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01-01-2021 | Original Contribution

Do the socioeconomic context and the European geographical area modify parental influences on smoking experimentation among adolescents?

Authors: Emina Mehanović, Federica Mathis, Romeo Brambilla, Fabrizio Faggiano, Maria Rosaria Galanti, Federica Vigna-Taglianti, The EU-Dap Study Group

Published in: European Child & Adolescent Psychiatry | Issue 1/2021

Abstract

Adolescent smoking is a major public health problem. While the socioeconomic status (SES) of the neighbourhood and that of the family are known to play a role in smoking onset and progression, it is not clear whether it modifies the association between parental influences and adolescent behaviour. The purpose of this study is to investigate family correlates of adolescent smoking experimentation and to explore the modifying role of socioeconomic context and European geographical area in a sample of European adolescents. This is a secondary analysis of the baseline survey of the European Drug Addiction Prevention (EU-Dap) trial which took place in seven European countries and involved 7079 students. School SES was used as indicator of socioeconomic context. European countries were aggregated in two geographical areas: North-Central and South. The associations between parental, family factors, and adolescents smoking experimentation were analysed through multilevel mixed-effect logistic regression models, stratified by school SES and European geographical area. Parental smoking, permissiveness towards tobacco, family conflicts, problematic relationships, low connectedness, and low parental control were significantly associated with adolescent smoking experimentation. Paternal smoking was a stronger correlate of adolescent smoking in low SES schools, while maternal smoking in high SES schools. Parental permissiveness was a stronger correlate in low SES schools. Family conflicts and low parental control were correlates only in low SES schools. The associations did not substantially differ between European geographical areas, with the exception of parental smoking that was a stronger correlate in the North, and parental control that was a correlate only in the South of Europe. To reduce inequalities in tobacco-related outcomes, prevention efforts in low socioeconomic contexts appear to be a public health priority. Parental smoking, permissiveness, family relationships, and connectedness should be addressed in preventive programs.

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Title: Do the socioeconomic context and the European geographical area modify parental influences on smoking experimentation among adolescents?
Authors: Emina Mehanović
Federica Mathis
Romeo Brambilla
Fabrizio Faggiano
Maria Rosaria Galanti
Federica Vigna-Taglianti
The EU-Dap Study Group
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Published in: European Child & Adolescent Psychiatry / Issue 1/2021
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-020-01489-5

At a glance: The STEP trials

Springer Medicine

Do the socioeconomic context and the European geographical area modify parental influences on smoking experimentation among adolescents?

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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