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BMC Public Health

, 14:1303

Health behavior, health promotion and society


BackgroundExcessive alcohol use in adolescence can be detrimental to health and academic performance. Few studies consider the moderating effects of parental and peer influence within the context of adolescent work outside of the school environment. This study aims to examine work stress among adolescents and the association with alcohol use and drunkenness, in the context of parental and peer influences.

MethodsGrade 12 students who participated in Monitoring the Future surveys between 2005 and 2009 n = 12,341 were included in this study. Independent variables included work stress job satisfaction, perceived safety, and perceived safety of possessions, self-reported perceptions towards academics and influence from parents and peers. Frequency of alcohol use and drunkenness were measured for lifetime, last 30 days and 12 months. The moderating effects of academic aspiration, parental, and peer influence were assessed on the relationship between work stress and alcohol use.

ResultsAny work stress was positively associated with alcohol use over the past 12 months odds ratio = 1.12, 95% confidence interval CI 1.02-1.23. Stratified analysis found that peer influence significantly moderated the relationship between work stress and alcohol use over the lifetime and past 12 months. Among adolescents with work stress, odds ratios of alcohol use over the lifetime was 0.83 95% CI 0.71-0.97 for those with low negative peer influence and 1.09 95% CI 0.97-1.22 for those with high negative peer influence.

ConclusionsProblematic drinking patterns were more apparent among high school students who experienced stress at work. Positive peer influence, however, may buffer the adverse effect of work stress on alcohol use.

KeywordsAdolescent employment Alcohol use Work stress AbbreviationsC.I.Confidence interval

MTFMonitoring the Future national survey

SASSAS statistical software.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-1303 contains supplementary material, which is available to authorized users.

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Autor: Xianfang C Liu - Katherine M Keyes - Guohua Li


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