Reifman A, Barnes G M, Dintcheff B A, Farrell M P, Uhteg L
Research Institute on Addictions, Buffalo, New York 14203, USA.
J Stud Alcohol. 1998 May;59(3):311-7. doi: 10.15288/jsa.1998.59.311.
Less is known about heavier drinking in adolescents than about alcohol initiation. The present study examined the emergence of regular (weekly) and heavy episodic (five or more drinks at a time) adolescent drinking as a function of social influence (modeling and social control) from parents and peers.
A three-wave study was conducted using a representative household sample of families in metropolitan Buffalo, New York (N = 612). Over half (54%) of the adolescent respondents were female. Black families made up 30% of the sample. Interviews were conducted at 1-year intervals. Adolescent drinking was dichotomized at each wave into abstinence/light drinking versus regular drinking. Logistic regression including only adolescents who were abstainers/light drinkers at Wave 1 was performed to assess which Wave- variables could predict regular-drinking onset by Wave 2; a similar analysis examined the onset of heavy episodic drinking by Wave 2. Parallel analyses using Wave-2 variables to predict the onset of the drinking outcomes by Wave 3 were also conducted.
Across the different analyses, the strongest psychosocial predictors of advancement to heavier drinking were friend's drinking and low parental monitoring. Also, white adolescents were at greater risk than their black counterparts.
A multidimensional approach to prevention that addresses different processes of influence (e.g., modeling and social control) involving both parental and peer domains is likely to be most successful in deterring the onset of heavier drinking in adolescents.
相较于饮酒行为的开始,人们对青少年过度饮酒的了解较少。本研究考察了青少年定期(每周)饮酒和重度偶发性饮酒(一次饮用五杯或更多)的出现情况,将其作为父母和同伴社会影响(榜样作用和社会控制)的一个函数。
采用纽约州布法罗市有代表性的家庭样本进行了一项三波研究(N = 612)。超过一半(54%)的青少年受访者为女性。黑人家庭占样本的30%。访谈每隔一年进行一次。在每一波中,青少年饮酒情况被分为戒酒/轻度饮酒与定期饮酒两类。对仅在第一波中为戒酒者/轻度饮酒者的青少年进行逻辑回归分析,以评估哪些第一波变量可以预测到第二波时定期饮酒行为的开始;类似的分析考察了到第二波时重度偶发性饮酒行为的开始。还进行了使用第二波变量预测到第三波时饮酒结果开始情况的平行分析。
在不同的分析中,向更大量饮酒发展的最强心理社会预测因素是朋友饮酒和父母监管不力。此外,白人青少年比黑人青少年面临的风险更大。
一种多维度的预防方法,即针对涉及父母和同伴领域的不同影响过程(如榜样作用和社会控制),在阻止青少年开始更大量饮酒方面可能最为成功。