The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model
The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model
复制标题
DOI：
10.1111/j.1465-3362.2010.00231.x
复制
发表时间：
2011-07-01
影响因子：
3.8
通讯作者：
Williams, Joanne
中科院分区：
文献类型：
--
作者：
Kelly, Adrian B.;O'Flaherty, Martin;Williams, Joanne
介绍和目标。尽管在烟草控制方面取得了相当大的成功，但澳大利亚和其他工业化国家的许多青少年仍然吸烟。关于近端社交网络（父母/兄弟姐妹/同龄人）对青少年前和青少年早期吸烟的相对影响，证据不一，也没有研究在考虑学校和社区水平的影响后，如何比较这些影响。这项研究的目的是比较父母，兄弟姐妹和同龄人的相对影响，在考虑到学校和社区层面的吸烟差异。设计和方法。采用了吸烟流行率的横截面固定和随机效应模型，个人（n = 7314）嵌套在学校（n = 231）嵌套在社区（n = 30）。六年级和八年级学生（11岁和13岁的模式）完成了在线调查。关键变量包括父母/兄弟姐妹/同伴使用。控制包括酒精参与，感觉寻求，亲社会的信念，法律/规范的物质使用和学校的承诺。结果有显着的变化，吸烟在学校和社区的水平，支持需要一个多层次的模型。个体水平的预测因子在较高水平上占了大部分方差。影响最大的是吸烟的朋友数量，兄弟姐妹吸烟和饮酒。父母吸烟的影响较小。在社区一级，社会经济劣势是显着的，但社区一级的亲社会和毒品相关的法律/规范的差异与吸烟无关。讨论和结论。跨层次的相互作用一般不显着。青少年早期吸烟最好用兄弟姐妹和同伴吸烟来解释，个体风险在很大程度上解释了在学校和社区中观察到的巨大差异。在未来的烟草控制方面，调查结果表明，针对弱势社区家庭的效用。[Kelly AB，O 'Flaherty M，康纳JP，Homel R，Toumbourou JW，Patton GC，威廉姆斯J.父母、兄弟姐妹和同龄人对青少年吸烟的影响：一个多层次模型。药物酒精Rev 2011;30：381-387]
Introduction and Aims. Despite considerable success in tobacco control, many teenagers in Australia and other industrialised countries still smoke tobacco. There is mixed evidence on the relative influence of proximal social networks (parents/siblings/peers) on pre- and early-teen smoking, and no research has examined how these influences compare after accounting for school-and community-level effects. The aim of this study was to compare the relative influences of parents, siblings and peers, after accounting for school-and community-level variation in smoking. Design and Methods. A cross-sectional fixed and random effects model of smoking prevalence was used, with individuals (n = 7314) nested within schools (n = 231) nested within communities (n = 30). Grade 6 and 8 students (modal ages 11 and 13 years) completed an on-line survey. Key variables included parent/sibling/peer use. Controls included alcohol involvement, sensation seeking, pro-social beliefs, laws/norms about substance use and school commitment. Results. There was significant variation in smoking at both the school and community levels, supporting the need for a multilevel model. Individual-level predictors accounted for much of the variance at higher levels. The strongest effects were for number of friends who smoke, sibling smoking and alcohol involvement. Smaller significant effects were found for parent smoking. At the community level, socioeconomic disadvantage was significant, but community-level variance in pro-social and drug-related laws/norms was not related to smoking. Discussion and Conclusions. Cross-level interactions were generally non-significant. Early teenage smoking was best explained by sibling and peer smoking, and individual risks largely accounted for the substantial variation observed across schools and communities. In terms of future tobacco control, findings point to the utility of targeting families in disadvantaged communities. [Kelly AB, O'Flaherty M, Connor JP, Homel R, Toumbourou JW, Patton GC, Williams J. The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model. Drug Alcohol Rev 2011;30:381-387]