University of Pennsylvania School of Medicine, Department of Psychiatry, Center for Mental Health, United States.
City University of New York, Hunter College Silberman School of Social Work, United States.
Drug Alcohol Depend. 2019 Nov 1;204:107528. doi: 10.1016/j.drugalcdep.2019.06.030. Epub 2019 Sep 3.
Adolescents involved with child welfare system are disproportionately at risk for underage drinking. Little empirical evidence has informed interventions targeting child welfare caregivers to prevent alcohol consumption among adolescents involved with the system.
The present study addressed this gap by examining modifiable caregiver characteristics most predictive of future underage drinking in a cohort of adolescents (N = 1205) in a nationally representative child welfare dataset. We used dominance analyses to examine direct contributions of each caregiver predictor to the overall variance of future alcohol use. This is the first study to apply the reputable Turrisi and Jaccard (2001) framework of familial processes affecting underage drinking to the child welfare population.
Findings highlight the role of caregiver-adolescent relational quality and communications for predicting underage alcohol use, and downplay the role of caregiver monitoring.
Child welfare service systems may help prevent underage drinking by systematically training and motivating caregivers to foster trusting, helping relationships and regular communications with the adolescents in their care.
涉及儿童福利系统的青少年不成比例地面临未成年饮酒的风险。很少有实证证据为针对儿童福利照顾者的干预措施提供信息，以防止系统中涉及的青少年饮酒。
本研究通过检查可修改的照顾者特征，来解决这一差距，这些特征在全国代表性的儿童福利数据集中对青少年（N=1205）的未来未成年饮酒具有最预测性。我们使用优势分析来检查每个照顾者预测因素对未来饮酒的整体方差的直接贡献。这是第一项将 Turrisi 和 Jaccard（2001）影响未成年饮酒的家族过程框架应用于儿童福利人群的研究。
研究结果强调了照顾者-青少年关系质量和沟通对预测未成年饮酒的作用，而淡化了照顾者监督的作用。
儿童福利服务系统可以通过系统地培训和激励照顾者与他们照顾的青少年建立信任、帮助关系和定期沟通，帮助预防未成年饮酒。
