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Parenting Influences on Perceived Adolescent Health Risks: A Mixed Methods Approach

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Abstract

Objectives

We explored how varying parenting practices might be related to adolescents and their parents’ perceived adolescent susceptibility toward high-risk health behaviors.

Methods

A mixed-methods study was conducted with 31 Chinese/Taiwanese American, African American, and European American parent-adolescent dyads/triads. Two rounds of interviews (a total of 148) were undertaken with 78 participants 4–6 months apart to understand parental strategies in protecting their adolescents from risky health behaviors. The Parenting Style questionnaires were administered to the parent/s to examine the congruence with parenting practices reported in qualitative interviews. Findings of interviews and Perception of Adolescent Health Risks questionnaires were synthesized to gain a better understanding about the relationship between parenting practices and participants’ perceived adolescent susceptibility toward high-risk health behaviors. Qualitative results were used to help understand and clarify the quantitative results.

Results

Our results indicated that diverse parents’ parenting practices were influenced by their situational and historical experiences as well as their cultural and religious beliefs. Health-related parenting (i.e., when and how to intervene) were related to parents’ perceived susceptibility of adolescents’ health risks.

Conclusions

Consistent with the literature, a permissive parenting style was associated with low perceived susceptibility to health risks. Authoritarian or authoritative parenting styles, however, were not significantly related to health risk perception. Furthermore, the Parenting Style measure seemed to not fully capture diverse families’ parenting practices reported in the qualitative results. Future research needs to incorporate influences stemming from families’ situational, historical, cultural, and religious experiences.

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Author Contributions

T.-S.A.K. designed and executed the study, performed the data analysis and wrote the paper. K.M.R. assisted with data analysis and interpretation of results and wrote the introduction and discussion sections, collaborated in the writing and editing of the final manuscript. C.Y.T. assisted with analysis and interpretation of results and wrote the introduction and discussion sections, collaborated in the writing and editing of the final manuscript. C.H.C. conceptualized study design and assisted with qualitative data analysis

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Correspondence to Tsui-Sui A. Kao.

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Conflict of Interest

This study was funded by a grant awarded to the first author from the Robert Wood Johnson Foundation Nurse Faculty Scholar Program (Grant ID # 69345). All authors declare no conflict of interest.

Ethical Approval

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. The University of Michigan IRB provided approval for the study.

Informed Consent

Informed consent and assent were obtained from all individual participants (parental consent and adolescent assent) included in the study.

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Kao, TS.A., Reuille, K.M., Taylor, C.Y. et al. Parenting Influences on Perceived Adolescent Health Risks: A Mixed Methods Approach. J Child Fam Stud 28, 2243–2258 (2019). https://doi.org/10.1007/s10826-019-01441-5

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  • DOI: https://doi.org/10.1007/s10826-019-01441-5

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