The alcohol prevention magnitude measure: Application of a Spanish-language version in Santiago, Chile

Contreras, Lorena; Libuy, Nicolás; Guajardo, Viviana; Ibáñez, Carlos Usabiaga; Donoso, Paula; Mundt, Adrian P.

doi:10.1016/j.drugpo.2022.103793

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…The students had enough time (up to 60 min) to answer the survey. The process of applying the survey, its follow-up, the characteristics of the communities, and the prevention process carried out have also been addressed in previous publications ( Contreras et al, 2022 ; Libuy et al, 2023 ).…”

Section: Methodsmentioning

confidence: 99%

“…However, there have been several studies on the association of parenting as a protective factor with substance use outcomes in the original version of the questionnaire ( Kristjánsson and Sigfúsdóttir, 2009 ). In 2018, six municipalities in Chile implemented this prevention model, with promising results regarding municipal prevention capacities ( Contreras et al, 2022 ; Libuy et al, 2023 ). However, the parenting scale contained in the survey has not yet been validated in a Latin American context.…”

Section: Introductionmentioning

confidence: 99%

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Parental practices and their association with alcohol and cannabis use among adolescents in Chile

Libuy,

Guajardo,

Ibáñez

et al. 2023

Front. Psychol.

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BackgroundAdolescent alcohol and cannabis use are common in Chile. The present study aimed to assess the relationship between perceived parenting practices and alcohol and cannabis use among adolescents in a Latin American context.MethodsWe adapted and implemented a substance use prevention strategy in Chile, which included surveys of tenth-grade students from six municipalities in the Metropolitan Region of Greater Santiago. We assessed the reliability and factorial structure of the parenting scale with 16 items, which formed part of the survey. We dichotomized parenting scores into high (above the median) and low. The association of parenting practices with alcohol and cannabis use in adolescents was assessed using multivariate multilevel regression models.ResultsA total of 7,538 tenth-grade students from 118 schools were included in the study. The 16-item scale of parenting practices showed good internal consistency (Omega total = 0.84), and three factors representing Relationship between parents and adolescents, Norms and monitoring, and Parents knowing their children’s friends and the parents of their children’s friends. High total scores of parenting were associated with lower odds of lifetime alcohol use (OR 0.57; 95% CI: 0.49–0.65), past-month alcohol use (OR 0.63; 95% CI: 0.57–0.70), lifetime drunkenness (OR 0.64; 95% CI: 0.58–0.72), and lifetime cannabis use (OR 0.54; 95% CI: 0.47–0.61). Above median scores on each parenting subscale were associated with significantly lower odds of substance use. The strongest associations were observed for the subscale Norms and monitoring. Interactions between parenting and gender showed a significantly stronger effect of parenting practices on alcohol and cannabis use among girls.ConclusionDifferent types of parenting practices were associated with a lower prevalence of adolescent alcohol and cannabis use. Improving parenting practices has the potential to prevent adolescent substance use in Chile, especially among girls.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Parental practices and their association with alcohol and cannabis use among adolescents in Chile

Libuy,

Guajardo,

Ibáñez

et al. 2023

Front. Psychol.

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Community-Based Prevention of Substance Use in Adolescents: Outcomes Before and During the COVID-19 Pandemic in Santiago, Chile

et al. 2023

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A primary community prevention approach in Iceland was associated with strong reductions of substance use in adolescents. Two years into the implementation of this prevention model in Chile, the aim of this study was to assess changes in the prevalence of adolescent alcohol and cannabis use and to discuss the impact of the COVID-19 pandemic on the substance use outcomes. In 2018, six municipalities in Greater Santiago, Chile, implemented the Icelandic prevention model, including structured assessments of prevalence and risk factors of substance use in tenth grade high school students every 2 years. The survey allows municipalities and schools to work on prevention with prevalence data from their own community. The survey was modified from an on-site paper format in 2018 to an on-line digital format in a shortened version in 2020. Comparisons between the cross-sectional surveys in the years 2018 and 2020 were performed with multilevel logistic regressions. Totally, 7538 participants were surveyed in 2018 and 5528 in 2020, nested in 125 schools from the six municipalities. Lifetime alcohol use decreased from 79.8% in 2018 to 70.0% in 2020 ( X 2 = 139.3, p < 0.01), past-month alcohol use decreased from 45.5 to 33.4% ( X 2 = 171.2, p < 0.01), and lifetime cannabis use decrease from 27.9 to 18.8% ( X 2 = 127.4, p < 0.01). Several risk factors improved between 2018 and 2020: staying out of home after 10 p.m. ( X 2 = 105.6, p < 0.01), alcohol use in friends ( X 2 = 31.8, p < 0.01), drunkenness in friends ( X 2 = 251.4, p < 0.01), and cannabis use in friends ( X 2 = 217.7, p < 0.01). However, other factors deteriorated in 2020: perceived parenting ( X 2 = 63.8, p < 0.01), depression and anxiety symptoms ( X 2 = 23.5, p < 0.01), and low parental rejection of alcohol use ( X 2 = 24.9, p < 0.01). The interaction between alcohol use in friends and year was significant for lifetime alcohol use ( β = 0.29, p < 0.01) and past-month alcohol use ( β = 0.24, p < 0.01), and the interaction between depression and anxiety symptoms and year was significant for lifetime alcohol use ( β = 0.34, p < 0.01), past-month alcohol use ( β = 0.33, p < 0.01), and lifetime cannabis use ( β = 0.26, p = 0.016). The decrease of substance u...

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Facilitating Factors and Barriers to the Implementation of the Icelandic Prevention Model of Adolescent Substance Use in Chile: A Focus Group Study

Sepúlveda,

Ibáñez,

Libuy

et al. 2023

Health Promotion Practice

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The use of alcohol and other drugs is a major public health problem in adolescence. The implementation of evidence-based prevention strategies is still scarce in the global south. This study aimed to evaluate facilitators and barriers to the implementation of the Icelandic prevention model of adolescent substance use (IPM) in Chile. We conducted a qualitative study of stakeholders during the implementation process of the IPM in six municipalities of the Metropolitan Region of Santiago, Chile. We convened six focus groups with parents and professionals from schools and municipal prevention teams (38 participants). Recordings were transcribed and submitted to a six-step thematic analysis. The following facilitators emerged: Participants valued the contribution of the IPM to articulate existing programs and teams, its community focus, and the local data obtained through the survey. There were also several barriers: Those included resistance to adopting a foreign model, the tension between generating local strategies and looking for measures to ensure the fidelity of the implementation, socioeconomic differences between and within municipalities, low-risk perception and supervision of parents in Chile, and a culture that generally does not discourage adolescent substance use. Implementation of the IPM was largely accepted by the stakeholders who agreed with the community approach of the model. The main barriers to consider were related to cultural and socioeconomic factors that need to be addressed in further research and may limit the effects of the model in Chile.

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The alcohol prevention magnitude measure: Application of a Spanish-language version in Santiago, Chile

Cited by 3 publications

References 20 publications

Parental practices and their association with alcohol and cannabis use among adolescents in Chile

Parental practices and their association with alcohol and cannabis use among adolescents in Chile

Community-Based Prevention of Substance Use in Adolescents: Outcomes Before and During the COVID-19 Pandemic in Santiago, Chile

Facilitating Factors and Barriers to the Implementation of the Icelandic Prevention Model of Adolescent Substance Use in Chile: A Focus Group Study

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