142nd APHA Annual Meeting and Exposition

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298560
Risk and Protective Factors for Alcohol Use Among high-risk Adolescent Alcohol Users: A Longitudinal Study

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014

Shaobing Su, Med , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Danhua Lin, PhD , Institute of Developmental Psychology, Beijing Normal University, Beijing, China
Xiaoming Li, PhD , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Shan Qiao, PhD , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Bingxin Li, BS , Leliu Fuan Middle School, Foshan, China
Xiaoyan Xue, Med , Guijiang 1st Middle School, Foshan, China
BACKGROUND

The importance of examining the determinants of aggravating adolescent alcohol use has been worldwide recognized. However, longitudinal data are limited regarding determinants of alcohol use among adolescents in China. The objective of this study is to explore risk and protective determinants of alcohol use among high-risk adolescent alcohol users in South China.

METHODS

Longitudinal data among 709 Grade 7 and Grade 8 adolescents were collected from two middle schools in South China over 6 months. Demographic variables, drinking frequency and drinking quantity, protective factors (i.e. drinking refusal self-efficacy) and risk factors (i.e. drinking motivation, significant others’ drinking behavior, and drinking intention) were collected in both baseline and 6-month follow-up. In the current study, participants (N=238) who are classified as high-risk alcohol users (i.e., consistent heavy drinkers or become heavy drinkers from the earlier stages) were included in statistical analysis.

RESULTS

In cross-sectional analysis (Wave I), drinking motivation (β=0.45), significant others’ drinking behavior (β=0.25), and drinking intention (β=0.53) significantly predicted alcohol use. In time-lagged analysis, drinking motivation (β=0.17), significant others’ drinking behavior (β=0.34), and drinking intention (β=0.40) in Wave I significantly predicted Wave II alcohol use. Drinking refusal self-efficacy exerted no protective effects in either cross-sectional or time-lagged analysis.  

CONCLUSIONS

Drinking motivation, significant others’ drinking behavior and drinking intention are risk factors that have negative effects on aggravating alcohol use among adolescents. Further Intervention efforts are needed to eliminate or reduce the detrimental impacts of risk factors on adolescent alcohol use.

Learning Areas:

Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
Describe the cross-sectional associations between protective and risk factors and alcohol use among high-risk adolescent alcohol users. Analyze the time-lagged effects of protective and risk factors on alcohol use among high-risk adolescent alcohol users. Identify what kind of factors contribute to the aggravating alcohol use among adolescents. Discuss the significance of findings from the current study for future empirical and intervention research.

Keyword(s): Alcohol Use, Adolescents

Presenting author's disclosure statement:

Not Answered

Back to: 5002.0: Adolescent Alcohol Use