Sexual Attraction and Trajectories of Mental Health and Substance Use During the Transition from Adolescence to Adulthood

Previous research suggests that sexual minority youth have poorer health-related outcomes than their heterosexual peers. The purpose of this study is to determine whether sexual orientation disparities in mental health and substance use increase, decrease, or remain the same during the transition from adolescence to adulthood. Data are from Waves 1–4 of the National Longitudinal Study of Adolescent Health (n = 8,322; 55% female). Respondents were in grades 7–12 at Wave 1 and aged 24–32 at Wave 4. Latent growth curve modeling is used to compare the mental health and substance use trajectories of youth who consistently report heterosexual attraction versus those who consistently report lesbian, gay, or bisexual (LGB) attraction, those who report a transition to LGB attraction, and those who report a transition to heterosexual attraction. Among women and men, sexual orientation disparities in depressive symptoms and suicidal thoughts persist, but do not increase, during the transition from adolescence to adulthood. The same pattern is observed for disparities in smoking, heavy drinking, and marijuana use among women. Among men, disparities in substance use are only observed between those who report consistent heterosexual attraction and those who transition to heterosexual attraction. Disparities between these groups persist over time for heavy drinking and marijuana use but decrease over time for smoking. While this study finds evidence of numerous disparities in mental health and substance use outcomes during adolescence and young adulthood, particularly among young women, there is no indication that these disparities get larger over time.     

Longitudinal Effects of Perceived Maternal Approval on Sexual Behaviors of Asian and Pacific Islander (API) Young Adults

Data were obtained from the National Longitudinal Study of Adolescent Health to examine the longitudinal association between Asian and Pacific Islander (API) adolescents’ perceptions of maternal approval of their sexual activity and contraception use, and four sexual outcomes during young adulthood. The study includes a nationally representative sample of 1,195 API adolescents. Logistic regression analyses were used to estimate the associations between predictors (Wave I) and outcomes (Wave III), controlling for covariates. API adolescents who perceived that their mothers approved of their sexual activities were more likely to have engaged in sex before age 15, contracted HIV/Sexually Transmitted Diseases, had multiple sex partners, and paid money for sex during young adulthood. Findings highlight the need for parent–adolescent communication and parental involvement in preventing negative sexual health outcomes among API adolescents transitioning to young adulthood.

The Longitudinal Relationships Between Rural Adolescents’ Prosocial Behaviors and Young Adult Substance Use

While many adolescents and young adults experiment with substances (e.g., alcohol, cigarette smoking, marijuana), recent research suggests that rural youth and young adults may be more at risk for substance use than their urban counterparts. This study was designed to examine the longitudinal relationships between rural adolescents’ prosocial behaviors and substance use in young adulthood. Furthermore, we examined the potential mediating effects of adolescent substance use, academic investment, and delinquency. Rural youth (N = 531; 263 girls) were surveyed in grades 10–12 (Time 1; M age = 16.17; SD = .91) and again in early adulthood (Time 2). Measures of prosocial behaviors, substance use, academic investment, and deviant activities were assessed at Time 1. At Time 2, measures of marijuana use, cigarette smoking, and getting drunk were administered. Overall, the findings showed that rural adolescents who frequently exhibit prosocial behaviors are less likely to engage in substance use in young adulthood than those who exhibit relatively low levels of prosocial behaviors. These findings indicate that prosocial behaviors may have positive health consequences, establishing behavioral trajectories that lead to lower levels of risky health behaviors in adulthood in rural populations.     

Protective and Risk Factors Associated with Adolescent Boys’ Early Sexual Debut and Risky Sexual Behaviors

Protective and risk factors associated with rates of early sexual debut and risky sexual behaviors for a sample of low-income adolescent boys were examined using bioecological theory framed by a resiliency perspective. Protective processes examined include a close mother–son and father–son relationship, parental monitoring and family routines, as well as the adolescent boy’s academic achievement, expectations, and school recognition. The risk factors assessed were delinquent behaviors, if the adolescent was born to a teenage mother, family structure, monthly family income, risky neighborhood environments, family of origin welfare receipt, and maternal education. Waves one (1999) and two (2001) of Welfare, Children, and Families: A Three-City Study were used (N = 528; Wave 1 ages 10–14 years). Associations between early sexual debut and risky sexual behaviors with individual, family, school, and neighborhood protective and risk factors were addressed through a series of d-probit and Ordinary Least Squares multiple regression techniques. When protective and risk factors were addressed independently, academic achievement and parental monitoring protected adolescent boys from early sexual debut and risky sexual behaviors while drug and alcohol use and school problems placed them at risk for these behaviors. However, when the model is assessed together, early parental monitoring and academic achievement were shown to protect boys’ early sexual debut and risky sexual behaviors by reducing their delinquent behaviors, specifically early drug and alcohol use and school problems.

Sexual Debut Timing and Depressive Symptoms in Emerging Adulthood

The association between sexual debut timing and depressive symptomatology in adolescence and emerging adulthood was examined using data from Waves I, II and III of the National Longitudinal Study of Adolescent Health. Respondents who reported never having sexual intercourse at Wave I and were 18–22 years of age at Wave III were included (n = 5,061). Twenty percent of respondents experienced early (<age 16) and 49% experienced typical (ages 16–18) sexual debut. In bivariate analyses, pre-debut depressive symptoms were associated with earlier sexual debut among female but not male adolescents. In models adjusting for demographic characteristics and pre-debut depressive symptoms, sexual debut was positively related to adolescent (Wave II) depressive symptomatology, but only among female adolescents age less than sixteen. However, sexual debut timing was unassociated with emerging adult (Wave III) depressive symptomatology for both male and female respondents. Findings suggest sexual debut timing does not have implications for depressive symptomatology beyond adolescence.

Acculturation,Gender, Depression,and Cigarette Smoking Among U.S. Hispanic Youth: The Mediating Role of Perceived Discrimination

Hispanic youth are at risk for experiencing depressive symptoms and smoking cigarettes, and risk for depressive symptoms and cigarette use increase as Hispanic youth acculturate to U.S. culture. The mechanism by which acculturation leads to symptoms of depression and cigarette smoking is not well understood. The present study examined whether perceived discrimination explained the associations of acculturation with depressive symptoms and cigarette smoking among 1,124 Hispanic youth (54% female). Youth in Southern California completed surveys in 9th–11th grade. Separate analyses by gender showed that perceived discrimination explained the relationship between acculturation and depressive symptoms for girls only. There was also evidence that discrimination explained the relationship between acculturation and cigarette smoking among girls, but the effect was only marginally significant. Acculturation was associated with depressive symptoms and smoking among girls only. Perceived discrimination predicted depressive symptoms in both genders, and discrimination was positively associated with cigarette smoking for girls but not boys. These results support the notion that, although Hispanic boys and girls experience acculturation and discrimination, their mental health and smoking behaviors are differentially affected by these experiences. Moreover, the results indicate that acculturation, gender, and discrimination are important factors to consider when addressing Hispanic youth’s mental health and substance use behaviors.     

The Influence of Pubertal Timing on Alcohol Use and Heavy Drinking Trajectories

Early pubertal timing has been associated with increased alcohol use, drunkenness, and alcohol use disorders in both boys and girls during adolescence. It is not clear, however, whether the effect of early pubertal timing persists into late adolescence and young adulthood, whether its effect differs by gender, and if contextual factors (e.g., peer alcohol use) amplify such effect. This study attempts to address these questions by examining the trajectories of alcohol use and heavy drinking from early adolescence to young adulthood in males and females using data from the National Longitudinal Study of Adolescent Health (Add Health). Results show that for both males and females, early pubertal timing was associated with higher alcohol use and heavy drinking trajectories. These effects persisted into young adulthood and were found to be stronger for males than for females. Moreover, there was a significant interaction effect between friends’ drinking and pubertal timing on alcohol use and heavy drinking trajectories; but the interaction effect also differed for males and females. These findings suggest that early pubertal timing is a risk factor for alcohol use and has long-term implication for individuals’ health. Michael Biehl’s research focuses on adolescent development and problem behaviors. He is particularly interested in developmental pathways leading to substance use and affective disorders and how different contexts influence these developmental pathways. Misaki Natsuaki is interested in how adolescent problem behavior changes over time. Her research focuses particularly on the effects and timing of transitional events, such as puberty, on trajectories of internalizing and externalizing behaviors in adolescence. Xiaojia Ge’s research focuses on interaction effects of biological and social contextual factors on socioemotional development. He is particularly interested in how pubertal timing affects adolescent development.     

Risky Sexual Behaviors in First and Second Generation Hispanic Immigrant Youth

Though official data document that Hispanic youth are at a great risk for early sexual intercourse, STDs, and teen pregnancy, only few etiological studies have been conducted on Hispanic youth; almost no work has examined potential generational differences in these behaviors, and thus, these behaviors may have been mistakenly attributed to cultural differences. The current study examined the relationships between maternal parenting (general communication, communication about sex, monitoring, support) and risky sexual behaviors, and potential moderating effects by immigration status and acculturation in 1st and 2nd generation Hispanic immigrant adolescents (N = 2,016) from the National Longitudinal Study of Adolescent Health (Waves I and II). Maternal communication about sex and maternal support emerged as key predictors of risky sexual behaviors across generational groups; neither immigration status nor acculturation moderated the maternal parenting constructs-risky sexual behaviors links. Furthermore, maternal parenting constructs and their relationships with risky sexual behaviors did not differ by generational groups.

Examining Resource and Protective Factors in the Adjustment of Latino Youth in Low Income Families: What Role Does Maternal Acculturation Play?

This longitudinal study examined whether the risk and positive factors contributing to the delinquent behaviors and internalizing problems of 454 Latino adolescents varied across maternal linguistic acculturation and adolescent gender. Although the level of cumulative risk to which the 10-to-14-year old adolescents were exposed did not vary by maternal linguistic acculturation, the factors contributing to their subsequent adjustment 16 months later varied substantially. Multiple regression analyses showed that for boys, maternal monitoring offset cumulative risk effects in the high acculturation group, but was unrelated to adjustment in the low acculturation group. Social competence served a protective function for boys in the high acculturation group, but was detrimental for boys in the low acculturation group and mother-son relationship quality directly predicted more subsequent delinquent behaviors among boys in the low acculturation group. Maternal monitoring was the only positive factor contributing to girls’ adjustment, directly predicting fewer delinquent behaviors for all girls. Associate Professor in the Department of Kinesiology & Health Education at the University of Texas at Austin. Received her Ph.D. in Developmental Psychology from Michigan State University. Research interests focus on the development of problem behaviors in children and adolescents, with a particular focus on externalizing and internalizing problems and alcohol and tobacco use. Assistant Professor in the Department of Educational Psychology at the University of Texas at Austin. Received her Ed.D. in Human Development and Psychology from Harvard University. Research interests focus on parent-child relationships and how they shape children’s development and learning across cultures and ethnic groups Associate Professor in the Department of Psychology at the University at Albany, State University of New York. Received her Ph.D. in Clinical Psychology from the University of North Texas. Research interests are ecocultural models of risk and resiliency in minority youth and measurement equivalence of risk and resiliency constructs     

Predicting Negative Life Outcomes from Early Aggressive–Disruptive Behavior Trajectories: Gender Differences in Maladaptation Across Life Domains

Transactional theories of development suggest that displaying high levels of antisocial behavior early in life and persistently over time causes disruption in multiple life domains, which in turn places individuals at risk for negative life outcomes. We used longitudinal data from 1,137 primarily African American urban youth (49.1% female) to determine whether different trajectories of aggressive and disruptive behavior problems were associated with a range of negative life outcomes in young adulthood. General growth mixture modeling was used to classify the youths’ patterns of aggressive–disruptive behavior across elementary school. These trajectories were then used to predict early sexual activity, early pregnancy, school dropout, unemployment, and drug abuse in young adulthood. The trajectories predicted the number but not type of negative life outcomes experienced. Girls with the chronic high aggression–disruption (CHAD) pattern experienced more negative outcomes than girls with consistently moderate levels, who were at greater risk than nonaggressive–nondisruptive girls. Boys with CHAD and boys with an increasing pattern had equal levels of risk for experiencing negative outcomes. The findings are consistent with transactional models of development and have implications for preventive interventions.     

The Impact of Multiple Types of Child Maltreatment on Subsequent Risk Behaviors Among Women During the Transition from Adolescence to Young Adulthood

The purpose of this study was to investigate how different types of child maltreatment, independently and collectively, impact a wide range of risk behaviors that fall into three domains: sexual risk behaviors, delinquency, and suicidality. Cumulative classification and Expanded Hierarchical Type (EHT) classification approaches were used to categorize various types of maltreatment. Data were derived from Wave III of the National Longitudinal Study of Adolescent Health (Add Health). Our sample consisted of White, Black, Hispanic, and Asian females ages 18 to 27 (n = 7,576). Experiencing different kinds of maltreatment during childhood led to an extensive range of risk behaviors within the three identified domains. Women experiencing sexual abuse plus other maltreatment types had the poorest outcomes in all three domains. These findings illustrate that it may no longer be appropriate to assume that all types of maltreatment are equivalent in their potential contribution to negative developmental sequelae.     

Middle School Aggression and Subsequent Intimate Partner Physical Violence

This study examined the relationship between middle-school aggressive behaviors and young adults’ experiences as victims and perpetrators of intimate partner physical violence. As part of the Reach for Health longitudinal study, surveys were conducted with 977 8th graders who were resurveyed as young adults, when lifetime partner violence was assessed. In this economically disadvantaged sample, the prevalence of middle-school aggression and subsequent partner violence are high among both males and females. In middle school, 32% of girls and 42% of boys reported being in a recent fight and 12% of girls and 17% of boys had threatened another with a weapon. By the time they were 19–20 years old, about 35% of females and males reported being the victims of one or more forms of partner violence; 35% of females and 22% of males reported one or more forms of perpetration. Controlling for socio-demographic characteristics, middle-school aggression is a significant risk factor for partner victimization and perpetration. Early aggression remains an independent predictor of partner violence perpetration and victimization for males and perpetration for females when other middle-school risk behaviors and exposures to physical aggression in the childhood home are taken into account. To reduce partner violence through young adulthood, findings suggest the importance of early interventions that help adolescents learn non-violent strategies for resolving conflicts in cross-gender relationships.Principal Investigator for the study.Co-Principal Investigator and Senior Methodologist.Responsible for developing the survey instrument.Responsible for pilot testing the survey instrument and overseeing field operations.Responsible for data management and conducted statistical analyses.Responsible for convening the Community Advisory Board and developing the survey instrument.     

A Prospective Examination of the Path from Child Abuse and Neglect to Illicit Drug Use in Middle Adulthood: The Potential Mediating Role of Four Risk Factors

This study examines prostitution, homelessness, delinquency and crime, and school problems as potential mediators of the relationship between childhood abuse and neglect (CAN) and illicit drug use in middle adulthood. Children with documented cases of physical and sexual abuse and neglect (ages 0–11) during 1967–1971 were matched with non-maltreated children and followed into middle adulthood (approximate age 39). Mediators were assessed in young adulthood (approximate age 29) through in-person interviews between 1989 and 1995 and official arrest records through 1994 (N = 1,196). Drug use was assessed via self-reports of past year use of marijuana, psychedelics, cocaine, and/or heroin during 2000–2002 (N = 896). Latent variable structural equation modeling (SEM) was used to test: (1) a four-factor model with separate pathways from CAN to illicit drug use through each of the mediating risk factors and (2) a second-order model with a single mediating risk factor comprised of prostitution, homelessness, delinquency and crime, and poor school performance. Analyses were performed separately for women and men, controlling for race/ethnicity and early drug use. In the four-factor model for both men and women, CAN was significantly related to each of the mediators, but no paths from the mediators to drug use were significant. For women, the second-order risk factor mediated the relationship between CAN and illicit drug use in middle adulthood. For men, neither child abuse and neglect nor the second-order risk factor predicted drug use in middle adulthood. These results suggest that for women, the path from CAN to middle adulthood drug use is part of a general “problem behavior syndrome” evident earlier in life.

Exposure to Community Violence and Adolescents’ Internalizing Behaviors Among African American and Asian American Adolescents

Exposure to community violence can seriously threaten healthy adolescent development. This longitudinal study examines the relationship between exposure to violence in the community and the internalizing behaviors of Asian American and African American adolescents. Data analyzed was from 901 adolescents (57.9% female and 42.1% male, and 84.7% African American and 15.3% Asian American) who had participated in both Wave I and II interviews of the National Longitudinal Survey of Adolescent Health conducted between 1994 and 1996. Being female, having prior internalizing behaviors at baseline, and being exposed to violence significantly predicted African American adolescents’ subsequent report of internalizing behaviors and their symptoms. Being female and having prior internalizing behaviors also predicted Asian American adolescents’ subsequent internalizing behaviors and their symptoms. However, exposure to violence was not associated with Asian American adolescents’ internalizing behaviors. Findings suggested a need to conceptualize mental health risk in a more nuanced context of cultural diversity.     

More Than a Just a Game: Video Game and Internet Use During Emerging Adulthood

The purpose of this study was to gain a clearer understanding of the pattern of video game and internet use among college students and to examine how electronic leisure was related to risk behaviors (i.e., drinking, drug use, sex), perceptions of the self (i.e., self worth and social acceptance), and relationships with others (i.e., relationship quality with parents and friends). Participants included 813 undergraduate students (500 young women, 313 young men, M age = 20, SD = 1.87) who were mainly European American (79%), unmarried (100%) and living outside their parents’ home (90%). Results suggested that (a) video game use was linked to negative outcomes for men and women, (b) different patterns of video game and internet use existed for men and women and (c) there were different relations to risk behaviors, feelings about the self, and relationship quality based on the type of internet use, and based on gender. The discussion focuses on the implications of electronic leisure on the overall health and development of young people as they transition to adulthood.     

Parents’ Communication with Adolescents About Sexual Behavior: A Missed Opportunity for Prevention?

Parents may wait to talk to their teens about sexuality until they believe their child is in a romantic relationship. To examine this, telephone surveys were conducted with 1069 parents of adolescents. Measures assessed parents’ perception of teens’ romantic involvement and parent-child communication about several sexuality topics. Multivariable regression models determined the odds of talking about each topic among parents who reported their teen had been in a romantic relationship compared to those who did not. Most parents reported talking at least a moderate amount about some sex-related topic. Parents who believed their teen had been romantically involved were more likely to have discussed most of the topics examined here (ORs=1.64 – 2.56). For some topics, associations were more pronounced among parents of younger teens. Findings suggest that parents may miss important opportunities to influence behavior, and should initiate conversations about sexuality before they believe their child to be romantically involved.Assistant Professor at the University of Minnesota. She received her Sc.D. in Social Epidemiology from the Harvard School of Public Health. Her major research interests are the social influences on high risk health behaviors among adolescents.Associate Professor with the School of Nursing and the Department of Pediatrics at the University of Minnesota. She received her Ph.D. in Epidemiology from the University of Minnesota. Her research focuses on on family, peer, and individual-level influences on adolescents’ sexual behaviors and violence involvement. She is also Deputy Director of the Healthy Youth Development Prevention Research Center, which conducts research and disseminates actionable knowledge that promotes healthy youth development and reduces health disparities among young people.Professor and Director of the Center for Adolescent Nursing at the University of Minnesota School of Nursing. She received her Ph.D. in Educational Psychology from the University of Minnesota. Her major research interests focus on understanding key risk and protective factors in adolescence, particularly among vulnerable populations of youth.President of Midwestern Professional Educational and Research Services, Inc., a DHHS funded non-profit agency serving as a Title X Regional Training Center. She received her Masters in Psychology from Miami University and worked for 12 years in flight psychophysiology before moving into public health. Her primary research interests center on identifying barriers that limit adolescent and low income population’s access to publicly funded reproductive health care services.Professor and Director of the Healthy Youth Development Prevention Research Center at the University of Minnesota Department of Pediatrics. He received his Ph.D. in Health Services Research and Policy from the University of Minnesota. His major research interests are understanding risk and protective factors in the lives of young people, particularly around issues of reproductive health, pregnancy, and violence.     

Social Status Attainment During the Transition to Adulthood

The transition from adolescence to adulthood is a critical time for status attainment, with income, education, work experience, and independence from parents accruing at varying speeds and intensities. This study takes an intergenerational life-course perspective that incorporates parents’ and one’s own social status to examine the status attainment process from adolescence into adulthood in the domains of economic capital (e.g., income) and human capital (e.g., education, occupation). Survey data from three waves of the National Longitudinal Study of Adolescent Health (analytic n = 8,977) are analyzed using latent class analysis to capture the ebb and flow of social status advantages and disadvantages from adolescence (Wave 1) through young adulthood (Wave 3) into adulthood (Wave 4). The analytic sample is composed of 50.3 % females and 70.2 % Whites, 15.3 % Blacks, 11.0 % Hispanics, and 3.5 % Asians ages 12–18 at Wave 1 and 25–31 at Wave 4. Four latent classes are found for economic capital and five for human capital. The importance of parents’ social status is demonstrated by the presence of large groups with persistently low and persistently high social status over time in both domains. The capacity of individuals to determine their own status, however, is shown by equally large groups with upward and downward mobility in both domains. These findings demonstrate the dynamic nature of social status during this critical developmental period.     

High School Context,Heterosexual Scripts,and Young Women’s Sexual Development

Adolescence is a critical period for sexual development, and previous research demonstrates that school cultures play an important role in shaping adolescent sexual behavior. However, little is known about the role of school context for developing sexual attitudes and sexual sense of self. This study explores how sexual cultures that emerge within high schools shape the sexual development of young women during the transition to adulthood. Using three waves of data from the National Longitudinal Study of Adolescent to Adult Health, a sample of 9th to 12th graders in U.S. schools in 1994–1995 who were surveyed in 1996 and in 2001 when they were 20 to 26 years old (N?=?1,017), this study measures school sexual cultures using the aggregated sexual beliefs and behaviors of students within the school. Multilevel analyses are used to explore the association between these school sexual cultures and young women’s sexual attitudes (perceived obstacles to using birth control, guilt and shame about sex, and expectations of sexual pleasure) in adolescence and their sexual experiences (equal initiation of sex with partner and frequent orgasm with partner) in adulthood. Overall, the results suggest that schools play an important role in young women’s developing attitudes toward sex and contraception. High school sexual cultures are also associated with young women’s sexual behavior in adult heterosexual relationships, as young women who attended schools with students who had higher levels of religious attendance or guilt and shame about sex were less likely to report being an equal initiator in their adult relationships. However, the relatively small impact of high school sexual cultures on young women’s sexual experiences in adulthood, particularly in terms of sexual pleasure, suggests that more proximal contexts and relationships may play a more significant role in shaping their current sexual behaviors.     

Reciprocal Effects between the Perceived Environment and Heterosexual Intercourse Among Adolescents

This study proposes a transactional model for the reciprocal relationship between increased likelihood of adolescent sexual intercourse and decreased connection with the perceived environment. Connection with the perceived environment is operationalized as higher problem-focused interactions with parents, lower religious attendance, and lower school belonging. Relationship with the perceived environment is further hypothesized to explain the increase in depressive symptoms associated with initiating sexual intercourse in adolescence. Data from Waves 1 and 2 of the National Longitudinal Survey of Adolescent Health (one year apart; valid N=10,873) were analyzed using survey-adjusted multiple and logistic regression and path analysis. Hypothesized relationships were confirmed, with an additional finding that relationships with the perceived environment do not improve with the cessation of sexual intercourse. Implications of a possible explanation for this, that this finding indicates sexually active youth earn a stigmatized “non-virgin” label that they cannot easily remove, are discussed.Assistant Professor at the Adelphi University School of Social Work. He received his Ph.D. in 2005 from Cornell University in Human Development and completed a postdoctoral fellowship in the Behavioral Sciences Training in Drug Abuse Research program sponsored by Medical and Health Association of New York City, Inc. (MHRA) and the National Development and Research Institutes (NDRI) with funding from the National Institute on Drug Abuse (5T32 DA07233). His major research interests include psychological and social determinants of adolescent and young adult health and risk behaviors, religion as a context of youth development, positive development of sexuality and avoidance of sexual risk behaviors in youth, and young adults, and sexual minority youths’ issues with religion.     

Substance Use Attitudes among Urban Black Adolescents: The Role of Parent,Peer, and Cultural Factors

This study examined the influence of perceived parental, peer, and cultural factors on Black American adolescent attitudes toward substance use. One-hundred-eight Black American youth (grades 9–12) from economically disadvantaged urban neighborhoods of New York, completed self-report measures on: (a) parent-child involvement, parental supervision, and parent attitudes toward high risk behaviors; (b) peer bonds and peer attitudes toward high risk behaviors; and (c) ethnic identity, parental racial socialization, and extended family support. Youth disapproval of substance use was positively associated with higher perceived levels of peer and parental disapproval of high risk behaviors, parental supervision, and ethnic identity. Youth who reported parental messages about racial discrimination without balanced parental messages about racial pride and racial equality were more likely to approve substance use. Assistant Professor in the Department of Preventive Medicine and Community Health, State University of New York Downstate Medical Center. Her research interests include socio-cultural factors in the prevention of youth substance use, sexual risk, and violence. Director, Center for Ethics Education and Marie Ward Doty Professor of Psychology at Fordham University. Current research interests include research ethics with vulnerable populations, including children and adolescents.