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父母仍然重要吗?父母和同伴对青少年使用电子烟的影响。

Do Parents Still Matter? The Impact of Parents and Peers on Adolescent Electronic Cigarette Use.

作者信息

Trucco Elisa M, Cristello Julie V, Sutherland Matthew T

机构信息

Department of Psychology, Florida International University, Miami, Florida; Center for Children and Families, Florida International University, Miami, Florida; Department of Psychiatry, University of Michigan, Ann Arbor, Michigan.

Department of Psychology, Florida International University, Miami, Florida; Center for Children and Families, Florida International University, Miami, Florida.

出版信息

J Adolesc Health. 2021 Apr;68(4):780-786. doi: 10.1016/j.jadohealth.2020.12.002. Epub 2021 Jan 9.

Abstract

PURPOSE

Vaping among adolescents has reached epidemic levels. Identifying factors associated with electronic cigarette (e-cigarette) use initiation could inform prevention programming. This study examined whether parental attitudes toward e-cigarettes impacted adolescent e-cigarette use intentions, positive expectancies of use, and actual use when accounting for adolescent attitudes and peer norms. Parents' negative attitudes toward e-cigarettes were expected to reduce teen e-cigarette use intentions. Low e-cigarette use intentions were expected to mediate the association between parental attitudes and teen e-cigarette use. Peer norms were expected to be associated with positive expectancies. Positive expectancies were expected to mediate the association between peer norms and teen e-cigarette use.

METHODS

A sample of e-cigarette naïve adolescents (n = 176, aged 14-17 years, 52% female, 82% Latinx/Hispanic) and their parents were assessed. Parents and adolescents rated harm associated with e-cigarette use. Adolescents reported their perceptions of peer e-cigarette norms, intentions, positive expectancies, and e-cigarette use. Cross-sectional models were estimated for e-cigarette use intentions and positive expectancies. Prospective mediation models (n = 142) characterized pathways to e-cigarette use.

RESULTS

Parents' attitudes toward e-cigarettes were associated with weaker intentions. Intentions mediated the association between parental attitudes and e-cigarette use. Adolescents reporting favorable e-cigarette peer norms endorsed more positive expectancies. Positive expectancies did not mediate the association between peer norms and e-cigarette use.

CONCLUSIONS

Parents actively shape adolescent e-cigarette use even when accounting for peer norms and adolescent attitudes. Involving parents in prevention programming may help reduce vaping among teens. These associations should be examined with a larger and more diverse sample.

摘要

目的

青少年吸电子烟的现象已达到流行程度。识别与电子烟使用起始相关的因素可为预防规划提供依据。本研究考察了在考虑青少年态度和同伴规范的情况下,父母对电子烟的态度是否会影响青少年的电子烟使用意图、使用的积极预期以及实际使用情况。预计父母对电子烟的负面态度会降低青少年的电子烟使用意图。预计低电子烟使用意图会介导父母态度与青少年电子烟使用之间的关联。预计同伴规范与积极预期相关。预计积极预期会介导同伴规范与青少年电子烟使用之间的关联。

方法

对一组从未吸过电子烟的青少年(n = 176,年龄14 - 17岁,52%为女性,82%为拉丁裔/西班牙裔)及其父母进行评估。父母和青少年对与电子烟使用相关的危害进行评分。青少年报告他们对同伴电子烟规范、意图、积极预期以及电子烟使用的看法。对电子烟使用意图和积极预期进行横断面模型估计。前瞻性中介模型(n = 142)描述了电子烟使用的途径。

结果

父母对电子烟的态度与较弱的意图相关。意图介导了父母态度与电子烟使用之间的关联。报告有利的电子烟同伴规范的青少年认可更多的积极预期。积极预期并未介导同伴规范与电子烟使用之间的关联。

结论

即使考虑到同伴规范和青少年态度,父母仍会积极影响青少年的电子烟使用。让父母参与预防规划可能有助于减少青少年吸电子烟的现象。这些关联应通过更大且更多样化的样本进行考察。

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