In the current study, we examined how caregiver prompting of tobacco products (e.g., asking a child to empty an ashtray), caregiver monitoring, and caregiver-adolescent communication were associated with adolescents’ tobacco use, intentions to use, and efficacy to refuse using tobacco. Caregiver-adolescent dyads were recruited from a southeastern city in the United States. Approximately 48% of the population in this city is Black. Participants included 101 Black caregivers who smoke and their adolescents (M_age = 14.4 years). Multiple regression analyses (R² ranged from 0.10 to 0.44 across models) indicated that higher levels of adolescent-reported caregiver prompting were associated with a higher likelihood of adolescent-reported use and intentions to smoke tobacco products in their lifetime. Caregiver monitoring was associated with lower levels of adolescent tobacco use and intentions to use tobacco, and higher levels of tobacco refusal self-efficacy. General caregiver-adolescent communication was associated with greater tobacco refusal self-efficacy. Differences among caregiver prompting behavior by reporter highlight the importance of obtaining both adolescent and caregiver perceptions. These findings illustrate that caregivers may play a critical role in shaping their adolescents’ tobacco-related outcomes through adolescent perceptions of their prompting of tobacco products, as well as their overall knowledge or monitoring of adolescent activities.

在当前的研究中，我们研究了看护者提示烟草制品（例如，要求孩子清空烟灰缸）、看护者监控和看护者与青少年的交流与青少年烟草使用、使用意图和拒绝使用效果之间的关系。烟草。从美国东南部的一个城市招募了照顾者-青少年二人组。这个城市大约 48% 的人口是黑人。参与者包括 101 名吸烟的黑人护理人员及其青少年（M_年龄 = 14.4 岁）。多元回归分析 ( R ²跨模型的范围从 0.10 到 0.44）表明，青少年报告的照料者提示水平越高，青少年报告的使用和吸烟意图的可能性越大。看护者监测与青少年烟草使用和使用烟草意图的水平较低以及拒绝烟草的自我效能水平较高有关。一般看护者与青少年的交流与更高的拒绝烟草自我效能感相关。报告者在照顾者提示行为之间的差异突出了获得青少年和照顾者感知的重要性。这些研究结果表明，看护者可能通过青少年对其促使其使用烟草制品的看法，在塑造青少年与烟草相关的结果方面发挥关键作用，