Perspectives of Parents and High School Teens in Massachusetts on Communicating about Cannabis
摘要
As cannabis legalization becomes more widespread across the U.S., there has been a reduction in teen cannabis risk perception. While parents and teens have started talking about cannabis more frequently, parents may be uncertain of which communication strategies to use to deter teens from trying cannabis and how to set expectations. This study aims to explore how parents and teens communicate about cannabis and their comfort levels discussing it. Qualitative interviews were conducted with 42 parents (81% female) and 42 teens (52.4% female) from Massachusetts (08/2018–07/2019). The interview guides focused on parent-teen communication about cannabis, their attitudes and feelings towards teen cannabis and alcohol use, household rules, and comfort levels talking about cannabis. Data were coded and analyzed through a deductive content analysis approach. The mean (SD) age was 49.6 (7.5) years for parents and 15.9 (1.4) years for teens. Parents were 50% White and 9.5% Hispanic. The key themes that were identified from the qualitative analysis included parents’ perspectives on communicating with teens about cannabis (current strategies used; hesitancy, discomfort, and uncertainty on how to talk with teens; and need for more information on how to talk with teens), misalignment of parents’ and teens’ perspectives on household rules regarding cannabis (parents report clear/strict rules, while teens report more permissive rules), and parents’ and teens’ greater concern of using cannabis compared to drinking alcohol. Previously recommended strategies for parent-teen communication around cannabis use may not work, as the legalization of recreational cannabis use likely contradicts messages about risk.