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

探索种族/民族的作用

• 批准号: 7753546
• 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 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7753546
• 关键词: Acculturation; Address; Adolescence; Adolescent; 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; Operative Surgical Procedures; 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; 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)： 导言。家庭纽带和父母监督等家庭因素被认为是全国青少年吸烟开始和发展趋势差异的解释因素。然而，关于种族/民族差异和这些家庭因素与青少年吸烟行为之间的联系，人们知之甚少。目的。这项应用的目的是研究种族/民族如何影响家庭因素，这些因素对青少年最初开始吸烟，然后随着时间的推移而发展产生影响。目标。我们建议测试一个在三重影响理论(TTI)指导下的吸烟行为模型。在TTI中，我们将研究吸烟行为的潜在远端和最终影响。将考察的远端影响是父母之间的联系和联系，反对吸烟的父母养育，以及吸烟的榜样。最终的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核心假设，即吸烟行为的种族/民族差异与家庭依恋的差异以及支持吸烟的影响有关。此外，这些因素在整个青春期吸烟行为发生率最低的种族/民族亚群中将保持不同程度的一致。目的1：确定家庭和吸烟前的影响对青少年早期(9-11岁)、中期(12-13岁)和晚期(14-18岁)的非裔美国人、西班牙裔和白人青年同时吸烟行为的相对影响。目的2：确定青春期早期哪些特定的家庭影响和吸烟前影响与一年内开始吸烟有关。目的3：研究最初和持续的家庭和有吸烟倾向的影响与吸烟阶段进展的关系。方法：研究方法。我们的假设将通过对全国父母和青年调查(NSPY)的二次分析来解决。NSPY在1999年至2004年的第一轮至第四轮NSPY的每一轮中收集了父母(第一轮N=7,334)和青少年(N=7,796)的数据。数据将被用来提供从青春期早期到晚期吸烟行为开始和发展的模型的横断面和纵向测试。分析。为了处理横断面分析，将使用多层次建模方法。多项式回归将被用来检验个体因素与青少年吸烟的关联，然后评估一个组合模型。在检查吸烟轨迹后，将使用潜在增长曲线模型来探索烟草使用开始的时间和途径的变化，纳入重复的措施，同时仍允许结果衡量的分类性质。结论。通过澄清在不同种族/民族亚群和年龄中保护吸烟开始和发展的特定家庭因素的作用，拟议的项目可能有助于为不同的青少年群体设计更有效的以父母为基础的吸烟预防计划。 与公共健康相关：青少年吸烟的开始和发展存在种族/民族差异，这可能是由于家庭因素的种族/民族差异，如反吸烟的育儿做法。迫切需要以家长为基础的新的反烟草预防干预措施，以此作为遏制青少年吸烟开始和发展的一种方式。然而，目前尚不清楚在一个种族亚群中起保护作用的家庭因素在另一个种族亚群中是否也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年调查的次级分析，探索种族/族裔如何影响家庭因素，这些因素有助于青少年随着时间的推移开始和发展吸烟。这一项目的结果将是未来发展健全的、文化上的和年龄敏感的以父母为基础的反吸烟干预措施的关键。