Assessing elements of a family approach to reduce adolescent drinking frequency: parent-adolescent relationship, knowledge management, and keeping secrets

Mccann, M. , Perra, O., McLaughlin, A., McCartan, C. and Higgins, K. (2016) Assessing elements of a family approach to reduce adolescent drinking frequency: parent-adolescent relationship, knowledge management, and keeping secrets. Addiction, 111(5), pp. 843-853. (doi:10.1111/add.13258) (PMID:26638189) (PMCID:PMC4949705)

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Abstract

Aims: To estimate the associations between parent-adolescent relationship, parental knowledge and subsequent adolescent drinking frequency; and also estimate the influence of alcohol use on parental knowledge. Design: School based cohort study with annual surveys. Setting: Post primary schools from urban and intermediate/rural areas in Northern Ireland. Participants: 4,937 post primary school students aged around 11 years in 2000 followed until around age 16 in 2005. Measurements: Pupil reported measures of: frequency of alcohol use; parental-child relationship quality; sub-dimensions of parental monitoring: parental control, parental solicitation, child disclosure and child secrecy. Findings: Higher levels of parental control (Ordinal logistic OR 0.86 95% CI 0.78, 0.95) and lower levels of child secrecy (OR 0.83 95% CI 0.75 0.92) were associated with less frequent alcohol use subsequently. Parental solicitation and parent-child relationship quality were not associated with drinking frequency. Weekly alcohol drinking was associated with higher subsequent secrecy (Beta -0.42 95% CI -0.53, -0.32) and lower parental control (Beta -0.15 95% CI -0.26, -0.04). Secrecy was more strongly predictive of alcohol use at younger compared to older ages (P=0.02), and alcohol use was less strongly associated with parental control among families with poorer relationships (P=0.04). Conclusions: Path analysis of a large, school based cohort study found that adolescent alcohol use is related to lower levels of parental control and greater child secrecy. Greater parental control is associated with less frequent drinking subsequently, while parent-child attachment and parental solicitation have little influence on alcohol use.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Mccann, Dr Mark
Authors: Mccann, M., Perra, O., McLaughlin, A., McCartan, C., and Higgins, K.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
Journal Name:Addiction
Publisher:Wiley-Blackwell
ISSN:0965-2140
ISSN (Online):1360-0443
Copyright Holders:Copyright © 2015 The Authors
First Published:First published in Addiction 111(5): 843-853
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
620221MRC SPHSU/GU Transfer FellowshipsLaurence MooreMedical Research Council (MRC)MC_PC_13027IHW - MRC/CSO SPHU
727631SPHSU Core Renewal: Relationships & Health Improvement Research ProgrammeLisa McDaidMedical Research Council (MRC)MC_UU_12017/11IHW - MRC/CSO SPHU
727661SPHSU Core Renewal: Complexity in Health Improvement Research ProgrammeLaurence MooreMedical Research Council (MRC)MC_UU_12017/14IHW - MRC/CSO SPHU
727671SPHSU Core Renewal: Informing Healthy Public Policy Research ProgrammePeter CraigMedical Research Council (MRC)MC_UU_12017/15IHW - MRC/CSO SPHU