父母参与在吸烟行为和身份认同的代际传递中的作用。

The Role of Parental Engagement in the Intergenerational Transmission of Smoking Behavior and Identity.

作者信息

Gottfredson Nisha C, Hussong Andrea M, Ennett Susan T, Rothenberg W Andrew

机构信息

Department of Health Behavior, Gillings School of Global Public Health, UNC-Chapel Hill, Chapel Hill, North Carolina.

Center for Developmental Science, Chapel Hill, North Carolina; Department of Psychology and Neuroscience, UNC-Chapel Hill, Chapel Hill, North Carolina.

出版信息

J Adolesc Health. 2017 May;60(5):599-605. doi: 10.1016/j.jadohealth.2016.11.004. Epub 2016 Dec 20.

Abstract

PURPOSE

Prior research has found that the protective effect of parental engagement on adolescent smoking behaviors may be weaker if parents smoke. We examine parental influence on adolescent smoking using a social learning theory framework. We hypothesize that adolescents are more likely to mimic parental smoking behavior if they perceive parents as being more engaged and if the parent is the same gender of the adolescent.

METHODS

Hypotheses were tested using a diverse sample of 6,998 adolescents who were followed for seven waves (grades 6-12). Adolescent gender, time-stable and time-varying effects of parental engagement, adolescent perceptions of parental smoking, and interactions among the effects of these variables are tested using multilevel mediation models. We use a traditional measure of past 3-month adolescent smoking and a novel measure of smoking identity.

RESULTS

Parental smoking was associated with a developmental increase in adolescent smoking and time-stable and time-varying parental engagement protected against adolescent smoking, whereas maternal engagement and smoking exerted independent and opposite effects with no moderation and time-stable paternal engagement moderated the effects of perceived paternal smoking on adolescent smoking outcomes. Parental smoking was more strongly associated with adolescent smoking outcomes when adolescent gender was congruent with parent gender.

CONCLUSIONS

Even when parents smoke, parental engagement confers protection. Protective effects of engagement may be enhanced among parents who smoke through increased antismoking communication, particularly as adolescents reach the legal smoking age.

摘要

目的

先前的研究发现,如果父母吸烟,父母参与对青少年吸烟行为的保护作用可能会减弱。我们使用社会学习理论框架来研究父母对青少年吸烟的影响。我们假设,如果青少年认为父母参与度更高且父母与青少年性别相同,那么他们更有可能模仿父母的吸烟行为。

方法

使用6998名青少年的多样化样本进行假设检验,这些青少年被跟踪了七次(6至12年级)。使用多层次中介模型检验青少年性别、父母参与的时间稳定和随时间变化的影响、青少年对父母吸烟的认知以及这些变量影响之间的相互作用。我们使用过去3个月青少年吸烟的传统测量方法和吸烟身份的新测量方法。

结果

父母吸烟与青少年吸烟的发展性增加有关,时间稳定和随时间变化的父母参与可预防青少年吸烟,而母亲的参与和吸烟产生独立且相反的影响,没有调节作用,时间稳定的父亲参与调节了青少年对父亲吸烟认知对青少年吸烟结果的影响。当青少年性别与父母性别一致时,父母吸烟与青少年吸烟结果的关联更强。

结论

即使父母吸烟,父母的参与也能提供保护。对于吸烟的父母,通过增加反吸烟沟通,尤其是在青少年达到法定吸烟年龄时,参与的保护作用可能会增强。

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