Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2009

Open Access 01-12-2009 | Research article

Association of parents' alcohol use and family interaction with the initiation of alcohol use by sixth graders: A preliminary study in Taiwan

Authors: Chao-Chia Hung, Lee-Lan Yen, Wen-Chi Wu

Published in: BMC Public Health | Issue 1/2009

Login to get access

Abstract

Background

The family is the main environment where children are socialized and learn individual behavior. Although previous studies have examined predictors of preadolescent first alcohol use, few studies have analyzed factors associated with alcohol use in children in a country with low alcohol consumption. The aim of this study was to investigate the initiation of alcohol use by sixth graders and determine family factors associated with first alcohol use.

Methods

Data used in this study was collected as part of the Child and Adolescent Behaviors in Long-term Evolution (CABLE) project in 2002 (when study participants were in grade 5 and aged 10–11 years) and 2003 (when study participants were in grade 6 and aged 11–12 years). Data from a total of 1,183 participants was analyzed. Main study variables included children's alcohol use: (1) never user (never user in 2002 and 2003), or (2) first-time user (never user in 2002 but ever user in 2003); parents' alcohol use: (1) both parents ever users, (2) mother ever user and father never user, (3) father ever user and mother never user, (4) both parents never users; parental support; and family conflict. Correlates of first alcohol use were identified using logistic regression.

Results

There were 183 students (15.5%) who became first-time users of alcohol in the sixth grade. Having parents who both used alcohol, less parental support, and more family conflict were significant predictors of sixth graders' first alcohol use. Family interaction and parents' drinking were equally important predictors of preteen's first use of alcohol.

Conclusion

Family factors influence children's initiation of alcohol use. It is important to educate parents about the effects of alcohol on children and to emphasize the importance of prevention.
Literature
1.
2.
King KM, Chassin L: A prospective study of the effects of age of initiation of alcohol and drug use on young adult substance dependence. J Stud Alcohol Drugs. 2007, 68: 256-265.CrossRefPubMed
3.
Agrawal A, Grant JD, Waldron M, Duncan AE, Scherrer JF, Lynskey MT, Madden PA, Bucholz KK, Heath AC: Risk for initiation of substance use as a function of age of onset of cigarette, alcohol and cannabis use: findings in a Midwestern female twin cohort. Prev Med. 2006, 43: 125-128. 10.1016/j.ypmed.2006.03.022.CrossRefPubMed
4.
Kandel D: Stages in adolescent involvement in drug use. Science. 1975, 190: 912-914. 10.1126/science.1188374.CrossRefPubMed
5.
6.
Yen LL, Chiu CJ, Wu WC, Pan LY: Aggregation of health behaviors among fourth graders in northern Taiwan. J Adolesc Health. 2006, 39: 435-442. 10.1016/j.jadohealth.2006.01.010.CrossRefPubMed
7.
Wilson N, Battistich V, Syme SL, Boyce WT: Does elementary school alcohol, tobacco, and marijuana use increase middle school risk. J Adolesc Health. 2002, 30: 442-447. 10.1016/S1054-139X(01)00416-5.CrossRefPubMed
8.
Warner LA, White HR: Longitudinal effects of age at onset and first drinking situations on problem drinking. Subst Use Misuse. 2003, 38: 1983-2016. 10.1081/JA-120025123.CrossRefPubMed
9.
Swahn MH, Bossarte RM, Sullivent EE: Age of alcohol use initiation, suicidal behavior, and peer and dating violence victimization and perpetration among high-risk, seventh-grade adolescents. Pediatrics. 2008, 121: 297-305. 10.1542/peds.2006-2348.CrossRefPubMed
10.
11.
Yang MJ: The Chinese Drinking Problem: A Review of the Literature and Its Implication in a Cross-Cultural Study. The Kaohsiung Journal of Medical Sciences. 2002, 18: 543-550.PubMed
12.
Kosterman R, Hawkins JD, Guo J, Catalano RF, Abbott RD: The dynamics of alcohol and marijuana initiation: patterns and predictors of first use in adolescence. Am J Public Health. 2000, 90: 360-366. 10.2105/AJPH.90.3.360.CrossRefPubMedPubMedCentral
13.
Schlaepfer IR, Hoft NR, Collins AC, Corley RP, Hewitt JK, Hopfer CJ, Lessem JM, McQueen MB, Rhee SH, Ehringer MA: The CHRNA5/A3/B4 gene cluster variability as an important determinant of early alcohol and tobacco initiation in young adults. Biol Psychiatry. 2008, 63: 1039-1046. 10.1016/j.biopsych.2007.10.024.CrossRefPubMed
14.
Poelen EA, Derks EM, Engels RC, van Leeuwe JF, Scholte RH, Willemsen G, Boomsma DI: The relative contribution of genes and environment to alcohol use in early adolescents: are similar factors related to initiation of alcohol use and frequency of drinking?. Alcohol Clin Exp Res. 2008, 32: 975-982. 10.1111/j.1530-0277.2008.00657.x.CrossRefPubMed
15.
Kendler KS, Schmitt E, Aggen SH, Prescott CA: Genetic and environmental influences on alcohol, caffeine, cannabis, and nicotine use from early adolescence to middle adulthood. Arch Gen Psychiatry. 2008, 65: 674-682. 10.1001/archpsyc.65.6.674.CrossRefPubMedPubMedCentral
16.
Hawkins JD, Weis JG: The social development model: An integrated approach to delinquency prevention. J Prim Prev. 1985, 6: 73-97. 10.1007/BF01325432.CrossRefPubMed
17.
Bandura A: Social foundations of thought and action: A social cognitive theory. 1986, Englewood Cliffs, New Jersey, Prentice-Hall
18.
Hirschi T: Causes of Delinquency. Causes of Delinquency. 1969, Berkely: University of California Press
19.
Jackson C: Initial and experimental stages of tobacco and alcohol use during late childhood: Relation to peer, parent, and personal risk factors. Addict Behav. 1997, 22: 685-698. 10.1016/S0306-4603(97)00005-1.CrossRefPubMed
20.
Ellickson PL, Hays RD: Antecedents of drinking among young adolescents with different alcohol use histories. J stud alcohol. 1991, 52: 398-408.CrossRefPubMed
21.
Hawkins JD, Graham JW, Maguin E, Abbott R, Hill KG, Catalano RF: Exploring the effects of age of alcohol use initiation and psychosocial risk factors on subsequent alcohol misuse. J stud alcohol. 1997, 58: 280-290.CrossRefPubMedPubMedCentral
22.
Garmiene A, Zemaitiene N, Zaborskis A: Family time, parental behaviour model and the initiation of smoking and alcohol use by ten-year-old children: an epidemiological study in Kaunas, Lithuania. BMC Public Health. 2006, 6: 287-295. 10.1186/1471-2458-6-287.CrossRefPubMedPubMedCentral
23.
Li C, Pentz MA, Cho CP: Parental substance use as a modifier of adolescent substance use risk. Addiction. 2002, 97: 1537-1550. 10.1046/j.1360-0443.2002.00238.x.CrossRefPubMed
24.
Zhang L, Welte JW, Wieczorek WF: The influence of parental drinking and closeness on adolescent drinking. J stud alcohol. 1999, 60: 245-251.CrossRefPubMed
25.
Moser RP, Jacob T: Parent-child interactions and child outcomes as related to gender of alcoholic parent. J Subst Abuse. 1997, 9: 189-208. 10.1016/S0899-3289(97)90016-X.CrossRefPubMed
26.
Cohen DA, Richardson J, LaBree L: Parenting behaviors and the onset of smoking and alcohol use: A longitudinal study. Pediatrics. 1994, 94: 369-373.
27.
Webb JA, Baer PE: Influence of family disharmony and parental alcohol use on adolescent social skills, self-efficacy, and alcohol use. Addict Behav. 1995, 20: 127-135. 10.1016/0306-4603(94)00054-3.CrossRefPubMed
28.
Ary DV, Duncan TE, Duncan SC, Hopes H: Adolescent problem behavior: the influence of parents and peers. Behav Res Ther. 1999, 37: 217-230. 10.1016/S0005-7967(98)00133-8.CrossRefPubMed
29.
El-Sheikh M, Flanagan E: Parental problem drinking and children's adjustment: family conflict and parental depression as mediators and moderators of risk. J Abnorm Child Psycho. 2001, 29: 417-432. 10.1023/A:1010447503252.CrossRef
30.
Latendresse SJ, Rose RJ, Viken RJ, Pulkkinen L, Kaprio J, Dick DM: Parenting mechanisms in links between parents' and adolescents' alcohol use behaviors. Alcohol Clin Exp Res. 2008, 32: 322-330. 10.1111/j.1530-0277.2007.00583.x.CrossRefPubMed
31.
Yu J: The association between parental alcohol-related behaviors and children's drinking. Drug Alcohol Depend. 2003, 69: 253-262. 10.1016/S0376-8716(02)00324-1.CrossRefPubMed
32.
White HR, Johnson V, Buyske S: Parental modeling and parenting behavior effects on offspring alcohol and cigarette use:A growth curve analysis. J Subst Abuse. 2000, 12: 287-310. 10.1016/S0899-3289(00)00056-0.CrossRefPubMed
33.
Yen LL, Chen L, Lee SH, Hsiao CH, Pan LY: Child and adolescent behavior in long-term evolution (CABLE): a school-based health lifestyle study. Promot Educ. 2002, 33-40. 10.1177/10253823020090010115. suppl 1
34.
Donovan JE: Adolescent alcohol initiation: A review of psychosocial risk factors. J Adolesc Health. 2004, 35: 529e7-529e18.CrossRef
35.
Denton M, Walters V: Gender differences in structural and behavioral determinants of health: an analysis of the social production of health. Soc Sci Med. 1999, 48: 1221-1235. 10.1016/S0277-9536(98)00421-3.CrossRefPubMed
36.
Eaton DK, Forthofer MS, Zapata LB, Brown KR, Bryant CA, Reynolds ST, McDermott RJ: Factors related to alcohol use among 6th through 10th graders: the Sarasota county demonstration project. J Sch Health. 2004, 74: 95-104.CrossRefPubMed
37.
Richter M, Leppin A, Nic Gabhainn S: The relationship between parental socio-economic status and episodes of drunkenness among adolescents: findings from a cross-national survey. BMC Public Health. 2006, 6: 289-297. 10.1186/1471-2458-6-289.CrossRefPubMedPubMedCentral
38.
White HR, Jarrett N, Valencia EY, Loeber R, Wei E: Stages and sequences of initiation and regular substance use in a longitudinal cohort of black and white male adolescents. J Stud Alcohol Drugs. 2007, 68: 173-181.CrossRefPubMed
39.
Eaton DK, Kann L, Kinchen S, Ross J, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Shanklin S, et al: Youth risk behavior surveillance – United States, 2005. J Sch Health. 2006, 76: 353-372. 10.1111/j.1746-1561.2006.00127.x.CrossRefPubMed
40.
41.
Yeh MY: Factors associated with alcohol consumption, problem drinking, and related consequences among high school students in Taiwan. Psychiatry Clin Neurosci. 2006, 60: 46-54. 10.1111/j.1440-1819.2006.01459.x.CrossRefPubMed
42.
Callas PW, Flynn BS, Worden JK: Potentially modifiable psychosocial factors associated with alcohol use during early adolescence. Addict Behav. 2004, 29: 1503-1515. 10.1016/j.addbeh.2004.02.028.CrossRefPubMed
43.
Oyserman D, Coon HM, Kemmelmeier M: Rethinking individualism and collectivism: evaluation of theoretical assumptions and meta-analyses. Psychol Bull. 2002, 128: 3-72. 10.1037/0033-2909.128.1.3.CrossRefPubMed
44.
Bray JH, Adams GJ, Getz JG, Stovall T: Interactive effects of individuation, family factors and stress on adolescent alcohol use. Am J Orthopsychiatr. 2001, 71: 436-449. 10.1037/0002-9432.71.4.436.CrossRef
45.
Nash SG, McQueen A, Bray JH: Pathway to adolescent alcohol use: Family environment, peer influence, and parent expectations. J Adolesc Health. 2005, 37: 19-28. 10.1016/j.jadohealth.2004.06.004.CrossRefPubMed
Metadata
Title
Association of parents' alcohol use and family interaction with the initiation of alcohol use by sixth graders: A preliminary study in Taiwan
Authors
Chao-Chia Hung
Lee-Lan Yen
Wen-Chi Wu
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2009
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-9-172

Other articles of this Issue 1/2009

BMC Public Health 1/2009 Go to the issue

Research article

Early detection of influenza outbreaks using the DC Department of Health's syndromic surveillance system

Research article

Parental knowledge of paediatric vaccination

Research article

Delay in the diagnosis of tuberculosis in Nepal

Research article

Mediated, moderated and direct effects of country of residence, age, and gender on the cognitive and social determinants of adolescent smoking in Spain and the UK: a cross-sectional study

Research article

The development and pilot testing of a rapid assessment tool to improve local public health system capacity in Australia

Study protocol

Occupational voice demands and their impact on the call-centre industry