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Cited by 6Substance Abuse Treatment and OutcomesYouth, Drugs, and ViolenceChild and Adolescent Psychosocial and Emotional Development

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Predictors of Engagement and Attendance of a Family-Based Prevention Program for Underage Drinking in Mexico

Montero-Zamora, Pablo, Brown, Eric C., Ringwalt, Christopher L., Schwartz, Seth J., Prado, Guillermo, Ortiz-García, Jorge·2022·Prevention Science
DOI 10.1007/s11121-021-01301-z
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Abstract

Underage drinking represents a major global health problem. Given the crisis that underage drinking represents, Tomando Buenas Decisiones, a family-based prevention program, was adapted and piloted in Mexico based on the existing Guiding Good Choices program. Although family-based interventions in the USA are promising for preventing underage drinking, little is known about how adapted versions of these interventions may work in low-middle income countries, such as in Latin America. The present study examined whether baseline individual, familial, and cultural factors predict participants' engagement and attendance in an adapted program for preventing underage drinking in Zacatecas, Mexico. The study was conducted with a sample of 178 parents who participated in the adapted program and were employed at local private companies. Latent growth curve modeling was used to analyze (a) change in engagement, (b) predictors of engagement, and (c) predictors of attendance. Results indicated that perceived engagement evidenced a significant linear increase throughout the intervention. Participants' familism values, such as perceived family as referents and family support, at baseline predicted both initial levels of and change in engagement. Perceived familial obligation also predicted change in engagement. Attendance was negatively predicted by male gender, by perceived stress, and by perceived familial obligations among women only. Poor family management, and perceived familial obligations among men, positively predicted attendance. Our findings have important implications for the conceptualization of engagement and attendance in family-based preventive interventions for underage drinking among Hispanics. Researchers interested in implementing interventions in Latin America can use these findings to better comprehend how and for whom adapted family-based preventive interventions work.

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Metadata

Authors
Montero-Zamora, P., Brown, E. C., Ringwalt, C. L., Schwartz, S. J., Prado, G., & Ortiz-García, J.
Affiliations
  • University of Miami (US)
  • Pacific Institute For Research and Evaluation (US)
  • The University of Texas at Austin (US)
  • Universidad Autónoma de Zacatecas "Francisco García Salinas" (MX)
ORCID
Venue
Prevention Science
Publisher
Springer Science and Business Media LLC
Published
2021-10-09
Volume
23
Issue
2
Pages
237-247
ISSN
  • 1389-4986 (ISSN-L)
  • 1573-6695
DOI
10.1007/s11121-021-01301-z
OpenAlex
W3203963459
Cited by
6
References
1
Citations by year
2026: 2 · 2025: 2 · 2023: 2
FWCI
0.36
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Prevention Science (publishedVersion)
  • PubMed (publishedVersion)
Funders
AB InBev Foundation (GR012526)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Youth, Drugs, and Violence
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
underage drinking, family-based prevention, intervention engagement, program attendance, familism, family responsibilities, family support, Latino youth, low-middle income countries, intervention adaptation, perceived stress, family management
MeSH terms
Underage Drinking, Alcohol Drinking, Female, Health Promotion, Hispanic or Latino, Humans, Male, Mexico, Parents

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