title: Influence of Parental Monitoring, Sensation Seeking, Expected Social Benefits, and Refusal Efficacy on Tobacco and Alcohol Use in Chinese Adolescents.
abstract: The relationships between parental monitoring (PM), sensation seeking (SS), expected social benefits (ESB), refusal efficacy (RE), and tobacco and alcohol use (TAU) have been well documented among adolescents. However, the mechanisms by which these 4 determinants affect TAU remain unclear. Based on the Theory of Triadic Influence, this study aimed to explore how PM, SS, ESB, and RE simultaneously influenced TAU in Chinese adolescents. From September 2013 to June 2014, we used multistage cluster sampling to select 6269 students from 179 classes of 7 vocational high schools in 3 cities of China. Each student completed a battery of 5 measures: PM, SS, ESB, RE, and TAU. Then, we used structural equation modeling techniques and mediation analyses to investigate the relationships among these 5 measures, with TAU as the final dependent variable. Results demonstrated that the relationship between PM and TAU was fully mediated by ESB and RE (b = -0.18, P < 0.001), that SS influenced TAU directly (b = 0.10, P < 0.001) and indirectly through ESB and RE (b = 0.15, P < 0.001), and that ESB influenced TAU directly (b = 0.09, P < 0.001) and indirectly through RE (b = 0.28, P < 0.001).These findings indicate that the link between PM and SS to TAU among Chinese adolescents can be explained by ESB and RE. These 4 precursory determinants can play an important role in TAU prevention among adolescents in China.
authors.affiliation: From the Department of Epidemiology and Biostatistics (JY, QW, LY, HZ, DY, JL, ST, ZW), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Division of Biostatistics (CY), Department of Public Health Sciences, and Office for Scholarship in Learning and Education Research (OSLER), College of Medicine, Pennsylvania State University, Hershey, PA; Department of Pharmacology (KEV), College of Medicine, Pennsylvania State University, Hershey, PA; Shenzhen Center for Disease Control and Prevention (LZ), Shenzhen, China; Chronic Disease Department (JG, YY), Wuhan Center for Disease Control and Prevention, Wuhan, China; Department of Preventive Medicine (QW), Gannan Medical University, Ganzhou, China; and Chongqing Health Information Center (JL), Chongqing, China.
authors.forename: Jincong
authors.initials: J
authors.lastname: Yu
authors.forename: Qingfeng
authors.initials: Q
authors.lastname: Wu
authors.forename: Chengwu
authors.initials: C
authors.lastname: Yang
authors.forename: Kent E
authors.initials: KE
authors.lastname: Vrana
authors.forename: Li
authors.initials: L
authors.lastname: Zhou
authors.forename: Longyu
authors.initials: L
authors.lastname: Yang
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
authors.forename: Dong
authors.initials: D
authors.lastname: Yan
authors.forename: Jiang
authors.initials: J
authors.lastname: Li
authors.forename: Shiwei
authors.initials: S
authors.lastname: Teng
authors.forename: Jie
authors.initials: J
authors.lastname: Gong
authors.forename: Yaqiong
authors.initials: Y
authors.lastname: Yan
authors.forename: Zengzhen
authors.initials: Z
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D017668:Age of Onset; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D032763:Behavior Control / Q000379:methods / Q000523:psychology; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D016487:Parenting; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D000074606:Smoking Prevention; D012932:Social Facilitation; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data