Thompson School of Social Work & Public Health, University of Hawai'i at Mānoa, Honolulu, Hawai'i, USA.
Population Sciences in the Pacific Program, University of Hawai'i Cancer Center, Honolulu, Hawai'i, USA.
Subst Use Misuse. 2024;59(14):2047-2054. doi: 10.1080/10826084.2024.2392540. Epub 2024 Aug 20.
Over the past decade, youth e-cigarette use has grown into a national epidemic, with Native Hawaiian and Pacific Islander (NHPI) youths' rates among some of the highest in the nation. Family factors significantly contribute to NHPI youths' decisions to engage in or resist substance use, yet few studies have specifically examined familial influences on NHPI youths' substance use decision-making and behaviors. The objective of this study is to examine adult familial influences on rural NHPI youths' decisions to engage in e-cigarette use. Method: Seventeen gender-specific focus groups with NHPI youths (N = 69) from eight public schools on Hawai'i Island were conducted. Two family-related themes emerged from the data: 1) parental substance use permissiveness, and 2) family normalization of e-cigarette use. Examining adult familial contributors to NHPI youths' e-cigarette use needs to be part of a comprehensive effort to address NHPI health and substance use disparities. Prevention interventions should be explicit in addressing the family and relational context of NHPI youths' substance use.
在过去的十年中，青少年电子烟的使用已经成为一种全国性的流行趋势，其中美国原住民和太平洋岛民（NHPI）青少年的使用率是全国最高的之一。家庭因素对 NHPI 青少年的物质使用决策和行为有重要影响，但很少有研究专门探讨家庭对 NHPI 青少年物质使用决策的影响。本研究旨在探讨成人家庭因素对农村 NHPI 青少年使用电子烟的影响。方法：对来自夏威夷岛八所公立学校的 69 名 NHPI 青少年进行了 17 次性别特定的焦点小组讨论。从数据中得出两个与家庭有关的主题：1）父母对子女使用物质的放任态度，以及 2）家庭对电子烟使用的正常化。研究成人家庭因素对 NHPI 青少年电子烟使用的影响，需要作为解决 NHPI 健康和物质使用差距的综合努力的一部分。预防干预措施应明确针对 NHPI 青少年物质使用的家庭和关系背景。
