title: Do competence skills moderate the impact of social influences to drink and perceived social benefits of drinking on alcohol use among inner-city adolescents?
abstract: Only a few studies have found competence skills to be a protective factor against adolescent alcohol use; others did not find a direct effect on alcohol. A possible reason for this is that competence skills may moderate the effects of risk factors for alcohol use and that aspect has not been examined often or in a longitudinal design. This study tested whether several competence skills served either as direct protective factors against alcohol use or moderators of the impact of social risk factors on alcohol use. Participants (N = 1318) completed questionnaires that included measures of decision-making skills, refusal skill techniques, resisting media influences, friends' drinking and perceived social benefits of drinking, as well as current drinking amount and future drinking at baseline, one-year follow-up and two-year follow-up. Data analyses were conducted using multi-level mixed effects generalized linear models with random intercept. All the competence skills and the risk factors predicted current and future drinking. Several significant interactions were found between (1) perceived social benefits of drinking and decision-making skills, (2) perceived social benefits of drinking and refusal skill techniques and (3) friends' drinking and refusal skill techniques. Competence skills served as protective factors, as well as moderators. One possible reason that competence enhancement approaches to alcohol prevention are effective may be due to the inclusion of the competence skills component.
authors.affiliation: Department of Public Health, Institute for Prevention Research, Cornell University, Weill Medical College, New York, NY 10021, USA. jepstein@med.cornell.edu
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Epstein
authors.forename: Xi Kathy
authors.initials: XK
authors.lastname: Zhou
authors.forename: Heejung
authors.initials: H
authors.lastname: Bang
authors.forename: Gilbert J
authors.initials: GJ
authors.lastname: Botvin
mesh_terms: D000293:Adolescent; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control*; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D009519:New York City / Q000453:epidemiology; D011593:Psychology, Social; D020377:Self Efficacy; D012925:Social Conformity