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

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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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Funding

This study was funded by AB InBev Foundation (ABIF), USA.

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Authors and Affiliations

  1. Departments of Kinesiology and Health Education, College of Education, University of Texas at Austin, 2109 San Jacinto Blvd, Bellmont HallAustin, TX, 78712, USA

    Pablo Montero-Zamora & Seth J. Schwartz

  2. Department of Public Health Sciences, Miller School of Medicine, University of Miami, 1120 NW 14th Street, Miami, FL, 33136, USA

    Pablo Montero-Zamora & Eric C. Brown

  3. Pacific Institute for Research and Evaluation, 1229 E Franklin St, Chapel Hill, Chatham, NC, 27514, USA

    Christopher L. Ringwalt

  4. School of Nursing and Health Studies, University of Miami, 1120 NW 14th Street, Miami, FL, 33136, USA

    Guillermo Prado

  5. Academic Unit of Psychology, Autonomous University of Zacatecas, Zacatecas, Mexico

    Jorge Ortiz-García

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  1. Pablo Montero-Zamora
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  4. Seth J. Schwartz
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  5. Guillermo Prado
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Correspondence to Pablo Montero-Zamora.

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Ethics Approval and Consent to Participate

University of Miami IRB and the State Council of Bioethics of Zacatecas approved this study. All procedures in this study were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

Dr. Eric C. Brown is part of the ABIF Scientific Partners Task Force and was a consultant for ABIF on underage drinking prevention in 2018. Dr. Christopher Ringwalt has been supported within the past years by funding from the alcohol industry to evaluate industry-sponsored programs to reduce alcohol-related harms. Other authors declare no conflict of interest.

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Eric C. Brown is the principal investigator of the project Businesses That Care Zacatecas.

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Montero-Zamora, P., Brown, E.C., Ringwalt, C.L. et al. Predictors of Engagement and Attendance of a Family-Based Prevention Program for Underage Drinking in Mexico. Prev Sci 23, 237–247 (2022). https://doi.org/10.1007/s11121-021-01301-z

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