PEDIATRICS Vol. 92 No. 1 July 1993, pp. 32-38
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Relationship Between After-School Care of Adolescents and Substance Use, Risk Taking, Depressed Mood, and Academic Achievement

Jean L. Richardson DrPH1, Barbara Radziszewska PhD1, Clyde W. Dent PhD1, and Brian R. Flay PhD2

1 From the Institute for Health Promotion and Disease Prevention Research, Department of Preventive Medicine, University of Southern California, Los Angeles
2 From the School of Public Health, University of Illinois at Chicago

Objective. To examine the relationship between parental monitoring and six negative behaviors: cigarette, alcohol, and marijuana use; depressed mood; risk taking; and lower academic grades.

Design. Survey of 3993 ninth-grade students in six school districts in southern California.

Subjects. The sample consisted of 1930 boys and 2063 girls, self-classified as non-Hispanic white (32%), African-American (13%), Hispanic (46%), or Asian (9%).

Results. A relationship was found between unsupervised care after school and susceptibility to cigarette, alcohol, and marijuana use; depressed mood; risk taking and lower academic grades. Adolescents who were unsupervised at home were slightly more likely to engage in problem behavior than those who were supervised at home. Adolescents at a neighbor's house, at school, or at a job and especially those who "hang out" were most likely to engage in problem behavior. Risk was higher if the parent had an unengaged parenting style. Although girls were less likely than boys to engage in problem behavior when supervised, as supervision decreased they were significantly more likely to have each of these problems. Family structure had little impact on risk.

Conclusions. Self-care, especially when it occurs outside of the home, is associated with substance use, risk taking, depressed mood, and lower academic grades.

Key Words: after-school care • alcohol • marijuana • smoking • cigarettes • depression • risk-taking behavior • academic performance • adolescence

Submitted on September 29, 1992
Accepted on March 3, 1993




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