- Title
- Modifiable parent factors in the initiation of adolescent risky drinking
- Creator
- Sharmin, Sonia
- Relation
- University of Newcastle Research Higher Degree Thesis
- Resource Type
- thesis
- Date
- 2019
- Description
- Research Doctorate - Doctor of Philosophy (PhD)
- Description
- Background: Risky drinking is a leading contributor to the global disease burden for adolescents. The nature and degree of influence of parental behaviour on their children’s alcohol use is unclear. We conducted a systematic review and meta-analysis to synthesize findings from longitudinal studies investigating: (1) whether parental supply of alcohol is associated with later adolescent risky drinking; and (2) whether the rules parents make about alcohol affect the likelihood that their adolescent children become risky drinkers. Furthermore, we used a longitudinal cohort of parent-child dyads to investigate: (3) what parent characteristics predict approval of adolescent drinking from ages 13 to 16 years; and (4) the association between parental hazardous drinking and the development and/or worsening of hazardous drinking in their children after adjusting for potential confounders. Methods: Using the PRISMA guidelines for studies 1 and 2, we searched eight electronic databases for relevant terms without imposing restrictions on publication year; including only English language peer-reviewed journal articles. We assessed the risk of bias in primary studies and conducted meta-analyses. For studies 3 and 4, we utilized four waves of parent-child dyad data and assessed outcomes annually when children were 13, 14, 15 and 16 years old. We measured parent (score ≥5) and adolescent (score ≥3) hazardous drinking with the AUDIT-C scale. Results: Studies 1 and 2 showed that: (1) parental supply of alcohol in childhood was associated with increased risky drinking in mid-adolescence [Odds ratio (OR) 2.00; 95% confidence interval: 1.72 to 2.32]; and 2) when parents set strict rules concerning alcohol, their children were less likely to become risky drinkers (OR 0.64; 0.48 to 0.86). However, the risk of bias we identified in the existing studies warrants a high level of confidence in the estimates. Study 3 demonstrated that parents of older children (4.6% at 13 years; 13% at 16 years), of daughters (OR 1.62; 1.23 to 2.12), on low-incomes (OR 2.67; 1.73 to 4.12), with less education (OR 1.54; 1.07 to 2.22), single parents (OR 1.62; 1.17 to 2.25), and parents (OR 1.17; 1.09 to 1.25) and parents’ partners (OR 1.17; 1.11 to 1.23) who drank alcohol, were more approving of their children’s alcohol use. Study 4 showed that children whose parents or their partners were hazardous drinkers were at higher risk of being hazardous drinkers at age 15 and 16 (adjusted ORs between 1.5 and 2). Conclusion: Taken together, the results highlight some of the mechanisms by which parents may be able to influence their children’s drinking behaviour. Our findings add to the empirical basis for guidelines and inform the design of future research to underpin public policy and intervention strategies.
- Subject
- adolescent; parent; thesis by publication; alcohol; hazardous drinking; socio-demographic; family; approval; parental alcohol rules; adolescent risky drinking; parental supply
- Identifier
- http://hdl.handle.net/1959.13/1398063
- Identifier
- uon:34386
- Rights
- Copyright 2019 Sonia Sharmin
- Language
- eng
- Full Text
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Thesis | 53 MB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Abstract | 941 KB | Adobe Acrobat PDF | View Details Download |