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Regular, high-quality family meals are associated with lower rates of alcohol, cannabis and e-cigarette use among most U.S. adolescents, a Tufts University study found.
Researchers surveyed 2,090 U.S. adolescents aged 12 to 17 and their parents about meal quality â including communication, enjoyment, digital distractions and logistics â and adolescentsâ substance use over the prior six months.
For youths with low to moderate levels of adverse childhood experiences, higher-quality family meals were linked to a 22%â34% lower prevalence of reported substance use.
The study, published Jan. 19 in the Journal of Aggression, Maltreatment & Trauma, found little protective effect for adolescents with more severe adversity (the equivalent of four or more adverse experiences). Authors, led by Margie Skeer at Tufts, note the cross-sectional design and online recruitment limit causal interpretation and generalisability.
They suggest family meals can be a practical prevention strategy for many adolescents but urge trauma-informed supports and targeted interventions for highly stressed youth.
The research was partially funded by the U.S. National Institute on Drug Abuse.
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Comments add specific ACE items used in the study, confirm the protective association of highâquality family meals for low/moderateâadversity youths, and highlight two key caveats: the studyâs crossâsectional design (no causal proof) and a missing distinction on supervised parental alcohol use, implying traumaâinformed interventions are needed for highly stressed adolescents.






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