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For Whom Do Parenting Interventions to Prevent Adolescent Substance Use Work?

机译:为谁进行育儿干预以防止青少年物质使用工作?

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Adolescent substance use continues to be a significant public health problem. Parent training interventions are effective preventive strategies to reduce youth substance use. However, little is known about differences in effectiveness for youth across demographic characteristics. This review assessed the effectiveness of parent training programs at reducing adolescent substance use by participant gender, age, and race/ethnicity. Pubmed/MEDLINE, ERIC, CINAHL, and PsycINFO were searched from database origin to October 31, 2016. We included randomized controlled trials that evaluated parent training interventions; reported youth initiation or use of tobacco, alcohol, or other illicit substances; and included adolescents aged 10 to 19. Two independent reviewers extracted data. Disagreements were resolved by consensus or a third researcher. Data were synthesized using harvest plots stratified by participant demographics. A total of 1806 publications were identified and reviewed; 38 unique studies were included. Risk of bias of included studies was high. No studies targeted male teens or youth in late adolescence. Few studies targeted Asian-American, Black/African-American, or Hispanic/Latino adolescents. Overall, interventions including male and female youth and youth in early adolescence (age 10 to 14 or in 5th to 8th grade) were more beneficial than interventions including female-only or both young and older adolescents. Programs tailored to specific racial/ethnic groups, as well as programs designed for youth from multiple races/ethnic groups, were effective. Current evidence supports the benefits of offering parenting guidance to all families with adolescent children, regardless of the gender, age, or race/ethnicity of the adolescent.
机译:青少年物质使用仍然是一个重要的公共卫生问题。家长培训干预是减少青年物质使用的有效预防策略。然而,对人口统计特征的有效性差异毫无熟悉。该审查评估了父母培训方案在减少参与者性别,年龄和种族/种族的青少年物质使用时的有效性。在数据库来源到2016年10月31日,我们将搜索了PubMed / Medline,Eric,Cinahl和Psycinfo。我们包括评估父母培训干预措施的随机对照试验;报告青年启动或使用烟草,酒精或其他非法物质;并包括10至19岁的青少年。两个独立审稿人提取数据。分歧是通过协商一致或第三名研究员解决的分歧。使用参与人口统计数据分层的收获图合成数据。共识别并审查了1806个出版物;包括38项独特的研究。包括研究偏见的风险很高。没有学习在晚期青春期的男性青少年或青年。少数研究针对亚裔美国人,黑人/非裔美国人或西班牙裔/拉丁裔青少年。总体而言,包括男性和女性青年和青年的干预措施在早期的青春期(10至14至14岁或5至8年级)比包括女性或年轻人和较旧青少年的干预措施更有益。针对特定的种族/民族群体量身定制的计划,以及为来自多场比赛/族裔群体的青年设计的计划是有效的。目前的证据支持向所有与青少年儿童的所有家庭提供育儿指导的好处,无论是青少年的性别,年龄或种族/种族。

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