The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model

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Title The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model
Author Kelly, Adrian B.; O’Flaherty, Martin; Connor, Jason P.; Homel, Ross; Toumbourou, John W.; Patton, George C.; Williams, Joanne
Journal Name Drug and Alcohol Review
Year Published 2011
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Abstract Introduction and Aims.Despite considerable success in tobacco control, many teenagers in Australia and other industrialised countries still smoke tobacco. There is mixed evidence on the relative influence of proximal social networks (parents/siblings/peers) on pre- and early-teen smoking, and no research has examined how these influences compare after accounting for school- and community-level effects.The aim of this study was to compare the relative influences of parents, siblings and peers, after accounting for school- and community-level variation in smoking. Design and Methods.A cross-sectional fixed and random effects model of smoking prevalence was used, with individuals (n = 7314) nested within schools (n = 231) nested within communities (n = 30). Grade 6 and 8 students (modal ages 11 and 13 years) completed an on-line survey. Key variables included parent/sibling/peer use. Controls included alcohol involvement, sensation seeking, pro-social beliefs, laws/norms about substance use and school commitment. Results.There was significant variation in smoking at both the school and community levels, supporting the need for a multilevel model. Individual-level predictors accounted for much of the variance at higher levels. The strongest effects were for number of friends who smoke, sibling smoking and alcohol involvement. Smaller significant effects were found for parent smoking. At the community level, socioeconomic disadvantage was significant, but community-level variance in pro-social and drug-related laws/norms was not related to smoking. Discussion and Conclusions.Cross-level interactions were generally non-significant. Early teenage smoking was best explained by sibling and peer smoking, and individual risks largely accounted for the substantial variation observed across schools and communities. In terms of future tobacco control, findings point to the utility of targeting families in disadvantaged communities.[Kelly AB, O'Flaherty M, Connor JP, Homel R, Toumbourou JW, Patton GC, Williams J. The influence of parents, siblings and peers on pre- and early-teen smoking: A multilevel model.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1111/j.1465-3362.2010.00231.x
Volume 30
Issue Number 4
Page from 381
Page to 387
ISSN 0959-5236
Date Accessioned 2012-02-09; 2012-03-20T22:59:14Z
Date Available 2012-03-20T22:59:14Z
Research Centre Key Centre for Ethics, Law, Justice and Governance
Faculty Arts, Education and Law
Subject Studies in Human Society
URI http://hdl.handle.net/10072/43705
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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