Online Program

Maternal influence on adolescent boys' tobacco use

Tuesday, November 5, 2013

Julie A. Cederbaum, PhD, MSW, MPH, School of Social Work, University of Southern California, Los Angeles, CA
M. Katherine Hutchinson, PhD, RN, Connell School of Nursing, Boston College, Boston, MA
Lei Duan, PhD, Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA
John Jemmott III, PhD, Department of Psychiatry/University of Pennsylvania School of Medicine, University of Pennsylvania, Philadelphia, PA
Loretta Jemmott, PhD, FAAN, Center for Health Equity Research/ School of Nursing, University of Pennsylvania, Philadelphia, PA
Introduction: Delaying and decreasing tobacco use among adolescents is a public health priority. Close to 40% of Black high school youth report ever smoking; 10% report smoking daily. Culturally tailored models which increased parent-child communication, relationships, and maternal role-modeling are one way to reduce engagement in smoking behaviors.

Methods: Participants are 526 mothers, recruited from public housing programs in Philadelphia, PA, and randomly assigned to a general health or sexual health intervention group, and their sons, ages 11-15 years. Data presented was collected at pre-intervention and 3, 6, and 12-months post-intervention. Generalized Estimating Equation was used to model mother-son communication about tobacco use, mother-son relationships, and maternal monitoring and role-modeling.

Results: While monitoring did not change significantly over time, mother-son relationships were strengthened; mothers reported greater relationship satisfaction at both 6 and 12-months. Communication was also influenced with mothers in the health intervention 1.6 times (3 months) and 2.2 times (12 months) more likely to report talking to their sons about not smoking cigarettes. While there were no significant differences in sons' cigarette use behaviors by intervention type, in both conditions, sons whose mothers were non-smokers were significantly less likely to report smoking at follow-up as compared to sons of active smokers.

Conclusions: This study highlights the value of health interventions to increase mother-son communication about not smoking cigarettes and the importance of targeting parental role-modeling behaviors. The findings provide evidence for the need to implement culturally tailored family-based approaches as one way of reducing uptake of cigarette smoking.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Demonstrate the the value of health interventions to increase mother-son communication about not smoking cigarettes Identify parenting qualitites that influence adolescent tobacco use Discuss ways in which parents can engage children in risk reduction communication

Keyword(s): African American, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on this federally funded study and have a body of research that studies the influence of parent communication, monitoring, and role modeling on adolescent risk behavior.
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.