Evaluating Depressive Symptom Interactions on Adolescent Smoking Prevention Program Mediators: A Mediated Moderation Analysis

Sakuma, Kazuhiko; Park, Sun; Unger, Jennifer B.; Johnson, C. Anderson

doi:10.1093/ntr/ntq156

Cited by 8 publications

(3 citation statements)

References 55 publications

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“…Susceptibility to peer influences may vary by gender, race, and age (7). Several studies have found that depressed adolescents are more susceptible to social factors associated with smoking, namely with perceived prevalence of smokers and pro-smoking normative beliefs (8).…”

Section: Introductionmentioning

confidence: 99%

Parental Education and Family Status - Association with Children's Cigarette Smoking

Žaloudíková

Hrubá²,

Samara³

2012

Cent Eur J Public Health

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Background: Social influences are among the most important factors associated with children's and adolescents' smoking. Social norms in families, peer groups, professional and municipal communities influence the individuals ones by the process of socialization obtained mainly by interactions and observations. Especially social context of the home environment expressed by household smoking restriction serves as a socialization mechanism that dissuades from the using of tobacco. Parental anti-smoking socialization practices (their attitudes and knowledge about children smoking, discussion about smoking in appropriate quality and frequency, smoking environment in homes) are influenced by their education and family status. Methods: Markers of social environment (the level of mothers' and fathers' education, family status) were investigated during interview with 5th graders included in the cohort participating in the programme "Non-smoking Is Normal". Data about the self-reported exposure to passive smoking at homes and cars were taken into consideration. Information about discussions with parents about smoking, opinions about adults smoking, experimentation with smoking, and concurrent decision about smoking in the future were obtained from 766 children aged 11 years. Those who did not know parental education or family status were excluded from the evaluation. Differences were evaluated using the chi-square, Mantel-Haenszel, Fisher and Yates corrected tests in the statistic software Epi Info, version 6. Results: The level of mothers' and fathers' education significantly influenced the exposure of children to passive smoking. Compared to families of higher educated parents, children living in families with middle and low levels of parents' education were significantly more exposed to environmental tobacco smoke at home and in car (RR 1.38; 95% CI 1.04−1.83) and fewer of them live in non-smoking environments. In the whole cohort, 67.5% children have not smoked even one puff yet, 17.2% reported one single attempt, and 15.4% smoked repeatedly. The level of parents' education had no influence on children's concurrent smoking experimentation or on their concurrent decision about smoking in the future. There was also no difference in number of children who obtained cigarettes from their parents and parents' level of education (about 6%). When the level of maternal education was combined with the family status, significant differences were found. Compared to children living with two biological parents (highly educated mother), children from other groups more often reported current experimentating with smoking and lower number of those decided not to smoke in the future. No significant differences were found in other markers of knowledge and attitudes between children from analysed social family groups. Conclusion: In our study, the parental education has significantly influenced exposure of children to passive smoking at homes and in cars, but had no effect on children's opinions and attitudes about smoking. Higher education...

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Section: Introductionmentioning

confidence: 99%

Parental Education and Family Status - Association with Children's Cigarette Smoking

Žaloudíková

Hrubá²,

Samara³

2012

Cent Eur J Public Health

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“…Those analyses were adjusted for best friends’ smoking and for perceived smoking norms, making it unclear whether the program affected those proximal outcomes. A study of seventh-graders in China found program effects on recent smoking [18] and on affiliation with smoking friends [19] only among boys who were both highly depressed and already smokers. That study used a self-report measure of friends’ smoking, so the authors could not determine whether the program changed perceptions, actual friend affiliations, or both [19].…”

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confidence: 99%

Risk Factors for Substance Misuse and Adolescents' Symptoms of Depression

Siennick

Widdowson

Woessner

et al. 2017

Journal of Adolescent Health

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Purpose Depressive symptoms during adolescence are positively associated with peer-related beliefs, perceptions, and experiences that are known risk factors for substance misuse. These same risk factors are targeted by many universal substance misuse prevention programs. This study examined whether a multicomponent universal substance misuse intervention for middle schoolers reduced the associations between depressive symptoms, these risk factors, and substance misuse. Methods The study used data from a place-randomized trial of the PROSPER (PROmoting School-Community-University Partnerships to Enhance Resilience) model for delivery of evidence-based substance misuse programs for middle schoolers. Three-level within-person regression models were applied to four waves of survey and social network data from 636 adolescents followed from 6th through 9th grades. Results When adolescents in control school districts had more symptoms of depression, they believed more strongly that substance use had social benefits, perceived higher levels of substance misuse among their peers and friends, and had more friends who misused substances, although they were not more likely to use substances themselves. Many of the positive associations of depressive symptoms with peer-related risk factors were significantly weaker or not present among adolescents in intervention school districts. Conclusions The PROSPER interventions reduced the positive associations of adolescent symptoms of depression with peer-related risk factors for substance misuse.

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“…With regard to peer influences, recent studies indicate that friends’ disruptive behaviors (van Lier, Huizink, & Vuijk, 2011), normative beliefs about peers’ frequency of substance use (Ringwalt et al, 2009), peer aggression (DeGarmo et al, 2009), and perception of friends’ use (Sakuma, Sun, Unger, & Johnson, 2010) were mediators of program effects. Changes in perceived friends’ encouragement to use and in friends’ consumption behavior also mediated program effects on growth in substance use during adolescence (Liu et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of the Life Skills Program IPSY for the Prevention of Adolescent Tobacco Use

Weichold

Tomasik

Silbereisen

et al. 2016

The Journal of Early Adolescence

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In this study, the effectiveness of a life skills program to impede tobacco use in early adolescence was scrutinized. The focus was on the mediating role of yielding to peer pressure. The universal school-based life skills program IPSY (Information + Psychosocial Competence = Protection) against adolescent substance use was implemented over 3 years. Over the same time period, it was evaluated based on a longitudinal quasi-experimental design with an intervention and comparison group (4 measurement points; N = 1,657 German students, age 10 at T1). By applying a growth curve modeling approach, we found that participation in IPSY compared with non-participation predicted a slower increase in tobacco use over time, suggesting a significant intervention effect. Moreover, a parallel growth curve model revealed that less yielding to peer pressure induced by IPSY mediated the program effects on tobacco use over time.

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Evaluating Depressive Symptom Interactions on Adolescent Smoking Prevention Program Mediators: A Mediated Moderation Analysis

Cited by 8 publications

References 55 publications

Parental Education and Family Status - Association with Children's Cigarette Smoking

Parental Education and Family Status - Association with Children's Cigarette Smoking

Risk Factors for Substance Misuse and Adolescents' Symptoms of Depression

The Effectiveness of the Life Skills Program IPSY for the Prevention of Adolescent Tobacco Use

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