PURPOSE:The middle school years are peak years for substance use initiation. The current study assessed the impact of peer influence on both initiation and escalation of cigarette, alcohol, and marijuana use among sixth, seventh, and eighth graders. METHODS:Youth (n = 974; 45% male) were surveyed twice over an academic year and reported on their personal substance use and their perception of peer substance use. The sample ranged in age from 10 to 15 years at Time 1 (M age = 11.95) and was 44% White, 26% Latino, 7% Asian American/Pacific Islander, 4% African American, and 14% mixed ethnic origin. RESULTS:Hierarchical regressions examined whether personal and perceived peer substance use predicted later substance involvement, and logistic regressions assessed whether Time 1 perceived peer and personal use of other substances discriminated between initiates and noninitiates. After controlling for personal substance use, perceived peer alcohol use predicted both increased alcohol and marijuana use, and perceived peer marijuana use predicted increased alcohol use. Only perceived peer alcohol use was associated with initiation of alcohol, and both perceived peer alcohol and marijuana use predicted onset of marijuana use. CONCLUSIONS:Results highlight the importance of perceived peer use in predicting both onset and escalation of use and suggest utilizing a multifaceted prevention approach that targets multiple substances.

译文

目的:初中是物质使用开始的高峰期。本研究评估了六年级,七年级和八年级学生的同伴影响对吸烟,酗酒和使用大麻的引发和升级的影响。
方法:青年(n = 974; 45%的男性)在一个学年内接受了两次调查,并报告了他们的个人物质使用情况以及对同龄人物质使用情况的看法。样本在时间1的年龄介于10到15岁(M年龄= 11.95),是44%的白人,26%的拉丁裔,7%的亚裔美国人/太平洋岛民,4%的非洲裔美国人和14%的混合种族。
结果:等级回归分析了个人和感知的同龄人物质使用是否预测了以后的物质参与,而逻辑回归评估了时间1感知的对等物和个人对其他物质的使用是否区分了发起者和非发起者。在控制了个人物质使用之后,感知到的同龄人的饮酒可以预测酒精和大麻的使用增加,而感知到的同龄人的大麻消费则可以预测增加的酒精使用。只有知觉的同伴饮酒与饮酒的开始有关,知觉的同伴饮酒和大麻的使用都可以预测大麻的发作。
结论:结果突出了感知到的同龄人的使用在预测使用的发作和升级中的重要性,并建议采用针对多种物质的多方面预防方法。

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