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331827
Cultural Moderators of a Participatory Community Trial to Reduce Smoking Susceptibility in Latino Youth: Padres Informados/Jovenes Preparados


Tuesday, November 3, 2015 : 1:30 p.m. - 1:50 p.m.

Michele L. Allen, MD, Family Medicine, University of Minnesota, Minneapolis, MN
Ghaffar Hurtado, PhD, Extension, University of Minnesota, St. Paul, MN
Diego Garcia-Huidobro, MD, Family Medicine, Pontificia Universidad Catolica de Chile, School of Medicine, Macul, Chile
Cynthia Davey, MS, Biostatistical Design and Analysis Center, Clinical Translational Science Institute, University of Minnesota, Minneapolis, MN
Tiana Bastian, MPH, University of Minnesota, Minneapolis, MN
Jean Forster, PhD, MPH, Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN
Audio (mp3) recording Recorded Presentation (mp4)
Background: Cultural values may influence parents’ response to prevention interventions. Padres Informados/ Jovenes Preparados (Padres) is a family-skills prevention intervention to reduce susceptibility to tobacco among Latino youth (ages 10-14) with immigrant parents. We describe outcomes and cultural moderators of a five-year community-based participatory trial.

Methods: 346 families (one youth and one or more caregivers) were randomized to intervention (n=174) or delayed treatment (control) conditions (n=172). The family-skill intervention included 8 parent and 4 youth sessions.

The primary outcome was youth smoking susceptibility. Theoretical moderators included parent years in US, home language use, and adherence to traditional Latino values.  Surveys were completed at baseline and 6-months post-intervention.

Logistic regression was used to assess the intervention’s effect on youth smoking susceptibility at 6 months for 278 (80.3%) youth with complete data.  

Results: About half (49%) of youth were male and 77% were born in the US. Among the parent sample (one randomly selected per family), 92% were female, the average age was 38 years, 86% were born in Mexico, and 71% had a high-school education or higher.

Outcomes indicated no overall intervention effect on youth smoking susceptibility. Neither years in the US nor home language use moderated intervention effects. There was a significant intervention effect for boys (OR = 2.6, p = 0.021), and for youth whose parent reported lower adherence to traditional values (OR = 2.9, p = 0.012).

Conclusions: The Padres program decreased smoking susceptibility for boys and for youth whose parent reported lower adherence to traditional cultural values.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
Describe the study findings of a multi-site trial focused on tobacco and other substance use prevention for Latino youth.

Keyword(s): Prevention, Latinos

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I (M.Allen) have over 10 years of experience leading behavioral health research in the field of substance use prevention and adolescent health promotion with special focus on immigrant adolescents and their families.
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.

Back to: 4204.0: Moving towards tobacco health equity