Using the Theory of Triadic Influence to Examine Correlates of Positive Drug Expectancies Among Hispanic Adolescents

Wura Jacobs, Lauren A Bartoszek, J. Unger
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Abstract

This study employs the Theory of Triadic Influence (TTI) which articulates the different variables that influence health-related behaviors into streams of influence—intrapersonal, social, and cultural—to better understand factors that influence positive drug use expectancies (PDE) among Hispanic adolescents. Data for the study came from Project RED, which included 1,963 high school students in Southern California. The relationships between participants’ drug expectancies and different streams of influence were examined using regression analysis. Participants were mostly females (54.2%); with a mean age of 17.13 years. Controlling for other covariates, there were no cultural stream variables associated with PDE (Model 1). Model 2, assessing social environment stream of influence, had a strong association with PDE (adjusted R2 = 0.25). PDE significantly increased with drug use consequences (β = .48) parent (β = 1.28) and sibling (β = 2.97) alcohol use, and peer approval of alcohol use (β = 2.0). PDE decreased with increasing parental communication (β = -.22) and peer disapproval of marijuana use (β = -5.2). Model 3, including intrapersonal factors, results showed a significant positive relationship between PDE and drug use consequences (β = .47), parent (β = 1.06) and sibling (β = 2.97) alcohol use, peer approval of alcohol use (β = 2.05), and stress (β = .23). There was a negative significant relationship with parental communication (β = -.21), peer disapproval of marijuana use (β = -5.2), and depression (β = -.09). Findings from this study help organize and clarify the important factors associated with PDE. Leveraging the ordering and categorizations suggested by the TTI sheds light on the social streams of influence as a prime target for interventions.
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应用三元影响理论检验西班牙裔青少年积极药物期望的相关性
这项研究采用了三元影响理论(TTI),该理论将影响健康相关行为的不同变量表述为影响流——个人、社会和文化——以更好地理解影响西班牙裔青少年积极药物使用预期(PDE)的因素。这项研究的数据来自RED项目,该项目包括南加州1963名高中生。使用回归分析检验了参与者的药物预期与不同影响流之间的关系。参与者大多为女性(54.2%);平均年龄17.13岁。在控制其他协变量的情况下,没有与PDE相关的文化流变量(模型1)。评估社会环境影响流的模型2与PDE有很强的相关性(调整后的R2=0.25)。PDE随着药物使用后果(β=0.48)父母(β=1.28)和兄弟姐妹(β=2.97)饮酒而显著增加,和同伴对饮酒的认可(β=2.0)。PDE随着父母沟通(β=-2.22)和同伴对大麻使用的不认可(β=-5.2)的增加而降低。模型3,包括个人因素,结果显示PDE与吸毒后果(β=.47)、父母(β=1.06)和兄弟姐妹(β=2.97)饮酒之间存在显著的正相关,同伴对饮酒的认可(β=2.05)和压力(β=0.23)。与父母沟通(β=-0.21)、同伴对大麻使用的不认可(β=-5.2)和抑郁(β=-.09)呈负相关。本研究的结果有助于组织和阐明与PDE相关的重要因素。利用TTI建议的排序和分类,可以将社会影响流作为干预的主要目标。
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