Modifiable parenting factors associated with adolescent alcohol misuse: a systematic review and meta-analysis of longitudinal studies

Marie B H Yap; Tony W K Cheong; Foivos Zaravinos-Tsakos; Dan I Lubman; Anthony F Jorm

doi:10.1111/add.13785

Modifiable parenting factors associated with adolescent alcohol misuse: a systematic review and meta-analysis of longitudinal studies

Addiction. 2017 Jul;112(7):1142-1162. doi: 10.1111/add.13785. Epub 2017 Mar 20.

Authors

Marie B H Yap^{1

2}, Tony W K Cheong³, Foivos Zaravinos-Tsakos³, Dan I Lubman⁴, Anthony F Jorm²

Affiliations

¹ School of Psychological Sciences, Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Clayton, Victoria,, Australia.
² School of Population and Global Health, University of Melbourne, Carlton, Australia.
³ Section of Clinical Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Noord-Holland, the Netherlands.
⁴ Turning Point, Eastern Health and Eastern Health Clinical School, Monash University, Fitzroy, Victoria, Australia.

PMID: 28178373
DOI: 10.1111/add.13785

Abstract

Background and aims: Adolescent alcohol misuse is a growing global health concern. Substantial research suggests that parents have an important role in reducing young people's risk for early initiation of alcohol and alcohol-related harms. To facilitate research translation, we conducted a systematic review and meta-analyses of longitudinal studies examining the range of modifiable parenting factors that are associated with adolescent alcohol initiation and levels of later use/misuse.

Methods: A systematic literature search was conducted in PubMed, PsycINFO and Embase. Studies were included if they (i) used a longitudinal design; (ii) were published in English; (iii) measured any modifiable parenting factors in adolescence as predictors; (iv) assessed any alcohol-related outcome variables in adolescence and/or alcohol-related problems in adulthood; and (v) had a follow-up interval of at least 1 year. Parental behaviours were categorized into 12 parenting factors. Stouffer's P analyses were used to determine whether the associations between variables were reliable; when there were sufficient studies available, meta-analyses were also conducted to estimate mean effect sizes.

Results: Based on 131 studies, three risk factors (parental provision of alcohol, favourable parental attitudes towards alcohol use and parental drinking) and four protective factors (parental monitoring, parent-child relationship quality, parental support and parental involvement) were identified as longitudinal predictors of both alcohol initiation and levels of later alcohol use/misuse, based on their significant results in both Stouffer's P analyses and meta-analyses. The mean effect sizes were mainly small (rs = -0.224 to 0.263).

Conclusions: Risk of adolescent alcohol misuse is positively associated with parental provision of alcohol, favourable parental attitudes towards alcohol use and parental drinking. It is negatively associated with parental monitoring, parent-child relationship quality, parental support and parental involvement.

Keywords: Family; prevention; research translation; risk and protective factors; underage drinking; young people.

Publication types

Meta-Analysis
Review
Systematic Review

MeSH terms

Adolescent
Humans
Longitudinal Studies
Parent-Child Relations*
Parenting / psychology*
Risk Factors
Underage Drinking / psychology*
Underage Drinking / statistics & numerical data