Substance Use Among Middle School Adolescents: Association with Family Members' and Peers' Substance Use and the Mediating Role of School and Mental Difficulties.

IF 2.7 4区 医学 Q2 PSYCHIATRY
Kénora Chau, Nearkasen Chau
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引用次数: 0

Abstract

Objective: We assessed the associations of substance (alcohol, tobacco, cannabis, and other illicit drugs) use of adolescents with that of their family members (father, mother, step-parent, brothers/sisters, and grandparents) and peers, and the mediating role of school and mental difficulties (SMDs) which remained insufficiently addressed.

Methods: This cross-sectional population-based study included 1,559 middle-school adolescents in France (mean age = 13.5 ± 1.3, 778 boys, 781 girls). They completed a questionnaire including socioeconomic features (nationality, family structure and parents' education, occupation, and income), substance use, cumulative number of substance use of family members (father, mother, step-parent, brothers/sisters, and grandparents) and peers (noted familySUcn and peerSUcn), SMDs (grade repetition, suffered physical/verbal violence, sexual abuse, lack of family/peer support, depressive symptoms, suicide attempt, and age at onset). Data were analyzed using logistic regression models and Kaplan-Meier estimates.

Results: Most adolescents had familySUcn 1-2, 3-5, and ≥ 6 (39.1%, 23.0%, and 4.5%, respectively) and peerSUcn 1-2 and ≥ 3 (36.1% and 13.0%, respectively). Strong dose-effect associations were found between all substance use and familySUcn and peerSUcn (odds ratio adjusted for sex, age, and socioeconomic features reaching 13.44 and 9.90, respectively, most with p < .001). SMDs explained more the associations of all substance use with familySUcn than with peerSUcn (contributions reaching 69% and 34%, respectively). The proportion of subjects without each substance use decreased with age more quickly among the adolescents with higher familySUcn or peerSUcn.

Conclusions: Early prevention reducing familySUcn, peerSUcn and SMDs among adolescents and their families may reduce efficiently initiation and regular use of substances during adolescents' life course.

初中青少年的药物使用情况:与家庭成员和同伴使用药物的关系以及学校和心理障碍的调节作用。
目的我们评估了青少年使用药物(酒精、烟草、大麻和其他违禁药物)与其家庭成员(父亲、母亲、继父母、兄弟/姐妹和祖父母)和同龄人之间的关联,以及学校和精神障碍(SMDs)的中介作用,这些问题仍未得到充分解决:这项以人口为基础的横断面研究包括 1559 名法国初中青少年(平均年龄 = 13.5 ± 1.3,男生 778 人,女生 781 人)。他们填写了一份问卷,内容包括社会经济特征(国籍、家庭结构、父母的教育程度、职业和收入)、药物使用情况、家庭成员(父亲、母亲、继父母、兄弟/姐妹和祖父母)和同伴(注意到的家庭SUcn和同伴SUcn)使用药物的累计次数、SMDs(留级、遭受身体/语言暴力、性虐待、缺乏家庭/同伴支持、抑郁症状、自杀未遂和发病年龄)。数据采用逻辑回归模型和卡普兰-梅耶估计值进行分析:大多数青少年的家庭SUcn为1-2、3-5和≥6(分别为39.1%、23.0%和4.5%),同伴SUcn为1-2和≥3(分别为36.1%和13.0%)。在所有药物使用与家庭和同伴SUcn之间发现了强烈的剂量效应关系(根据性别、年龄和社会经济特征调整后的几率比分别达到 13.44 和 9.90,其中大部分为 p 结论:通过早期预防,减少青少年及其家庭中的家庭、同伴和 SMD,可以有效减少青少年在一生中开始和经常使用药物的情况。
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Internationally recognized, Psychiatry has responded to rapid research advances in psychiatry, psychology, neuroscience, trauma, and psychopathology. Increasingly, studies in these areas are being placed in the context of human development across the lifespan, and the multiple systems that influence individual functioning. This journal provides broadly applicable and effective strategies for dealing with the major unsolved problems in the field.
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