Odukoya O O, Sobande O O, Adeniran A, Adesokan A
Department of Community Health and Primary Care, College of Medicine, University of Lagos; Department of Community Health, Lagos University Teaching Hospital, Idi Araba, Lagos State, Nigeria.
Department of Community Health, Lagos University Teaching Hospital, Idi Araba, Lagos State, Nigeria.
Niger J Clin Pract. 2018 Nov;21(11):1468-1475. doi: 10.4103/njcp.njcp_15_16.
Risk behaviours including marijuana use, alcohol consumption and cigarette smoking have a significant impact on the present and future health of adolescents. There are limited studies in sub-Saharan Africa to show evidence, if it exists, of the relationship between parental monitoring practices and the prevalence of substance use among adolescents. The aim of this study is to assess the relationship between parental monitoring practices and alcohol consumption, cigarette smoking and marijuana use among in-school adolescents in Mushin Local Government Area of Lagos State, South-Western Nigeria.
This was a cross-sectional survey of 437 in-school adolescents randomly selected from two schools in Mushin Local Government Area of Lagos State, Nigeria. Information on socio-demographic characteristics, the three domains of parental monitoring practices (Parental monitoring; negotiated unsupervised time and parental trust) and substance use were elicited using a modified version of parental monitoring practice scale and the Youth Risk Behaviour Surveillance System (YRBSS) questionnaire. Independent T tests and logistic regression models were used to assess relationship between parental monitoring practices and substance use.
The overall prevalence of use of any of the substance was 21.7%. Negotiated unsupervised time was significantly associated with use of alcohol (P < 0.05), marijuana (P < 0.05) and cigarette smoking (P < 0.05). After controlling for age and gender, one unit increase in parental monitoring reduced the odds of engaging in any substance use by 10% (AOR = 0.90, 95% CI = 0.81-0.99) while a similar increase in negotiated unsupervised time significantly increases the odds of any substance use by 7% (AOR = 1.07, 95% CI = 1.01-1.14).
Of the three domains assessed, negotiated unsupervised time was consistently associated with substance use among these youth. Efforts to educate parents on the need to restrict unsupervised time of their wards may be warranted.
包括吸食大麻、饮酒和吸烟在内的危险行为对青少年当前和未来的健康有重大影响。在撒哈拉以南非洲，关于父母监督行为与青少年物质使用流行率之间关系（若存在这种关系）的研究有限。本研究的目的是评估尼日利亚西南部拉各斯州穆欣地方政府辖区内在校青少年的父母监督行为与饮酒、吸烟和吸食大麻之间的关系。
这是一项横断面调查，从尼日利亚拉各斯州穆欣地方政府辖区的两所学校中随机选取了437名在校青少年。使用经过修改的父母监督行为量表和青少年风险行为监测系统（YRBSS）问卷，收集了有关社会人口学特征、父母监督行为的三个领域（父母监督；协商的无监督时间和父母信任）以及物质使用的信息。采用独立样本t检验和逻辑回归模型来评估父母监督行为与物质使用之间的关系。
任何一种物质使用的总体流行率为21.7%。协商的无监督时间与饮酒（P < 0.05）、吸食大麻（P < 0.05）和吸烟（P < 0.05）显著相关。在控制年龄和性别后，父母监督每增加一个单位，参与任何物质使用的几率降低10%（调整后比值比[AOR]=0.90，95%置信区间[CI]=0.81 - 0.99），而协商的无监督时间类似的增加则使任何物质使用的几率显著增加7%（AOR = 1.07，95% CI = 1.01 - 1.14）。
在评估的三个领域中，协商的无监督时间与这些青少年的物质使用始终相关。或许有必要努力教育家长，让他们认识到限制其子女无监督时间的必要性。
