A social learning model of adolescent contraceptive behavior

Central to an understanding of adolescent pregnancy and sexually transmitted disease prevention is the study of birth control use among teenagers. This paper critically reviews both recent research findings and dominant theories regarding adolescent contraceptive use. An alternative theoretical framework, one that relies on social learning theory, is offered. This framework uses three major components — environmental context, cognitive influences, and behavior execution constraints — as the foundation for understanding the learning and maintenance of contraceptive behaviors. First, environmental factors, such as the availability of role models, accurate sexuality education, and birth control services, are seen as supporting or inhibiting birth control use. Second, the importance of cognitive functions through which the external environment is viewed and which influence the adolescent's image of the consequences associated with contraceptive use are highlighted. Last, the actual behavioral skills teenagers need in order to use birth control successfully are considered.Received D.S.W. in Social Welfare from the University of California — Berkeley. Research interests are adolescent reproductive health, contraceptive use, and prevention of pregnancy and sexually transmitted diseases.     

Sexually active but not pregnant: A comparison of teens who risk and teens who plan

Previous studies have compared contraceptive users with nonusers, and pregnant teens with nonpregnant ones. This paper reports the findings of a study of a sample of 119 women aged 21 and under who visited the Young Adult Clinic at Columbia-Presbyterian Medical Center in New York City during 1981. All of these women had been sexually active for a year or longer, but had never been pregnant. The expectation that such a sample would include mainly consistent users of contraception was unwarranted; within this special population were found young women who had never used contraception or who had only been sporadic users, as well as the consistent users. Moreover, there are many more similarities than differences among these groups, and their stated motivations for not becoming pregnant are the same. The consistent contraceptors were more likely to live with their mothers, to have mothers who worked, to indicate that their parents would help them have an abortion, and to indicate they would have an abortion should they become pregnant. The similarities between these young women are very important for programs, which often rely heavily on stated motivation or even on a clinic visit as evidence that a young woman intends to use a birth control method. There is nothing here to support this simple view. Instead the notion is substantiated that many adolescents may lack cognitive consistency on this subject or may lack the future orientation to be effective contraceptive users.     

Associations Among Empathy,Social Competence, &; Reactive/Proactive Aggression Subtypes

Differences between proactive and reactive aggression subtypes on self-reported measures of empathy, social competence, and expectation for reward were examined among 433 middle school students (65.4% White, 33.9% Black). As hypothesized, males scored higher on proactive and reactive aggression scales and lower on empathy measures than females. K-means cluster analysis yielded the following four distinct groups: reactive, proactive, proactive/reactive aggressive, and uninvolved. Overall, uninvolved (nonaggressive youth) had higher empathy and social competence scores and lower expectation of reward for the use of aggression. The reactive and proactive groups did not differ significantly on study variables. Limitations and implications are discussed. Graduate student at the University of Illinois at Urbana-Champaign. She received her M.S. in Counseling Psychology from the University of Illinois at Urbana-Champaign. Her main research interests are in youth aggression, specifically the influence of social cognitive factors and peer groups on adolescent aggression. Associate professor at the University of Illinois at Urbana-Champaign. She received her Ph.D. in Counseling Psychology from Indiana University. Her major research interests focus on several health related behavior, including bullying and youth aggression and disordered eating in adolescents.     

Mental Health and Educational Experiences Among Black Youth: A Latent Class Analysis

Disproportionately lower educational achievement, coupled with higher grade retention, suspensions, expulsions, and lower school bonding make educational success among Black adolescents a major public health concern. Mental health is a key developmental factor related to educational outcomes among adolescents; however, traditional models of mental health focus on absence of dysfunction as a way to conceptualize mental health. The dual-factor model of mental health incorporates indicators of both subjective wellbeing and psychopathology, supporting more recent research that both are needed to comprehensively assess mental health. This study applied the dual-factor model to measure mental health using the National Survey of American Life—Adolescent Supplement (NSAL-A), a representative cross-sectional survey. The sample included 1170 Black adolescents (52% female; mean age 15). Latent class analysis was conducted with positive indicators of subjective wellbeing (emotional, psychological, and social) as well as measures of psychopathology. Four mental health groups were identified, based on having high or low subjective wellbeing and high or low psychopathology. Accordingly, associations between mental health groups and educational outcomes were investigated. Significant associations were observed in school bonding, suspensions, and grade retention, with the positive mental health group (high subjective wellbeing, low psychopathology) experiencing more beneficial outcomes. The results support a strong association between school bonding and better mental health and have implications for a more comprehensive view of mental health in interventions targeting improved educational experiences and mental health among Black adolescents.     

A Developmental Perspective on Reentry: Understanding the Causes and Consequences of Family Conflict and Peer Delinquency during Adolescence and Emerging Adulthood

Despite the uniqueness of an incarceration experience for adolescents, there remains a shortage of research on adolescents and emerging adults who have been recently released from detention centers and are returning home during the transitional time period of “reentry”. Drawing from the developmental literature, the current study uses a diverse (54% Black, 20% White, 26% Other Race) longitudinal survey of 337 male adolescents living in the United States to examine the interrelationships among crime, substance use, family conflict, and peer delinquency. A series of cross-lagged dynamic panel data models using four waves of data demonstrate that while family conflict and peer delinquency relate to increased offending and substance use, conflict in the family is a major driving force behind both future family conflict and peer delinquency. Overall, findings suggest that family conflict is an overlooked, but absolutely critical, factor in explaining deviance and deviant peer associations alike for adolescents and emerging adults who have been recently incarcerated and released.     

Examining the Influence of Family Environments on Youth Violence: A Comparison of Mexican,Puerto Rican,Cuban, Non-Latino Black,and Non-Latino White Adolescents

Existing research rarely considers important ethnic subgroup variations in violent behaviors among Latino youth. Thus, their risk for severe violent behaviors is not well understood in light of the immense ethnic and generational diversity of the Latino population in the United States. Grounded in social control theory and cultural analyses of familism, we examine differences in the risk for severe youth violence, as well its associations with family cohesion, parental engagement, adolescent autonomy, household composition, and immigrant generation among Mexican (n = 1,594), Puerto Rican (n = 586), Cuban (n = 488), and non-Latino Black (n = 4,053), and White (n = 9,921) adolescents with data from the National Longitudinal Study of Adolescent Health. Results indicate a gradient of risk; White youth had the lowest risk for severe violence and Puerto Rican youth had the highest risk compared to all other racial/ethnic subgroups. Within-group analysis indicates that family factors are not universally protective or risk-inducing. While family cohesion decreased the risk of severe violence among all groups, parental engagement was associated with increased risk among Blacks and Whites, and adolescent autonomy was associated with increased risk among Puerto Ricans and Cubans. In addition, Cuban and White adolescents who lived in single parent households or who did not live with their parents, had higher risk for severe violent behaviors than their counterparts who lived in two parent households. Among Latinos, the association of immigrant generation was in opposite directions among Mexicans and Cubans. We conclude that family and immigration factors differentially influence risk for violence among Latino subgroups and highlight the significance of examining subgroup differences and developing intervention strategies that are tailored to the needs of each ethnic subgroup.     

Reciprocal Relationships Between Friends’ and Parental Mediation of Adolescents’ Media Use and Their Sexual Attitudes and Behavior

Research has argued that adolescents are at risk for harmful effects of sexual media, but little is known about the role of parents and friends on adolescents’ media use in regard of these effects. The present two-wave study investigated whether prior parental and friends’ influences on adolescents’ use of sexual media shape their sexual attitudes and behaviors, and vice versa if prior sexual attitudes and behaviors predict parental and friends’ media mediation. At two measurement points 18 months apart, 528 adolescents (12–17 years; 51.3 % girls) reported on permissive sexual attitudes, sexual experience, perceived parental and friends’ mediation of sexual media use, and communication with parents and friends about sex. Structural Equation Modeling shows that parents’ mediation activities on adolescents’ media use were not followed by less sexual experience and less permissive attitudes. On the contrary, parental restrictive mediation of girls’ media use unexpectedly was followed by somewhat more sexual experience. Friends’ interventions with media use did not predict adolescents’ sexual experience and attitudes neither. Inverse relationships showed that prior sexual experience was followed by less restrictive parental mediation among boys, and both among boys and girls that permissive sexual attitudes were followed by less restrictive and less active parental mediation. At the same time, sexually more experienced and more permissive boys and girls did report more media pressure from and sexual communication with their friends later on. Our study thus indicates that the opposite agent roles of parents and friends for adolescents also applies to their usage of sexual media.     

Cultural Equivalence and Cultural Variance in Longitudinal Associations of Young Adolescent Self-Definition and Interpersonal Relatedness to Psychological and School Adjustment

Ethnic group differences in the contributions of self-definition (self-worth and efficacy) and interpersonal relatedness with parents and peers to changes in psychological and school adjustment were examined among 448 White, Black, and Latino girls and boys (11–14 years of age). Self-report questionnaires and school records were evaluated for socioeconomic and ethnic group differences in patterns of change over 1 year. Overall similarity in changes over time across ethnic groups was found for relatedness, self-definition, and psychological adjustment, although Black and Latino youth reported more overall adjustment difficulties, Black youth reported less positive relationships with parents, and lower SES youth reported less positive peer relationships than others. Ethnic group differences in changes to school adjustment, even after controlling SES, suggested a cultural variation in which often cited declines in school adjustment during middle school characterize White adolescents to a greater degree than Black or Latino adolescents. Ethnicity moderated associations of relatedness and self-definition with psychological and school adjustment such that Black and Latino youth appeared particularly vulnerable to experiences that threaten closeness and trust in relationships. Results pointed to potentially important situational and cultural differences in maladaptive and adaptive developmental processes across ethnicity.     

Adolescent sexual activity and pregnancy: Socioenvironmental problems,physical health,and mental health

This paper examines the association between adolescent pregnancy and socioenvironmental, physical, and mental health problems in 1590 inner-city females aged 13–18 who use health clinics. Adolescents who have become pregnant, those who are sexually active but never have been pregnant, and those who are sexually inactive are compared. The sexually active youngsters come from more psychosocially disadvantaged backgrounds than their sexually inactive peers; the sexually active girls who become pregnant come from more psychosocially disadvantaged backgrounds than those who have never been pregnant. Despite this, the youths who have become pregnant do not have more current relationship problems, more stressful life events, or worse physical health than the never-pregnant sexually active youths. Although sexually inactive youths have the lowest rates of mental health problems, adolescents who have been pregnant have lower rates of anxiety and conduct disorder symptoms than those who are sexually active but never pregnant.Supported by the Robert Wood Johnson Foundation. Fieldwork conducted by Survey Research Associates.Research interests include adolescents and children, parenting, and families.Research interests include epidemiology of child and adolescent psychiatric disorder.Research interests include psychiatric epidemiology/deviant behavior.Research interests include mental health and statistical issues.Research interests include health behavior and mental health issues.     

Adolescent Sexual Debut and Later Delinquency

Does sexual debut (i.e., experiencing sexual intercourse for the first time) increase the risks of participating in later delinquent behavior? Does this risk increase if adolescents experience early sexual debut relative to the timing experienced by one’s peers? Although many factors have been linked to sexual debut, little research has examined whether sexual initiation is linked to later behavioral outcomes. Using data on adolescents participating in three waves of the National Longitudinal Study of Adolescent Health (N=7,297), we examine the interconnections between sexual debut and later delinquency. In addition, we pay particular attention to the role of timing of sexual debut. We find that experiencing sexual debut is associated with delinquency one year later. In addition, those adolescents who experience early sexual debut relative to their peers are at higher risk of experiencing delinquency compared to those who debut on-time; adolescents who experience late sexual debut are the least likely to participate in delinquency. Moreover, the protective effect of late sexual debut appears to persist for several years. Findings are interpreted by drawing on developmental theory and life course research.     

Race,Class, Space,and Memory at Wo-Chi-Ca: A Look at Radical Leftist Summer Camping

Summer camping is a common experience for many young people in the United States. From the 1920s–1950s many young people, both Black and White attended summer residential camps together. These leftist interracial camps flourished in the eastern part of the United States, with support from labor unions and the communist party. Eventually, social pressure and the red scare closed most of these camps. This historical case study describes the history and practice of one of these camps, Wo-Chi-Ca in New York. Bringing together primary data, interview data of past residents and staff, and secondary data about the camp, this study describes how the camps were created, what it was like to attend the camps, and the social and economic forces that eventually led to their closure.     

Factors affecting perception of pregnancy risk in the adolescent

Perception of pregnancy risk, fertility knowledge, and probability-based teaching examples of risk were assessed in 104 primiparous urban adolescents 13–18 years of age in their second and third trimester of pregnancy. Perception of risk was not associated with age, actual frequency of intercourse, or level of fertility knowledge. Sexually active adolescents were surprised at subsequent conceptions. Adolescents were unable to utilize concepts of risk taking, even after concrete examples and teaching techniques had been presented.This study was conducted under the auspices of the Department of Obstetrics and Gynecology, Baylor College of Medicine, which provides medical faculty to the Harris County Hospital District, Houston, Texas.Received Ph.D. from the University of Texas at Austin. Current interests are patterns of adolescent child bearing and rearing.Received M.P.H. from the University of Texas School of Public Health. Current interests are adolescent contraceptive behavior.Received D.P.H. from the University of Texas School of Public Health. Current interests are biological psychiatry and socio-medical research.Received M.D. from Baylor College of Medicine. Current interests are continuing education in medical and nonmedical settings.     

Examining Ethnic Identity and Self-Esteem Among Biracial and Monoracial Adolescents

The psychological well-being and ethnic identity of biracial adolescents are largely underrepresented topics in current scholarly literature, despite the growing population of biracial and multiracial individuals in the United States. This study examined self-esteem, ethnic identity, and the relationship between these constructs among biracial and monoracial adolescents (n = 3282). Using analysis of covariance, significant differences emerged between biracial and monoracial adolescents on both a measure of self-esteem and a measure of ethnic identity. Specifically, biracial adolescents showed significantly higher levels of self-esteem than their Asian counterparts, but significantly lower self-esteem than Black adolescents. Furthermore, biracial adolescents scored significantly higher than Whites on a measure of ethnic identity, but scored lower than their Black, Asian, and Latino peers on the same measure. Finally, correlational analyses revealed a significant and positive relationship between ethnic identity and self-esteem for all groups.     

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.     

Experiencing and Learning About Emotions: A Longitudinal Analysis of Youth Program Participants

Organized youth programs provide a context where adolescents experience strong emotions and may develop new ways of thinking about and dealing with emotions. The current study examined youth’s reports of positive and negative emotions arising during the course of their work in different types of project-based programs; learning about emotions from different sources (e.g., from observing peers, interacting with adult staff, or engaging in self-reflection); and longitudinal associations between emotional experiences and learning. Quantitative data were collected at two time points from 319 youth (57% female; M age?=?15.8 years; 33% Latino, 29% Black, 32% White, 6% other) participating in 14 Midwestern programs focused on Leadership, Arts and Performance (Arts), and Science, Technology, Engineering, and Math (STEM). Overall, positive emotions occurred more frequently than negative emotions, but emotional experiences differed based on the focus of the program. There were few significant differences in emotional learning from various sources (self, peers, staff) across the three types of programs. Multiple regression models controlling for prior learning indicated that, consistent with theory, positive emotions predicted subsequent learning about emotions from all sources. In contrast, negative emotions predicted increased learning from peers but decreased learning from self, suggesting that experiencing negative (vs. positive) emotions may lead youth to attend to different sources of information. The study’s findings have implications for theory, research, and practice.