Cognitive development,egocentrism, self-esteem,and adolescent contraceptive knowledge,attitudes, and behavior

The relationship of cognitive development, egocentrism, and self-esteem to adolescent contraceptive knowledge, attitudes, and behavior was investigated in 300 high school and college students (101 males and 199 females) 14-19 years old. There was general support for the study's hypothesis that students with higher levels of cognitive development and self-esteem and lower egocentrism would be more knowledgeable about contraception, be more likely to use birth control, and have more positive attitudes about contraception. Cognitive development was positively associated with all of the knowledge variables and with self-reported condom use. Self-esteem was linked to two of the four knowledge variables, self-reported condom use, and positive attitudes toward contraception. There was an inverse relationship between egocentrism and contraceptive use, but, contrary to expectations, a positive association between egocentrism and knowledge of contraceptive effectiveness. Gender-specific analyses revealed that male students had significantly higher scores than females on the cognitive development and self-esteem measures, while female students scored higher on items measuring knowledge of contraceptive methods and attitudes toward their use. The association of cognitive development with knowledge variables suggests that the ability of adolescents to retain information is related to their capacity to reason and generate alternatives. Overall, these findings suggest a need for attention to the goodness of fit between sex education curricula and the level of cognitive development of the intended audience.     

Neighborhood,Family, and Peer Factors Associated with Early Adolescent Smoking and Alcohol Use

There is broad agreement that neighborhood contexts are important for adolescent development, but there is less consensus about their association with adolescent smoking and alcohol use. Few studies have examined associations between neighborhood socioeconomic contexts and smoking and alcohol use while also accounting for differences in family and peer risk factors for substance use. Data drawn from the Seattle Social Development Project (N?=?808), a gender-balanced (female?=?49%), multiethnic, theory-driven longitudinal study originating in Seattle, WA, were used to estimate trajectories of smoking and alcohol use from 5th to 9th grade. Time-varying measures of neighborhood socioeconomic, family, and peer factors were associated with smoking and alcohol use at each wave after accounting for average growth in smoking and alcohol use over time and demographic differences. Results indicated that living in more socioeconomically disadvantaged neighborhoods, lower family income, lower family general functioning, more permissive family smoking environments, and affiliation with deviant peers were independently associated with increased smoking. Lower family functioning, more permissive family alcohol use environments, and deviant peers were independently associated with increased alcohol use. The effect of neighborhood disadvantage on smoking was mediated by family income and deviant peers while the effect of neighborhood disadvantage on alcohol use was mediated by deviant peers alone. Family functioning and family substance use did not mediate associations between neighborhood disadvantage and smoking or alcohol use. The results highlight the importance of neighborhood, family, and peer factors in early adolescent smoking and alcohol use. Future studies should examine the unique association of neighborhood disadvantage with adolescent smoking net of family socioeconomics, functioning, and substance use, as well as peer affiliations. Better understanding of the role of contextual factors in early adolescent smoking and alcohol use can help bolster efforts to prevent both short and long harms from substance use.     

Parents,Peers, Perceived Risk of Harm,and the Neighborhood: Contextualizing Key Influences on Adolescent Substance Use

Recent research has affirmed the need to examine contextual influences on adolescent substance use in a multilevel framework. This study examined the role of neighborhood opportunities for substance use in promoting adolescent substance use. Data came from two components of the Project on Human Development in Chicago Neighborhoods: the Longitudinal Cohort Study, consisting of interviews with youth and their primary caregivers across three waves of data with an average span of 4.5 years; and a Community Survey of neighborhood residents. Analysis used an Item-Response Theory-based statistical approach on 6556 substance use item responses from 1639 youth (49.0 % female) within 80 neighborhoods to assess the extent to which neighborhood opportunities for substance use had direct and indirect effects on adolescent substance use. Neither direct nor mediated effects of neighborhood opportunities for substance use on adolescent substance use were detected. But, analyses revealed moderating effects such that higher levels of neighborhood opportunities for substance use: (1) amplified the detrimental effects of parental substance use and peer substance use on youth substance use; and (2) attenuated the protective effect of adolescents’ perceived harm of substance use on adolescent substance use. The results suggest that the ways in which neighborhood characteristics impact adolescent behavior are nuanced. Rather than impact individual-level outcomes directly, neighborhood context may be particularly relevant by conditioning the effects of salient individual-level risk and protective factors for substance use.     

Why do adolescents use drugs? Age,sex, and user differences

This paper makes four points: (1) There is substantial substance use among adolescents in our large rural southwestern sample. (2) Adolescents explain their drug use with five kinds of reasons (i.e., Belonging, Coping, Pleasure, Creativity, and Aggression). (3) Different reasons for using drugs are related to frequency of substance use. (4) There are age, gender, and user differences in the reasons adolescents have for their drug use. After summarizing traditional ways of thinking about drug use, we describe an alternative way for examining such behavior. We use this approach to study relationships between drug use reasons and age, gender, and substance use in 2637 6th–12th-grade students. We then discuss prevention and treatment implications of this research.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include school dropouts, substance use, delinqueccy, personal commitments, health, and identity.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include at-risk youth, substance use, delinquency, narcissism, and identity.Received Ph.D. from University of California at Berkeley in personality psychology. Research interests include moral development and personality.     

Multilevel Modeling of Direct Effects and Interactions of Peers,Parents, School,and Community Influences on Adolescent Substance Use

This study tested a social-ecological model of adolescent substance use. Multilevel modeling was used to investigate how systems, such as parents, peers, schools, and communities, directly influence and interact together to influence adolescent substance use. Participants included 14,548 (50.3% female) middle school students who were 78.6% White, 5.4% Biracial, 4.8% Asian, 4.8% Black, and 3.6% Hispanic. Participants completed a survey with scales assessing substance use, peer influences, parental influences, and characteristics of their school and community. Hierarchical linear modeling (HLM) was used to consider the variation of parental and peer influences on substance use and how schools and communities relate to both substance use and the relationship between substance use and peer and parental factors. Results indicated that a positive school climate and a positive sense of community were associated with less adolescent substance use and that a positive sense of community moderated the relation between peer and parental influence on adolescent substance use, thereby acting as a protective factor.

Bullies, Gangs, Drugs, and School: Understanding the Overlap and the Role of Ethnicity and Urbanicity

Recent media attention has increased interest in behavioral, mental health, and academic correlates of involvement in bullying. Yet, there has not been much interest in investigating the co-occurrence of other health-risk behaviors, such as gang membership, weapon carrying, and substance use. The potential influence of contextual factors, such as youth ethnicity, urbanicity, and school characteristics, also has been overlooked in previous research. The current study examined different subtypes of involvement in bullying—as primarily a victim, as primarily a bully, as both a victim and bully, and no involvement—and the association with significant health-risk behaviors, including engaging in violence and substance use, as well as academic problems. The analyses use self-report data from 16,302 adolescents (50.3 % female, 62.2 % Caucasian, 37.8 % African American) enrolled in 52 high schools. A series of three-level HLM analyses revealed that bullies and bully/victims were generally at greatest of risk of being involved in violence, engaging in multiple types of substance use, and having academic problems. These findings extend prior research by emphasizing a potential link between involvement in bullying and multiple health-risk behaviors, particularly among urban and African American high school youth.     

Psychological Distress,Substance Use,and HIV/STI Risk Behaviors Among Youth

Psychological distress has been inconsistently associated with sexual risk behavior in youth, suggesting additional factors, such as substance use, may explain this relationship. The mediating or moderating role of substance use on the relationship between psychological distress and sexual risk behaviors was prospectively examined over the four high school years in a sample of urban youth (N = 850; 80% African American; 50% female). Growth curve modeling was used to estimate changes in sexual risk across adolescence and to test its association to psychological distress symptoms and frequency of substance use. Substance use was associated with psychological distress. Greater psychological distress was associated with increased sexual intercourse frequency, decreased condom use, and increased number of partners. Substance use fully mediated the relationship between psychological distress and intercourse frequency and condom use, and partially mediated the relationship between psychological distress and number of partners. We found no differences in mediation by sex or race/ethnicity and no evidence to support moderation of psychological distress and substance use on sexual risk. Findings suggest that psychological distress is associated with sexual risk because youth with greater psychological distress are also more likely to use substances. Practical implications for adolescent HIV/STI prevention are discussed.     

Risk and Protective Factors Associated with Alcohol,Cigarette, and Marijuana Use During Adolescence

The purpose of this study was to increase the knowledge base of adolescent substance use by examining the influences of risk and protective factors for specific substance use, namely alcohol, cigarettes, and marijuana. Participants included 271 adolescents and their primary caregivers referred for mental health services across North Carolina. A series of hierarchical multiple regressions showed that the relative influences of risk and protective factors differed depending on the target substance in some cases. History of parental felony predicted use of all 3 substances, although the direction of association was substance specific. Parental behavioral control (how families express and maintain standards of behavior) was predictive only of cigarette and marijuana use, not alcohol use. The different links among risk factors, protective factors, and specific substance use are discussed, and recommendations for both mental health and substance use professionals are offered.She received her M.A. in Psychology from Wake Forest University and is currently a doctoral student in Clinical Psychology at the University of North Carolina at Greensboro. Her major research interests include developmental pathways to aggressive behavior among females.An evaluator for the North Carolina Department of Health and Human Services, her major research interests include system of care intervention programming.She received her PhD in Clinical Psychology from Purdue University. Her major research interests include developmental psychopathology and early intervention.His research interests focus on youth violence and youth involved with the juvenile justice system.She received her PhD in Clinical Psychology from the University of North Carolina at Greensboro. Her research interests focus on early intervention with young children.     

Subjective Social Status,Immigrant Generation,and Cannabis and Alcohol Use Among Adolescents

Research indicates that subjective perceptions of socioeconomic status (SES) affect aspects of health and behavior. There has been little research attention to how objective (e.g., education) and subjective aspects of SES may differ in their influence on the substance use of adolescent immigrants. The present study examined whether the associations between subjective SES and substance use, and between parental education and substance use varied by immigrant generation. Data were derived from the 2011 Ontario Student Drug Use and Health Survey, a representative survey of students in the 7th to 12th grade. The sample for this study consisted of 9177 students 12–19 years of age; 48.4 % were female, 66.4 % were White/European, 5.2 % Black/Afro-Caribbean, 16.4 % Asian and 12 % other. Results indicated that subjective SES was more strongly associated with cannabis and alcohol use among first-generation immigrants than among adolescents of other immigrant generations even after adjusting for parental education. First-generation immigrants with low subjective SES had a lower probability of cannabis and regular alcohol use, but there was no difference in use between immigrant generations at high subjective SES. The associations between parental education and cannabis and alcohol use did not significantly vary with immigrant generation. The findings highlight the importance of status beliefs among adolescents, particularly among first-generation immigrants, and suggest that further research attention to such beliefs would enhance our understanding of SES and its links to adolescent health risk behaviors.     

Perceived vs. actual friends' use of alcohol,cigarettes, marijuana,and cocaine: Which has the most influence?

Determinants of the use of alcohol, alcohol without parental knowledge, cigarettes, marijuana, and crack were assessed in predominantly black, urban, fourth- and fifth-grade students. Each subject identified three best friends. Logistic and least-square regression analyses indicated that children's perceptions of friends' use, perceptions of family use, and actual use of classmates were better predictors of substance use than friends' actual use. The pattern of predictors suggested that peer behaviors and attitudes are more influential for children's socially censured behaviors such as using alcohol without parental permission than for more socially approved behaviors such as using alcohol with parental permission. The importance of perceived friends' use vs. friends' actual use supports Behavioral Intention Theory and Cognitive Developmental Theory, while the importance of classroom use supports Social Learning Theory or may reflect social and environmental conditions including neighborhood availability of drugs and neighborhood values regarding substance use.This research was supported by a grant from the National Institute on Drug Abuse (RO1 DA 04497). Portions were presented at a NIDA Technical Review Meeting, Washington, DC, September 1989, and at the annual meeting of the American Public Health Association, Chicago, October 1989.Received Ph.D. in developmental psychology from The State University of New York at Buffalo. His research interests include social and environmental influences on the early use of abusable substances; the development of children's eating and exercise patterns, and their relationship to cardiovascular risk factors; and the development of understanding of and attitudes toward health and illness, including heart disease and AIDS.Received Ph.D. in social pharmacy from the University of Minnesota. Her research interests include personal, social, and environmental influences on the use of medicines and abusable substances; and children's health promotion and disease prevention.     

Efficacy, Self-Derogation, and Alcohol Use Among Inner-City Adolescents: Gender Matters

Prior studies have found inconsistent relationships between measures of self-concept and adolescent alcohol use. The current study explored whether the link between various measures of self-concept and alcohol use depends on gender. In addition, earlier work suggested a focus on negative self-esteem (i.e., self-derogation) might be more useful in predicting alcohol use. Students (N = 1459) attending 22 middle and junior high schools in New York City completed surveys that included measures of efficacy, self-derogation, and alcohol use. Participants completed surveys at baseline, 1-year follow-up, and 2-year follow-up. Data collectors administered the questionnaire following a standardized protocol during a regular 40-min-class period. On the basis of a longitudinal structural equation model, lower efficacy was related to greater self-derogation a year later across gender. Increased self-derogation predicted higher alcohol use for girls but not boys. These findings are congruent with a literature highlighting the importance of negative thoughts about the self in drinking behavior for women but not men. The results suggest that the alcohol prevention approaches should include material to enhance girls' self-esteem.     

Physical,Social, and Perceived Availabilities of Alcohol and Last Month Alcohol Use in Rural and Small Urban Communities

This study seeks to provide a greater understanding of the factors that determine the perceived availability of alcohol and its role in predicting adolescents’ alcohol use. Participants were 151,703 7th–12th grade students (50% female) from a sample of 219 rural communities across the United States, with oversampling for predominantly Mexican-American and African-American communities. Multilevel analysis was used to estimate the perceived availability of alcohol as a function of physical and social availability measures and individual and community-level control variables. Physical availability was measured as the number of alcohol outlets in the community and whether beer and wine were sold in non-liquor stores. Social availability measured the availability of alcohol from social or family groups. Last month alcohol use was then estimated as a function of physical, social and perceived availabilities and control variables. Physical availability had little relationship to perceived availability or recent alcohol use while social availability was a strong predictor of both. Perceived availabilities at the individual and community levels were significant in predicting last month alcohol use. The findings suggest that altering both perceived and actual availability of alcohol can potentially have strong effects on the levels of adolescent alcohol use.     

Why Drink Less? Diffidence,Self-Presentation Styles,and Alcohol Use Among University Students

Through the theoretical lens of the self-presentation model, this paper addresses conflicting results from past research on the links between the components of diffidence (i.e., high levels of introversion and loneliness, and low levels of self-esteem) and alcohol use among undergraduate college students (N = 548). Correlational and multiple regression analyses were used to examine whether protective and acquisitive self-presentation expectancies about the effects of alcohol act as suppressing variables in the relationship between diffidence and alcohol use. Results supported the suppression hypothesis. A negative relationship between diffidence and alcohol use was revealed when self-presentation expectancies about the effects of alcohol were controlled statistically. The self-presentation model may provide new theoretical insights into the links between alcohol expectancies and alcohol use. Implications for campus-based intervention programs are discussed.     

Sexual Orientation, Partnership Formation, and Substance Use in the Transition to Adulthood

Evidence suggests that lesbian and gay young adults use substances more frequently than their heterosexual peers. Based on the life course perspective, we argue that this difference may be due to the unavailability of marriage as a turning point in the lives of lesbian/gay young adults. We use data from a nationally representative sample of youth (N = 13,581, 52.4% female, 68.6% white, ages 18—26) to examine sexual orientation differences in substance use and explore whether these differences vary by romantic partnership formation in young adulthood. We find that the formation of more serious partnerships (e.g., cohabitation, marriage) is associated with less frequent substance use among heterosexual young adults, though this pattern does not hold for lesbian and gay young adults. We conclude that the partnership options available to lesbians and gay men do not provide the same health-protective benefits that marriage does for heterosexuals.     

Suicidal ideation in adolescence: Depression,substance use,and other risk factors

The interrelationships of depression and suicide with adolescent drug use, delinquency, eating disorders, and the risk factors for these different problems were investigated among 597 9th and 11th graders in an urban high school. There is a strong association of drug use with suicidal ideation among girls, and a stronger relationship with attempts among girls and boys. Suicidal youths are ill-adjusted and display a lack of attachment and commitment to family and school. Causal models indicate that poor interpersonal interactions with parents, absence of peer interactions, and life events lead to depression, which in turn leads to suicidal ideation. Depressive symptoms are the strongest predictors of suicidal ideation. Among females, depression predicts drug involvement, and in turn, drug use increases suicidal ideation. Drug use is only one class of problem behaviors that constitutes a risk factor for suicidal behavior in adolescence. Delinquency and eating disorders also have direct effects on suicidal ideation beyond those of depressive affect. As for drug involvement, these problem behaviors are more predictive of suicidal behavior among girls than boys. Similarity and specificity of the predictors for problem behaviors within and between the sexes are discussed. Although young women use drugs to handle feelings of depression, drug use appears ineffective in the long run in relieving these depressive feelings. Understanding the dynamics of suicidal ideation in adolescence has important public health implications, since ideation is a strong predictor of attempts, especially among females.Revised version of a presentation at the Workshop on Adolescent Depression, Princeton, NJ, June 3, 1987.Work on this research has been partially supported by Research Grants DA00064, DA01097, DA03196, and DA02867, and by Research Scientist Award DA00081 from the National Institute on Drug Abuse; and awards from the John D. and Catherine MacArthur Foundation and the Research Foundation for Mental Hygiene, New York State Psychiatric Institute. Partial support for computer costs was provided by Mental Health Clinical Research Center Grant MH30906-07 from NIMH to the New York State Psychiatric Institute.Received Ph.D. in Sociology from Columbia University. Research interests include adolescent psychosocial development, epidemiology and risk factors for drug use, and interpersonal networks.Work on this research was carried out while a Research Associate at the School of Public Health, Columbia University. Received Ph.D. in Sociology from Columbia University. Research interests include personal networks and social support systems in chronic illness, societal factors in mental health, psychosocial consequences of drug use and abuse, panel mortality, and survey methodology.Received M.P.H. from Columbia University. Research interests include reliability and child psychiatry.     

Sexual risk behavior,knowledge, and condom use among adolescents in juvenile detention

This paper reports on sexual behavior, knowledge of sexually transmitted diseases (including AIDS) and condoms, and condom use among African-American and white incarcerated adolescents in Seattle, Washington. One hundred nineteen adolescents in a juvenile detention facility completed questionnaires that assessed their lifetime and recent sexual behaviors, an objective test of disease and condom knowledge, attitudes and norms regarding condom use with steady and casual partners, prior condom use, and intentions to use condoms. The results indicate that these adolescents are at high risk by a number of indicators: They have a high average number of partners, have unprotected vaginal and anal sex, and many have sex with known or suspected drug users. Their overall knowledge of condoms and sexual transmitted diseases risks is high, but high knowledge is not correlated with positive attitudes; for one attitude measure, high knowledge is significantly correlated with negative attitudes toward condom use. These findings suggest that programs designed solely to increase knowledge are unlikely to effect behavior change.This research presented in this paper was supported by a research grant from the National Institute of Allergy and Infectious Diseases.Received Ph.D. in social psychology from the University of Washington. Research interests are in sexual decision making and attitude-behavior relationships.Received Ph.D. in educational psychology from the University of Washington. Research interests are in sexual behavior and health.Received Ph.D. in sociology from the University of Washington. Research interests are in problem behaviors of adolescence.     

Negotiating the Early Developing Body: Pubertal Timing,Body Weight,and Adolescent Girls’ Substance Use

Despite knowledge that early pubertal timing predicts adolescent girls’ substance use, it is still unclear whether this relationship persists beyond early adolescence and whether it is conditional on girls’ body weight. This study examined the moderating role of body weight in the association between early pubertal timing and adolescent girls’ substance use using three waves of data from the National Longitudinal Study of Adolescent Health. The analytic sample included 5,591 adolescent girls attending middle-schools and high-schools in the United States (ages 10–15, 71% White, 14% Black). Results indicated that early pubertal timing was associated with substance use risk but effects were attenuated after controlling for prior use. Body weight moderated the association between early pubertal timing and girls’ reported number of substances tried in middle adolescence. Body weight magnified the risk of having tried one substance, but buffered the risk of having tried three substances. Among those girls who did use substances, body weight did not moderate the relationship between early pubertal timing and heavy substance use. It is concluded that the substance use risk associated with early pubertal timing is most salient during the developmental period in adolescence when sensitivity to bodily changes may be heightened.     

Weight Perception, Substance Use, and Disordered Eating Behaviors: Comparing Normal Weight and Overweight High-School Students

Disordered eating behaviors and substance use are two risk factors for the development of serious psychopathology and health concerns in adulthood. Despite the negative outcomes associated with these risky behaviors, few studies have examined potential associations between these risk factors as they occur during adolescence. The importance of accurate or inaccurate weight perception among adolescents has received increased interest given documented associations with nutritional beliefs and weight management strategies. This study examined the associations among the perceptions of weight and substance use with disordered eating behaviors among a diverse sample of normal weight and overweight adolescent males and females. Data came from the 2007 National Youth Risk Behavior Survey (YRBS). The sample consisted of 11,103 adolescents (53.4% female; 44% Caucasian, 21% African American; 13% Hispanic; age responses ranged from 12 and under to 18 and over), with 31.5% meeting criteria for being either at-risk for obesity or already obese (i.e., overweight). As hypothesized, overestimation of weight among normal weight adolescents and accurate perceptions of weight among overweight adolescents were associated with higher rates of disordered eating behaviors. In normal weight adolescents, use of all three substances (tobacco, binge drinking, and cocaine) was associated with each disordered eating behavior. In contrast, findings revealed differences for overweight adolescents between the type of substance use and disordered eating behavior. Post hoc analyses revealed that gender moderated some of these relationships among overweight individuals. Implications for the development and implementation of secondary prevention programs aimed at reducing disordered eating behaviors, substance use, and obesity risk among normal and overweight adolescents are considered.     

Religiosity Profiles of American Youth in Relation to Substance Use, Violence, and Delinquency

Relatively little is known in terms of the relationship between religiosity profiles and adolescents’ involvement in substance use, violence, and delinquency. Using a diverse sample of 17,705 (49?% female) adolescents from the 2008 National Survey on Drug Use and Health, latent profile analysis and multinomial regression are employed to examine the relationships between latent religiosity classes and substance use, violence, and delinquency. Results revealed a five class solution. Classes were identified as religiously disengaged (10.76?%), religiously infrequent (23.59?%), privately religious (6.55?%), religious regulars (40.85?%), and religiously devoted (18.25?%). Membership in the religiously devoted class was associated with the decreased likelihood of participation in a variety of substance use behaviors as well as decreases in the likelihood of fighting and theft. To a lesser extent, membership in the religious regulars class was also associated with the decreased likelihood of substance use and fighting. However, membership in the religiously infrequent and privately religious classes was only associated with the decreased likelihood of marijuana use. Findings suggest that private religiosity alone does not serve to buffer youth effectively against involvement in problem behavior, but rather that it is the combination of intrinsic and extrinsic adolescent religiosity factors that is associated with participation in fewer problem behaviors.     

Parent Relationships,Emotion Regulation,Psychosocial Maturity and College Student Alcohol Use Problems

This study tested associations between problems in parent-youth relationships and problems with alcohol use among college students (N = 1592) using structural equation modeling. Hypotheses were that relationships between both substance-specific parenting factors (parental drinking) and non-substance-specific parenting factors (parental intrusive control and lack of support) and college student drinking behaviors would be mediated by the developmental tasks of managing difficult emotions and establishing a mature psychosocial identity. Sex, ethnicity and age were entered as control variables in the analyses and were tested for moderating effects. Results showed that the unconstrained model for males and females differed significantly from a model in which the two groups were constrained to be similar. Among young women, emotion regulation and psychosocial maturity were partial mediators of the effects of parent problems on alcohol use problems. Among young men, parent problems were indirectly related to alcohol use problems through emotion regulation. Implications for alcohol use prevention activities on college campuses are discussed. An earlier version of this paper was presented at the National Council on Family Relations Annual Meeting, November, 2004, Orlando, Florida. Research interests in college student alcohol misuse. Research interests in adolescent psychosocial maturity. Research interests in young adult relationships.