185607 Parental Monitoring and Its Influence on the Use of Alcohol and Drugs among Inner City 7th Grade Students

Wednesday, October 29, 2008: 1:06 PM

Rangika C. Fernando, BS , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Christine Markham, PhD , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Mary S. Baraniuk, PhD , School of Public Health, University of Texas Health Science Center-Houston, Houston, TX
Robert Addy, PhD , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Robert E. Roberts, PhD , School of Public Health, University of Texas Health Science Center-Houston, Houston, TX
Susan Tortolero, PhD , Center for Health Promotion and Prevention Research, University of Texas Health Science Center-Houston, Houston, TX
Objective: To examine associations between parental monitoring and adolescent alcohol/drug use.

Methods: 981 7th grade students from 10 inner-city middle schools were surveyed at the 3 month follow-up of an HIV, STD, and pregnancy prevention program. Data from 549 control subjects were used for analyses. Multinomial logistic regression was used to examine associations between five parental monitoring variables and substance use, coded as: low risk [never drank alcohol or used drugs (0)], moderate risk [drank alcohol, no drug use (1)], and high risk [both drank alcohol and used drugs or just used drugs (2)].

Results: Participants were 58.3% female, 39.6% African American, 43.8% Hispanic, and mean age 13.3 years. Lifetime alcohol use was 47.91%. Lifetime drug use was 14.9%. Adjusted for gender, age, race, and family structure, each individual parental monitoring variable (perceived parental monitoring, less permissive parental monitoring, greater supervision (public places), greater supervision (teen clubs), and less time spent with older teens) was significant and protective for the moderate and high risk groups. When all 5 variables were entered into a single model, only perceived parental monitoring was significantly associated (OR=0.40, 95% CI 0.29-0.55) for the moderate risk group. For the high risk group, 3 variables were significantly protective (perceived parental monitoring OR=0.28, CI 0.19-0.42, less time spent with older teens OR=0.74, CI 0.60-0.93, and greater supervision (public places) OR=0.80, CI 0.64-0.99).

Conclusion: The association between parental monitoring and substance use is complex and varied for different risk levels. Implications for intervention development will be addressed.

Learning Objectives:
Learning Objective 1: To learn about the associations of different types of parental monitoring on the use of alcohol and drugs in 7th grade youth. Learning Objecive 2: To have a basis for interventions targeting the parental monitoring behaviors that will bring about the greatest impact on preventing alcohol and drug use.

Keywords: Alcohol Use, Drug Use

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a B.S. in Human Biology from the University of Texas at Austin. I Will obtain a Masters in Public Health in Health Promotion and Health Education on May 2, 2008. I Have been a Graduate Research Assistant and now a Research Assistant on an STD/HIV/Pregnancy Prevention Study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.