A Structure Model of Family Empowerment in Preventing Smoking Initiation among Adolescent: An Empirical Study Conducted in Urban Area of Indonesia

Muhammad Hafizurrachman; Astrid  Novita Haryanto

doi:10.3889/oamjms.2021.6429

Authors

Muhammad Hafizurrachman Department of Public Health, Sekolah Tinggi Ilmu Kesehatan Indonesia Maju, Jakarta, Indonesia https://orcid.org/0000-0002-9874-7270
Astrid Novita Haryanto Department of Public Health, Sekolah Tinggi Ilmu Kesehatan Indonesia Maju, Jakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.6429

Keywords:

Adolescents, Family empowerment, Smoking, Double ABCX model

Abstract

BACKGROUND: Family empowerment is a critical component for smoking prevention efforts among adolescents. Few information regarding the family empowerment model developed in preventing smoking initiation among adolescents in Indonesia.

AIM: The aim of this study was to identify determinants of the family empowerment model in preventing smoking initiation among adolescents in Indonesia.

METHODS: A cross-sectional research design was used for families with adolescent girls and boys (aged 10–14 years) in West Java, Indonesia. The convenience sampling procedure was employed. The study analyzed family demands and parenting stress as stressors. Family resources were divided into family functioning and communication process. The perception or judgment factor was assumed as parenting efficacy. Family empowerment has been identified as an indicator of adaptation. Structural equation modeling was used for data analysis.

RESULTS: The survey respondents consisted of 175 respondents. The mean age was 40.56 (SD = 11.73) and 57.2% had graduated from above high school. These findings suggest that family demands and parenting stress have an indirect effect on family empowerment through parenting efficacy, family functioning, and communication processes. The contribution of the effect of family demands, parenting stress, parenting efficacy, family function, and communication process on family empowerment was 68%.

CONCLUSION: The family empowerment could be defined in the Double ABCX model in the prevention of smoking in adolescents and that the numerous adverse effects of stress can be modulated through parental efficacy as well as the ability to function of the family and communication. It recommends making family interventions an integral part of public health initiatives for the prevention of smoking initiation, as well as health policy formation.

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References

World Health Organization. Tobacco: Key Facts. Geneva: World Health Organization; 2019. p. 1. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco. [Last accessed on 2019 Aug 20].

Jha P, Peto R. Global effects of smoking, of quitting and of taxing tobacco. N Engl J Med 2014;370(1):60-8. https://doi.org/10.1056/nejmra1308383 PMid:24382066 DOI: https://doi.org/10.1056/NEJMra1308383

Kemenkes RI. Laporan Nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan. Jakarta: Kemenkes RI; 2019. https://doi.org/10.32922/jkp.v8i1 DOI: https://doi.org/10.32922/jkp.v8i1

Brook J, Morojele N, Brook D, Zhang C, Whiteman M. Personal, interpersonal, and cultural predictors of stages of cigarette smoking among adolescents in Johannesburg, South Africa. Tob Control. 2006;15(Suppl 1):i48-53. https://doi.org/10.1136/tc.2005.014878 PMid:16723676 DOI: https://doi.org/10.1136/tc.2005.014878

Zeidi IM, Agha APH. Effectiveness of an educational intervention based on theory of planned behavior to reduce intentions to smoke among secondary school students. J Res Health. 2013;3(4):504-13.

Mead EL, Rimal RN, Ferrence R, Cohen JE. Understanding the sources of normative influence on behavior: the example of tobacco. Soc Sci Med. 2014;115:139-43. https://doi.org/10.1016/j.socscimed.2014.05.030 PMid:24910005 DOI: https://doi.org/10.1016/j.socscimed.2014.05.030

Zimmerman MA. Empowerment theory: Psychological, organizational, and community levels of analysis. In: Rappaport J, Seidman E, editors. Handbook of Community Psychology. New York: Springer Science Business Media; 2000. p. 43-64. DOI: https://doi.org/10.1007/978-1-4615-4193-6_2

Glantz SA, Mandel LL. Since school-based tobacco prevention programs do not work, what should we do? J Adolesc Health. 2005;36(3):157-9. https://doi.org/10.1016/j.jadohealth.2005.01.001 PMid:15737768 DOI: https://doi.org/10.1016/j.jadohealth.2005.01.001

Björck-Akesson E, Granlund M. Changing perspectives in early intervention for children with disabilities in Sweden. Infants Young Children. 1997;9(3):56-68. https://doi.org/10.1097/00001163-199701000-00008 DOI: https://doi.org/10.1097/00001163-199701000-00008

Koren PE, DeChillo N, Frisen BJ. Measuring empowerment in families whose children have emotional disabilities: A brief questionnaire. Rehabil Psychol. 1992;37:305-21. https://doi.org/10.1037/h0079106 DOI: https://doi.org/10.1037/h0079106

Kang HW, Park JY. Effects of a parenting support program for parent empowerment on parenting efficacy and parent-child interactions in families of young children with disabilities. J Spec Educ. 2011;12(1):1-25.

Martínez K, Pérez E, Ramírez R, Canino G, Rand C. The role of caregivers’ depressive symptoms and asthma beliefs on asthma outcomes among low-income Puerto Rican children. J Asthma. 2009;46(2):136-41. https://doi.org/10.1080/02770900802492053 PMid:19253118 DOI: https://doi.org/10.1080/02770900802492053

Graves K, Shelton T. Family empowerment as a mediator between family-centered systems of care and changes in child functioning: Identifying an important mechanism of change. J Child Fam Stud. 2007;16(4):556-66. https://doi.org/10.1007/s10826-006-9106-1 DOI: https://doi.org/10.1007/s10826-006-9106-1

Golechha M. Health Promotion Methods for Smoking Prevention and Cessation: A Comprehensive Review of Effectiveness and the Way Forward. Int J Prev Med. 2016;7:7. https://doi. org/10.4103/2008-7802.173797. DOI: https://doi.org/10.4103/2008-7802.173797

Farber M, Maharaj R. Empowering high-risk families of children with disabilities. Res Soc Work Pract. 2005;15(6):501-15. https://doi.org/10.1177/1049731505276412 DOI: https://doi.org/10.1177/1049731505276412

Lee HJ, Woo HJ. Parental burden and family adaptation among parents with disabled infants. J Rehabil Res. 2013;17(1):189-207.

Han KS, Yang Y, Hong YS. A structural model of family empowerment for families of children with special needs. J Clin Nurs. 2018;27(5-6):e833-44. https://doi.org/10.1111/jocn.14195 PMid:29193505 DOI: https://doi.org/10.1111/jocn.14195

Abidin RR. Parenting Stress Index (PSI): Pediatric Manual. Charlottesville, VA: Pediatric Psychology Press; 1990. DOI: https://doi.org/10.1037/t02445-000

Johnston C, Mash E. A measure of parenting satisfaction and efficacy. J Clin Child Psychol. 1989;18:167-75. DOI: https://doi.org/10.1207/s15374424jccp1802_8

Miller IW, Epstein NB, Bishop DS, et al. The McMaster family assessment device: Reliability and validity. J Marital Fam Ther. 1985;11:345-56. https://doi.org/10.1111/j.1752-0606.1985.tb00028.x DOI: https://doi.org/10.1111/j.1752-0606.1985.tb00028.x

Fornell C, Larcker DF. Structural equation models with unobservable variables and measurement error: Algebra and statistics. J Market Res. 1981;18(3):382-8. https://doi.org/10.2307/3150980 DOI: https://doi.org/10.1177/002224378101800313

McCubbin HL, Cauble E, Patterson JM. Family Stress, Coping, and Social Support. Springfield, IL: Thomas; 1982. p. 26-47.

Scheel MJ, Rieckmann T. An empirically derived description of self-efficacy and empowerment for parents of children identified as psychologically disordered. Am J Fam Ther.1998;26(1):15-27. https://doi.org/10.1080/01926189808251083 DOI: https://doi.org/10.1080/01926189808251083

Lavee Y. Stress processes in families and couples. In: Peterson GW, Bush K, editors. Handbook of Marriage and the Family. New York: Springer; 2013. p. 159-76. https://doi.org/10.1007/978-1-4614-3987-5_8 DOI: https://doi.org/10.1007/978-1-4614-3987-5_8

Tsang SK, Hui EK, Law BC. Self-efficacy as a positive youth development construct: A conceptual review. ScientificWorldJournal. 2012;2012:452327. PMid:22645423 DOI: https://doi.org/10.1100/2012/452327

Hoseinzadeh S, Sameri M. Study the relationship between self-efficacy, communication skills, critical thinking and creativity of high school students of district one of Urmia city. Int J Hum Cult Stud. 2016;2:970-5.

Sharma R, Martins N, Tripathi A. Influence of family environment and tobacco addiction: A short report from a post-graduate teaching hospital, India. Int J Environ Res Public Health. 2020;17:2868. https://doi.org/10.3390/ijerph17082868 PMid:32326314 DOI: https://doi.org/10.3390/ijerph17082868