請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89785完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張齡尹 | zh_TW |
| dc.contributor.advisor | Ling-Yin Chang | en |
| dc.contributor.author | 施顯學 | zh_TW |
| dc.contributor.author | Hsien-Hsueh Shih | en |
| dc.date.accessioned | 2023-09-22T16:05:40Z | - |
| dc.date.available | 2023-11-09 | - |
| dc.date.copyright | 2023-09-22 | - |
| dc.date.issued | 2023 | - |
| dc.date.submitted | 2023-08-09 | - |
| dc.identifier.citation | Afifi, M. (2007). Gender differences in mental health. Singapore Med J, 48(5), 385-391. https://www.ncbi.nlm.nih.gov/pubmed/17453094
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/89785 | - |
| dc.description.abstract | 背景：
青少年結交偏差同儕（Deviant peer affiliation）為物質濫用的重要社會決定因子，但對於成年過度飲酒（Binge drinking）是否具有長期效應仍未確定。本研究目的在探討青少年結交偏差同儕的類型，及其與成年過度飲酒的相關性，並進一步分析其中可能的性別差異。 方法： 分析資料來自「臺灣青少年成長歷程研究」，此為取樣自台灣北部的固定連續樣本研究 (panel study)。當樣本擁有完整之結交偏差同儕（13歲）及過度飲酒資訊（30歲）時，即納入成為本研究之分析樣本，共1,145名。分析方法為「三階段的偏差調整潛在類別分析（3-step bias-adjusted latent class analysis）」，並依序納入近端、遠端的控制變項，以檢驗結交偏差同儕的類別以及與成年過度飲酒的相關性。最後在模型中納入交互作用項，來檢視相關性是否具有性別差異。 結果： 本研究發現四種結交偏差同儕類型：最少偏差同儕組（65.51%）、攻擊性同儕組（18.19%）、逃學暴力同儕組（9.14%）與嚴重偏差同儕組（7.16%）。在同時考慮近端與遠端之控制變項時，相對於「最少偏差同儕」組，研究對象於青少年時期之偏差同儕結交類型若為「攻擊性同儕」 (OR= 2.12, 95% CI: 1.16–3.86) 或「嚴重暴力同儕」 (OR= 2.50, 95% CI: 1.39–4.48)，在成年時期有較高的過度飲酒風險；但「逃學暴力同儕」的影響並不顯著 (OR= 1.13, 95% CI: 0.58–3.86)。此外，不同類型之接交偏差同儕與成年過度飲酒風險之相關性並無性別差異。 結論： 青少年不同類型的結交偏差同儕，對成年過度飲酒的影響有所差異。因此，建議未來在規劃飲酒相關介入策略時，除需早期介入外，並應將不同偏差同儕結交類型的影響納入考量。 | zh_TW |
| dc.description.abstract | Background:
Deviant peer affiliation in adolescence is an essential social determinant of substance misuse, but its long-term effect on adult binge drinking remains uncertain. The present study explored the patterns of deviant peer affiliation during adolescence and its connection with binge drinking in adulthood. The potential sex differences were also examined. Method: Data were drawn from a panel study, Taiwan Youth Project (TYP). 1,145 individuals who had complete data on deviant peer affiliation at 13 years old and binge drinking at 30 years old were analyzed. The bias-adjust 3-step latent class analysis was conducted to examine study hypotheses. All models controlled for both proximal and distal covariates. Sex differences were determined by the significance of the interaction terms. Result: Four patterns of deviant peer affiliation were identified: minimal peer-deviance (65.51%), peer-aggression (18.19%), peer truancy with aggression (9.14%), and severe peer deviance (7.16%). Compared to those in the minimal peer-deviance group, adolescents who belonged to the peer-aggression or severe peer-deviance groups showed an increased risk of binge drinking in adulthood (OR= 2.12 and 2.50 respectively). No sex difference was found for the examined associations. Conclusion: Varying patterns of deviant peer affiliation during adolescence have differential effects on subsequent risks of binge drinking. To prevent adult binge drinking, interventions should be implemented early and consider the nature of peer affiliation. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-09-22T16:05:40Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2023-09-22T16:05:40Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | Acknowledgements（Mandarin） i
Abstract（Mandarin） ii Abstract（English） iii Table of Contents v Table of Figures viii Table of Tables ix Chapter 1: Introduction 1 1.1 Background 1 1.2 Significance of Research 4 1.3 Research Aims 4 Chapter 2: Literature Review 6 2.1 Alcohol use, standard drink, and problematic alcohol use 6 2.2 The impact of binge drinking 8 2.3 Definition and measurement of binge drinking 9 2.4 Epidemiology of binge drinking 10 2.5 Psychosocial factors related to adult binge drinking 11 2.6 Concept and heterogeneity of deviant peer affiliation 13 2.7 Deviant peer affiliation and problematic alcohol use 15 2.8 Sex effect on deviant peer affiliation and alcohol use 18 Chapter 3: Method 20 3.1 Participants 20 3.2 Measurement 23 3.2.1 Independent Variables: Deviant Peer Affiliation 23 3.2.2 Distal Outcomes: Adult Binge Drinking 24 3.2.3 Covariates 24 3.2.3.1 Proximal covariates for adult binge drinking 24 3.2.3.2 Distal Covariates for adult binge drinking 26 3.3 Introduction of statistical method: latent class analysis (LCA) 30 3.3.1 Overview of latent class analysis 30 3.3.2 Statistical Process and Evaluation of LCA 30 3.3.3 Latent class analysis with auxiliary variables (distal outcomes or covariates) 32 3.4 Statistical Analysis 37 3.4.1 Descriptive Statistics 37 3.4.2 Inferential Statistics 37 Chapter 4: Result 39 4.1 Sample characteristic and correlation analysis 39 4.2 Results for main research questions 41 4.2.1 Enumeration of latent class number and model fitting 41 4.2.2 Latent class analysis with distal outcome 47 4.2.3 Sex difference 50 Chapter 5: Discussion 51 5.1 Heterogeneity of deviant peer affiliation in the general adolescent population 51 5.2 The relationship between subgroups of deviant peer affiliation and adult binge drinking 56 5.3 No sex difference on the association between deviant peer affiliation and adult binge drinking 60 5.4 Study Limitation 63 5.4 Conclusion and the further implication 65 Reference 67 | - |
| dc.language.iso | en | - |
| dc.title | 青少年結交偏差同儕類型與成年過度飲酒的關係： 潛在類別分析 | zh_TW |
| dc.title | Association between Patterns of Deviant Peer Affiliation and Binge Drinking in Adulthood: a Latent Class Analysis | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 111-2 | - |
| dc.description.degree | 碩士 | - |
| dc.contributor.oralexamcommittee | 陳端容;簡意玲 | zh_TW |
| dc.contributor.oralexamcommittee | Duan-Rung Chen;Yi-Ling Chien | en |
| dc.subject.keyword | 結交偏差同儕,過度飲酒,潛在類別分析,長期追蹤研究,性別差異, | zh_TW |
| dc.subject.keyword | deviant peer affiliation,binge drinking,latent class analysis,longitudinal study,sex difference, | en |
| dc.relation.page | 92 | - |
| dc.identifier.doi | 10.6342/NTU202302872 | - |
| dc.rights.note | 未授權 | - |
| dc.date.accepted | 2023-08-09 | - |
| dc.contributor.author-college | 公共衛生學院 | - |
| dc.contributor.author-dept | 健康行為與社區科學研究所 | - |
| 顯示於系所單位： | 健康行為與社區科學研究所 | |
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