Longitudinal study of parental movie restriction on teen smoking and drinking in Germany.

AIMS To determine if adolescents who report that their parents restrict viewing movies based on rating have a lower risk of trying smoking and drinking alcohol in the future. DESIGN Prospective observational study. A cohort of 2110 German adolescents younger than 15 years who had never smoked or drunk alcohol at baseline were surveyed 12-13 months later to determine smoking and binge drinking initiation. Risk of substance use was assessed as a function of parental restriction on viewing FSK-16 movies (movies that only those aged 16 years and over would be allowed to see in theaters). FINDINGS The percentage of students who tried smoking was 16.3%, 10.9% initiated binge drinking and 5.0% used both substances during the follow-up period. There was a significant effect of parental movie restriction on each substance use outcome measure after controlling for covariates. Compared with adolescents whose parents never allowed them to view FSK-16 movies, the adjusted relative risk [(RR) (95% confidence interval (CI)] for use of both substances were 1.64 (1.05-2.58) for adolescents allowed to view them once in a while, 2.30 (1.53-3.45) for sometimes and 2.92 (1.83-4.67) for all the time. FSK-16 restrictions were associated with lower viewership of all classes of movies, but especially FSK-16/18 movies; in addition, FSK-16 restrictions were associated with substantially lower exposure to movie depiction of tobacco and alcohol use, suggesting a mediational mechanism for the association. CONCLUSIONS Among young adolescents, parental restriction from viewing movies rated for older adolescents/adults decreases the risk of substance use in the future.

[1]  J. Sargent,et al.  Exposure to Smoking in Internationally Distributed American Movies and Youth Smoking in Germany: A Cross-cultural Cohort Study , 2008, Pediatrics.

[2]  M. Richter,et al.  Trends in socio-economic differences in tobacco smoking among German schoolchildren, 1994-2002. , 2007, European journal of public health.

[3]  S. Glantz,et al.  Smoking in movies and increased smoking among young adults. , 2007, American journal of preventive medicine.

[4]  J. Sargent,et al.  Exposure to alcohol use in motion pictures and teen drinking in Germany. , 2007, International journal of epidemiology.

[5]  J. Sargent,et al.  Exposure to smoking in popular contemporary movies and youth smoking in Germany. , 2007, American journal of preventive medicine.

[6]  Jane D. Brown,et al.  R-rated movies, bedroom televisions, and initiation of smoking by white and black adolescents. , 2007, Archives of pediatrics & adolescent medicine.

[7]  Albert C. Gunther,et al.  Cigarettes and cinema: does parental restriction of R-rated movie viewing reduce adolescent smoking susceptibility? , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[8]  S. D. Cin,et al.  Prevalence of smoking among major movie characters: 1996–2004 , 2006, Tobacco Control.

[9]  A. Adachi-Mejia,et al.  Parental Rules and Monitoring of Children’s Movie Viewing Associated With Children’s Risk for Smoking and Drinking , 2006, Pediatrics.

[10]  Michael J Fine,et al.  Association of cigarette smoking and media literacy about smoking among adolescents. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[11]  Jane D. Brown.  Media literacy has potential to improve adolescents' health. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[12]  Connie Lim,et al.  Youth risk behavior surveillance--United States, 2005. , 2006, The Journal of school health.

[13]  G. Patton,et al.  Consequences of youth tobacco use: a review of prospective behavioural studies. , 2006, Addiction.

[14]  M. Fine,et al.  Development and validation of a smoking media literacy scale for adolescents. , 2006, Archives of pediatrics & adolescent medicine.

[15]  C. Warren,et al.  Patterns of global tobacco use in young people and implications for future chronic disease burden in adults , 2006, The Lancet.

[16]  S. Glantz,et al.  Smoking in the Movies Increases Adolescent Smoking: A Review , 2005, Pediatrics.

[17]  T. Heatherton,et al.  Use of cigarettes and alcohol by preschoolers while role-playing as adults: "Honey, have some smokes". , 2005, Archives of pediatrics & adolescent medicine.

[18]  J. Sargent.  Smoking in movies: impact on adolescent smoking. , 2005, Adolescent medicine clinics.

[19]  Kristopher J Preacher,et al.  SPSS and SAS procedures for estimating indirect effects in simple mediation models , 2004, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[20]  G. Patton,et al.  Puberty and the Onset of Substance Use and Abuse , 2004, Pediatrics.

[21]  Michelle M. Garrison,et al.  Continuity of Binge and Harmful Drinking From Late Adolescence to Early Adulthood , 2004, Pediatrics.

[22]  T. Heatherton,et al.  Effect of parental R-rated movie restriction on adolescent smoking initiation: a prospective study. , 2004, Pediatrics.

[23]  E. Gilpin,et al.  Do favorite movie stars influence adolescent smoking initiation? , 2004, American journal of public health.

[24]  David P. MacKinnon,et al.  Advances in Statistical Methods for Substance Abuse Prevention Research , 2003, Prevention Science.

[25]  T. Heatherton,et al.  Modifying exposure to smoking depicted in movies: a novel approach to preventing adolescent smoking. , 2003, Archives of pediatrics & adolescent medicine.

[26]  T. Heatherton,et al.  The incidence and context of tobacco use in popular movies from 1988 to 1997. , 2002, Preventive medicine.

[27]  T. Heeren,et al.  Age of drinking onset and involvement in physical fights after drinking. , 2001, Pediatrics.

[28]  T. Heeren,et al.  Age of drinking onset and unintentional injury involvement after drinking. , 2000, JAMA.

[29]  Donald F. Roberts,et al.  Substance Use in Popular Movies and Music. , 1999 .

[30]  E. Donnerstein,et al.  Children, Adolescents, and the Media: Issues and Solutions , 1999, Pediatrics.

[31]  C. Jackson,et al.  The Authoritative Parenting Index: Predicting Health Risk Behaviors Among Children and Adolescents , 1998, Health education & behavior : the official publication of the Society for Public Health Education.

[32]  S. Zeger,et al.  Longitudinal data analysis using generalized linear models , 1986 .

[33]  A. Bandura.  Social Foundations of Thought and Action: A Social Cognitive Theory , 1985 .

[34]  Ting-kai Li,et al.  Impact of age at first drink on stress-reactive drinking. , 2007, Alcoholism, clinical and experimental research.

[35]  James D Sargent,et al.  Alcohol use in motion pictures and its relation with early-onset teen drinking. , 2006, Journal of studies on alcohol.

[36]  T. Heatherton,et al.  Relation between parental restrictions on movies and adolescent use of tobacco and alcohol. , 2002, Effective clinical practice : ECP.

[37]  Robert Voas,et al.  Age of drinking onset, driving after drinking, and involvement in alcohol related motor-vehicle crashes. , 2002, Accident; analysis and prevention.