Department of Biobehavioral Health, The Pennsylvania State University, University Park, PA, USA.
Edna Bennett Pierce Prevention Research Center, College of Health and Human Development, The Pennsylvania State University, University Park, PA, USA.
Subst Use Misuse. 2021;56(14):2269-2274. doi: 10.1080/10826084.2021.1981390. Epub 2021 Oct 1.
Recent reports indicate that simultaneous alcohol and marijuana (SAM) use is a growing health concern among college students. As SAM use consists of both alcohol and marijuana, risk factors associated with either can serve as plausible targets by prevention efforts to reduce SAM use. : To explore this, the current study investigated the direct and indirect effects of two established risk factors for drinking on SAM use: perceived parental permissiveness toward drinking and friends' approval toward drinking (injunctive norms). : Incoming first-year students ( = 470) reported parental permissiveness, injunctive norms, alcohol use, and SAM use at baseline (T1) and 5 months later (T2). SAM use was assessed again 15 months post-baseline (T3). Path analysis was conducted to examine whether T2 variables mediated relationships between T1 variables and T3 SAM use. : Results revealed that T2 student alcohol use mediated the effects of T1 parental permissiveness, injunctive norms, and alcohol use on T3 SAM use. : Findings from this study extend research on SAM use by identifying perceived parental permissiveness and injunctive drinking norms as risk factors for SAM use through their effects on alcohol use. Based on these findings, it is plausible that parent-based interventions and interventions targeting peer injunctive norms during the first year of college could be used to effectively prevent or reduce SAM use.
最近的报告表明，大学生群体中同时饮酒和吸食大麻（SAM）的现象日益令人担忧。由于 SAM 同时包含酒精和大麻，因此预防 SAM 使用的相关措施可以针对与两者都相关的风险因素，作为合理的目标。为了对此进行探索，本研究调查了两种已确立的饮酒风险因素对 SAM 使用的直接和间接影响：父母对饮酒的宽容度和朋友对饮酒的认可（规范准则）。在基线（T1）和 5 个月后（T2），对即将入学的一年级学生（ = 470）进行了父母宽容度、规范准则、饮酒和 SAM 使用的报告。在基线后 15 个月（T3）再次评估 SAM 使用情况。采用路径分析来检验 T2 变量是否在 T1 变量和 T3 SAM 使用之间的关系中起中介作用。结果表明，T2 学生饮酒量中介了 T1 父母宽容度、规范准则和饮酒量对 T3 SAM 使用的影响。本研究通过识别父母宽容度和规范准则饮酒对酒精使用的影响，将 SAM 使用的研究扩展到 SAM 使用。基于这些发现，在大学一年级期间，基于父母的干预措施和针对同伴规范准则的干预措施，可能被用于有效预防或减少 SAM 使用。
