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A recent study conducted in rural Vermont reveals that adolescents are less likely to smoke cigarettes if their parents strongly disapprove. James D. Sargent, M.D., and Madeline Dalton, Ph.D., both of the Department of Pediatrics at Dartmouth Medical School, conduced a three-wave, school-based cohort study of adolescents attending three K-12 schools. Students were asked "How do you think your mother (father) would react if you were smoking cigarettes and she (he) knew about it?" The researchers considered a response of "S/he would tell me to stop and be very upset" to indicate strong parental disapproval.
The study samples for cross-sectional analyses included 622 subjects at baseline, 758 at year two and 730 at year three. The subjects were distributed evenly across grade (4th to 11th) and gender. At baseline, 65.9 percent of adolescents perceived both parents as disapproving of smoking, 16.6 percent perceiving one parent as disapproving and 17.5 percent perceiving neither parent as disapproving. Perceived disapproval was inversely related to adolescent smoking as well as grade in school, parental and sibling smoking, friend smoking and ownership of tobacco promotional items. In the longitudinal analysis of the 372 students who had never smoked at baseline, students with strong parental disapproval were less than half as likely to become established smokers.
The researchers also note "In all analyses, the effect of parental disapproval was as stronger and more robust than the effect of parent smoking. In addition, the effect of parental disapproval was as strong for parents who smoked as it was for nonsmoking parents." They conclude, "Interventions that enhance parental self-efficacy in conveying and enforcing no-smoking policies for their children could reduce childhood smoking."
Sargent JD, Dalton M: Does parental disapproval of smoking prevent adolescents from becoming established smokers? Pediatrics2001; 108:1256-1262. Correspondence to: Dr. James D. Sargent, Department of Pediatrics, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756.
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