Parents' perspectives and behaviors regarding their child's access to alcohol: Variation by race/ethnicity, socioeconomic status, and neighborhood.

BACKGROUND

Setting rules about alcohol use and minimizing its availability in the home are known effective parent-level strategies for reducing underage drinking risk. However, parents' restrictions and their perceptions of their child's alcohol access have rarely been considered in combination (e.g., determining if rule-setting consistently accompanies perceived easy access), despite the potential to inform targeted prevention. The current study identified patterns in six parent-reported indicators of their child's alcohol restrictions and access and characterized them with respect to race/ethnicity, socioeconomic status, community type (urban, suburban, or rural), and neighborhood (dis)advantage.

METHODS

Latent profile analysis was applied to Follow-up Year 2 data from the parents of Black, Latinx, and White participants in the Adolescent Brain Cognitive Development Study (n = 9586; youth mean age = 12.05; 47.50% girl, 51.32% boy, 0.32% other gender; 14.29% Black, 25.97% Latinx, and 59.74% White) to derive distinct profiles.

RESULTS

Four profiles (subgroups) emerged: High Restrictions/No Drinkers in Household (32.18%), Low Restrictions/High Access (29.58%), High Restrictions/High Access (26.38%), and High Restrictions/Low Access (11.86%). Black and Latinx youth and parents with relatively low educational attainment and income were overrepresented in the High Restrictions/No Drinkers in Household and High Restrictions/Low Access subgroups. By contrast, the low restrictions subgroups were composed primarily of parents of White youth living in advantaged neighborhoods.

CONCLUSIONS

Findings support the notion that parents' perspectives and behaviors around youth alcohol access cannot be divided simply into restrictive and permissive. Further, the observed differences by demographic and neighborhood factors suggest the value of tailoring parent-level prevention approaches to consider community norms.