Background While it is well-recognized that the stigma associated with alcohol use problems can prevent or delay help-seeking, there is limited research examining stigmatising attitudes towards alcohol misuse, or their consequences, during adolescence. The current study examined the results of a school-based intervention on adolescents' stigmatising attitudes towards alcohol misuse among their peers, and how changes in attitudes influenced intentions to encourage help-seeking, as well as participants' personal use and misuse of alcohol. Methods Participants (n = 463) were a subset of a larger sample participating in a randomized controlled trial of the MAKINGtheLINK intervention. Of the included participants, 287 (62%) were allocated to the intervention group and 176 (38%) to the control group. Assessments were conducted at baseline and 6-weeks, 6-months, and 12-months post-baseline. At each assessment, participants were presented with a vignette describing a peer experiencing alcohol misuse and completed the General Help Seeking Questionnaire as well as a 10-item scale measuring stigmatising attitudes. Alcohol use was also assessed. Results The intervention was associated with a greater reduction in 'weak-not-sick' attitudes over time, which in turn predicted stronger intentions to encourage help-seeking from family members and formal help sources at the 12-month follow-up. Perceptions of dangerousness did not change significantly as a result of the intervention, however overall perceptions of dangerousness demonstrated a trend towards encouraging help-seeking from formal sources. Changes in stigma were not associated with past-year alcohol use or problems. Conclusions School-based interventions such as MAKINGtheLINK can decrease some stigmatising attitudes towards alcohol misuse during adolescence, and increase adolescents' intentions to encourage help-seeking from both formal and informal help sources. However, results varied depending on both the dimension of stigma examined and the type of help source, highlighting a complex relationship between stigma, intentions, and sources of help that requires further investigation. Importantly, reducing stigma did not appear to result in negative effects due to greater acceptance of drinking (e.g., heavier alcohol use), supporting continued efforts to reduce alcohol-related stigma during adolescence.Trial registration: Registered with the Australia and New Zealand Clinical Trials Register (ANZCTR) on the 27th of February 2013 (ACTRN12613000235707).

中文翻译：

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减少青春期滥用酒精的污名的结果：MAKINGtheLINK 干预的随机对照试验的结果。

背景 虽然众所周知，与酒精使用问题相关的污名可以阻止或延迟寻求帮助，但关于青春期对酒精滥用或其后果的污名化态度的研究有限。目前的研究检查了以学校为基础的干预措施对青少年在同龄人中对酒精滥用的污名态度的结果，以及态度的变化如何影响鼓励寻求帮助的意图，以及参与者的个人使用和滥用酒精。方法 参与者 (n = 463) 是参与 MAKINGtheLINK 干预的随机对照试验的较大样本的一个子集。在纳入的参与者中，287 人（62%）被分配到干预组，176 人（38%）被分配到对照组。在基线和基线后 6 周、6 个月和 12 个月进行评估。在每次评估中，参与者都会收到一个描述同伴滥用酒精的小插曲，并完成了一般求助问卷以及测量污名化态度的 10 项量表。还评估了酒精使用情况。结果随着时间的推移，干预与“弱不生病”态度的更大减少有关，这反过来又预示着在 12 个月的随访中鼓励寻求家庭成员和正式帮助来源的意愿更强。由于干预，对危险的看法没有显着改变，但对危险的总体看法显示出一种趋势，即鼓励从正式来源寻求帮助。耻辱感的变化与过去一年的酒精使用或问题无关。结论 以学校为基础的干预措施，如 MAKINGtheLINK 可以减少对青春期酒精滥用的一些污名化态度，并增加青少年鼓励从正式和非正式帮助来源寻求帮助的意愿。然而，结果因所检查的污名的维度和帮助来源的类型而异，突出了污名、意图和帮助来源之间的复杂关系，需要进一步调查。重要的是，由于更多地接受饮酒（例如，大量饮酒），减少污名似乎不会产生负面影响，支持在青春期继续努力减少与酒精相关的污名。试验注册：