Abstract
PurposeThe aim of the study was to identify the mechanisms relating to parental control, adolescent secrecy, and school context that shape patterns of adolescent drinking frequency and appraise the implications for systems-level intervention. MethodsThe Belfast Youth Development Study collected information on friendship networks in schools, alcohol use, and Stattin and Kerr's parental monitoring subscales across 5 years of postprimary school education in annual waves from age 11–15 years. Stochastic Actor-Oriented Models were fitted to 22 schools (N = 3,220) to assess friendship formation and peer influence processes related to drinking frequency and their variation by parental control or child secrecy. Meta-regressions and summary statistic ego-alter selection tables assessed how network and behavior co-evolution varied according to school gender and the proportion of weekly or more frequent drinkers in each school. ResultsAdolescents tended to mimic their peers' drinking levels, and frequent drinkers befriended those who drank similarly to them. Those with high parental control were less likely to befriend low-control peers, whereas low-control pupils were more likely to befriend each other. Adolescents with low-control parents nominated fewer friends in schools with higher proportions of drinking frequently. There was a tendency toward befriending highly secretive peers in boys schools only. ConclusionsOur results suggest that the optimal strategy for selecting seed nodes in a diffusion of innovations network intervention may vary according to school context, and that targeting family interventions around parent characteristics may modify the wider school network, potentially augmenting network intervention processes.
Highlights
Stochastic Actor-Oriented Models were fitted to 22 schools (N 1⁄4 3,220) to assess friendship formation and peer influence processes related to drinking frequency and their variation by parental control or child secrecy
Our results suggest that the optimal strategy for selecting seed nodes in a diffusion of innovations network intervention may vary according to school context, and that targeting family interventions around parent characteristics may modify the wider school network, potentially augmenting network intervention processes
The network structural parameters were broadly comparable across all schools, with expected tendencies for gender assortativity, reciprocal friendship, popularity effects, and evidence of a similarity preference according to free school meal eligibility (Appendix)
Summary
The aim of the article was to identify theory-informed mechanisms acting across multiple levels of the social system (adolescent, school peer, and family) that influence adolescent drinking frequency. In support of this aim, we will answer. Research questions A to K above and discuss the findings in relation to the design of health interventions
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