Peña Lorena, Lorenzo-Blanco Elma I, Pérez Adriana, Morello Paola, Arillo Santillan Edna, Kollath-Cattano Christy, Thrasher James F, Sargent James, Mejia Raúl
a Centro de Estudios de Estado y Sociedad (CEDES) , Buenos Aires , Argentina.
b Department of Psychology , University of South Carolina , Columbia , South Carolina , USA.
Subst Use Misuse. 2017 Mar 21;52(4):518-526. doi: 10.1080/10826084.2016.1245337. Epub 2016 Dec 23.
In Europe and the United States, family relationships and parenting behavior can influence youth substance use, but less is known about their influence in Latin American countries.
To explore whether parenting behavior is associated with substance use among Latin American youth.
A cross-sectional, school-based survey of middle-school youth (n = 3172) in three Argentinian cities queried tobacco, alcohol, and drug use using items adapted from global youth surveys. Parenting behavior was assessed with previously validated items that tapped into demandingness and responsiveness, separately for mothers and fathers. Multilevel logistic regression models assessed associations between parenting behavior and substance use after adjusting for student characteristics, socioeconomic indicators, sensation seeking, and smoking amongst peers and family members.
Substance use prevalence was 10% for current smoking, 32% for current drinking alcohol, 17% for past 30-day binge drinking (≥5 drinks), and 8% for previous year illicit drug use (marijuana or cocaine). Greater maternal demandingness was independently associated with lower likelihood of current smoking (adjusted odds ratio [AOR] = 0.77; 95% confidence interval (CI): 0.64-0.92), current drinking (AOR = 0.81; 95% CI: 0.71-0.92), binge drinking (AOR = 0.77; 95% CI: 0.66-0.99, and drug use (AOR = 0.71; 95% CI: 0.61-0.83). No other parenting behavior were independently associated with substance use, except for paternal demandingness and binge drinking (AOR = 0.84; 95% CI: 0.74-0.97). For all outcomes, no interactions were found between parenting behavior and student gender.
Among Argentine adolescents, maternal demandingness was the strongest and most consistent correlate of substance use, regardless of adolescent substance use behavior or gender.
在欧洲和美国，家庭关系和养育行为会影响青少年的物质使用情况，但对于它们在拉丁美洲国家的影响却知之甚少。
探讨养育行为与拉丁美洲青少年物质使用之间是否存在关联。
在阿根廷三个城市对初中青少年（n = 3172）进行了一项基于学校的横断面调查，使用从全球青少年调查中改编的项目询问烟草、酒精和药物使用情况。养育行为通过先前验证的项目进行评估，分别针对母亲和父亲，涉及要求性和反应性。在调整学生特征、社会经济指标、寻求刺激以及同伴和家庭成员吸烟情况后，采用多水平逻辑回归模型评估养育行为与物质使用之间的关联。
当前吸烟的物质使用患病率为10%，当前饮酒为32%，过去30天暴饮（≥5杯）为17%，上一年非法药物使用（大麻或可卡因）为8%。母亲更高的要求性与当前吸烟（调整后的优势比[AOR]=0.77；95%置信区间[CI]：0.64 - 0.92）、当前饮酒（AOR = 0.81；95% CI：0.71 - 0.92）、暴饮（AOR = 0.77；95% CI：0.66 - 0.99）和药物使用（AOR = 0.71；95% CI：0.61 - 0.83）的较低可能性独立相关。除了父亲的要求性与暴饮（AOR = 0.84；95% CI：0.74 - 0.97）外，没有其他养育行为与物质使用独立相关。对于所有结果，未发现养育行为与学生性别之间存在相互作用。
在阿根廷青少年中，无论青少年的物质使用行为或性别如何，母亲的要求性都是物质使用最强且最一致的相关因素。
