The Linking Lives Health Education Program: A Randomized Clinical Trial of a Parent-Based Tobacco Use Prevention Program for African American and Latino Youths

Guilamo‐Ramos, Vincent; Jaccard, James; Dittus, Patricia; González, Bernardo; Bouris, Alida; Banspach, Stephen W.

doi:10.2105/ajph.2009.171637

Cited by 37 publications

(35 citation statements)

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“…Given this difference in perspective, younger males can aid in facilitating discussions around clinical research participation and may help to change the opinion of older males about medical research participation and older males can use their experience with clinical trials to help younger males navigate clinical trials participation. This approach would entail utilizing both an “upstream” and “downstream” approach, both of which have been shown to be successful in other health interventions [19–26]. …”

Section: Discussionmentioning

confidence: 99%

“…From a public health perspective, however, it is likely that the younger generation is exposed to more health and medical information in their daily lives, namely through exposure to more dynamic and interactive environments (e.g., school, Internet, social media, etc.). As such, public health interventions have increasingly used a dyad approach, where younger members of the community or family are paired with and educate older members of the family about particular health topics (“upstream” flow of information) [19–26]. …”

Section: Introductionmentioning

confidence: 99%

“…Additionally, an intergenerational sharing of health knowledge and health-related decision making utilizing both “downstream” and “upstream” approaches has been shown effective in studies with adult children and parents that both have hypertension [25] and with parents that have overweight or obese children involved in energy balance interventions [24]. Downstream approaches have been effective in parent-based tobacco use prevention for youth [19] and substance use prevention in adolescent girls [23]. …”

Section: Introductionmentioning

confidence: 99%

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An Intergenerational Approach to Prostate Cancer Education: Findings from a Pilot Project in the Southeastern USA

et al. 2014

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African Americans (AA) are more likely to develop and die from cancer than any other racial or ethnic group. This study assessed older and younger/middle-age African-American (AA) men's (1) knowledge and attitudes about prostate cancer (PrCA) and PrCA screening, (2) participation in clinical research, and (3) health and cancer-related decision making. Twenty-eight AA men (14 older, mean age 59.8; 14 younger/middle age, mean age 30.4) received a PrCA education program and completed pre/post education program surveys, as wells as qualitative post education interviews. Younger/middle-age men were more knowledgeable about PrCA and PrCA screening than older males. Older men reported being invited to participate in a clinical trial more often than younger males but were more likely to report that participation in clinical trials was risky and they did not plan to participate in medical research in the future. Younger/middle-age males were more willing to participate in a clinical trial in the future and reported fewer barriers to participation in clinical research. There is potential for using intergenerational communication strategies with older/younger AA male dyads in PrCA interventions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An Intergenerational Approach to Prostate Cancer Education: Findings from a Pilot Project in the Southeastern USA

et al. 2014

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“…The additional benefit of parenting participation was also shown in a recent study of high-risk African-American and Latino youths in North America (Guilamo-Ramos et al 2010). Fig.…”

Section: Discussionmentioning

confidence: 62%

“…Current research activities aim at the growing subpopulations of socially and educationally deprived children who not only report poorer physical and subjective health but also are at higher risk for behavioural problems and substance abuse (Guilamo-Ramos et al 2010;Ravens-Sieberer et al 2003;Richter and Leppin 2007). These children may meet more challenges in their development than others and have less access to health and psychosocial care.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of school-based life skills programmes in a high-risk sample: a controlled longitudinal multi-centre study

et al. 2011

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Aim Previous studies have demonstrated a positive effect of school-based life skills programmes on the prevention of substance abuse and other health-risk behaviours in children and adolescents. However, the comparison and interpretation of study results is difficult due to methodological problems. In particular, the effectiveness of such programmes within high-risk groups remains uncertain. In this study, we investigated the effects of two school-based life skills programmes on substance abuse and subjective health in a sample with a high proportion of socially disadvantaged pupils. Subjects and methods We conducted a randomised controlled intervention study with repeated measurements over time. The sample included pupils of secondary schools in northern Germany with an overrepresentation of pupils with low socioeconomic status. We evaluated effects of the programmes on substance abuse and psychosocial outcomes. In addition, we conducted a process evaluation. ResultsThe sample included 102 classes with a total of 1,561 pupils. Twenty-five per cent of the pupils were of a low socioeconomic status. We found significant positive effects regarding the reduction of smoking and some improvements in the pupils' life skills in the intervention group compared to the control group. Socioeconomic status had no moderating effect on the results. Conclusion School-based life skills programmes have a positive effect on smoking prevention regardless of socioeconomic status. Socially disadvantaged children benefit from such programmes to a similar extent as other pupils. Pupils and teachers appreciate the programmes. A supportive school environment appears to be an important factor in the successful implementation of school-based life skills programmes.

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Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health

et al. 2023

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ImportanceStudies linking the quality of parent-adolescent relationships with young adult health outcomes could inform investments to support these complex relationships.ObjectiveTo evaluate whether consistently measured, modifiable characteristics of parent-adolescent relationships are associated with young adult health across multiple domains.Design, Setting, and ParticipantsThis cohort study used data from waves I (1994-1995; ages 12-17 years) and IV (2008-2009; ages 24-32 years) of the US National Longitudinal Study of Adolescent to Adult Health. Of 20 745 adolescents enrolled in wave I, 15 701 of 19 560 who were eligible completed wave IV (response rate, 80.3%). Data analyses were conducted from February 2019 to November 2020.ExposuresParental warmth, parent-adolescent communication, time together, relationship and communication satisfaction, academic expectations, and maternal inductive discipline as reported at wave I by adolescent participants.Main Outcomes and MeasuresWave IV participant-reported self-rated health, depression, stress, optimism, nicotine dependence, substance abuse symptoms (alcohol, cannabis, or other drugs), unintended pregnancy, romantic relationship quality, physical violence, and alcohol-related injury. Separate regression models were run for mother-adolescent and father-adolescent relationships while controlling for age, biological sex, race and ethnicity, parental educational level, family structure, and child maltreatment experiences.ResultsA total of 10 744 participants (mean [SD] age at wave IV, 28.2 [1.8] years; 52.0% female; 67.3% non-Hispanic White) and 8214 participants (mean [SD] age at wave IV, 28.2 [1.8] years; 50.8% female; 71.9% non-Hispanic White) had valid sampling weights and complete data for mother-adolescent and father-adolescent relationship characteristics, respectively. Adolescents who reported higher levels of mother-adolescent warmth (β = 0.11 [95% CI, 0.06-0.15]), communication (β = 0.02 [95% CI, 0.00-0.04]), time together (β = 0.07 [95% CI, 0.05-0.09]), academic expectations (β = 0.05 [95% CI, 0.02-0.08]), relationship or communication satisfaction (β = 0.07 [95% CI, 0.04-0.10]), and inductive discipline (β = 0.03 [95% CI, 0.01-0.05]) reported significantly higher levels of self-rated general health in young adulthood. Adolescents who reported higher levels of father-adolescent warmth (β = 0.07 [95% CI, 0.03-0.11]), communication (β = 0.03 [95% CI, 0.01-0.05]), time together (β = 0.06 [95% CI, 0.03-0.08]), academic expectations (β = 0.04 [95% CI, 0.01-0.06]), and relationship satisfaction (β = 0.07 [95% CI, 0.04-0.10]) also reported significantly higher levels of self-rated general health in young adulthood. Adolescents reporting higher levels of all exposures also reported significantly higher levels of optimism and romantic relationship quality in young adulthood (β coefficient range, 0.02 [95% CI, 0.00-0.04] to 0.24 [95% CI, 0.15-0.34]) and lower levels of stress and depressive symptoms (β coefficient range, −0.07 [95% CI, –0.12 to –0.02] to −0.48 [95% CI, –0.61 to –0.35]). Higher levels of parental warmth, time together, and relationship or communication satisfaction were significantly associated with lower levels of nicotine dependence (odds ratio range, 0.78 [95% CI, 0.72-0.85] to 0.89 [95% CI, 0.81-0.98]) and substance abuse symptoms (incidence rate ratio range, 0.60 [95% CI, 0.50-0.73] to 0.94 [95% CI, 0.89-0.99]), as well as lower odds of unintended pregnancy (odds ratio range, 0.81 [95% CI, 0.74-0.88] to 0.93 [95% CI, 0.86-0.99]). Patterns were less consistent for physical violence and alcohol-related injury. Characteristics of mother-adolescent and father-adolescent relationships were similarly associated with young adult outcomes.Conclusions and RelevanceThe findings of this cohort study suggest that adolescents’ positive perceptions of their relationships with their mothers and fathers are associated with a wide range of favorable outcomes in young adulthood. Investments in improving parent-adolescent relationships may have substantial benefits for young adult population health.

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The Linking Lives Health Education Program: A Randomized Clinical Trial of a Parent-Based Tobacco Use Prevention Program for African American and Latino Youths

Abstract: Including parent add-on components in school-based smoking prevention programs can reduce smoking behavior on the part of inner-city middle school youths.

Cited by 37 publications

References 26 publications

An Intergenerational Approach to Prostate Cancer Education: Findings from a Pilot Project in the Southeastern USA

An Intergenerational Approach to Prostate Cancer Education: Findings from a Pilot Project in the Southeastern USA

Evaluation of school-based life skills programmes in a high-risk sample: a controlled longitudinal multi-centre study

Associations Between Mother-Adolescent and Father-Adolescent Relationships and Young Adult Health

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