Department of Epidemiology and Health Policy Research, College of Medicine, University of Florida, Gainesville, Florida 32610-0177, USA.
J Adolesc Health. 2010 Jun;46(6):560-8. doi: 10.1016/j.jadohealth.2009.12.008. Epub 2010 Feb 11.
Identify the number and characteristics of heterogeneous trajectories of parental monitoring and communication among a sample of urban, racial/ethnic minority youth and examine the effects of these patterns on alcohol, cigarette and marijuana use.
The study sample (n=2,621) was predominantly African American or Hispanic (38% and 32%, respectively) and low-income (67% received free, or reduced price, lunch). They completed classroom-based surveys when in 6th-8th grades. Multilevel general growth mixture modeling was used to identify the heterogeneous trajectories of parental monitoring and communication and estimate the effects of these distinct patterns on drug use in 8th grade.
Four trajectories of parental monitoring and communication were identified: (1) High (76.4%), (2) Medium (9.1%), (3) Decreasing (6.0%) and (4) Inconsistent (8.5%). Relative to those with high monitoring/communication, youth in the decreasing and inconsistent trajectories were at significantly greater risk for past year and past month alcohol and marijuana use and having ever smoked a cigarette. After controlling for family composition, only youth in the decreasing trajectory were significantly more likely to report substance use in 8th grade.
Findings support the role of parents in preventing drug use during early adolescence and suggest that efforts to improve the level and consistency of parental monitoring and communication may be a fruitful target for prevention. Many youth initiate use of alcohol, tobacco or marijuana in this critical developmental period and considered with the health and social consequences of use, engaging parents in preventing drug use should remain a priority for prevention.
确定城市、不同种族/族裔少数青少年样本中父母监督和沟通的异质轨迹数量和特征,并检验这些模式对酒精、香烟和大麻使用的影响。
研究样本(n=2621)主要为非裔美国人或西班牙裔(分别为 38%和 32%)和低收入(67%获得免费或减价午餐)。他们在 6 至 8 年级时完成了基于课堂的调查。使用多层次一般增长混合建模来识别父母监督和沟通的异质轨迹,并估计这些不同模式对 8 年级药物使用的影响。
确定了父母监督和沟通的四种轨迹:(1)高(76.4%)、(2)中(9.1%)、(3)下降(6.0%)和(4)不一致(8.5%)。与高监督/沟通的青少年相比,处于下降和不一致轨迹的青少年过去一年和过去一个月使用酒精和大麻以及曾经吸烟的风险显著更高。在控制家庭构成后,只有处于下降轨迹的青少年在 8 年级报告物质使用的可能性显著更高。
研究结果支持父母在预防青少年早期药物使用中的作用,并表明努力提高父母监督和沟通的水平和一致性可能是预防的一个有成效的目标。许多青少年在这个关键的发展时期开始使用酒精、烟草或大麻,考虑到使用的健康和社会后果,让父母参与预防药物使用应仍然是预防的优先事项。