牙买加青少年家庭结构、父母监护和大麻使用之间的关系：来自全国代表性数据的研究结果

IF 0.2 4区医学 Q4 MEDICINE, GENERAL & INTERNAL

West Indian Medical Journal Pub Date : 2017-12-05 DOI:10.7727/WIMJ.2017.212

D. Oshi, W. Abel, Tana F. Ricketts-Roomes, C. Agu, Sarah N. Oshi, Joy Harrison, K. Smith, U. Atkinson, P. Clarke, P. Whitehorne-Smith, K. Ukwaja

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引用次数: 1

摘要

目的:青少年滥用大麻是牙买加和全球的一个社会和公共心理健康问题。研究表明，家庭结构是影响青少年吸食大麻的因素之一。本研究旨在确定牙买加青少年的家庭结构和父母监督是否与大麻使用有关。方法:从2013年牙买加全国中学调查中收集的具有全国代表性的样本数据进行分析。研究样本包括来自38所中学8-12年级的3365名学生。采用PSPP软件进行描述性统计和推理统计。结果:男性青少年终生使用大麻的比例(24.4%)明显高于女性青少年(16.9%)。在过去一年(15.5%对10.4%)或过去30天(8.7%对5.4%)中，男性和女性青少年使用大麻的比例没有显著差异。不同家庭结构青少年大麻终生使用情况差异有统计学意义(χ 2 = 442.63, p = 0.00)。单亲家庭和双亲家庭之间没有差异。父母对青少年学业的监督对他们终生吸食大麻有很强的保护作用。父母关注密切的青少年(调整优势比[AOR]: 0.34;95%置信区间[95% CI]: 0.22, 0.52)，接近(AOR: 0.49;95% CI: 0.32, 0.99)和比较接近(AOR: 0.63;95%可信区间:0.41,0.99)与他们在学校的行为相比，他们都不太可能使用过大麻。结论:青少年终生大麻使用与家庭结构有关，但与单亲家庭和双亲家庭无关。父母对青少年的学校活动进行监控，可以显著防止青少年终生吸食大麻。

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Associations between Family Structure, Parental Monitoring and Marijuana Use among Adolescents in Jamaica: Findings from Nationally Representative Data

Objective: Marijuana misuse by adolescents is a social and public mental health problem in Jamaica and globally. Research has suggested that family structure is one of the factors that influences adolescents’ consumption of marijuana. This study was undertaken to determine if family structure and parental monitoring had any association with marijuana use among adolescents in Jamaica. Methods: Data from a nationally representative sample collected in Jamaica’s National Secondary School Survey 2013 were analysed. The study sample consisted of 3365 grades 8–12 students from 38 secondary schools. Descriptive and inferential statistics were computed using PSPP software. Results: A significantly higher proportion of male (24.4%) than female (16.9%) adolescents reported lifetime use of marijuana. There was no significant difference in the proportions of male and female adolescents regarding marijuana use over the past one year (15.5% versus 10.4%) or over the past 30 days (8.7% versus 5.4%). There were significant differences in lifetime use of marijuana among adolescents from different family structures (Chi-square = 442.63, p = 0.00). The differences were not between one-parent families and two-parent families. Parental monitoring of adolescents’ school work was strongly protective against lifetime marijuana use. Adolescents whose parents paid attention very closely (adjusted odds ratio [AOR]: 0.34; 95% confidence intervals [95% CI]: 0.22, 0.52), closely (AOR: 0.49; 95% CI: 0.32, 0.99) and somewhat closely (AOR: 0.63; 95% CI: 0.41, 0.99) to what they did at school were all significantly less likely to have ever used marijuana. Conclusion: Lifetime marijuana use among adolescents was associated with family structure but not from the perspective of one-parent families versus two-parent families. Parental monitoring of adolescents’ school activities significantly protected against lifetime use of marijuana.

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来源期刊

West Indian Medical Journal 医学-医学：内科

CiteScore

0.20

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Journal is international in scope, with author and editorial contributions from across the globe. The focus is on clinical and epidemiological aspects of tropical and infectious diseases, new and re-emerging infections, chronic non-communicable diseases, and medical conditions prevalent in the Latin America-Caribbean region, and of significance to global health, especially in developing countries. The Journal covers all medical disciplines, as well as basic and translational research elucidating the pathophysiologic basis of diseases or focussing on new therapeutic approaches, and publishes original scientific research, reviews, case reports, brief communications, letters, commentaries and medical images. The Journal publishes four to six issues and four supplements annually. English is the language of publication but Abstracts are also duplicated in Spanish. Most of the articles are submitted at the authors’ initiative, but some are solicited by the Editor-in-Chief. Unless expressly stated, the Editorial Board does not accept responsibility for authors’ opinions. All papers on submission are reviewed by a subcommittee. Those deemed worthy for review are sent to two or three reviewers (one of the three might be a statistician if necessary). The returned papers with reviewer comments are reviewed by the Editor-in-Chief. Papers may be rejected, accepted or sent back to authors for revision. Resubmitted papers from authors are reviewed by the Editor-in-Chief and may be sent back to reviewers or a final decision made by Editor-in-Chief. The decision of the Editorial Board is final with regards to rejected articles. Rejected articles will not be returned to the authors. The editorial subcommittee has the right to return sub-standard manuscripts to the authors, rather than passing them on to the reviewers. This implies outright rejection of the manuscript.