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Marceau K. The role of parenting in developmental trajectories of risk for adolescent substance use: a bioecological systems cascade model. Front Psychol 2023; 14:1277419. [PMID: 38054168 PMCID: PMC10694242 DOI: 10.3389/fpsyg.2023.1277419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 10/16/2023] [Indexed: 12/07/2023] Open
Abstract
Parenting is a key influence and prevention target for adolescent substance use, and changes dramatically in form and function during adolescence. This theoretical synthesis reviews evidence of associations of substance use-specific parenting behaviors, dimensions, and styles with adolescent substance use, and integrates key developmental and family theories (e.g., bioecological, dynamical systems, family systems, developmental cascades) and methodological-conceptual advances to illustrate the complex role that parenting plays for the development of adolescent substance use in combination with child and contextual influences. The resulting bioecological systems cascade model centers the dynamic co-development of parenting and child influences in developmental cascades that lead to more or less risk for adolescent substance use. These trajectories are initiated by intergenerational influences, including genetics, parents' familial environments, and child-parent attachment. Culture and context influences are a holistic backdrop shaping parent-adolescent trajectories. Parenting is influences are conceptualized as a complex process by which specific parenting behaviors are informed by and accumulate into parenting dimensions which together comprise general parenting styles and are informed by the broader family context. The co-development of parenting and child biobehavioral risk is shaped by both parents and children, including by the genetics and environments they do and do not share. This co-development is dynamic, and developmental transitions of individuals and the family lead to periods of increased lability or variability that can change the longer-term trajectories of children's risk for substance use. Methodological avenues for future studies to operationalize the model are discussed.
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Affiliation(s)
- Kristine Marceau
- Department of Human Development and Family Science, Purdue University, West Lafayette, IN, United States
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2
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Ramer NE, Paige KJ, Colder CR. Alcohol-Specific Communication and Emerging Adult Offspring's Perceived Parental Approval and Drinking in the Context of Parent Alcohol Expectancies. Alcohol Clin Exp Res 2020; 45:251-263. [PMID: 33232523 DOI: 10.1111/acer.14520] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 11/17/2020] [Indexed: 12/11/2022]
Abstract
BACKGROUND There are mixed findings in the literature regarding the association between parental alcohol communication and offspring alcohol use. To clarify this association, this study tested a prospective mediated moderation model in which the association between parental communication about the risks of alcohol use and emerging adult offspring drinking was mediated by offspring perceived parental approval of drinking. Parental alcohol expectancies and use were tested as moderators of the link between communication and perceived approval. METHOD The community sample of 378 emerging adult and caregiver dyads completed 3 annual assessments (first assessment mean age = 19.13). The sample was 54% female and majority White/non-Hispanic (76%). Caregivers reported on their own alcohol expectancies and use, and emerging adult offspring reported on parental communication of alcohol risks, perceived parental approval of drinking, and their own alcohol use. Multilevel modeling was used to test hypotheses. RESULTS Mediated moderation was largely supported. More frequent communication about the risks of drinking was prospectively associated with low levels of perceived parental approval of alcohol use, which in turn was associated with low levels of offspring drinking. This pathway depended on parental alcohol expectancies. CONCLUSIONS Findings suggest that including mediators (e.g., perceived approval of drinking) helps to clarify the mixed literature on parental communication about alcohol and that parental attitudes about alcohol can impact the effectiveness with which parents convey the risk of alcohol to offspring.
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Affiliation(s)
- Nolan E Ramer
- From the, Department of Psychology, University at Buffalo, The State University of New York, Buffalo, New York
| | - Katie J Paige
- From the, Department of Psychology, University at Buffalo, The State University of New York, Buffalo, New York
| | - Craig R Colder
- From the, Department of Psychology, University at Buffalo, The State University of New York, Buffalo, New York
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Htut KM, Areesantichai C, Mon MM. Alcohol consumption patterns among men who have sex with men in major cities of Myanmar: A cross-sectional study. F1000Res 2020; 9:1149. [PMID: 33500776 PMCID: PMC7814280 DOI: 10.12688/f1000research.25707.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/17/2020] [Indexed: 11/26/2022] Open
Abstract
Background: Alcohol consumption patterns vary widely across the regions of the world. Although previous studies have focused on the sexual risk behaviours among men who have sex with men (MSM), studies regarding binge alcohol drinking among MSM in Myanmar are scarce. Methods: A cross-sectional study was conducted to identify the alcohol consumption patterns among MSM aged over 18 years in two major cities of Myanmar where the MSM population is higher than other regions. Purposive sampling was applied and sampling was made through Myanmar MSM network. Face-to-face interviews were conducted using a structured questionnaire. Patterns of alcohol consumption were described as frequency/percentage and mean/median as appropriate. Bivariate analysis was also done to find out the association between types of MSM and binge drinking. Results: A total of 256 MSM included in the study (mean age, 27.33±7.7 years). Of 256 participants, 225 MSM had the experience of alcohol consumption in their lifetime (225/256, 87.9%). Among ever drinkers, 152 MSM consumed alcohol within three months (152/225, 67.6%). Regarding beer consumption, the highest proportions of MSM from both groups (42.8%, 36.8%) consumed 1-3 times per week. Overall, 57.2% of young MSM and 41.2% of adult MSM consumed beer together with their friends. Nearly 34% of young MSM and nearly 38% of adult MMS consumed beer at gatherings of friends. At different time periods, higher proportions of Thange (partners of MSM) had experienced of binge drinking than apwint (open) and apone (hidden) (p<0.05). Conclusions: The current study identified the alcohol consumption patterns in terms of type, amount, frequency at different time periods among MSM in major cities of Myanmar. It is suggested to develop and implement alcohol control policy for MSM since the proportion of current drinkers as well as binge drinking higher among these groups.
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Affiliation(s)
- Kyaw-Min Htut
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
- College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | - Chitlada Areesantichai
- Drug Dependence Research Centre, WHO Collaborating Centre for Research and Training in Drug Dependence, Health and Social Science and Addiction Research Unit, College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | - Myo-Myo Mon
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
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Htut KM, Areesantichai C, Mon MM. Alcohol consumption patterns among men who have sex with men in major cities of Myanmar: A cross-sectional study. F1000Res 2020; 9:1149. [PMID: 33500776 PMCID: PMC7814280 DOI: 10.12688/f1000research.25707.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/08/2020] [Indexed: 04/01/2024] Open
Abstract
Background: Alcohol consumption patterns vary widely across the regions of the world. Although previous studies have focused on the sexual risk behaviours among men who have sex with men (MSM), studies regarding binge alcohol drinking among MSM in Myanmar are scarce. Methods: A cross-sectional study was conducted to identify the alcohol consumption patterns among MSM aged over 18 years in two major cities of Myanmar where the MSM population is higher than other regions. Purposive sampling was applied and sampling was made through Myanmar MSM network. Face-to-face interviews were conducted using a structured questionnaire. Patterns of alcohol consumption were described as frequency/percentage and mean/median as appropriate. Bivariate analysis was also done to find out the association between types of MSM and binge drinking. Results: A total of 256 MSM included in the study (mean age, 27.33±7.7 years). Of 256 participants, 225 MSM had the experience of alcohol consumption in their lifetime (225/256, 87.9%). Among ever drinkers, 152 MSM consumed alcohol within three months (152/225, 67.6%). Regarding beer consumption, the highest proportions of MSM from both groups (42.8%, 36.8%) consumed 1-3 times per week. Overall, 57.2% of young MSM and 41.2% of adult MSM consumed beer together with their friends. Nearly 34% of young MSM and nearly 38% of adult MMS consumed beer at gatherings of friends. At different time periods, higher proportions of Thange (partners of MSM) had experienced of binge drinking than apwint (open) and apone (hidden) (p<0.05). Conclusions: The current study identified the alcohol consumption patterns in terms of type, amount, frequency at different time periods among MSM in major cities of Myanmar. It is suggested to develop and implement alcohol control policy for MSM since the proportion of current drinkers as well as binge drinking higher among these groups.
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Affiliation(s)
- Kyaw-Min Htut
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
- College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | - Chitlada Areesantichai
- Drug Dependence Research Centre, WHO Collaborating Centre for Research and Training in Drug Dependence, Health and Social Science and Addiction Research Unit, College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand
| | - Myo-Myo Mon
- Department of Medical Research, Ministry of Health and Sports, Yangon, Myanmar
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McGovern R, Gilvarry E, Addison M, Alderson H, Geijer-Simpson E, Lingam R, Smart D, Kaner E. The Association Between Adverse Child Health, Psychological, Educational and Social Outcomes, and Nondependent Parental Substance: A Rapid Evidence Assessment. TRAUMA, VIOLENCE & ABUSE 2020; 21:470-483. [PMID: 29739281 PMCID: PMC7243080 DOI: 10.1177/1524838018772850] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Between 5% and 30% of children in high-income countries live with a substance misusing parent, the majority of which is below dependent levels. However, little is understood about the impact of nondependent parental substance misuse upon children. METHODS We searched the international literature using rigorous systematic methods to identify studies examining parental substance misuse and adverse outcomes in children. The inclusion criteria were cross-sectional, longitudinal, case-control, and cohort studies; of children aged 0-18 years whose parents are high-risk substance misusers; reporting on their health, psychological, substance use, educational, and social outcomes. RESULTS We identified 36 papers (from 33 unique studies), most of which were assessed as being of medium to high methodological quality (N= 28). Parental nondependent substance misuse was found to be associated with adversity in children, with strong evidence of an association with externalizing difficulties (N = 7 papers, all finding an association) and substance use (N = 23 papers, all finding an association) in adolescents and some evidence of adverse health outcomes in early childhood (N = 6/8 papers finding an association). There is less evidence of an association between parental substance misuse and adverse educational and social outcomes. The body of evidence was largest for parental alcohol misuse, with research examining the impact of parental illicit drug use being limited. CONCLUSION Methodological limitations restrict our ability to make causal inference. Nonetheless, the prevalence of adverse outcomes in children whose parents are nondependent substance misusers highlights the need for practitioners to intervene with this population before a parent has developed substance dependency.
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Affiliation(s)
- Ruth McGovern
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Eilish Gilvarry
- Northumberland, Tyne and Wear Foundation Trust, Newcastle upon Tyne, United Kingdom
| | - Michelle Addison
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Hayley Alderson
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Emma Geijer-Simpson
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Raghu Lingam
- Faculty of Medicine, University of New South Wales, Sydney, Australia
| | - Debbie Smart
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Eileen Kaner
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, United Kingdom
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Magalhães RDLB, Sousa LRM, Gir E, Galvão MTG, de Oliveira VMC, Reis RK. Factors associated to inconsistent condom use among sex workers. Rev Lat Am Enfermagem 2019; 27:e3226. [PMID: 31826167 PMCID: PMC6896796 DOI: 10.1590/1518-8345.2951.3226] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Accepted: 09/07/2019] [Indexed: 01/23/2023] Open
Abstract
OBJECTIVE to analyze the factors associated to the inconsistent condom use among sex workers. METHOD a transversal study, carried out in prostitution area, using the Respondent Drive Sampling. The sample was calculated based on the information by the Sex Workers Association: 600 female sex workers. The study selected seven women with different characteristics regarding color, age, and place of work, who were called seeds. After the participation, they received three coupons to recruit other participants in order to obtain a representative sample. The definition of inconsistent condom use was determined as occasional use or never using it. Univariate analyses and a multivariate logistic regression were performed. RESULTS 416 female sex workers participated in the study. The associated factors were having studied for less than eight years (Odds Ratio = 27.28), not having a permanent partner (Odds Ratio = 2.79), high alcohol use (Odds Ratio = 5.07), and being black (Odds Ratio = 2.21). CONCLUSION the factors associated to inconsistent condom use were: lower education levels, not having a permanent partner, high alcohol use, and being black.
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Affiliation(s)
| | - Laelson Rochelle Milanês Sousa
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/OMS Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
| | - Elucir Gir
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/OMS Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | | | - Vanessa Moura Carvalho de Oliveira
- Universidade Federal do Piauí, Departamento de Enfermagem, Teresina, PI, Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
| | - Renata Karina Reis
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/OMS Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
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Garcia OF, Serra E, Zacares JJ, Calafat A, Garcia F. Alcohol use and abuse and motivations for drinking and non-drinking among Spanish adolescents: do we know enough when we know parenting style? Psychol Health 2019; 35:645-664. [DOI: 10.1080/08870446.2019.1675660] [Citation(s) in RCA: 47] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Oscar F. Garcia
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain
| | - Emilia Serra
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain
| | - Juan Jose Zacares
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Valencia, Valencia, Spain
| | - Amador Calafat
- European Institute of Studies on Prevention (Irefrea), Palma de Mallorca, Spain
| | - Fernando Garcia
- Department of Methodology of the Behavioral Sciences, Faculty of Psychology, University of Valencia, Valencia, Spain
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Benchaya MC, Moreira TDC, Constant HMRM, Pereira NM, Freese L, Ferigolo M, Barros HMT. Role of Parenting Styles in Adolescent Substance Use Cessation: Results from a Brazilian Prospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3432. [PMID: 31527470 PMCID: PMC6765768 DOI: 10.3390/ijerph16183432] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 09/04/2019] [Accepted: 09/06/2019] [Indexed: 11/18/2022]
Abstract
BACKGROUND This study aims to identify the association between parenting styles and behavioral changes among adolescents regarding the consumption of alcohol, tobacco, cannabis, cocaine/crack. METHODS A group of ninety-nine adolescents (39 girls and 60 boys), aged 14 to 19 years (17.05 ± 1.51), who called in to a call center that provides counseling to substance users, was followed-up for 30 days. Data collection occurred between March 2009 and October 2015. The adolescents answered questions regarding parental responsiveness and demanding nature on a scale to assess parental styles and provided sociodemographic data, substance abuse consumption characteristics, and the Contemplation Ladder scale score. RESULTS The parental styles most reported by the adolescents were authoritative (30%) and indulgent (28%). Children who perceived their mothers as having an indulgent style and who had absent fathers presented more difficulties in making behavioral changes to avoid alcohol and cocaine/crack consumption. CONCLUSION The study found that parent-child relationships were associated with a lack of change in the adolescent regarding substance use behavior, particularly the consumption of alcohol and cocaine/crack.
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Affiliation(s)
- Mariana Canellas Benchaya
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
- Department of Psychology in Lutheran, University of Brazil, ULBRA, Gravataí 94170-240, Brazil.
| | - Taís de Campos Moreira
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Hilda Maria Rodrigues Moleda Constant
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Natália Masiero Pereira
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Luana Freese
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
- Laboratory of Neuropsychopharmacology, Department of Pharmacosciences, Federal University of Health Sciences of Porto Alegre-UFCSPA. Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Maristela Ferigolo
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
| | - Helena Maria Tannhauser Barros
- Graduate Program in Health Science, Federal University of Health Sciences of Porto Alegre-UFCSPA, Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
- Laboratory of Neuropsychopharmacology, Department of Pharmacosciences, Federal University of Health Sciences of Porto Alegre-UFCSPA. Rua Sarmento Leite, 245, Porto Alegre 90050-170, Brazil.
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Gottfredson NC, Rhodes BE, Ennett ST. Demographic Moderation of the Prediction of Adolescent Alcohol Involvement Trajectories. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2019; 20:811-823. [PMID: 30171431 PMCID: PMC6395564 DOI: 10.1007/s11121-018-0946-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Several school- and family-based preventive interventions target and effectively reduce adolescent alcohol misuse. However, whether demographic groups achieve equal success with these interventions is unclear. In particular, most interventions target younger adolescents, and program effectiveness tends to be measured with majority White samples; subgroup analyses are rarely reported. We analyze longitudinal data from a sample of N = 6189 adolescents (40% Black, 60% White; 50% female) in 6th through 12th grade to quantify the degree to which age, race, and gender moderate the associations between seven well-known risk and protective factors (RPFs) that serve as common intervention targets. The RPFs that we study are drawn from social learning theory, problem behavior theory, and social control theory, including individual factors (positive alcohol expectancies and deviant behavior), family context (perceived parental involvement, perceived parent alcohol use, and access to alcohol), and peer context (descriptive and injunctive norms). Multilevel growth models allow us to conduct the demographic subgroup moderation analysis. Results suggest that these well-studied RPFs explain alcohol involvement to varying degrees, but they explain substantially more variation in alcohol involvement by White adolescents compared with Black adolescents. We find differential patterns of significance and of leading predictors of alcohol involvement as a function of age, race, and gender and the interactions thereof. These results indicate that the prevention field needs to better understand the RPFs affecting minority and high school youth in order to provide a stronger basis for alcohol prevention efforts.
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Affiliation(s)
- Nisha C Gottfredson
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, CB # 7440, Chapel Hill, NC, 27599, USA.
| | - Blythe E Rhodes
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, CB # 7440, Chapel Hill, NC, 27599, USA
| | - Susan T Ennett
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Drive, CB # 7440, Chapel Hill, NC, 27599, USA
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Cloutier RM, Blumenthal H, Trim RS, Douglas ME, Anderson KG. Real-time social stress response and subsequent alcohol use initiation among female adolescents. PSYCHOLOGY OF ADDICTIVE BEHAVIORS 2019; 33:254-265. [PMID: 30869921 PMCID: PMC6483836 DOI: 10.1037/adb0000454] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Adolescents who are particularly sensitive to social stress may be vulnerable to earlier alcohol consumption and related problems. Although a small literature supports this contention, previous studies mostly relied on retrospective self-report. The current study used discrete-time survival analysis (DTSA) to test whether real-time social stress responding (via laboratory induction) and social anxiety symptoms predicted 12-month alcohol onset in an alcohol-naïve sample of young female adolescents. Anxiety elicited by the task was expected to predict greater and earlier rates of alcohol incidence, particularly among girls with higher levels of self-reported social anxiety symptoms. Participants were 104 community-recruited girls (ages 12-15 years) who completed a modified Trier Social Stress Test and questionnaires; follow-up calls were conducted at 3, 6, 9, and 12 months after the laboratory visit. Self-reported anxiety was assessed in response to the stressor following acclimation (baseline), instruction (anticipation), and speech (posttask). By 12 months, 30.8% of the sample had consumed a full alcoholic beverage. The DTSA revealed that girls with higher levels of social anxiety and greater elevations in anticipatory (but not posttask) anxiety compared to baseline had earlier alcohol initiation. This is the first study to examine the role of both laboratory-induced anxious responding and retrospective reports of social anxiety as prospective predictors of alcohol incidence. These preliminary findings suggest that adolescent girls who are more sensitive to social stress may be at risk for experimenting with alcohol earlier than their peers. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Affiliation(s)
- Renee M Cloutier
- Teen Stress and Alcohol Research Laboratory, Department of Psychology, University of North Texas
| | - Heidemarie Blumenthal
- Teen Stress and Alcohol Research Laboratory, Department of Psychology, University of North Texas
| | - Ryan S Trim
- Department of Psychiatry, University of California San Diego
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11
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Cox MJ, Janssen T, Lopez-Vergara H, Barnett NP, Jackson KM. Parental drinking as context for parental socialization of adolescent alcohol use. J Adolesc 2018; 69:22-32. [PMID: 30219736 PMCID: PMC6289894 DOI: 10.1016/j.adolescence.2018.08.009] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 08/02/2018] [Accepted: 08/31/2018] [Indexed: 01/13/2023]
Abstract
INTRODUCTION While alcohol-specific parenting practices have demonstrated unique effects on adolescent substance use, their efficacy in the context of parental drinking levels has not been studied. This study assessed the influence of three alcohol-specific parenting practices (rules, punishment, communication) on adolescent alcohol use, and the degree to which those associations varied by parents' own drinking. METHODS We conducted logistic regression analyses among US adolescents (N = 1023; 52% female; 12% Hispanic; 76% Caucasian, 5% Black, 8% mixed race, 11% other race/ethnicity; mean age at enrollment = 12.2 years) to examine the relationship between alcohol-specific parenting practices and the odds of ever having experienced two drinking milestones, having a full drink of alcohol and a heavy drinking episode, and whether parental drinking levels moderated those associations. RESULTS Strict rules for drinking, higher levels of cautionary communication messages, and punishment for drinking were associated with lower odds of alcohol use. Witnessing parent drinking increased the risk for both alcohol outcomes. Furthermore, parental drinking modified the influence of parental cautionary messages on alcohol use such that the effect was particularly salient for those youth who witnessed and whose parents reported higher levels of alcohol use. CONCLUSIONS Family-based preventive interventions should include skills training in alcohol-specific parenting practices with emphasis on reducing parental alcohol use particularly when children are present.
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Affiliation(s)
- Melissa J Cox
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA.
| | - Tim Janssen
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
| | - Hector Lopez-Vergara
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
| | - Nancy P Barnett
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
| | - Kristina M Jackson
- Center for Alcohol and Addiction Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G-S121-4, Providence, RI, 02912, USA
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Effects of parental alcohol rules on risky drinking and related problems in adolescence: Systematic review and meta-analysis. Drug Alcohol Depend 2017; 178:243-256. [PMID: 28667942 DOI: 10.1016/j.drugalcdep.2017.05.011] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2017] [Revised: 05/04/2017] [Accepted: 05/05/2017] [Indexed: 11/20/2022]
Abstract
BACKGROUND It is unclear what effect parents' rules about their children's alcohol use have on drinking in adolescence. This review and meta-analysis investigated associations between prospectively measured parental alcohol rules and later adolescent risky drinking. METHODS Using the PRISMA guidelines, we searched eight electronic databases for a variety of terms up to 10 September 2016. We imposed no restrictions on publication year. We assessed the risk of bias and conducted a meta-analysis. RESULTS We identified 13 eligible studies in four groups of specific exposures for meta-analysis. The pooled overall estimate showed that when parents set rules concerning alcohol, their children were less likely to develop risky drinking and related problems (OR=0.64, 95% CI=0.48, 0.86). Pooled estimates illustrate that parental alcohol rules were significantly negatively associated with adolescent risky drinking and related problems (OR=0.73, 95% CI=0.53, 0.99), as was parental approval of alcohol use (inverse OR=0.41, 95% CI=0.34, 0.50). Neither parental permissiveness (inverse OR=0.83, 95% CI=0.59, 1.19) nor parental disapproval of alcohol use (OR=0.49, 95% CI=0.20, 1.20) was significantly associated with alcohol-related problems. However, the small number of studies and variability in the point estimates in these latter two groups of studies limits inferences. CONCLUSIONS Parents' restrictiveness of their children's drinking was associated with lower risky drinking, but the risk of bias in the existing literature precludes strong inferences about the association. Further longitudinal studies with prospective measurement of parent behaviour, low attrition, and control for likely confounders, are needed.
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Liu Y, Ruan Y, Strauss SM, Yin L, Liu H, Amico KR, Zhang C, Shao Y, Qian HZ, Vermund SH. Alcohol misuse, risky sexual behaviors, and HIV or syphilis infections among Chinese men who have sex with men. Drug Alcohol Depend 2016; 168:239-246. [PMID: 27723554 PMCID: PMC5523945 DOI: 10.1016/j.drugalcdep.2016.09.020] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Revised: 09/21/2016] [Accepted: 09/25/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Few studies have employed standardized alcohol misuse measures to assess relationships with sexual risk and HIV/syphilis infections among Chinese men who have sex with men (MSM). METHODS We conducted a cross-sectional study among MSM in Beijing during 2013-2014. An interviewer-administered survey was conducted to collect data on sociodemographics, high-risk behaviors, and alcohol use/misuse patterns (hazardous/binge drinking and risk of alcohol dependence) in the past 3 months using Alcohol Use Disorder Identification Test-Consumption (AUDIT-C). We defined AUDIT-C score ≥4 as recent hazardous drinkers, and drinking ≥6 standard drinks on one occasion as recent binge drinkers. RESULTS Of 3588 participants, 14.4% reported hazardous drinking, 16.8% reported binge drinking. Hazardous and binge drinking are both associated with these factors (p<0.05): older age, being migrants, living longer in Beijing, township/village origin, being employed, higher income, self-perceived low/no HIV risk, and sex-finding via non-Internet venues. Hazardous (vs non-hazardous) or binge (vs. non-binge) drinkers were more likely to use illicit drugs, use alcohol before sex, have multiple partnerships, pay for sex, and have condomless insertive anal intercourse. MSM who reported binge (AOR, 1.34, 95% CI, 1.02-1.77) or hazardous (AOR, 1.36, 95% CI, 1.02-1.82) drinking were more likely to be HIV-infected. MSM at high risk of current alcohol dependence (AUDIT-C ≥8) were more likely to be HIV- (AOR, 2.37, 95% CI, 1.39-4.04) or syphilis-infected (AOR, 1.96, 95% CI, 1.01-3.86). CONCLUSIONS Recent alcohol misuse was associated with increased sexual and HIV/syphilis risks among Chinese MSM, emphasizing the needs of implementing alcohol risk reduction programs in this population.
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Affiliation(s)
- Yu Liu
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA
| | - Yuhua Ruan
- State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Shiela M. Strauss
- The Rory Meyers College of Nursing, New York University, New York, New York, USA
| | - Lu Yin
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA
| | - Hongjie Liu
- The Rory Meyers College of Nursing, New York University, New York, New York, USA
| | - K. Rivet Amico
- Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, Michigan, USA
| | - Chen Zhang
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA
| | - Yiming Shao
- State Key Laboratory of Infectious Disease Prevention and Control (SKLID), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Han-Zhu Qian
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA,Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA
| | - Sten H. Vermund
- Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, Tennessee 37203, USA,Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA
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