Titre :
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Community Epidemiology of Risk and Adolescent Substance Use : Practical Questions for Enhancing Prevention. (2012)
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Auteurs :
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FEINBERG (Mark-E) : USA. Prevention Research Center. Pennsylvania State University. University Park.
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 102, n° 3, 2012)
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Pagination :
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457-468
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Langues:
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Anglais
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Mots-clés :
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Toxicomanie
;
Communauté
;
Epidémiologie
;
Facteur risque
;
Risque
;
Adolescent
;
Prévention santé
;
Toxicomane
;
Homme
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Résumé :
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[BDSP. Notice produite par INIST-CNRS Don9R0xB. Diffusion soumise à autorisation]. To promote an effective approach to prevention, the community diagnosis model helps communities systematically assess and prioritize risk factors to guide the selection of preventive interventions. This increasingly widely used model relies primarily on individual-level research that links risk and protective factors to substance use outcomes. I discuss common assumptions in the translation of such research concerning the definition of risk factor elevation ; the equivalence, independence, and stability of relations between risk factors and problem behaviors ; and community differences in risk factors and risk factor-problem behavior relations. Exploring these assumptions could improve understanding of the relations of risk factors and substance use within and across communities and enhance the efficacy of the community diagnosis model. This approach can also be applied to other areas of public health where individual and community levels of risk and outcomes intersect.
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