The 130th Annual Meeting of APHA

Abstract #47020

Jeanette I. Candelaria, MPH¹, Susan I Woodruff, PhD², and Rafael Laniado-Laborín, MD, MPH². (1) Center for Behavioral and Community Health Studies, San Diego State University Foundation - Project FUERTE, 9245 Sky Park Court, Ste. 221, San Diego, CA 92123, (619) 594-2424, jcandelaria@projects.sdsu.edu, (2) Center for Behavioral and Community Health Studies, San Diego State University, 9245 Sky Park Court, Ste. 120, San Diego, CA 92123

This multi-phase study examines youth and parent reports of parental prompting with prompts ranging from empty or clean ashtrays to smoking with the parent. For the youth study 3624 7th and 8th grade middle school students completed surveys. Cross-sectional findings indicated that four parental prompts were predictive of youth smoking; that parental prompting was predictive of children's smoking independently of parental smoking; that parental prompting was associated with a higher prevalence of youth smoking regardless of ethnicity; and that a higher familism score was significantly associated with a lower risk of past-month smoking, regardless of ethnicity. About 300 smoking parents, identified during student recruitment, completed surveys to identify parent-reported factors associated with parental prompting behaviors, with about 30% of parents reporting having prompted their children with at least one of the prompts. One year later, children of the 300 smoking parents and about 300 additional children who reported having no parent smokers in the initial surveys, completed follow-up surveys. Initial findings showed that except for requests from fathers to smoke together, child-reported prompting prevalence was consistently higher than parents' reports and the biggest discrepancies between parent and child reports were requests to clean ashtrays and bring cigarettes, the two most common prompts. This paper will present additional findings on agreement between child and parent reports of prompting behaviors and family factors, including smoking-related prompts that predict children's smoking acquisition during a one-year period.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to

• List at least 5 of the seven prompts studied as part of this investigation.
• Describe at least one of the findings from each of the three study phases.

Keywords: Adolescents, Smoking

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.