Mothers' Substance Use Was a Stronger Predictor of Children's Early Alcohol Use Than Fathers' Use

A longitudinal study found that mothers' tobacco use and the combination of fathers' marijuana and alcohol use predicted earlier alcohol onset in children, suggesting maternal substance use is an underappreciated risk factor.

Capaldi, Deborah M et al.·Journal of studies on alcohol and drugs·2016·Moderate EvidenceLongitudinal Cohort
RTHC-01120Longitudinal CohortModerate Evidence2016RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Longitudinal Cohort
Evidence
Moderate Evidence
Sample
N=146

What This Study Found

Researchers studied 146 children of 93 parents to determine whether parental tobacco and marijuana use predicted children's age of first alcohol use, beyond the known effects of parental alcohol use.

Mothers' alcohol use was significantly associated with children's earlier alcohol onset, while fathers' alcohol use alone was not. Children's age at onset was also predicted by mothers' tobacco use and by the interaction of fathers' marijuana and alcohol use together.

These effects held after controlling for parental education, child gender, and children's antisocial behavior. The authors highlighted that maternal substance use has received less research attention as a risk factor for children's substance use compared to paternal use.

Key Numbers

146 children of 93 parents (90 fathers, 85 mothers). Mothers' but not fathers' alcohol use predicted children's alcohol onset. Mothers' tobacco use independently predicted earlier onset. Fathers' marijuana use interacted with alcohol use to predict earlier onset.

How They Did This

Longitudinal study following children of participants in the Oregon Youth Study, a long-running study of risk factors for delinquency. The sample included 146 children of 93 parents (90 fathers, 85 mothers). Parent substance use and child alcohol onset were assessed prospectively.

Why This Research Matters

Understanding which parental factors predict early alcohol use in children can improve prevention efforts. The finding that mothers' substance use plays a larger role than previously recognized suggests that prevention programs targeting maternal substance use could help delay children's drinking onset.

The Bigger Picture

This study shifts attention from the traditionally emphasized role of paternal substance use to the underappreciated influence of maternal substance use on children's drinking behavior. It also identifies polysubstance-using parents as a particularly important group for targeted prevention.

What This Study Doesn't Tell Us

The sample size was relatively small (146 children). The Oregon Youth Study participants may not represent all families. Only alcohol onset was studied, not cannabis or other substance initiation. The mechanisms by which parental substance use influences children (modeling, availability, genetics, prenatal exposure) were not disentangled.

Questions This Raises

  • ?Through what mechanisms does maternal substance use influence children's alcohol onset?
  • ?Would interventions targeting parental substance use delay children's drinking?

Trust & Context

Key Stat:
Mothers' substance use was a stronger predictor of children's alcohol onset than fathers' use
Evidence Grade:
This is a prospective longitudinal study from a well-established cohort, providing moderate evidence on intergenerational substance use patterns.
Study Age:
Published in 2016. Research on intergenerational substance use patterns continues.
Original Title:
The Relationships of Parental Alcohol Versus Tobacco and Marijuana Use With Early Adolescent Onset of Alcohol Use.
Published In:
Journal of studies on alcohol and drugs, 77(1), 95-103 (2016)
Database ID:
RTHC-01120

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Follows a group of people over time to track how outcomes develop.

What do these levels mean? →

Frequently Asked Questions

Does a parent's substance use mean their children will drink early?

Parental substance use is one risk factor among many for early alcohol onset. Not all children of substance-using parents will drink early, and many other factors (peer influences, school environment, genetics) also play important roles. However, this study found maternal substance use was a significant predictor.

Why does maternal substance use matter more than paternal?

The study found mothers' substance use was a stronger predictor, possibly because mothers typically spend more time with children, serve as more salient behavioral models, or because maternal substance use during pregnancy can affect neurodevelopment. The specific mechanisms were not tested.

Read More on RethinkTHC

Cite This Study

RTHC-01120·https://rethinkthc.com/research/RTHC-01120

APA

Capaldi, Deborah M; Tiberio, Stacey S; Kerr, David C R; Pears, Katherine C. (2016). The Relationships of Parental Alcohol Versus Tobacco and Marijuana Use With Early Adolescent Onset of Alcohol Use.. Journal of studies on alcohol and drugs, 77(1), 95-103.

MLA

Capaldi, Deborah M, et al. "The Relationships of Parental Alcohol Versus Tobacco and Marijuana Use With Early Adolescent Onset of Alcohol Use.." Journal of studies on alcohol and drugs, 2016.

RethinkTHC

RethinkTHC Research Database. "The Relationships of Parental Alcohol Versus Tobacco and Mar..." RTHC-01120. Retrieved from https://rethinkthc.com/research/capaldi-2016-the-relationships-of-parental

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.