Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN 55414, USA.
Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, MN 55414, USA.
Int J Environ Res Public Health. 2022 Mar 19;19(6):3653. doi: 10.3390/ijerph19063653.
Immigrant family relationships help to buffer the adolescent adoption of health risk behaviors but can be strained by post-immigration structural and cultural barriers. This study qualitatively examines how Somali adolescent-parent relationship factors influence Somali adolescent tobacco use and identifies areas for further family support to prevent Somali adolescent tobacco use. We conducted fifteen key informant interviews with professionals serving the Somali community in clinical, educational, religious, or other community organization roles in one Minnesota metropolitan region. Data were collected and analyzed using approaches rooted in Grounded Theory. Key informants contrasted parenting experiences in Somalia with those in the United States and described how four key factors-structural and cultural barriers, multicultural identity formation, evolving parental expectations and responsibilities, and shifting family resources and support-have influenced Somali parent-child relationship quality and function following immigration. Informants shared the implications of these factors on parental ability to address adolescent tobacco use and discussed potential strategies to support parents that fell into two categories: assisting parents in adapting their parenting approaches to a new context and supporting knowledge and skill development in addressing tobacco use prevention specifically. Incorporating strategies that support Somali parents in their evolving parental roles and attend to structural and cultural barriers to tobacco prevention are essential to consider when developing family-centered tobacco prevention interventions in this population.
移民家庭关系有助于缓冲青少年采取健康风险行为，但可能会因移民后的结构和文化障碍而紧张。本研究从定性角度探讨了索马里青少年-父母关系因素如何影响索马里青少年的烟草使用，并确定了进一步为家庭提供支持以防止索马里青少年使用烟草的领域。我们在明尼苏达州一个大都市区的临床、教育、宗教或其他社区组织中，对 15 名专业人士进行了关键知情人访谈，这些专业人士为索马里社区提供服务。使用扎根理论的方法收集和分析数据。主要知情人将索马里的育儿经验与美国的育儿经验进行了对比，并描述了四个关键因素——结构和文化障碍、多元文化认同形成、不断变化的父母期望和责任以及不断变化的家庭资源和支持——如何影响移民后索马里亲子关系的质量和功能。知情人分享了这些因素对父母解决青少年烟草使用问题的能力的影响，并讨论了支持父母的潜在策略，这些策略分为两类：帮助父母适应新环境的育儿方法，以及专门支持解决烟草使用预防问题的知识和技能发展。在制定针对这一人群的以家庭为中心的烟草预防干预措施时，考虑支持索马里父母在其不断发展的父母角色中并应对烟草预防的结构和文化障碍的策略至关重要。
