Family Structure in Association with Alcohol Use Among Adolescents: A Systematic Review and Meta-analysis

AuthorZahra Pourmovaheden
AuthorSeyed Saeed Mazloomy Mahmoodabaden
AuthorSeyed Mojtaba Yassini Ardekanien
AuthorHassan Zareei Mahmoodabadien
AuthorHossein Tavangaren
AuthorMojtaba Kavianien
AuthorAmin Salehi-Abargoueien
AuthorNour-Mohammad Bakhshanien
AuthorShahab-Aldin Akbarianen
OrcidZahra Pourmovahed [0000-0002-6512-2768]en
OrcidSeyed Saeed Mazloomy Mahmoodabad [0000-0002-3301-3305]en
OrcidSeyed Mojtaba Yassini Ardekani [0000-0002-7798-6002]en
OrcidAmin Salehi-Abargouei [0000-0002-7580-6717]en
OrcidNour-Mohammad Bakhshani [0000-0003-2800-3564]en
OrcidShahab-Aldin Akbarian [0000-0003-1324-2351]en
Issued Date2022-03-31en
AbstractContext: It is proposed that family structure influences adolescent alcohol use; however, the findings are mixed, and no systematic review has been conducted to summarize the evidence. Objectives: We aimed to identify the association between family structures and adolescent alcohol consumption through a systematic review and meta-analysis of observational studies. Methods: PubMed, Scopus, and Google Scholar were searched until June 2017 for observational studies, which examined the relationship between family structure and adolescent alcohol use. A random-effects model was used to derive the overall odds ratio (OR) for the likelihood of alcohol use in different non-intact families compared with intact families (adolescents growing up with both biological parents). DerSimonian and Liard's random-effects model was used to conduct the meta-analysis. All analyses were performed using STATA software, version 11.2. Results: Fifty-seven articles met the eligibility criteria for the systematic review, and 29 were included in the meta-analysis. The meta-analysis revealed a significant increase in alcohol use among adolescents with non-intact families (OR = 1.27, 95% confidence interval: 1.19, 1.36) compared with adolescents with intact families in which both biological parents were present. Living with one biological parent, living in a divorced family, loss of parents, and other types of the non-intact family also significantly increased the odds of alcohol use in adolescents (P < 0.05). Conclusions: All types of the non-intact family were linked to adolescents' alcohol use. The family structure could have an essential role in reducing high-risk behaviors, including alcohol use and its consequences in adolescents.en
DOIhttps://doi.org/10.5812/ijhrba.112404en
KeywordFamily Structureen
KeywordSingle-Parent Familyen
KeywordAlcohol Abuseen
KeywordAlcoholismen
KeywordAdolescenten
KeywordSystematic Reviewen
KeywordMeta-analysisen
PublisherBrieflandsen
TitleFamily Structure in Association with Alcohol Use Among Adolescents: A Systematic Review and Meta-analysisen
TypeSystematic Reviewen

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