Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada.
Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada.
Drug Alcohol Depend. 2018 Feb 1;183:141-149. doi: 10.1016/j.drugalcdep.2017.10.037. Epub 2017 Dec 11.
Youth obtain alcohol from many sources, including friends, siblings, parents and other adults. Whether parental supply, relative to other sources, is associated with experiencing a negative alcohol-related outcome is an area of considerable debate. Less well understood is whether the observed association is further contextualized by level of parental monitoring of the child.
This study has two main objectives: 1) determine if there is a relationship between parental supply, drinking frequency, and alcohol-related harms among youth; and 2) assess whether parental monitoring moderates this relationship.
Participants were drawn from the 2012 Student Drug Use Survey in Canada's Atlantic Provinces, an anonymous cross-sectional survey of high school students (ages 15-19 years). Adjusted regression models assessed the association between drinking frequency, experiencing alcohol-related harms, and four different sources of supply. Additional analyses stratified on levels of parental monitoring.
Relative to receiving alcohol from friends, parental supply was associated with lower odds of experiencing any alcohol-related harm (AOR 0.42; 95% CI 0.28-0.61) and loss of control (AOR = 0.42; 95% CI 0.29-0.62). Drinking frequency did not differ by source of supply. Associations between parental supply and harm were absent among youth reporting low levels of parental monitoring.
Youth who receive alcohol from parents' report fewer alcohol-related harms relative to those who obtain their alcohol from friends, despite no observed differences in drinking frequency. Understanding how parents may help to minimize experiences of alcohol-related harm among youth beyond the simple promotion of abstinence from drinking is warranted.
年轻人可以从许多来源获得酒精，包括朋友、兄弟姐妹、父母和其他成年人。父母供应（相对于其他来源）是否与经历负面的与酒精相关的后果有关，这是一个争议很大的领域。不太清楚的是，观察到的关联是否进一步受到父母对孩子的监控程度的影响。
本研究有两个主要目的：1）确定父母供应、饮酒频率与青少年酒精相关伤害之间是否存在关系；2）评估父母监督是否调节这种关系。
参与者来自加拿大大西洋省份的 2012 年学生毒品使用调查，这是一项针对高中生（15-19 岁）的匿名横断面调查。调整后的回归模型评估了饮酒频率、经历酒精相关伤害与四种不同供应来源之间的关系。此外，还对父母监督水平进行了分层分析。
与从朋友那里获得酒精相比，父母供应与经历任何与酒精相关的伤害（OR 0.42；95%CI 0.28-0.61）和失去控制（OR=0.42；95%CI 0.29-0.62）的几率较低相关。不同供应来源的饮酒频率没有差异。在报告父母监督水平较低的青少年中，父母供应与伤害之间没有关联。
与从朋友那里获得酒精的青少年相比，从父母那里获得酒精的青少年报告的与酒精相关的伤害较少，尽管他们的饮酒频率没有差异。了解父母如何在不简单提倡戒酒的情况下帮助减少青少年经历与酒精相关的伤害，是有必要的。
