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Effects of A Family-Based Program for Reducing Risk for Youth Alcohol Use in Mexico

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Abstract

Youth alcohol use (AU) is a major global health problem. Tomando Buenas Decisiones (TBD), an adapted family-based prevention program based on the existing Guiding Good Choices program, was piloted and tested in Zacatecas, Mexico. We examined the effects of the TBD program on reducing family risk for youth AU. We used a quasi-experimental design comprising a sample of 268 parents with children 8 to 16 years. All participants were working actively in one of five Zacatecan private companies. Inverse probability weighting based on intervention status, along with censoring propensity scores, was used to estimate the difference in risk levels between intervention participants and wait-listed controls. Latent growth curve modeling was used to analyze the intervention impact on three first-order risk factors (i.e., positive attitudes for drug use, family conflict, poor family management) and a combined measure of general family risk (i.e., a second-order factor using the three first-order risk factors) at baseline, post-intervention, and 3-month follow-up. Relative to wait-listed controls, the TBD program was efficacious in reducing positive attitudes for drug use, family conflict, poor family management, and general family risk levels. However, at the 3-month follow-up, effects on positive attitudes toward drug use were no longer significant. Findings from this study address a gap in establishing efficacious preventive interventions for youth AU in Latin America. We anticipate that our study’s findings could help inform prevention efforts to reduce leading youth alcohol-related harms such as drunk driving, and domestic violence among Mexican adolescents and their families.

Highlights

  • Tomando Buenas Decisiones has the potential to reduce family risks associated with alcohol use among Mexican youth.

  • Inverse probability weighting improves the effect-estimation of preventive interventions in non-experimental conditions.

  • Testing the proximal effects of preventive programs is an appropriate strategy to validate its adaptability in other contexts.

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Acknowledgements

We wish to thank the participating companies and our project staff in Mexico for their support of this study.

Funding

This study was supported by the AB InBev Foundation (ABIF).

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Authors and Affiliations

  1. Department of Kinesiology and Health Education, The University of Texas at Austin, Bellmont Hall, 2109 San Jacinto Blvd., Austin, TX, 78712, USA

    Pablo Montero-Zamora & Seth J. Schwartz

  2. Department of Public Health Sciences, Miller School of Medicine, University of Miami, 1120 NW 14th Street, Miami, FL, 33136, USA

    Eric C. Brown

  3. Pacific Institute for Research and Evaluation, 1229 E Franklin St, Chapel Hill, NC, 27514, USA

    Christopher L. Ringwalt

  4. School of Nursing and Health Studies, University of Miami, 1120 NW 14th Street, Miami, FL, 33136, USA

    Guillermo Prado

  5. Academic Unit of Psychology, Autonomous University of Zacatecas, Zacatecas, Mexico

    Jorge Ortiz-García

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  1. Pablo Montero-Zamora
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Correspondence to Pablo Montero-Zamora.

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Conflict of interest

E.C.B. is a member of the AB InBev Foundation (ABIF) Scientific Partners Task Force and was a paid consultant for ABIF on underage drinking prevention in 2018. C.R. has been supported by funding from the alcohol industry to evaluate industry-sponsored programs to reduce alcohol-related harms. Other authors declare no conflict of interest.

Ethics approval

This study was approved by the State Council of Bioethics of Zacatecas (file# 16/2019/CNBMX-CEB-32-20111005) and the University of Miami’s Institutional Review Board (IRB ID#20190141). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Signed informed consent was obtained from all individual participants included in the study.

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Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Eric C. Brown is the principal investigator of the project Businesses That Care Zacatecas

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Table 3

Table 3 Items and response options by risk factor
Full size table

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Montero-Zamora, P., Brown, E.C., Ringwalt, C.L. et al. Effects of A Family-Based Program for Reducing Risk for Youth Alcohol Use in Mexico. J Child Fam Stud 33, 1224–1237 (2024). https://doi.org/10.1007/s10826-023-02725-7

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