Home > The enduring effects of parental alcohol, tobacco, and drug use on child well-being: a multilevel meta-analysis.

Kuppens, Sofie and Moore, Simon C and Gross, Vanessa and Lowthian, Emily and Siddaway, Andy P . (2019) The enduring effects of parental alcohol, tobacco, and drug use on child well-being: a multilevel meta-analysis. Development and Psychopathology, Early online

URL: https://www.cambridge.org/core/journals/developmen...

The effects of psychoactive substance abuse are not limited to the user, but extend to the entire family system, with children of substance abusers being particularly at risk. This meta-analysis attempted to quantify the longitudinal relationship between parental alcohol, tobacco, and drug use and child well-being, investigating variation across a range of substance and well-being indices and other potential moderators. We performed a literature search of peer-reviewed, English language, longitudinal observational studies that reported outcomes for children aged 0 to 18 years. In total, 56 studies, yielding 220 dependent effect sizes, met inclusion criteria.

A multilevel random-effects model revealed a statistically significant, small detriment to child well-being for parental substance abuse over time (r = .15). Moderator analyses demonstrated that the effect was more pronounced for parental drug use (r = .25), compared with alcohol use (r = .13), tobacco use (r = .13), and alcohol use disorder (r = .14). Results highlight a need for future studies that better capture the effect of parental psychoactive substance abuse on the full breadth of childhood well-being outcomes and to integrate substance abuse into models that specify the precise conditions under which parental behavior determines child well-being.


Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol, Alcohol or other drugs in general, Tobacco
Intervention Type:AOD disorder, AOD disorder harm reduction
Date:5 July 2019
Page Range:pp. 1-14
Volume:Early online
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence
A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Tobacco (cigarette smoking)
G Health and disease > State of health
G Health and disease > Substance use disorder > Alcohol use
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent
L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Parent-child relations
T Demographic characteristics > Child of substance user
T Demographic characteristics > Parent

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