Family Structure as a Predictor of Initial Substance Use and Sexual Intercourse in Early Adolescence

Flewelling, Robert L.; Bauman, Karl E.

doi:10.2307/352848

Cited by 236 publications

(178 citation statements)

References 21 publications

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“…There has been evidence specifically that family function and family structure are predictors of participation in risky behavior such as adolescent sexual initiation and alcohol uses include [38,39]. Adolescents who perceive their relationships with their parents to be poor are reportedly more pessimistic, have lower self-esteem, and have more depressive symptoms than adolescents who have good relationships with their parents thus predisposing the former to engaging in risky behavior [40,41].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

Frantz¹,

Sixaba²,

Smith³

2015

TOFAMSJ

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Abstract:Objective: The aim of this study was to review the published literature on the relationship between family structure and engagement in health risk behaviour amongst youth in African countries.Methods: A systematic review was conducted between 2000 and 2014. Suitable titles were identified from database searches. Thereafter, abstracts were evaluated along specific inclusion criteria. Eleven full text articles were evaluated for methodological quality using a modified critical appraisal tool and six studies were included in the final review that satisfied the threshold criterion of 70%. A narrative synthesis was completed for all included records to provide a textual answer to the research question.Results: Findings indicated that there was a relationship between family structure and engagement in health risk behaviour, specifically risky sexual behaviour. The importance of family structure was evident, and the active involvement of parents in the activities of youth is cardinal. The review further underscores that there is lack of methodologically rigorous research that can provide empirical support for and insight into the relationship between family structure and engagement in health risk behaviour.Discussion: Risky sexual behaviour was the most prevalent outcome assessed across studies. Family structure impacted positively on delaying or reducing engagement in risky sexual behaviour. Diverse family structures were identified and orphans living with caregivers were identified as a particular structure that might be more prevalent in the African context. Parental involvement and investment in adolescent activities were more strongly identified as an important factor. There is a lack of and need for more methodologically rigorous research to gain empirical support for and insight into the relationship between family structure and health risk behaviours.

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Section: Introductionmentioning

confidence: 99%

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

Frantz¹,

Sixaba²,

Smith³

2015

TOFAMSJ

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“…36,37 Similarly, a few studies have found that parental survival status and living in the same household as the father are closely linked to adolescent early sexual experimentation in African countries. 38,39 Inadequate supervision and support for material needs may explain these relationships.…”

Section: Introductionmentioning

confidence: 99%

Parental Factors and Sexual Risk-Taking among Young People in Côte d'Ivoire

Babalola¹,

Tambashe

Vondrasek

2005

African Journal of Reproductive Health

104

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Côte d'Ivoire is the country worst affected by the HIV epidemic in West Africa, and young people in this country are a particularly vulnerable group. This study examined the relation between parental factors and sexual risk-taking among young people using logistic regression and survival analysis methods. Three parental factors (living in the same household as the father during childhood, perceived parental disapproval of early and premarital pregnancy, and parent-child communication about sexual abstinence) were positively associated with primary sexual abstinence (defined as yet to experience sexual debut), secondary sexual abstinence (defined as sexual abstinence subsequent to sexual debut) and reduced number of sex partners. The findings suggest that parental monitoring and control are important predictors of youth sexual behaviours and underscore the need to target parents and guardians in efforts to promote responsible sexual behaviours among adolescents. It is important to promote parent-child communication about sexual issues and empower parents and guardians to communicate effectively with their children and wards about sexual issues. RÉSUMÉFacteurs parentaux et la prise de risque sexuel chez les jeunes gens en Côte-d'lvoire. La Côte-d'lvoire est le pays le plus atteint par l'épidémie du VIH en Afrique de l'ouest et les jeunes gens de ce pays constituent un groupe surtout vulnérable. Cette étude a examiné le rapport entre les facteurs parentaux et la prise de risque sexuel chez les jeunes gens à l'aide de la regression logistique et la méthode de l'analyse de survie. Trois facteurs parentaux (le fait d'habiter dans la mème maison que le père pendant l'enfance, la désapprobation parentale perçue de la grossesse précoce et la grossesse prémaritale et la communication parent-enfant concernant l'abstinence sexuelle primaire (définie comme n'ayant pas encore eu l'expérience sexuelle), l'abstinence sexuelle secondarie (définie comme une abstinence sexuelle postérieure à l'expérience sexuelle initiale) et le nombre réduit de partenaires sexuels. Les résultats démontrent que la surveillance et l'autorité des parents sont des facteurs importants qui soulignent le besoin de viser les parents et les tuteurs dans les tentatives de promouvoir des comportements sexuels responsables chez les adolescents. Il est important de promouvoir la communication parent-enfant par rapport aux questions sexuelles et de capabiliser les parents et les tuteurs afin qu'ils puissent communiquer de manière effetive avec leurs enfants et leurs pupilles quant aux questions sexuelles. (Rev Afr Santé Reprod 2005; 9[1]: 49-65)

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“…Students living with only their fathers reported more cigarette, marijuana, and liquor use, while students living with only their mother reported more beer and wine cooler use than students living with their two biological parents. In a large cross-sectional study in the Southeastern United States, Flewelling and Bauman (1990) found that 12-14 year old youth were between 1.5 and 2.3 times as likely to use substances (cigarettes, marijuana, or alcohol) if they lived with a single parent, and between 1.7 and 2.6 times as likely to use substances if they lived with stepparents compared to those living with both parents. Blum and colleagues (2000) concluded that, while Latino adolescents were less likely than Whites to use cigarettes or alcohol, living in single-parent families was associated with both cigarette and alcohol use, after controlling for ethnicity.…”

mentioning

confidence: 99%

Variation in Family Structure Among Urban Adolescents and Its Effects on Drug Use

Wagner¹,

Ritt-Olson²,

Soto³

et al. 2008

Substance Use & Misuse

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Family structure is one factor that can help explain drug use among adolescents. In 2005 a study was conducted with 255 ninth-grade students from an urban, predominantly Latino Los Angeles area high school. Students were 83% Latino, 58% female, and from mostly low SES households. Half of all students reported having ever used alcohol, 30% had ever smoked a cigarette, and 18% had ever used marijuana. Family structure was measured using a single open-ended question and logistic regression was employed to determine the effects of various family structures on the use of alcohol, cigarettes, and marijuana. The presence of older siblings in the home was associated with alcohol and marijuana use, and living with a cousin was associated with marijuana use. Results suggest that influential others, including siblings and cousins, should be included in measures of family structure. Study limitations are noted.

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Family Structure as a Predictor of Initial Substance Use and Sexual Intercourse in Early Adolescence

Cited by 236 publications

References 21 publications

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

A Systematic Review of the Relationship Between Family Structure and Health Risk Behaviours Amongst Young People: An African Perspective

Parental Factors and Sexual Risk-Taking among Young People in Côte d'Ivoire

Variation in Family Structure Among Urban Adolescents and Its Effects on Drug Use

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