Parental monitoring: Association with adolescents' risk behaviors

Ralph DiClemente, Gina M. Wingood, Richard Crosby, Catlainn Sionean, Brenda K. Cobb, Kathy Harrington, Susan Davies, Edward W. Hook, M. Kim Oh

Research output: Contribution to journalArticle

Abstract

Context. Contemporary threats to adolescents' health are primarily the consequence of risk behaviors and their related adverse outcomes. Identifying factors associated with adolescents' risk behaviors is critical for developing effective prevention strategies. A number of risk factors have been identified, including familial environment; however, few studies have examined the impact of parental monitoring. Objective. To examine the influence of less perceived parental monitoring on a spectrum of adolescent health-compromising behaviors and outcomes. Design. Survey. Setting. A family medicine clinic. Participants. To assess eligibility, recruiters screened a sample of 1130 teens residing in low-income neighborhoods. Adolescents were eligible if they were black females, between the ages of 14 and 18 years, sexually active in the previous 6 months, and provided written informed consent. Most teens (n = 609) were eligible, with 522 (85.7%) agreeing to participate. Main Outcome Measures. Variables in 6 domains were assessed, including: sexually transmitted diseases, sexual behaviors, marijuana use, alcohol use, antisocial behavior, and violence. Results. In logistic regression analyses, controlling for observed covariates, adolescents perceiving less parental monitoring were more likely to test positive for a sexually transmitted disease (odds ratio [OR]: 1.7), report not using a condom at last sexual intercourse (OR: 1.7), have multiple sexual partners in the past 6 months (OR: 2.0), have risky sex partners (OR: 1.5), have a new sex partner in the past 30 days (OR: 3.0), and not use any contraception during the last sexual intercourse episode (OR: 1.9). Furthermore, adolescents perceiving less parental monitoring were more likely to have a history of marijuana use and use marijuana more often in the past 30 days (OR: 2.3 and OR: 2.5, respectively); a history of alcohol use and greater alcohol consumption in the past 30 days (OR: 1.4 and OR: 1.9, respectively); have a history of arrest (OR: 2.1); and there was a trend toward having engaged in fights in the past 6 months (OR: 1.4). Conclusions. The findings demonstrate a consistent pattern of health risk behaviors and adverse biological outcomes associated with less perceived parental monitoring. Additional research needs to focus on developing theoretical models that help explain the influence of familial environment on adolescent health and develop and evaluate interventions to promote the health of adolescents.

Original languageEnglish (US)
Pages (from-to)1363-1368
Number of pages6
JournalPediatrics
Volume107
Issue number6
DOIs
StatePublished - Jun 21 2001

Fingerprint

Adolescent Behavior
Risk-Taking
Odds Ratio
Cannabis
Sexual Partners
Coitus
Sexually Transmitted Diseases
Alcohols
Condoms
Informed Consent
Contraception
Violence
Sexual Behavior
Alcohol Drinking
Theoretical Models
Logistic Models

Keywords

  • Antisocial behavior
  • Black adolescents
  • Parental monitoring
  • Sexual behaviors
  • Sexually transmitted diseases
  • Substance use

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

DiClemente, R., Wingood, G. M., Crosby, R., Sionean, C., Cobb, B. K., Harrington, K., ... Oh, M. K. (2001). Parental monitoring: Association with adolescents' risk behaviors. Pediatrics, 107(6), 1363-1368. https://doi.org/10.1542/peds.107.6.1363

Parental monitoring : Association with adolescents' risk behaviors. / DiClemente, Ralph; Wingood, Gina M.; Crosby, Richard; Sionean, Catlainn; Cobb, Brenda K.; Harrington, Kathy; Davies, Susan; Hook, Edward W.; Oh, M. Kim.

In: Pediatrics, Vol. 107, No. 6, 21.06.2001, p. 1363-1368.

Research output: Contribution to journalArticle

DiClemente, R, Wingood, GM, Crosby, R, Sionean, C, Cobb, BK, Harrington, K, Davies, S, Hook, EW & Oh, MK 2001, 'Parental monitoring: Association with adolescents' risk behaviors', Pediatrics, vol. 107, no. 6, pp. 1363-1368. https://doi.org/10.1542/peds.107.6.1363
DiClemente R, Wingood GM, Crosby R, Sionean C, Cobb BK, Harrington K et al. Parental monitoring: Association with adolescents' risk behaviors. Pediatrics. 2001 Jun 21;107(6):1363-1368. https://doi.org/10.1542/peds.107.6.1363
DiClemente, Ralph ; Wingood, Gina M. ; Crosby, Richard ; Sionean, Catlainn ; Cobb, Brenda K. ; Harrington, Kathy ; Davies, Susan ; Hook, Edward W. ; Oh, M. Kim. / Parental monitoring : Association with adolescents' risk behaviors. In: Pediatrics. 2001 ; Vol. 107, No. 6. pp. 1363-1368.
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abstract = "Context. Contemporary threats to adolescents' health are primarily the consequence of risk behaviors and their related adverse outcomes. Identifying factors associated with adolescents' risk behaviors is critical for developing effective prevention strategies. A number of risk factors have been identified, including familial environment; however, few studies have examined the impact of parental monitoring. Objective. To examine the influence of less perceived parental monitoring on a spectrum of adolescent health-compromising behaviors and outcomes. Design. Survey. Setting. A family medicine clinic. Participants. To assess eligibility, recruiters screened a sample of 1130 teens residing in low-income neighborhoods. Adolescents were eligible if they were black females, between the ages of 14 and 18 years, sexually active in the previous 6 months, and provided written informed consent. Most teens (n = 609) were eligible, with 522 (85.7{\%}) agreeing to participate. Main Outcome Measures. Variables in 6 domains were assessed, including: sexually transmitted diseases, sexual behaviors, marijuana use, alcohol use, antisocial behavior, and violence. Results. In logistic regression analyses, controlling for observed covariates, adolescents perceiving less parental monitoring were more likely to test positive for a sexually transmitted disease (odds ratio [OR]: 1.7), report not using a condom at last sexual intercourse (OR: 1.7), have multiple sexual partners in the past 6 months (OR: 2.0), have risky sex partners (OR: 1.5), have a new sex partner in the past 30 days (OR: 3.0), and not use any contraception during the last sexual intercourse episode (OR: 1.9). Furthermore, adolescents perceiving less parental monitoring were more likely to have a history of marijuana use and use marijuana more often in the past 30 days (OR: 2.3 and OR: 2.5, respectively); a history of alcohol use and greater alcohol consumption in the past 30 days (OR: 1.4 and OR: 1.9, respectively); have a history of arrest (OR: 2.1); and there was a trend toward having engaged in fights in the past 6 months (OR: 1.4). Conclusions. The findings demonstrate a consistent pattern of health risk behaviors and adverse biological outcomes associated with less perceived parental monitoring. Additional research needs to focus on developing theoretical models that help explain the influence of familial environment on adolescent health and develop and evaluate interventions to promote the health of adolescents.",
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