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Journal of Pediatric Psychology Advance Access originally published online on May 23, 2007
Journal of Pediatric Psychology 2007 32(8):877-887; doi:10.1093/jpepsy/jsm015
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Children of African-American Mothers Who Use Crack Cocaine: Parenting Influences on Youth Substance Use

Wendy K. K. Lam, Phd1, Jessica D. Cance, MPH1, Agatha N. Eke, Phd2, Diana H. Fishbein, Phd1, Stephanie R. Hawkins, Phd1 and J. Cassie Williams, BA1

1RTI International, Health, Social and Economics Research, USA and 2Centers for Disease Control and Prevention, National Center for HIV, STD, and TB Prevention, USA

All correspondence concerning this article should be addressed to K. K. Lam, PhD, RTI International, Health, Social and Economics Research, 3040 Cornwallis, Research Triangle Park, NC, 27709-2194, USA. E-mail: kklam{at}rti.org.


   Abstract

Objective To examine relationships between parenting behaviors, parent–child relationship, and moderating effects of age on youth substance use among a community sample of African-American mothers who use crack cocaine and their children (12–17 years). Methods Maternal–child dyads (n = 208) were recruited through street outreach and snowball sampling and completed interviews about substance use and parenting. Results Regression analyses found significant main effects of youth age, family conflict, warmth, and disapproval of youth substance use on children's substance use. Age x Parenting interactions were significant for conflict and disapproval. Higher family conflict increased older youths’ risk, while higher perceived maternal disapproval protected against substance use for older youth. Conclusions Family influences may offer risk and protective effects for adolescent children of maternal drug users. Outreach and family-focused interventions that address family conflict and communication of disapproval of substance use may help reduce intergenerational risk transmission. However, longitudinal research with comprehensive parenting assessments is needed.

Key words: African-American youth; children of substance users; maternal drug users.

Received January 29, 2006; revision received September 4, 2006; revision received January 1, 2007; accepted February 7, 2007


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