通过干预改变感觉寻求倾向却很困难。因此,识别一个可调节的因素来介导这两种情况之间的联系,以削弱或切断这种关联很重要。
基于文献,偏差同伴可能在解释这种关联中起关键作用。因此,我们旨在研究偏差同伴对韩国青少年感觉寻求与终生吸烟之间关联的中介作用。
我们分析了从876名高中生那里获得的二手数据。大约51%的参与者为男性。为了在控制16个因素后研究偏差同伴的中介作用,我们使用基于回归的方法PROCESS宏,在一个简单中介模型中测试了间接效应。
我们发现感觉寻求对终生吸烟有显著的总体效应:高感觉寻求者终生吸烟的风险更高。此外,我们发现偏差同伴对这两种情况之间的关联有显著的中介作用。具体而言,更高的感觉寻求成功地预测了更多的偏差同伴,而这反过来又成功地预测了更高的终生吸烟风险。
鉴于直接改变感觉寻求水平存在困难,且偏差同伴对这两种情况之间的关联有显著的中介作用,针对同伴的预防策略可能有利于高感觉寻求者降低其在青春期终生吸烟的风险。