Parent Prevention Communication Profiles and Adolescent Substance Use: A Latent Profile Analysis and Growth Curve Model

ABSTRACT

This current study identifies distinct parent prevention communication profiles and examines whether youth with different parental communication profiles have varying substance use trajectories over time. Eleven schools in two rural school districts in the Midwestern United States were selected, and 784 students were surveyed at three time points from the beginning of 7th grade to the end of 8th grade. A series of latent profile analyses were performed to identify discrete profiles/subgroups of substance-specific prevention communication (SSPC). The results revealed a 4-profile model of SSPC: Active-Open, Passive-Open, Active-Silent, and Passive-Silent. A growth curve model revealed different rates of lifetime substance use depending on the youth’s SSPC profile. These findings have implications for parenting interventions and tailoring messages for parents to fit specific SSPC profiles.     

Do Actions Speak Louder Than Words? Adolescent Interpretations of Parental Substance Use

Parents are powerful socialization agents for children and as children reach adolescence parental role models, among other sources of influence, become particularly salient in adolescents’ decision-making regarding initiation of substance use. Open parent-adolescent communication about substances is associated with less substance use by adolescents; however, it is unclear how youth interpret antidrug use messages from their parents, especially if the parents engage in legal and/or illicit substance use themselves. Framed by social learning theory and social constructionism, this study analyzed in-depth interviews with 108 adolescents about personal experiences with substance use, family communication about substance use, and adolescent interpretations of parental use. Emergent themes in the data include: positive parental influence, parental contradictions, and negative outcomes of use. Prevalence of parental use—regardless of legality, rarity of explicit communication about parental use, and various interpretations of parental use are discussed.     

Social Capital and Adolescent Substance Use: The Role of Family,School, and Neighborhood Contexts

This study assesses the link between social capital factors of norm‐setting social arenas including family, school, and neighborhood and adolescent substance use measured by cigarette smoking, alcohol consumption, and illicit drug use among a sample of adolescents in California. The key messages of this study are that socialization processes at different life domains, in varying degrees, are associated with adolescent substance use behavior. Compared with school and neighborhood contexts, family is the most influential setting that should be primarily targeted for youth substance use prevention. Among different aspects of within‐family social resources, parental monitoring seems to be the most protective of adolescent substance use. Study implications on family‐based interventions are discussed.     

Adolescent Psychological Functioning and Membership in Latent Adolescent–Parent Communication Dual Trajectory Classes

The primary goal of this study was to examine the relationship between adolescents’ psychological functioning (as indicated by depressive symptoms) and substance use (alcohol and drug use) and membership in adolescent–parent communication trajectory subgroups in a large, diverse community sample of adolescents from the United States (n = 1,057; 53% female; 51% Caucasian; Age: M = 16.15, SD = .75). Adolescents completed questionnaires at three annual assessments. Fit indices from parallel process growth mixture models suggested three dual trajectory classes: (1) Average communication with both parents (Average‐Both); (2) Good adolescent–mother and poor adolescent–father communication (Good‐Mom/Poor‐Dad); and (3) Poor adolescent–mother and good adolescent–father communication (Poor‐Mom/Good‐Dad). The trajectory classes differed by gender. In addition, psychological functioning and substance use were differentially related to the trajectory classes.     

Effects of Parental Monitoring and Peer Deviance on Substance Use and Delinquency

From socialization theory, it was hypothesized that parental support and monitoring as well as peer deviance would influence individual trajectories of alcohol misuse, other substance use, and delinquency. Six waves of data were analyzed using interviews with 506 adolescents in a general population sample. Results from multilevel modeling showed that monitoring significantly predicted adolescents’ initial levels (intercepts) of alcohol misuse and delinquency. Parental monitoring strongly predicted the rates of increase (slope) in all 3 problem behaviors. Peer deviance significantly predicted initial levels of all problem behaviors and the rates of increase in them. This study provides evidence that both effective parenting and avoidance of associations with delinquent peers are important factors in preventing adolescent problem behaviors.     

The Role of Stress,Family Coping,Ethnic Identity,and Mother-Daughter Relationships on Substance Use Among Gang-Affiliated Hispanic Females

ABSTRACT

Hispanic adolescent females are the largest group of minority adolescents in the nation and appear to be at great risk for substance use. This research is based on data generated from a cross-sectional study of 150 Mexican American gang-affiliated adolescent females to predict substance-use recurrence. Findings reveal that positive family relationships, and in particular, mother-daughter relationships are protective factors for alcohol- and tobacco-use recurrence. Furthermore, the ability of the immediate family to cope with difficulties, stress, and conflicts were significant in averting illicit drug recurrence. This research provides evidence of the role of the family as a protective factor among these adolescents, despite their gang affiliation and street orientation. Discussed is how these findings contribute to formulating effective intervention, prevention, and treatment responses aimed at this “beyond risk” population.     

Adolescent Socialization in Rural Appalachia: The Perspectives of Teens,Parents, and Significant Adults

ABSTRACT

The purpose of this qualitative study was to explore the social networks of Appalachian adolescents to understand socialization strategies and goals. A total of 46 interviews were conducted with five families (mothers, fathers, and adolescents) and 11 socialization agents the families identified as exerting significant influence in the lives of the adolescents. Interviews were transcribed and then analyzed using principles of grounded theory. Five themes developed from the interviews: the importance of community to the socialization process, adult involvement and support, adolescent monitoring, teaching respect and responsibility, and adolescent autonomy. Results suggest the need for in-depth investigation of adolescent development within a variety of cultural and social contexts to more fully understand these processes.     

Adolescents in Treatment: Effects of Parental Substance Abuse on Treatment Entry Characteristics and Outcomes

SUMMARY

Research strongly supports an increased risk of substance use disorders among the adolescent children of addicted parents. However, little documentation exists of how these adolescents fare when they present for treatment. This article uses data taken from a two-state study on the effects of adolescent substance abuse treatment to examine the characteristics of adolescents with substance-abusing parents and their outcomes following an episode of outpatient treatment. Although such adolescents enter treatment with greater problem severity in a range of areas, outcomes appear similar to adolescents with no substance-abusing parents. The impact of family and individual counseling on outcomes was also examined, demonstrating mixed results for adolescents with substance-abusing parents.     

The applicability of social control theory in understanding adolescent alcohol use

Utilizing panel data on 345 high school students, this study investigates the efficacy of social control theory in accounting for adolescent orientations toward alcohol use. The findings suggest that the differing informal control mechanisms under consideration place varying constraining influences upon adolescent alcohol use, and upon problems which arise in the lives of adolescents as a consequence of their drinking, throughout the three high, school years. Similarly, alcohol use and its attendant problems are generally found to be associated with a decrease in the strength of adolescents’ bonds to conventionality, though these influences differ in degree from year to year as well.     

Dimensions of ethnic identity as protective factors for substance use and sexual risk behaviors in African American college students

Objective: To examine ethnic identity and ethnic socialization as potential protective factors for risk behaviors among US college students. Participants: Participants were 398 African American and Afro-Caribbean students recruited from 30 colleges and universities during September 2008–October 2009. Methods: Data on hazardous alcohol use, substance use, sexual behaviors, ethnic identity, and ethnic/racial socialization were collected. Hierarchical linear and negative binomial regression analyses were conducted to determine the degree to which ethnic identity and ethnic/racial socialization predicted the risk behaviors. Results: Ethnic Identity affirmation, belonging, and commitment (EI-ABC) significantly predicted lower substance use and hazardous alcohol use. Ethnic/racial socialization was not a significant predictor of substance use or sexual risk behaviors. Conclusions: Components of ethnic identity are potentially protective against alcohol and substance use behaviors. Additional research is recommended to determine effective intervention strategies.     

Examining the Interaction of Daily Hassles Across Ecological Domains on Substance Use and Delinquency Among Low-Income Adolescents of Color

The increased risk for substance use and delinquency among adolescents of color has been partially attributed to increased exposure to daily hassles. Although a certain number of hassles are normative, especially among family and peers, adolescents of color experience more stressors in their neighborhood or directly related to fewer resources than their White counterparts. These hassles may interact across ecological systems to impact behavioral outcomes among adolescents. This may be especially true for young people living in public housing. Based on ecological systems theory, this study tests the relationship between experiences of hassles across multiple ecological levels and problem behaviors in a sample of 315 ethnically diverse early adolescents (M_age = 12; 51% female) living in public housing neighborhoods in two large metropolitan areas in the United States. A positive relationship was found between family hassles and both substance use and delinquency, as well as between school hassles and substance use. When the interactions between family, peer, school, and neighborhood/resource hassles were considered, five statistically significant interactions were found. The study results reinforce the role of contextual factors, such as living in low-income neighborhoods and the complexity of hassles interacting at multiple levels of a young person’s daily ecology, on adolescent outcomes.     

Predictors of substance use and family therapy outcome among physically and sexually abused runaway adolescents

There is a dearth of research that examines the impact of family systems therapy on problems among sexually and/or physically abused youth. Given this void, differential outcome and predictors of substance use change were evaluated for abused, as compared with nonabused, runaway adolescents who were randomly assigned to family therapy or treatment as usual. Abused adolescents reported lower family cohesion at baseline, although both abused and nonabused adolescents showed similar substance use reductions. Utilizing hierarchical linear modeling, we found that substance use changed with change in cohesion over time. These findings link change in family functioning to change in adolescent substance use, supporting fiamily systems theory. Findings suggest that a potent target of intervention involves focus on increasing positive communication interactions.     

A Normative Approach to Parent-Young Adult Child Communication in the Context of Substance Use Disorders: Explicating Parents’ Communication Challenges and Strategies

ABSTRACT

Despite a decrease in substance use among teens, alcohol and substance use has remained high among young adults. Young adult use of illicit substances is particularly concerning. Parents can play an important role in substance use intervention and prevention, but their efforts are sometimes unsuccessful. Therefore, it is important to consider how parents respond to and communicate about their young adult children’s substance use disorder. Most research has privileged confrontation and direct communication as effective coping responses, but evidence suggests that effectiveness hinges on the meanings interactants ascribe to behavior. Through qualitative interviews, the current study develops normative theory regarding parents’ communication challenges and strategies in response to their young adult child’s substance use disorder. Parents’ challenges center on the intersection of support with their own substance use history; others’ divergent views on substance use; uncertainty in illness; relational closeness and harmony; and illness features. Results are discussed in terms of implications for helping parents respond to their young adult child’s substance use disorder.     

Substance Use and Early Marriage

Prior work indicates that substance use is related to adolescent marriage. We describe two different processes that may account for this relationship and hypothesize patterns of association that would be consistent or inconsistent with each. Using data from a study that followed west coast youth from 7th grade to young adulthood (N = 3,324), we assessed the effects of cigarette, alcohol, and marijuana use in 7th and 10th grade on the probability of marriage prior to age 20. When gender, race, and SES were controlled, cigarette use in adolescence, but not other substance use, was associated with early marriage. Low educational attainment and early unwed parenthood each uniquely mediated this association. These results suggest that the link between substance use and early marriage reflects a disposition toward risky or unconventional behavior, not the judgment‐impairing effects of drug and alcohol use.     

Family Factors,Theft, Vandalism,and Major Deviance Among a Multiracial/Multiethnic Sample of Adolescent Girls

This article reports on a study of 503 African-American, Hispanic, and White non-Hispanic adolescent girls attending public schools in Miami, Florida. The primary objectives of the study were to determine the prevalence of 13 self-reported delinquent behaviors in the sample, to compare these rates among the three groups of students, and to explore the predictive influences of several family factors that correlate with delinquency. It was found that 37.5% of the sample engaged in one or more acts of serious delinquency, with African-Americans reporting they had engaged in significantly more of these behaviors. The best predictors of theft/vandalism were low family pride and family substance abuse for Hispanics, low family communication for African-Americans, and low family pride for White non-Hispanics. The findings indicate that traditional family factors that have been used repeatedly to understand delinquency by male adolescents were not strong predictors of delinquency among the adolescent girls in the sample.     

Initial findings from Parent Party Patrol: an intervention to reduce adolescent substance use through reduced involvement in unchaperoned parties

This article presents preliminary evaluation findings from Parent Party Patrol (PPP). PPP is a two-hour single-session intervention that provides information to parents about ways to increase monitoring and improve communication and family guidelines regarding substance use, with the goal of reducing adolescent involvement in unsupervised activities and associated substance use. Seventy-three attendees from 15 PPP sessions completed baseline and three- to six-month follow-up information. At follow-up, participants showed significantly increased awareness of adolescent substance use and unchaperoned activities, improved communication and use of family guidelines regarding substance use, and increased monitoring of their children's activities. A significant reduction in adolescent attendance at unchaperoned parties was also reported. Replication of the study with a larger, more representative sample and controlled design is suggested. As adolescent substance use is a multidetermined problem, PPP may be best viewed as one part of a broader comprehensive substance abuse prevention program.     

Longitudinal Effects of Best‐Friend Communication Against Substance Use for Latino and Non‐Latino White Early Adolescents

Prior research examining peer influences on adolescent alcohol, cigarette, and marijuana use has primarily focused on the positive associations that peer substance use and offers have with adolescent use. Consequently, such research has often emphasized the negative influences of peers. This study, however, operationalizes peer influence through best‐friend communication against substance use and examines whether it indirectly protects against substance use by promoting anti–substance use norms. Structural equation modeling was utilized with longitudinal survey data from 277 Latino and 350 non‐Latino white 6th–8th‐grade‐students. For Latino and non‐Latino white students, best‐friend communication was indirectly related to alcohol and cigarette use through norms. Best‐friend communication also was indirectly related to marijuana use, but only for non‐Latino white students and for male students.     

The Moderating Effects of Pubertal Timing on the Longitudinal Associations Between Parent–Child Relationship Quality and Adolescent Substance Use

This prospective, longitudinal study investigated the moderating role of pubertal timing on reciprocal links between adolescent appraisals of parent–child relationship quality and girls' (N=1,335) and boys' (N=1,203) cigarette and alcohol use across a 12‐month period. Reciprocal effects were found between parent–child relations and on‐time maturing boys and girls' cigarette and alcohol use, after estimating stability in these constructs across time. Parent–child relationship quality was associated with increased alcohol use 12 months later for early maturing girls. Cigarette and alcohol use were associated with increased problems in the parent–child relationship for late maturing girls. No effects were observed for early and late maturing boys in the pathways between parent–child relationship quality and substance use. Pubertal timing moderated the pathway linking parent–child relationship quality with cigarette use 1 year later such that the association was stronger for late maturing girls compared with early and on‐time maturing girls. The findings indicate interplay between the psychosocial aspects of maturation, family relationships, and adolescent substance use and highlight possible gender‐specific influences.     

Behavioral health correlates of exposure to community violence among African-American adolescents in Chicago

AimsThough public health researchers are more aware of behavioral health concerns among African American youth, few studies have explored how exposure to community violence may be related to adverse youth concerns. This study examines the relationship between exposure to community violence and mental health problems, substance use, school engagement, juvenile justice involvement, and STI risk behaviors.MethodsA total of 638 African American adolescents living in predominantly low-income, urban communities participated in the study by completing self-report measures on exposure to community violence, mental health, school engagement proxies, substance use, delinquency markers and sexual risk behaviors.ResultsAdolescents who reported higher rates of exposure to community violence were significantly more likely to report poorer mental health, delinquent behaviors, a history of juvenile justice involvement, lower school bonding and student-teacher connectedness. These youth were also significantly more likely to use alcohol, cigarettes, and illicit substances, and engage in sexual risk behaviors.ConclusionsFindings suggest that there is a critical need for culturally relevant prevention and intervention efforts for African American adolescents who are frequently exposed to community violence.     

Family Factors, Theft, Vandalism, and Major Deviance Among a Multiracial/Multiethnic Sample of Adolescent Girls

This article reports on a study of 503 African-American, Hispanic, and White non-Hispanic adolescent girls attending public schools in Miami, Florida, The primary objectives of the study were to determine the prevalence of 13 self-reported delinquent behaviors in the sample, to compare these rates among the three groups of students, and to explore the predictive influences of several family factors that correlate with delinquency. It was found that 37.5% of the sample engaged in one or more acts of serious delinquency, with African-Americans reporting they had engaged in significantly more of these behaviors. The best predictors of theft/vandalism were low family pride and family substance abuse for Hispanics, low family communication for African-Americans, and low family pride for White non-Hispanics. The findings indicate that traditional family factors that have been used repeatedly to understand delinquency by male adolescents were not strong predictors of delinquency among the adolescent girls in the sample.