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

Do Parents Still Matter? The Impact of Parents and Peers on Adolescent Electronic Cigarette Use.
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DOI:
10.1016/j.jadohealth.2020.12.002
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发表时间:
2021-04
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Sutherland MT
Sutherland MT
中科院分区:
其他
文献类型:
--
作者:
Trucco EM;Cristello JV;Sutherland MT

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Adolescent vaping has reached epidemic levels. Identifying factors associated with electronic (e-)cigarette use initiation could inform prevention programming. This study examined whether parental attitudes towards 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 towards 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. A sample of e-cigarette naïve adolescents (n = 176, 14–17 years old, 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. Parents’ attitudes towards 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. Parents actively shape adolescent e-cigarette use even when accounting for peer norms and adolescent attitudes. Involving parents in prevention programming may help reduce teen vaping. These associations should be examined with a larger and more diverse sample.
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