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.     

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.     

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.     

Peer Rejection,Affiliation with Deviant Peers,Delinquency, and Risky Sexual Behavior

Risky sexual behavior poses significant health risks by increasing sexually transmitted infections and unintended pregnancies. Previous research has documented many factors related to risky sexual behavior. This study adds to the literature by proposing a prospective, developmental model of peer factors related to risky sexual behavior. Developmental pathways to risky sexual behavior were examined in a sample of 517 individuals (51 % female; 82 % European American, 16 % African American, 2 % other) followed from age 5–27. Structural equation models examined direct and indirect effects of peer rejection (assessed via peer nominations at ages 5, 6, 7, and 8), affiliation with deviant peers (assessed via self-report at ages 11 and 12), and delinquency (assessed via maternal report at ages 10 and 16) on risky sexual behavior (assessed via self-report at age 27). More peer rejection during childhood, affiliation with deviant peers during pre- adolescence, and delinquency in childhood and adolescence predicted more risky sexual behavior through age 27, although delinquency at age 16 was the only risk factor that had a significant direct effect on risky sexual behavior through age 27 above and beyond the other risk factors. Peer rejection was related to subsequent risk factors for girls but not boys. Peer risk factors as early as age 5 shape developmental pathways through childhood and adolescence and have implications for risky sexual behavior into adulthood.     

Adolescent Sexual Timetables

Young people's age expectations for the Initiation by boys and girls of a range of sexual practices were elicited from a sample of 522 15- and 16-year-olds. As expected, there was a progression in the modal ages nominated from the least intimate (kissing) to more intimate behaviors (sexual intercourse). There were few gender differences, either for age expectations of the practices of boys and girls or between male and female respondents. There was a strong relationship between sexual timetables and timetables for autonomy and use of common drugs such as alcohol, and several marker sexual behaviors were identified that may signify the appropriateness of a range of sexual practices, It is suggested that there is a group of young people whose desire for early autonomy, substance use, and belief in early sexual activity may put them at risk.     

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.

Do Substance Use Risk Personality Dimensions Predict the Onset of Substance Use in Early Adolescence? A Variable- and Person-Centered Approach

Various studies found personality to be related to substance use, but little attention is paid to the role of personality risk dimensions with regard to an early onset of alcohol, tobacco, and marijuana use. Therefore, the current study used a variable-centered approach to examine whether anxiety sensitivity, hopelessness, sensation seeking, and impulsivity predict the onset of alcohol, tobacco, and marijuana use in early adolescence. Additionally, we adopted a person-centered approach to examine whether different personality subgroups could be identified, and whether these subgroups would be predictive of substance use. For that purpose, longitudinal data of a broader effectiveness study were used from 758 early adolescents (53?% female) aged 11–14?years. Structural equation models showed that hopelessness and sensation seeking were predictive of having ever used alcohol and tobacco. Also, sensation seeking was predictive of marijuana use. Latent profile analyses on the first wave data revealed a three-profile solution for boys (i.e., resilients, internalizers, and externalizers) and a two-profile solution for girls (i.e., resilients and internalizers). In contrast to our expectation, further analyses revealed no significant differences in substance use between the different subprofiles for both boys and girls. The separate personality dimensions thus seem more relevant in predicting the onset of substance use compared to the personality profiles. However, the personality profiles might be informative in explaining more excessive substance use behaviors.     

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.     

The mystique of first intercourse among college youth: The role of partners,contraceptive practices,and psychological reactions

The purpose of this study was to examine first sexual intercourse as it relates to gender differences regarding involvement in various sexual behaviors, the role of the partner, contraceptive practices, sexual guilt, and sexual satisfaction. An anonymous 155-item questionnaire was distributed to 304 never-married female and male undergraduate students at a Midwestern state university. Of these respondents, only those with sexual intercourse experience were included in this study. The overall mean age at first sexual intercourse was 17.7 years for females and 17.8 years for males. Although both males and females experienced first intercourse with older partners, females were more likely to be in committed relationships. First intercourse was characterized by a lack of contraceptive use, primarily due to lack of planning. Compared to males, females were less physiologically and psychologically satisfied with their first sexual intercourse experience.Support for data collection and coding was from the College of Arts and Sciences, University of Wisconsin—Eau Claire and for data analyses from Academic Computing Services, University of Wisconsin—Eau Claire. In addition, tables were produced by the Media Development Center with support from the School of Graduate Studies and Office of University Research, University of Wisconsin-Eau Claire.Received Ph.D. in human ecology from Michigan State University. Her major research interests include the female sexual response and sexual satisfaction; family, health, and stress issues of menopausal women; and work and the family.Received Ph.D. in marriage and family from the University of Florida. His major research interests include sexual altitudes and behavior of college women and men, the female sexual response and sexual satisfaction including perceptions of the Grafenberg Spot and female ejaculation, and attitudes toward adoption among unmarried teens.Received Ph.D. in marriage and family therapy from the Florida State University. Her major interests include the influence of early sexual involvement on contraceptive practices and sexual satisfaction, and adult children of alcoholics.     

Consistency of adolescents' self-report of sexual behavior in a longitudinal study

This study examines three issues relevant to adolescent self-reported sexual behavior: the extent to which adolescents rescind reports of sexual intercourse, changes in reporting of lifetime sexual intercourse, and changes in reported age at first sexual intercourse. Data come from a three-year longitudinal study of health-compromising behaviors among a cohort a 758 rural adolescents. Students completed a self-administered questionnaire on health behaviors annually in eighth, ninth, and tenth grades. Findings show that 88.8% of students in eighth grade and 94.3% in ninth grade who reported having had sexual intercourse gave the same answer in a subsequent year. Approximately 15% of students reported fewer numbers of lifetime sexual intercourse experiences in tenth grade than they did in ninth grade. Age at first sexual intercourse was reported inconsistently by 67% of the students. Inconsistency rates differed by racial-gender groups, question sensitivity, and prior sexual experience.Received Ph.D. from Johns Hopkins University. Research interests include adolescent health and early adolescent development.Received Ph.D. from Johns Hopkins University. Research interests include personality, stress, and coping.Received Ph.D. from University of Chicago. Research interests include adolescent delinquency and substance use.Received Dr. P.H. from Johns Hopkins University. Research interests include rural adolescents and international health issues.Received Ph.D. from Johns Hopkins University. Research interests include adolescent sexuality and contraceptive decision making.     

Predictors of Adolescent Sexual Risk Taking Behaviors Which Put Them at Risk for Contracting HIV

This article reports results of a study exploring predictors of adolescents' behavior that could reduce their risk of contracting HIV. The theory of reasoned action is employed as a framework. Participants included eighth-grade students (n = 230), eleventh- and twelfth-grade students (n = 106), and first- and second-year college students (n = 156). Results of regression analyses suggest the best predictor of some risky behavior (e.g., condom use) is attitude toward risky behavior while predictors of other behaviors (e.g., number of sexual partners) varies by sample group. Implications for community educators, teachers, and HIV/AIDS message designers are discussed.     

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.     

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.     

The Role of Religiosity in the Relationship Between Parents,Peers, and Adolescent Risky Sexual Behavior

Research has documented a negative relationship between religion and risky sexual behavior. Few studies, however, have examined the processes whereby religion exerts this effect. The present study develops and tests a model of various mechanisms whereby parental religiosity reduces the likelihood of adolescents’ participation in risky sexual behavior (early sexual debut, multiple sexual partners, and inconsistent condom use). Structural equation modeling, using longitudinal data from a sample of 612 African American adolescents (55% female), provided support for the model. The results indicated that parental religiosity influenced adolescent risky sexual behavior through its impact on authoritative parenting, adolescent religiosity, and adolescent affiliation with less sexually permissive peers. Some mediating mechanisms differed by the gender of the respondent, suggesting a “double-standard” for daughters but not for sons. Findings also indicated the importance of messages about sexual behavior that are transmitted to adolescents by their peers. Theoretical and policy implications of the findings are discussed.     

Pubertal Timing and Early Sexual Intercourse in the Offspring of Teenage Mothers

Early puberty is associated with stressful family environments, early sexual intercourse, and teenage pregnancy. We examined pubertal timing and sexual debut among the 14-year-old offspring of teenage mothers. Mothers (71% Black, 29% White) were recruited as pregnant teenagers (12–18 years old). Data were collected during pregnancy and when offspring were 6, 10 and 14 years old (n = 318). Adolescents (50% male) compared the timing of their pubertal maturation to same-sex peers. There was a significant 3-way interaction effect of race, sex, and pubertal timing on sexual debut (n = 305). This effect remained significant in a model controlling for maternal age at first intercourse, substance use, exposure to trauma, authoritative parenting, and peer sexual activity (n = 255). Early maturation was associated with early sex in daughters, and may be one pathway for the inter-generational transfer of risk for teenage pregnancy among daughters of teenage mothers.     

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.     

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.

Sexual attitudes and behavior of bulimic women: A preliminary investigation

One-hundred and seventeen college-aged women at varying risk for developing bulimia answered a number of questions addressing their attitudes toward and comfort with sexuality as well as their sexual and contraceptive history. Risk for developing bulimia was unrelated to sexual attitudes and weakly related to greater comfort with sexuality. High-risk women reported first engaging in intercourse at earlier ages and were also more likely to engage in risky contraceptive behavior than their lower risk counterparts. Despite their tendency to report a greater number of previous sexual partners, high-risk women currently engaged and expected to continue to engage in sex less frequently than lower risk women. Taken together with previous findings, results suggest that the relationship between risk for bulimia and certain patterns of sexual behavior reflects a general cycle of impulsive and controlling behavior exhibited by high-risk women. Limitations and implications of the present study are discussed.Half-time Editorial Assistant, Journal of Social and Clinical Psychology. Quarter-time research assistant, University of Kansas. Obtained M.A. and currently working on Ph.D. in clinical psychology at the University of Kansas. Research interests include hope as it relates to personal health beliefs, eating disorders, and sexual attitudes.Obtained Ph.D. in human development from the University of Kansas. Presently studying adolescent pregnancy and parenting.Obtained Ph.D. in behavioral sciences from the University of Chicago. Presently researching item response theory.     

Psychiatric Morbidity Differences in Male and Female Adolescent Inpatients With Alcohol Use Disorders

Objective: To examine gender differences in demography, cooccurrence of Diagnostic Statistical Manual (third edition, revised; DSM-III-R) axis I disorders and axis II personality disorders, and self-reported psychological distress in adolescent psychiatric inpatients with alcohol use disorders. Method: A consecutive series of 61 adolescent inpatients (36 boys and 25 girls) with either alcohol abuse or dependence were reliably assessed with structured diagnostic interviews for DSM-III-R Axis I and Axis II personality disorders. Results: Boys and girls did not differ in age, ethnicity, socioeconomic status, global functioning, age at first psychiatric contact, or number of hospitalizations. Girls were more likely to meet criteria for oppositional defiant disorder, eating disorders, and additional drug use disorders. Girls were also more likely than boys to meet criteria for at least one personality disorder and borderline personality Contrary to gender patterns in the general population, the proportion of girls and boys with affective disorders and conduct disorders did not differ significantly. Conclusions: Relatively few gender differences were found in adolescent inpatient alcohol abusers even where they would be expected, based on non substance-abuse general population gender patterns. When observed, gender differences were in the direction of greater psychiatric disturbance among girls. Some of the gender patterns observed among alcohol abusing adolescents are at odds with gender differences observed in non substance-abuse samples.