Department of Human Development and Family Sciences, 108 East Dean Keeton St, A2702, Austin, TX 78712, United States.
Institute for Health Promotion and Disease Prevention Research, USC, Keck School of Medicine, 2001 N Soto Street, MC 9239, Los Angeles, CA 90089-9239, United States.
Addict Behav. 2021 Feb;113:106688. doi: 10.1016/j.addbeh.2020.106688. Epub 2020 Oct 1.
Adolescent electronic cigarette (e-cigarette) use is increasing worldwide, raising concerns about its impact on youth development. Remote acculturation may influence the e-cigarette use cognitions of youth in Mexico by influencing their media use, thereby contributing to their e-cigarette use susceptibility. This study examined whether remote acculturation was associated with youth internet use frequency, and whether youth internet use frequency, in turn, was associated with youth e-cigarette use susceptibility. Because parenting behaviors can relate with lower tobacco and media use (e.g., internet use), this study also examined the associations of parental media restrictions and mother's parenting practices with youth internet use frequency and e-cigarette use susceptibility.
Data came from a school-based survey with middle school students in Mexico who had never tried e-cigarettes (N = 6004; 52.6% female; Mage = 13.07 years). Students completed measures of remote acculturation, parental media restrictions, mother's parenting practices, internet use, and e-cigarette use susceptibility.
Structural equation analyses suggest that U.S. American cultural orientation may increase youth e-cigarette use risk by way of higher youth internet use. Mexican cultural orientation and parental media restrictions may reduce youth e-cigarette use risk by way of lower youth internet use.
Preventive interventions to reduce Mexican youths' intention to try e-cigarettes could benefit from efforts to reduce youth internet use and from media literacy interventions that inform parents and youth about the influence of internet use on youth e-cigarette use.
青少年使用电子烟（e-cigarette）在全球范围内呈上升趋势，这引发了人们对其对青少年发展影响的担忧。远程文化适应可能会通过影响青少年的媒体使用来影响他们对电子烟的认知，从而增加他们对电子烟的使用倾向。本研究考察了远程文化适应是否与青少年上网频率有关，以及青少年上网频率是否与青少年使用电子烟的倾向有关。因为父母的行为方式可能与较低的烟草和媒体使用（如上网）有关，所以本研究还考察了父母对媒体的限制和母亲的育儿实践与青少年上网频率和使用电子烟倾向的关系。
数据来自于墨西哥一项基于学校的中学生调查，这些学生从未尝试过电子烟（N=6004；52.6%为女性；平均年龄为 13.07 岁）。学生完成了远程文化适应、父母对媒体的限制、母亲的育儿实践、上网和使用电子烟倾向的测量。
结构方程分析表明，美国文化取向可能会通过增加青少年上网频率来增加青少年使用电子烟的风险。墨西哥文化取向和父母对媒体的限制可能会通过降低青少年上网频率来降低青少年使用电子烟的风险。
为减少墨西哥青少年尝试电子烟的意图，预防干预措施可能会受益于减少青少年上网频率的努力，以及向家长和青少年提供有关互联网使用对青少年使用电子烟影响的媒体素养干预措施。
