The Mediating Role of Family and Friends in Tobacco and Alcohol Consumption and Physical Activity Practice Among Spanish Adolescents
e202502005
Keywords:
EspañolAbstract
Background: Adolescence represents a critical period for the establishment of healthy habits, with family and peer influence playing an essential role. This study aims to examine the relationship between family and peer influence on various lifestyle behaviors in adolescents, specifically smoking, physical activity, and alcohol consumption. Methods: The study was conducted on a sample of 173 secondary school adolescents, utilizing the maximum likelihood estimation method. Additionally, the structural model was analyzed using multi-group structural equation modeling and path analysis to assess the influence of family and peers on adolescent behaviors. Results: Peers were found to have the strongest influence on both healthy lifestyle habits and risk behaviors. Among peers, social support was the most significant factor promoting healthy behaviors, while satisfaction with peer relationships had the least impact. In terms of family influence, communication played the smallest role in shaping adolescent behavior, whereas satisfaction with family relationships was the most influential factor. Moreover, during early adolescence, the family context was the most influential in shaping lifestyle habits, whereas during mid-adolescence, peer influence became more predominant. Conclusions: Interventions aimed at promoting healthy habits among children and adolescents should consider the role of both family and peers as critical components in the development of effective health promotion and prevention strategies.
Downloads
References
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018; 2(3): 223-228. doi: https://dx.doi.org/10.1016/S2352-4642(18)30022-1
Newman BM, Newman PR. Theories of Adolescent Development. 1st ed. Waltham, MA: Academic Press; 2020.
Fischhoff B, Nightingale EO, Iannotta JG, eds. Adolescent Risk and Vulnerability: Concepts and Measurement. Washington (DC): National Academies Press (US); 2001.
Weiss HA, Ferrand RA. Improving adolescent health: an evidence-based call to action. Lancet. 2019;393(10176): 1073-1075. doi: https://dx.doi.org/10.1016/S0140-6736(18)32996-9
Van Sluijs EMF, Ekelund U, Crochemore-Silva I et al. Physical activity behaviours in adolescence: current evidence and opportunities for intervention. Lancet. 2021;398(10298): 429-442. doi: https://dx.doi.org/10.1016/S0140-6736(21)01259-9
Keyes KM, Rutherford C, Miech R. Historical trends in the grade of onset and sequence of cigarette, alcohol, and marijuana use among adolescents from 1976-2016: Implications for “Gateway” patterns in adolescence. Drug Alcohol Depend. 2019;194: 51-58. doi: https://dx.doi.org/10.1016/j.drugalcdep.2018.09.015
Patton GC, Sawyer SM, Santelli JS et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet. 2016;387(10036): 2423-2478. doi: https://dx.doi.org/10.1016/S0140-6736(16)00579-1
Ministerio de Sanidad. Encuesta sobre uso de drogas en enseñanzas secundarias en España (ESTUDES), 1994-2023. Madrid: Ministerio de Sanidad de España; 2022. https://pnsd.sanidad.gob.es/en/profesionales/sistemasInformacion/sistemaInformacion/pdf/ESTUDES_2023_Resumen_ejecutivo.pdf
Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health. 2020;4(1): 23-35. doi: https://dx.doi.org/10.1016/S2352-4642(19)30323-2
Cambron C, Kosterman R, Catalano RF, Guttmannova K, Hawkins JD. Neighborhood, Family, and Peer Factors Associated with Early Adolescent Smoking and Alcohol Use. J Youth Adolesc. 2018;47(2): 369-382. doi: https://dx.doi.org/10.1007/s10964-017-0728-y
Steinberg L. Risk taking in adolescence: what changes, and why? Ann N Y Acad Sci. 2004;1021: 51-58. doi: https://dx.doi.org/10.1196/annals.1308.005
DeVore ER, Ginsburg KR. The protective effects of good parenting on adolescents. Curr Opin Pediatr. 2005;17(4): 460-465. doi: https://dx.doi.org/10.1097/01.mop.0000170514.27649.c9
Arnett JJ. The myth of peer influence in adolescent smoking initiation. Health Educ Behav. 2007;34(4): 594-607. doi: https://dx.doi.org/10.1177/1090198105285330
Belzunegui-Eraso A, Pastor-Gosálbez I, Raigal-Aran L, Valls-Fonayet F, Fernández-Aliseda S, Torres-Coronas T. (2020). Substance Use among Spanish Adolescents: The Information Paradox. International Journal of Environmental Research and Public Health, 17(2), 627. https://dx.doi.org/10.3390/ijerph17020627
Laible DJ, Carlo G, Raffaelli M. The differential relations of parent and peer attachment to adolescent adjustment. Journal of Youth and adolescence. 2000;29(1), 45-59. https://dx.doi.org/10.1023/A:1005169004882
Moreno C, Ramos P, Rivera F et al. Los adolescentes españoles: estilos de vida, salud, ajuste psicológico y relaciones en sus contextos de desarrollo. Resultados del Estudio HBSC-2014 en España. Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2016. (Consultado el 24/8/2016.) Disponible en: https://www.sanidad.gob.es/areas/promocionPrevencion/entornosSaludables/escuela/estudioHBSC/2014/docs/HBSC2014_ResultadosEstudio.pdf
Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Test of significance and descriptive goodness-of-fit measures. Methods of Psychological Research. 2003;8(2): 23-74.
Hoyle R. Structural equation modeling: Concepts, issues, and applications. Housand Oaks: Sage; 1995.
Hu LT, Bentler PM. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal. 1999;6(1): 1-55.
Ramos FJ, Hernández-Mendo A, Pastrana JL, Blanco-Villaseñor A. SAGT: Software para la Aplicación de la Teoría de la Generalizabilidad. Proyecto fin de carrera para la titulación: Ingeniería Técnica en Informática de Gestión de la Escuela Técnica Superior de Ingeniería Informática. Universidad de Málaga, España. (2012).
Steinmetz H. Analyzing Observed Composite Differences Across Groups Is Partial Measurement Invariance Enough? Methodology. 2013; 9: 1-12. https://dx. doi.org/10.1027/1614-2241/a000049
Cheung GW, Rensvold RB. Evaluating goodness-of-fit indexes for testing measurement invariance. Structural equation modeling. 2002;9(2): 233-255. https://dx.doi.org/10.1207/S15328007SEM0902_5
Rhodes RE, Guerrero MD, Vanderloo LM et al. Development of a consensus statement on the role of the family in the physical activity, sedentary, and sleep behaviours of children and youth. Int J Behav Nutr Phys Act. 2020;17(1): 74. doi: https://dx.doi.org/10.1186/s12966-020-00973-0
Schuler MS, Tucker JS, Pedersen ER, D’Amico EJ. Relative influence of perceived peer and family substance use on adolescent alcohol, cigarette, and marijuana use across middle and high school. Addict Behav. 2019;88: 99-105. doi: https://dx.doi.org/10.1016/j.addbeh.2018.08.025
Iguacel I, Fernández-Alvira JM, Bammann K et al. Social vulnerability as a predictor of physical activity and screen time in European children. Int J Public Health. 2018;63(2): 283-295. doi: https://dx.doi.org/10.1007/s00038-017-1048-4
Welk GJ, Wood K, Morss G. Parental influences on physical activity in children: An exploration of potential mechanisms. Pediatric exercise science. 2003;15(1): 19-33. doi: https://dx.doi.org/10.1123/pes.15.1.19
Dullas AR, Yncierto KD, Labiano MA, Marcelo JC. Determinants of a Variety of Deviant Behaviors: An Analysis of Family Satisfaction, Personality Traits, and Their Relationship to Deviant Behaviors Among Filipino Adolescents. Front Psychol. 2021;12: 645126. Publicado 5 de mayo 2021. doi: https://dx.doi.org/10.3389/fpsyg.2021.645126
Šumskas L, Zaborskis A. Family Social Environment and Parenting Predictors of Alcohol Use among Adolescents in Lithuania. Int J Environ Res Public Health. 2017;14(9): 1037. Publicado 8 sep 2017. doi: https://dx.doi.org/10.3390/ijerph14091037
Montgomery SC, Donnelly M, Bhatnagar P, Carlin A, Kee F, Hunter RF. Peer social network processes and adolescent health behaviors: A systematic review. Prev Med. 2020;130: 105900. doi: https://dx.doi.org/10.1016/j.ypmed.2019.105900
Bräker AB, Soellner R. Is Drinking Contagious? An Analysis of the Collectivity of Drinking Behavior Theory Within a Multilevel Framework. Alcohol Alcohol. 2017;52(6): 692-698. doi: https://dx.doi.org/10.1093/alcalc/agx050
Khalil GE, Wang H, Calabro KS, Prokhorov AV. Revealing users’ experience and social interaction outcomes following a web-based smoking prevention intervention for adolescents: A qualitative study. PloS one. 2019; 14(10): e0223836. https://dx.doi.org/10.1371/journal.pone.0223836
Heimisdottir J, Vilhjalmsson R, Kristjansdottir G, Meyro-witsch DW. The social context of drunkenness in mid-adolescence. Scand J Public Health. 2010;38(3): 291-298. doi: https://dx.doi.org/10.1177/1403494809357094
Chervonsky E, Hunt C. Emotion regulation, mental health, and social wellbeing in a young adolescent sample: A concurrent and longitudinal investigation. Emotion. 2019;19(2): 270-282. doi: https://dx.doi.org/10.1037/emo0000432
Viner RM, Ozer EM, Denny S et al. Adolescence and the social determinants of health. Lancet. 2012;379(9826): 1641-1652. doi: https://dx.doi.org/10.1016/S0140-6736(12)60149-4
Rageliene T, Grønhøj A. The influence of peers’ and siblings’ on children’s and adolescents’ healthy eating behavior. A systematic literature review. Appetite. 2020;148: 104592. doi: https://dx.doi.org/10.1016/j.appet.2020.104592
Henneberger AK, Mushonga DR, Preston AM. Peer influence and adolescent substance use: A systematic review of dynamic social network research. Adolescent Research Review. 2021;6: 57-73. doi: https://dx.doi.org/10.1007/s40894-019-00130-0
Maturo CC, Cunningham SA. Influence of friends on children’s physical activity: a review. Am J Public Health. 2013;103(7): e23-e38. doi: https://dx.doi.org/10.2105/AJPH.2013.301366
Romero E, Rodríguez C, Villar P, Gómez-Fraguela XA. Intervention on early-onset conduct problems as indicated prevention for substance use: A seven-year follow up. Intervención sobre problemas de conducta tempranos como prevención indicada del consumo de drogas: Siete años de seguimiento. Adicciones. 2017;29(3): 150-162. Publicado 28 jun 2017. doi: https://dx.doi.org/10.20882/adicciones.722
Molina GT, Montaño ER, González AE et al. Propiedades psicométricas del cuestionario de calidad de vida relacionada con la salud KIDSCREEN-27 en adolescentes chilenos [Psychometric properties of the quality of life questionnaire health related KIDSCREEN-27 in Chilean adolescents]. Rev Med Chil. 2014;142(11): 1415-1421. doi: https://dx.doi.org/10.4067/S0034-98872014001100008
McGue M, Elkins I, Walden B, Iacono WG. Perceptions of the parent-adolescent relationship: a longitudinal investigation. Dev Psychol. 2005;41(6): 971-984. doi: https://dx.doi.org/10.1037/0012-1649.41.6.971
Bronfenbrenner U. Toward an experimental ecology of human development. American psychologist. 19977;32(7): 513.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2025 Esther Gargallo-Ibort , María Luz Urraca Martínez, Josep María Dalmau Torres, Raúl Jiménez Boraita
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.