Abstract
Objective
To assess the independent relation between parental restrictions on mature-rated media
(M-RM) and substance use among South American adolescents.
Methods
Cross-sectional school-based youth survey of 3,172 students (mean age, 12.8 years;
57.6% boys) in 3 large Argentinean cities. The anonymous survey queried tobacco, alcohol,
and drug use using items adapted from global youth surveys. Adolescents reported M-RM
restriction for internet and video game use, television programming, and movies rated
for adults. Multivariate logistic regression models were used to assess the association
between parental M-RM restriction and substance use after adjustment for hourly media
use, measures of authoritative parenting style, sociodemographic characteristics,
and sensation-seeking.
Results
Substance use rates were 10% for current smoking, 32% for current drinking alcohol,
17% for past 30-day binge drinking, and 8% for illicit drug use (marijuana or cocaine).
Half of the respondents reported parental M-RM restriction (internet 52%, TV 43%,
adult movies 34%, video game 25%). Parental M-RM restriction was only modestly correlated
with authoritative parenting measures. In multivariate analyses M-RM restriction on
all 4 venues was strongly protective for all substance use outcomes. Compared with
no restriction, odds ratios for substance use for full restrictions were 0.32 (0.18–0.59),
0.53 (0.38–0.07), 0.36 (0.22–0.59), and 0.49 (0.26–0.92) for current smoking, drinking,
binge drinking, and illicit drug use, respectively. The most important single M-RM
venue was movies.
Conclusions
Results of this study confirmed the protective association between parental M-RM restriction
during adolescence and multiple substance use outcomes, including illicit drugs. M-RM
restriction is independent of traditional parenting measures. The preponderance of
the evidence supports intervention development.
Keywords
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Article Info
Publication History
Published online: November 22, 2015
Accepted:
November 17,
2015
Received:
August 27,
2015
Footnotes
The authors have no conflicts of interest to disclose.
Financial disclosure: Research reported in this publication was supported by the National Cancer Institute and the Fogarty International Center of the National Institutes of Health under award numbers TW009274 (multiple principal investigators J.D.S. and J.F.T.) and CA077026 (principal investigator J.D.S.). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Identification
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