Gender-Specific Relationships Between Depressive Symptoms, Marijuana Use, Parental Communication and Risky Sexual Behavior in Adolescence

A large body of research has identified correlates of risky sexual behavior, with depressive symptoms and marijuana use among the most consistent psychosocial predictors of sexual risk. However, substantially less research has examined the relationship between these risk variables and adolescent risky sexual behavior over time as well as the interaction of these individual-level predictors with family-level variables such as parenting factors. Additionally, most studies have been restricted to one index of risky sexual behavior, have not taken into account the complex role of gender, and have not controlled for several of the factors that independently confer risk for risky sexual behavior. Therefore, the current study investigated the association between depressive symptoms and parameters of parenting on marijuana use, number of sexual partners and condom usage measured 9 months later for both boys and girls. Participants were 9th and 10th grade adolescents (N = 1,145; 57.7 % female). We found that depressive symptoms may be a gender-specific risk factor for certain indices of risky sexual behavior. For boys only, marijuana use at Time 2 accounted for the variance in the relationship between depressive symptoms at Time 1 and number of partners at Time 2. Additionally, strictness of family rules at Time 1 was associated with the number of partners with whom girls engaged in sex at Time 2, but only among those with lower levels of depressive symptoms at Time 1. Results from the current investigation speak to the utility of examining the complex, gender-specific pathways to sexual risk in adolescents. Findings suggest that treatment of mental health and substance use problems may have important implications in rates of risky sexual behavior and, conceivably, controlling the high rates of serious individual and public health repercussions.     

Friends: The Role of Peer Influence Across Adolescent Risk Behaviors

This longitudinal project examined peer influence across five risk behaviors: cigarette smoking, alcohol consumption, marijuana use, tobacco chewing, and sexual debut. A total of 1,969 adolescents aged 12–18 years completed two waves of data collection. Each respondent matched behavior data for at least one friend. Results found that a random same sex peer predicts a teen's risk behavior initiation; there is influence only to initiate cigarette and marijuana use; and that there is influence to initiate and stop alcohol and chewing tobacco use. This finding suggests that friends may protect adolescents from risk activities. The study has implications for understanding how peer influence, expressed as social norms, may be used in public health campaigns that target teen behavior.     

Adolescent Health Risk Profiles: The Co-Occurrence of Health Risks among Females and Males

This analysis examines the complexity of adolescent health risk behaviors using data from the National Longitudinal Study of Adolescent Health (Add Health), a nationally representative study of students. The current sample includes 12,955 students (6,626 females and 6,329 males) in grades 9 through 12. Cluster analysis was conducted separately by gender to examine the interrelationships among eight health risk behaviors: sexual activity, general alcohol use, binge drinking, cigarette use, marijuana use, other illicit drug use, fighting, and suicide. Four distinct clusters for females and males were identified based on their profiles of risk-taking behavior. Females and males both report low- and high-risk profiles, and a risk profile with high alcohol use and sexual activity. Females have two distinct risk profiles, one that is highest on every measure of risk compared to others and one that has high levels of fighting and suicide with little participation in substance use or sexual activity. Males have a distinct risk profile with particularly high rates of marijuana use and suicidal behaviors. Few distinctions exist between profiles based on sociodemographic characteristics.     

Adolescent Female Athletes' Sexual Risk-Taking Behaviors

Data from the Centers for Disease Control and Prevention (CDC) 1993 Youth Risk Behavior Surveillance (YRBS) of a sample of U.S. female adolescents (N = 7839) were compared to a cohort of 9th through 12th grade high performance female athletes (N = 141) with regard to risk-taking behavior on eight items related to sexual activity (i.e., ever engaged in sexual intercourse, age of first sexual intercourse, number of lifetime sexual partners, current sexual activity, condom use, use of the birth control pill, contracting a sexually transmitted disease (STD), and incidence of alcohol or drug use prior to last sexual activity). Chi-square analyses (p < .05) showed that with the exception of alcohol or drug use prior to last sexual activity, and use of birth control pills, the six other risk-taking behaviors were significantly different between the U.S. female sample and the female athletes. In all instances, except for contracting an STD, U.S. females reported engaging in sexual risk-taking behaviors more frequently than the high performance athletes, and furthermore, were more likely to be sexually active than the high performance athletes (50% vs. 21%). Among the high performance athletes, only lifetime sexual activity showed significant difference by grade, with sophomores and seniors reporting more frequent involvement in sexual activity. These findings suggest that participation in a high performance sports activity is positively associated with some reduced sexual risk-taking behaviors for adolescent females.     

Substance use and its relationship to conduct problems and delinquency in young boys

The paper presents lifetime and six-month prevalence of substance use by 1st, 4th, and 7th graders (N=2573). Smoking and alcohol consumption was surprisingly high even for 1st graders. The use of developmentally more advanced substances, such as marijuana, was associated with the use of substances that typically emerge earlier, such as beer. Significantly more of the multiple substance users in the 1st and 4th grade were already engaged in a variety of conduct problems and delinquent acts than were either single users or nonusers. The findings show that substance use, even at Grades 1 and 4, is an indicator of boys who commit a wide variety of problem behaviors. For the 7th graders, the use of marijuana was especially associated with the commission of more serious delinquent acts. Multiple substance use reported by the 7th graders also signified a higher frequency and volume of use. The results of the study are related to a developmental conceptualization of conduct problems, delinquency and substance use.Research interests: antisocial behavior and substance use.Research interests: the development of antisocial behavior and substance use; familial processes leading to deviant behavior; the prediction of delinquency.Research interests: development of concealing antisocial behaviors and processes that affect such development.     

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.     

The Role of Deliberative Decision Making,Parenting, and Friends in Adolescent Risk Behaviors

Adolescents may engage in risk behaviors that jeopardize their futures. Although adolescent risk-taking has long been attributed to faulty decision making, surprisingly little research has directly examined this link. This study examined the role of deliberative decision making (the tendency to consider options and consequences before making a decision) and social contextual variables (parenting and friend influences) in alcohol and drug use, risky sex, and delinquency. Participants were 7,748 adolescents (50% female) in grades 7–11 from the Add Health dataset (M age = 14.87, SD = 1.54). Hierarchical regression analyses revealed that deliberative decision making and contextual variables were associated with risk behavior concurrently and 1 year later. Furthermore, deliberative decision making interacted with social contextual variables in some models, indicating that deliberative decision making may be especially important in certain contexts. These findings suggest that both cognitive and social factors need to be considered to explain adolescents’ decisions to engage in risk behavior.     

“I Got Your Back”: Friends’ Understandings Regarding College Student Spring Break Behavior

Behaviors that pose threats to safety and health, including binge drinking and unprotected sex, increase during a week-long break from university. Understandings with peers regarding these behaviors may be important for predicting behavior and related harms. College students (N = 651; 48% men) reported having understandings with their friends regarding alcohol use (59%) and sexual behavior (45%) during Spring Break. These understandings were to engage in behaviors characterized by risk (e.g., get drunk [23.5%], have sex with someone new [5.2%]) and protection (e.g., drink without getting drunk [17.8%], use condoms [15.8%]). After controlling for previous semester behavior and going on a Spring Break trip, Get Drunk Understandings predicted a greater likelihood of binge drinking and alcohol-related consequences; No/Safe Sex Understandings predicted condom use; and Sex Understandings predicted not using condoms. Understandings with friends regarding Spring Break behavior may be important proximal predictors of risk behaviors and represent potential targets for event-specific prevention.     

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.     

Anticipating Early Fatality: Friends’, Schoolmates’ and Individual Perceptions of Fatality on Adolescent Risk Behaviors

Past research indicates that anticipating adverse outcomes, such as early death (fatalism), is associated positively with adolescents’ likelihood of engaging in risky behaviors. Health researchers and criminologists have argued that fatalism influences present risk taking in part by informing individuals’ motivation for delaying gratification for the promise of future benefits. While past findings highlight the association between the anticipation of early death and a number of developmental outcomes, no known research has assessed the impact of location in a context characterized by high perceptions of fatality. Using data from Add Health and a sample of 9,584 adolescents (51 % female and 71 % white) nested in 113 schools, our study builds upon prior research by examining the association between friends’, school mates’, and individual perceptions of early fatality and adolescent risk behaviors. We test whether friends’ anticipation of being killed prior to age 21 or location in a school where a high proportion of the student body subscribes to attitudes of high fatality, is associated with risky behaviors. Results indicate that friends’ fatalism is positively associated with engaging in violent delinquency, non-violent delinquency, and drug use after controlling for individual covariates and prior individual risk-taking. Although friends’ delinquency accounts for much of the effect of friends’ fatalism on violence, none of the potential intervening variables fully explain the effect of friends’ fatalism on youth involvement in non-violent delinquency and drug use. Our results underscore the importance of friendship contextual effects in shaping adolescent risk-taking behavior and the very serious consequences perceptions of fatality have for adolescents’ involvement in delinquency and drug use.     

Risk Behavior and Family Role Transitions During the Twenties

Family role transitions (marriage and parenthood) were examined in relation to risk behavior (risky driving, substance use, and risky sexual behavior) among 140 people aged 21–28. Being married and having had one or more children tended to be inversely related to reported participation in risk behavior. These relationships appeared to be mediated in part by sensation seeking and religiosity: sensation seeking and religiosity were found to be related to a variety of types of risk behavior, and people who were relatively low in sensation seeking and relatively high in religiosity were more likely to be married and have children. Different types of risk behavior were moderately to highly correlated, suggesting an interrelated syndrome of risk behavior in the twenties. Prevalence rates of risk behavior were consistent with previous studies showing most types of risk behavior to be highly prevalent in the twenties.     

Increased Substance Use and Risky Sexual Behavior Among Migratory Homeless Youth: Exploring the Role of Social Network Composition

Travelers are a migratory subgroup of homeless youth who may be especially prone to engaging in risky behavior. This study compared the substance use and sexual behavior of young homeless travelers and non-travelers to evaluate the extent and possible sources of travelers’ increased risk. Data came from face-to-face interviews with 419 homeless youth (36.6% female, 34.0% white, 23.9% African American, and 20.0% Hispanic) between the ages of 13 and 24 years (M = 20.1 years, SD = 2.5) who were randomly sampled from 41 shelters, drop-in centers, and street sites in Los Angeles. Travelers were almost twice as likely as non-travelers to exhibit recent heavy drinking, 37% more likely to exhibit recent marijuana use, and five times as likely to have injected drugs. Travelers also had more recent sex partners and were more likely to report having casual or need-based sexual partners and combining sex with substance use. Mediation analyses suggest that travelers’ deviant peer associations and disconnection to conventional individuals and institutions may drive their elevated substance use. Differences in sexual risk behaviors are likely attributable to demographic differences between the two groups. Overall, these differences between travelers and non-travelers suggest different service needs and the need for different service approaches.     

Testing a Model of Universal Prevention Effects on Adolescent Relationships and Marijuana Use as Pathways to Young Adult Outcomes

There are several interrelated knowledge gaps in the literature on skills-building interventions for middle schoolers designed to prevent initiation of substance use, all of which concern the limited study of the adolescent pathways of those intervention effects on distal young adult outcomes. Among the most important yet understudied pathways of influence on long-term effects are positive youth relationship outcomes of middle-school interventions. Other influential pathways for long-term effects are reductions in adolescent substance misuse, particularly marijuana use, considering the long-term consequences of early marijuana initiation. To address these knowledge gaps, data from a randomized controlled trial were used to test a longitudinal, developmental model positing pathways of intervention effects on age 21 illicit drug use and positive relationship affect, via earlier effects on adolescent relationships and marijuana use. Sixth-graders and their families enrolled in 22 Iowa schools were randomly assigned to the Iowa Strengthening Families Program or a control group (N?=?446). The average age of students at baseline was 11.3 years (10–13 year age range); 48% were male and 98% were Caucasian, reflective of the demographics in the participating rural Midwest communities. Measures included middle-school relationships (parents, peers, school), high school marijuana use, plus age 21 illicit drug use and relationship affect (parents, work, school), 10 years past intervention implementation. As expected, intervention effects on young adult variables were indirect, through effects on adolescent outcomes, with higher-risk participants showing greater intervention impact. The findings suggest preventive interventions with young adolescents have potential to demonstrate effects into young adulthood.

     

Depression and substance use in two divergent high school cultures: A quantitative and qualitative analysis

Research has generally concluded that adolescent depression and substance use are strongly interrelated, but has rarely considered how this relationship may vary across diverse populations. In this study, we used quantitative and qualitative methods to explore the relationships among depression and cigarette, alcohol, marijuana, and harder drug use across two culturally disparate environments: a suburban and an inner-city high school. Our sample included 164 suburban and 242 inner-city high school students. The students completed Kovacs' Children's Depression Inventory of 1985 and substance use measures derived from various sources. In-depth semistructured interviews were conducted with subjects who scored in the top 10% of the CDI (N=19) from both schools. Our quantitative findings indicated a positive association between depression and cigarette, marijuana, and harder drug use among the suburban students, and no association between depression and the use of any substances for the urban students. There were no significant differences in levels of reported depression across samples. However, with the exception of marijuana use, suburban students reported greater involvement in substance use than urban students. Our qualitative analyses suggest that across-school differences in the relationships among depression and substance use may be related to the varied meanings of depression and substance use that are informed by cultural context.The research was funded by the National Institute of Drug Abuse (NIDA), Grant No. 1 R01 DA-06844, Perry London, principal investigator. The views, opinions, and findings contained in their article are not to be construed as NIDA's position or policy.B.A. from University of California, Berkeley, and Ed.D. from the Graduate School of Education, Harvard University. Research interests include the phenomenology of high-risk behavior and social development among urban adolescents.B.A. from Mount Holyoke College and Ed.M. from the Graduate School of Education, Harvard University. Research interests include the relationships among high-risk behavior, personality variables, and cultural context.B.A. from Michigan State University, M.A. from University of Minnesota-Duluth, and Ed.D. from Harvard Graduate School of Education. Research interests include integrating quantitative and qualitative methods in social science research and the phenomenology of high-risk behavior.Research interests included adolescent high-risk behavior and ethnic and religious identity development. Deceased June 1992.     

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.

Psychosocial differences between occasional and regular adolescent users of Marijuana and Heroin

Data on marijuana and heroin use were obtained from 969 adolescents in Hong Kong, part of them being offenders. Very high drug use prevalence rates were found, which is due to the unique population studied. All but two of the heroin users were incarcerated youth. Drug use frequencies were highly associated with psychosocial variables such as sensation seeking, peer drug use, family drug use, susceptibility to peer pressure, perceived control to gain access to drugs, intention to try other substances, and perceived adverse consequences of drug use. Interactions were found indicating, for example, that regularly marijuana using girls and occasionally heroin using girls were characterized by higher levels of sensation seeking and susceptibility to peer pressure than their male counterparts. Polysubstance use was generally related to high levels of psychosocial vulnerability factors. The exclusive use of marijuana was associated with high susceptibility to peer pressure and with perceived control to gain access to drugs. The findings reflect a complex interplay of psychosocial variables with substance use in adolescents that, however, cannot be generalized beyond this particular sample in Hong Kong.Received Ph.D. in Clinical Psychology from the University of North Texas. Research interests include drug-taking behaviors, health psychology and women studies. To whom correspondence should be addressed.Received M. Phil in Clinical Psychology from the Chinese University of Hong Kong. Research interests include drug-taking behaviors and adolescent problems.Research interests include stress and anxiety.     

Parent-adolescent congruence for adolescent substance use

Parental reports of adolescent substance use were compared to the adolescents' self-reports using identical scales. Congruence was defined as exact agreement on whether adolescents were current users, ex-users, or never-users. Both parents were found to be less accurate in predicting their adolescents' alcohol use compared to cigarette or marijuana use. Single mothers were significantly less likely to be congruent than were mothers from two-parent households. Mother and father congruence on all substances was unrelated to the adolescent's sex, race, or after school employment. For both parents, congruence for adolescent marijuana use was significantly related to the age and GPA of the adolescent. Congruence may also reflect important properties of family functioning, as significant relations were found between both adolescent and parent ratings of family cohesion and parent-adolescent congruence on perceptions of marijuana use.This research was supported by Grant DA03706 from the National Institute of Drug Abuse (Hyman Hops, Principal Investigator).Jennifer Langhinrichsen is a doctoral candidate in psychology interested in adolescent and family interactions. The other authors are psychologists or data analysts working on family influences on substance use and mental health.     

Resolution of Unwanted Pregnancy During Adolescence Through Abortion Versus Childbirth: Individual and Family Predictors and Psychological Consequences

Using data from the National Longitudinal Study of Adolescent Health, various demographic, psychological, educational, and family variables were explored as predictors of pregnancy resolution. Only 2 of the 17 variables examined were significantly associated with pregnancy resolution (risk-taking and the desire to leave home). After controlling for these variables, adolescents who aborted an unwanted pregnancy were more inclined than adolescents who delivered to seek psychological counseling and they reported more frequent problems sleeping and more frequent marijuana use. No significant differences were observed for cigarette smoking, frequency of alcohol use, and problems with parents based on alcohol use after the controls were instituted; however without controls, significant associations were observed, underscoring the importance of the use of psychological and situational controls in studies of the consequences of abortion. The information derived from this study is potentially useful to parents and professionals who provide guidance to adolescents regarding pregnancy resolution.     

Trajectories of Peer Social Influences as Long-term Predictors of Drug Use from Early Through Late Adolescence

The present study analyzed the long-term effects of perceived friend use and perceived peer use on adolescents’ own cigarette, alcohol and marijuana use as a series of parallel growth curves that were estimated in two developmental pieces, representing middle and high school (N = 1,040). Data were drawn from a large drug abuse prevention trial, the Midwestern Prevention Project (MPP). Results showed that both perceived peer and friend cigarette use predicted own cigarette use within and across the adolescent years. For own alcohol and marijuana use, peer and friend influences were limited primarily to middle school. The findings suggest that strategies for counteracting peer and friend influences should receive early emphasis in prevention programs that are targeted to middle school. The findings also raise the question of whether cigarette use may represent a symbol of peer group identity that is unlike other drug use, and once formed, may have lasting adverse effects through the adolescent years.

The Personal Fable and Risk-Taking in Early Adolescence

Elkind’s (1967) theory of adolescent egocentrism proposes two distinct, but related, constructs – the imaginary audience and the personal fable. A corollary to the imaginary audience, the personal fable (PF) yields a sense of invulnerability and speciality commonly associated with behavioral risk-taking. When regarded as a developmental phenomenon, risk-taking is thought to be the result of cognitive immaturity. However, few adolescent health programs address the egocentric dimension of decision making. We believe that a valid and reliable measure of PF would aid assessment of risk-taking potential and inform preventive interventions. The present paper reports the results of a newly constructed measure of PF and its relation to risk-taking behavior. The following three hypotheses were tested using data from an availability sample of 119 middle school students: 1. PF scores will increase with age; 2. males will score higher than females on the invulnerability dimension of PF; and 3. PF and risk-taking will be positively correlated. As predicted, PF scores increased significantly across the age range studied. Of the two PF dimensions, only invulnerability significantly varied across grades. Males reported significantly higher invulnerability scores than females, and PF and risk-taking were positively correlated. Suggestions for the implementation of this new and, arguably, reliable and valid scale are presented. Amy Alberts, M. A., is currently pursuing a doctoral degree in Applied Child Development at the Eliot-Pearson Department of Child Development, Tufts University. Ms. Alberts’ research interests include psychosocial adjustment during the pubertal transition and adolescent-parent relationships. David Elkind, Ph.D. is Professor of Child Development at Tufts University. His research has been in the areas of social and cognitive development, building upon the research and theory of Jean Piaget. His latest book, The Power of Play will be Published by DaCapo Press in 2007. I have served on the Editorial Board of the Journal of Youth and Adolescence for almost two decades. Although Dan and I have not always agreed on adolescent issues it has always been a responsible, mutually respecting disagreement. As an editor, Dan has always been sensitive, thoughtful and supportive, a pleasure to work with and for. Stephen Ginsberg is a senior at Tufts University and is currently applying to graduate programs in clinical psychology.