Exploring the Role of Race/Ethnicity & Family Influences to Reduce Youth Smoking

探索种族/民族的作用

• 批准号: 7885581
• 负责人: E. Melinda Mahabee-Gittens
• 金额: $ 7.5万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-01 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7885581
• 关键词: Acculturation; Address; Adolescence; Adolescent; Adult; Affect; African American; Age; Antismoking; Attitude; Communication; Conflict (Psychology); Cross-Sectional Studies; Data; Data Set; Development; Distal; Ethnic Origin; Ethnic group; Family; Friends; Future; Goals; Growth; Hispanics; Individual; Influentials; Link; Literature; Measures; Methods; Modeling; Monitor; Nature; Outcome Measure; Parenting behavior; Parents; Pathway interactions; Population; Prevention program; Preventive Intervention; Race; Relative (related person); Religion and Spirituality; Research; Risk; Risk Factors; Role; Smoke; Smoker; Smoking; Smoking Behavior; Smoking Prevention; Specific qualifier value; Staging; Subgroup; Supervision; Surveys; Testing; Time; Tobacco use; Variant; Youth; adolescent smoking; base; cohort; design; early adolescence; family influence; operation; parental involvement; parental monitoring; parental role; peer; protective effect; psychosocial; public health relevance; racial and ethnic; racial and ethnic disparities; racial/ethnic difference; role model; smoking intervention; social attachment; sound; theories; tobacco prevention; trend

DESCRIPTION (provided by applicant): Introduction. Familial factors such as family bonding and parental monitoring have been indicated as explanatory factors for some of the differences in national trends in adolescent smoking initiation and progression. However, little is known about the link between racial/ethnic differences and these family factors with adolescent smoking practices. Purpose. The aims of this application are to examine how race/ethnicity influences the family factors that are influential on adolescents' initial smoking initiation and then progression over time. Aims. We propose to test a model of smoking behaviors guided by The Theory of Triadic Influence (TTI). Within the TTI, we will examine the underlying distal and ultimate influences of smoking behavior. Distal influences that will be examined are parental bonding and connectedness, anti-smoking parenting, and role modeling of smoking. Ultimate influences include parental supervision and monitoring, family conflict, and acculturation. Examination of these influences will address our central hypothesis that racial/ethnic differences in smoking behavior are associated with differences in family attachment as well as pro-smoking influences. Further, these factors will differentially remain consistent in racial/ethnic subgroups that have the lowest rates of smoking behavior throughout adolescence. Aim 1: To determine the relative impact of family and prosmoking influences on concurrent smoking behavior among cross-sectional cohorts of African American, Hispanic, and White youth in their early (ages 9-11), mid (ages 12-13), and late (ages 14-18) adolescent years. Aim 2: To determine which specific familial and prosmoking influences in early adolescence are associated with initiation of smoking within a year. Aim 3: To examine the associations of initial and continuing familial and prosmoking influences with smoking stage progression. Methods. Our hypothesis will be addressed through secondary analysis of The National Survey of Parents and Youth (NSPY). The NSPY collected data from parents (N=7,334 at Round 1) and youth (N=7,796 at Round 1) during each of Rounds 1-4 of NSPY from 1999-2004. Data will be used to provide cross-sectional and longitudinal tests of the models of the initiation and progression of smoking behavior from early to late adolescence. Analyses. To address the cross- sectional analyses, a multi-level modeling approach will be used. Multinomial regression will be used to examine the association of the individual factors with adolescent smoking, followed by assessment of a combined model. After examination of smoking trajectories, latent growth curve modeling will be used to explore changes over time and pathways to tobacco use initiation, incorporating the repeated measures while still allowing for the categorical nature of the outcome measure. Conclusion. By clarifying the role of specific familial factors protective for smoking initiation and progression in different racial/ethnic subgroups and ages, the proposed project may aid in the development of more effective parent-based smoking prevention programs designed for diverse adolescent populations. PUBLIC HEALTH RELEVANCE: There are racial/ethnic differences in the onset of adolescent smoking initiation and progression that may be explained by racial/ethnic differences in familial factors such as anti-smoking parenting practices. There is a strong need for new parental based anti-tobacco prevention interventions as a way to curb initiation and progression of adolescent smoking. However, it is unknown if familial factors that are protective in one racial sub-group are equally protective in another. The primary goal of this application is to explore how race/ethnicity affects familial factors that contribute to adolescents' smoking initiation and progression over time by secondary analysis of The National Survey of Parents and Youth. The results of this project will be essential to developing sound, culturally and age sensitive parental based anti-smoking interventions in the future.

描述（由申请人提供）： 介绍。家庭关系和父母监督等家庭因素已被认为是青少年吸烟开始和进展的国家趋势差异的解释因素。然而，人们对种族/民族差异与这些家庭因素与青少年吸烟行为之间的联系知之甚少。目的。该应用程序的目的是研究种族/族裔如何影响家庭因素，这些因素影响青少年最初吸烟，然后随着时间的推移而进展。目标。我们建议测试以三元影响理论（TTI）为指导的吸烟行为模型。在 TTI 中，我们将研究吸烟行为潜在的远端和最终影响。将检查的远端影响包括父母的联系和联系、反吸烟养育以及吸烟的榜样。最终影响包括父母的监督和监督、家庭冲突和文化适应。对这些影响的研究将解决我们的中心假设，即吸烟行为的种族/民族差异与家庭依恋的差异以及吸烟的影响有关。此外，这些因素在整个青春期吸烟行为率最低的种族/族裔亚群体中将保持不同程度的一致性。目标 1：确定家庭和鼓励吸烟对非裔美国人、西班牙裔和白人青少年横断面群体中青少年早期（9-11 岁）、中期（12-13 岁）和晚期（14-18 岁）同时吸烟行为的相对影响。目标 2：确定青春期早期哪些特定的家庭因素和促吸烟因素与一年内开始吸烟有关。目标 3：检查初始和持续的家族和促吸烟影响与吸烟阶段进展的关联。方法。我们的假设将通过全国父母和青少年调查（NSPY）的二次分析得到解决。 NSPY 收集了 1999 年至 2004 年 NSPY 第 1 轮至第 4 轮期间的家长（第 1 轮 N=7,334）和青少年（第 1 轮 N=7,796）的数据。数据将用于提供从青春期早期到晚期吸烟行为的起始和进展模型的横断面和纵向测试。分析。为了进行横截面分析，将使用多层次建模方法。将使用多项回归来检查各个因素与青少年吸烟的关联，然后评估组合模型。检查吸烟轨迹后，将使用潜在增长曲线模型来探索随时间的变化和开始吸烟的途径，纳入重复测量，同时仍然考虑结果测量的分类性质。结论。通过阐明特定家庭因素对不同种族/族裔亚组和年龄中吸烟开始和进展的保护作用，拟议的项目可能有助于制定针对不同青少年群体的更有效的基于父母的吸烟预防计划。 公共卫生相关性：青少年吸烟的开始和进展存在种族/民族差异，这可能是由于家庭因素（例如反吸烟养育方式）的种族/民族差异所致。迫切需要新的基于父母的反烟草预防干预措施，作为遏制青少年吸烟的开始和发展的一种方法。然而，尚不清楚对一个种族亚群具有保护作用的家庭因素是否对另一种族亚群具有同样的保护作用。该应用程序的主要目标是通过对全国父母和青少年调查的二次分析，探索种族/族裔如何影响导致青少年吸烟的开始和随时间进展的家庭因素。该项目的结果对于未来制定合理的、对文化和年龄敏感的家长反吸烟干预措施至关重要。