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。家庭纽带和父母监测等家族因素已被指示为青少年吸烟开始和进展中国家趋势的某些差异的解释性因素。但是，关于种族/种族差异与这些家庭因素与青少年吸烟实践之间的联系知之甚少。目的。该应用的目的是研究种族/种族如何影响对青少年初始吸烟启动，然后随着时间的进展影响的家庭因素。目标。我们建议测试以三合会影响理论（TTI）为指导的吸烟行为模型。在TTI中，我们将研究吸烟行为的远端和最终影响。将要检查的远端影响是父母的纽带和联系，反吸烟的育儿以及吸烟的角色建模。最终的影响包括父母的监督和监测，家庭冲突和适应性。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/种族差异与家庭依恋以及亲吸烟的影响有关。此外，这些因素将在整个青春期的吸烟行为率最低的种族/族裔亚组中保持一致。目标1：确定家庭的相对影响，并对非裔美国人，西班牙裔和白人青年的横断面同时吸烟行为产生影响，他们的早期（9-11岁），中期（12-13岁）和（14-18岁）的青少年。目标2：确定青春期早期的特定家族和探索影响与一年内吸烟的启动有关。目标3：检查初始和持续的家庭和探索影响与吸烟阶段进展的关联。方法。我们的假设将通过对全国父母和青年调查（NSPY）的次要分析来解决。 NSPY在1999年至2004年的NSPY第1-4轮中收集了父母（第1轮时n = 7,334）和青年（第1轮n = 7,796）。数据将用于提供从青春期早期到晚期的吸烟行为开始和进展模型的横截面和纵向测试。分析。为了解决横截面分析，将使用一种多级建模方法。多项式回归将用于检查各个因素与青春期吸烟的关联，然后评估合并模型。在检查了吸烟轨迹之后，潜在的生长曲线建模将用于探索随着时间的推移和烟草使用启动的途径的变化，并结合了重复测量，同时仍允许进行结果度量的分类性质。结论。通过阐明特定家族因素保护在不同种族/族裔亚组和年龄段中吸烟开始和进展方面的作用，该项目可能有助于开发更有效的基于父母的吸烟计划，为多元化的青少年群体设计。 公共卫生相关性：青少年吸烟开始和进步的开始存在种族/种族差异，这可能是由家庭因素（例如反吸烟育儿实践）的种族/种族差异来解释的。强烈需要新的基于父母的抗烟病预防干预措施，以遏制青少年吸烟的启动和发展。但是，尚不清楚一个种族子群中保护性的家族因素是否同样具有保护性。该应用的主要目标是探索种族/种族如何影响家庭因素，这些因素通过对父母和青年的全国调查进行二次分析，从而有助于青少年的吸烟和进展。该项目的结果对于未来发展，文化和年龄敏感父母的反吸烟干预措施至关重要。