What Friends are for: The Relationships Between Body Image, Substance Use, and Peer Influence Among Finnish Adolescents

The study investigated the relationships between substance use, body image, and peer influence among Finnish adolescents. The participants (N=488, 240 boys and 248 girls), were eighth-grade high school students. The data were gathered using a questionnaire. In addition to background information, the study covered risk behaviors frequency, body satisfaction, and peer relationships. The results indicated that the levels of body satisfaction among the adolescent girls studied were lower than those among the adolescent boys. It was found that the girls engaged in more discussion with peers than the boys concerning both intimate and general matters. Moreover, having an intimate relationship with one's peers was associated with a greater tendency to drink purely in order to get drunk. However, a slightly more distant relationship with friends was associated with a greater risk for smoking. In general, dissatisfaction with one's physical appearance seemed to relate to substance use. By highlighting the relationships between adolescents’ body image, substance use, and peer influence the study gives pointers for further research, and may be suggestive in terms of the kinds of social policies that ought to be pursued in the future.MA (Educational Sciences) from the University of Turku. Research interests include substance use and the life processes of adolescents.Docent (Educational Sciences), PhD from the Karolinska Institute, Stockholm.     

Predictors of Physical Competence in Adolescent Girls

Physical competence, comprising athletic competence and physical appearance competence, is positively related to feelings of self-worth in adolescent girls. This study compared the relationships of psychological, physiological, and maturational constructs with perceived physical competence in adolescent girls. Perceived physical appearance and perceived athletic competence, peer acceptance, body weight, body mass index (BMI), aerobic fitness (VO₂max), physical activity level, and menarcheal status were assessed. Global self-worth was highly correlated with peer acceptance, perceived physical appearance, and perceived athletic competence in this sample. Regression analyses indicated that peer acceptance was the best predictor of perceived physical competence. Additional predictors of perceived physical appearance and athletic competence are discussed. Results suggest that postmenarcheal and larger girls may be at risk for low perceptions of physical competence. Enhancing competence feelings among adolescent girls may be accomplished by emphasizing friendship and social interaction within physical activity.     

The relationship between physical activity and mental health among adolescents in six middle-income countries: A cross-sectional study

Physical inactivity and poor mental health are emerging worldwide youth problems. Using the Global School-based Health Survey, this secondary data analysis study examined the link between physical activity and adolescent mental health among 23,372 adolescents between 11 and 17 years of age in six middle-income countries. The authors assessed physical activity by participation in (a) exercise for 60 min and (b) walking/biking in any day of a week in the past 7 days. The authors assessed mental health by the presence of (a) loneliness, (b) anxiety, (c) depression, (d) suicidal ideation, and (e) suicide attempts in the past 12 months. There was a low prevalence of physical activity among the participants. In general, there was a low prevalence of 12-month mental health problems among adolescents. Further research may incorporate physical activity to promote positive youth mental health for possible cost-effective interventions.     

Psychiatric Disorders Associated with the Onset and Persistence of Bulimia Nervosa and Binge Eating Disorder During Adolescence

A prospective longitudinal study was conducted to investigate whether anxiety, depressive, personality, or substance use disorders increase risk for onset of bulimia nervosa (BN) or binge eating disorder (BED) during adolescence. Axis I and II psychiatric disorders were assessed in a primary care sample of 201 adolescents. Axis I disorders were reassessed 10 months later. Youths with dysthymic disorder were at elevated risk for the onset or recurrence of BN or BED after preexisting psychiatric disorders were controlled statistically. Problems with depression or anxiety tended to precede the onset of eating problems. In addition, youths with eating disorder symptoms were at elevated risk for the onset or recurrence of depressive disorders. These findings suggest that adolescents with chronic depressive symptoms may be at elevated risk for the development of BN or BED, and that adolescents with eating disorder symptoms may be at elevated risk for the development of depressive disorders.     

Studying Adolescent Male Sexuality: Where Are We?

This article critically reviews the literature about adolescent males’ sexuality in order to describe the state of the science and to identify promising concepts and research designs that have the potential to guide the next generation of research. A critique was conducted on 94 peer-reviewed studies of sexual behaviors that included a sample of adolescent males; 11 scholarly texts and 2 dissertations. Most studies lacked a theoretical foundation and had cross-sectional designs. For those studies with a theoretical base, 3 perspectives were most often used to guide research: cognitive, biological, or social-environmental. Studies frequently relied on older adolescents or young adult males to report behaviors during early adolescence. Male-only samples were infrequent. Findings include (a) the measurement of sexual activity is frequently limited to coitus and does not explore other forms of “sex”; (b) cognitive factors have been limited to knowledge, attitudes, and intent; (c) little is known about younger males based on their own self-reports; (d) little is known about the normative sexuality development of gay adolescent males; and (e) longitudinal studies did not take into account the complexities of biological, social, and emotional development in interaction with other influences. Research on adolescent sexuality generally is about sexual activity, with little research that includes cognitive competency or young males’ sense of self as a sexual being. The purpose of the paper is to critically review the literature about male sexuality in order to describe the state of the science as well as to identify potential directions to guide the next generation of adolescent male sexual being research.Assistant Professor in the School of Nursing at Oakland University. Received her PhD in Nursing from the University of Michigan, with a specialization in Health Promotion and Risk Reduction. Research interests include adolescent health behaviors, male sexuality, and fostering youth through community-based, asset-building interventions.Associate Professor and Director for Undergraduate & Non Traditional Programs in the School of Nursing at the University of Michigan. Inducted as a Fellow in the Academy of American Nurses. Received a PhD in Nursing from New York University. Research interests include female adolescent health and health-compromising behaviors, specifically the influence of contextual environments on adolescents’ participation in health promoting or health-compromising behaviors.Professor Emeritus in the School of Nursing and Center for Nursing Research at the University of Michigan. Received a PhD in Public Health from the University of Michigan. Research interests include women’s and men’s contraceptive use behaviors, development of nursing in China, and health policy.     

Body Dissatisfaction,Living Away from Parents,and Poor Social Adjustment Predict Binge Eating Symptoms in Young Women Making the Transition to University

The current study explored how body dissatisfaction and challenges associated with the transition to university predicted symptoms of binge eating. Participants were 101 female full-time first-year university students (M=18.3 years of age; SD=.50) who completed a background questionnaire and a web-based daily checklist assessing binge eating. Hierarchical Generalized Linear Modeling results showed that participants who were more dissatisfied with their bodies were three times as likely to report symptoms of binge eating compared to participants who were less dissatisfied. Participants who lived away from home were three times as likely to report symptoms of binge eating compared to participants living with parents. Finally, poor perceived social adjustment to the university context was associated with an increased likelihood of binge eating. Discussion calls for more research exploring the role that university challenges and adjustment play in predicting eating problems.

Patterns of Problem Behavior in Relation to Thriving and Precocious Behavior in Late Adolescence

Several studies have indicated that an early onset of delinquent and problem behaviors is associated with a greater risk of subsequent behavioral and mental health problems. This study builds on that literature by examining histories of behavior problems in relation to indicators of thriving and precocious behavior during late adolescence. Using longitudinal data from 289 high-risk adolescents, participants were classified according to their problem behavior histories at ages 15 and 19. Findings indicated that although some adolescents experienced decline over time in their overt behavior problems, those youth showed fewer indicators of thriving when compared to adolescents with no history of behavior problems. Youth with an earlier onset of behavior problems also evinced an increased risk for precocious behavior. Gender differences and implications for prevention through youth development programming are discussed.

The Contribution of Emotion Regulation to Body Dissatisfaction and Disordered Eating in Early Adolescent Girls

To understand whether difficulties in emotional functioning distinguish between body dissatisfaction and disordered eating, a set of emotion regulation (i.e., negative emotion, emotional awareness, coping), demographic (i.e., age), and physical (i.e., BMI (Body Mass Index)) factors were assessed in 234 early adolescent girls, grades six to eight. Compared to younger girls, older girls had higher BMI and reported increased body dissatisfaction. Age, BMI, and negative affect predicted body dissatisfaction, whereas BMI, body dissatisfaction, and lack of emotional awareness predicted disordered eating. Further, girls who reported high levels of disordered eating reported experiencing increased levels of negative affect, greater difficulties with emotional awareness, and more difficulty coping constructively with negative emotion than girls who reported low levels of disordered eating. Results support the contention that body dissatisfaction, combined with difficulties in emotional awareness are related to disordered eating.Leslie Sim is an assistant professor at the Mayo Medical School, a Senior Associate at the Mayo Clinic, and Clinical Director of the Mayo Inpatient Eating Disorders Program. She received her Ph.D. from University of Maine in Developmental and Clinical Psychology. Her research interests include eating disorders, self-injurious behavior, and emotion regulation skills in children and adolescents.Janice Zeman is an associate professor at the College of William and Mary. She received her Ph.D. from Vanderbilt University in Developmental and Clinical Psychology. Her research interests include children's and adolescents' emotion regulation skills particularly as they relate to maladaptive functioning with other research interests in parental and peer socialization of emotion.     

Mothers' and Fathers' Perceptions of Their Adolescent Daughters' Shape, Weight, and Body Esteem: Are They Accurate?

This study examined parents' awareness of their daughters' attitudes, beliefs, and feelings about their bodies. Sixty-six daughters aged 12–15 years completed the Stirling Eating Disorder Scale, a body figure rating scale, and made ratings of their shape and weight. They also completed a more comprehensive measure of body satisfaction, the Body Esteem Scale (BES). Mothers and fathers estimated their daughters' shape and weight, and completed the BES with instructions to complete the measure from their daughters' perspective. While there were few differences between mothers' and fathers' reports, parent–daughter congruence scores varied according to methodology and attribute measured. That is, parents' ratings of objective daughter characteristics on single-item rating scales were more congruent with daughters' self-reports than parents' estimates of daughters' feelings about their bodies using a more comprehensive measure. Greater discrepancies between parents' estimates of daughters' body esteem and daughters' self-reported body esteem were associated with greater body dissatisfaction in daughters.     

Eating Problems and Their Risk Factors: A 7-Year Longitudinal Study of a Population Sample of Norwegian Adolescent Girls

The longitudinal stability of eating problems and their relationships to risk factors were investigated in a representative population sample of 623 Norwegian girls aged 13–14 followed over 7 years (3 time points). Three eating problem symptoms were measured: Restriction, Bulimia-food preoccupation, and Diet, all taken from the12-item Eating Attitudes Test. The aim of the study was to investigate the stability of these eating problem symptoms both as separate components (as opposed to total symptom load) as well as from a syndrome perspective. Over 7 years, dieting behavior showed the highest correlational stability (0.32). Regarding stable eating problem syndromes, at all 3 time points, 1 group of girls with generalized eating problems was found, characterized by simultaneously pronounced bulimic tendencies and dieting. However, we did not establish individual stability across 7 years for this syndrome group. Through development, eating problem symptoms were associated with characteristic risk factors. Similarities and differences between findings regarding eating problems and eating disorders are discussed.     

Adolescent Alcohol Beverage Type Choices Reflect Their Substance Use Patterns and Attitudes

Alcoholic beverage type choices were studied in relation to adolescents' substance use patterns and attitudes towards substance use, utilizing the national 1999 Adolescent Health and Lifestyle Survey data (N = 4943) collected among Finns aged 14 and 16 years by mail. Frequencies of drinking, drunkenness and smoking, and chewing tobacco use as well as attitudes towards substance use and exposure to other drugs were all strongly related to beverage type choices. The amount of alcohol consumed was associated with the beverage choice. The relationships between beverage choices and substance use patterns were partly mediated through amounts drunk. Beverage type choices seemed to reflect substance use patterns and attitudes more generally. Wine and cider appeared beverages related to moderation and control in relation to substance use, but beer drinking may be interpreted as a sign of initiation into a substance use pattern favoring smoking and heavier use of alcohol and other drugs.     

Eating Problems and the Self-Concept: Results Based on a Representative Sample of Norwegian Adolescent Girls

The joint role of self-esteem and unstable self-perceptions for eating problems was investigated in a representative Norwegian population sample of girls in 3 age groups (N = 5287; aged 12–19 years). Three scales from the 12-item Eating Attitudes Test (EAT-12) measured eating problems: Restriction, Bulimia-food preoccupation, and Diet. Girls low on all EAT scales were most often characterized by high self-esteem combined with stable self-perceptions, whereas girls high on all EAT-scales were characterized by having low self-esteem and unstable self-perceptions. Bulimic tendencies and dieting were more common in older groups, whereas high scores on all EAT-scales simultaneously were equally common in all ages. The findings gave initial support to the continuity hypothesis in indicating that the age trends for eating problems, except for restrictive tendencies, followed those of eating disorders and in that the risk factors found for eating problems parallel those reported for eating disorders.     

Why Do Adolescents Overestimate Their Peers' Smoking Prevalence? Correlates of Prevalence Estimates Among California 8th-Grade Students

Adolescents' estimates of their peers' smoking prevalence can influence their own smoking behavior. However, it is not clear how these prevalence estimates are formed, or what factors influence their accuracy. This study used data from a statewide sample of 5870 8th-grade adolescents in California to examine the correlates of smoking prevalence estimates. Best friends' smoking accounted for the largest proportion of the variance in prevalence estimates. Other significant correlates included female gender, actual smoking prevalence in the student's school, perceptions of smoking on TV, perceived access to cigarettes, low academic performance, cigarette offers, and ethnicity. The variables in the model accounted for 23.8% of the variance in smoking prevalence estimates. Adolescents with smokers in their social networks and schools may be especially susceptible to smoking, because their peers' smoking may give them the impression that smoking is more normative and prevalent than it actually is.     

职工家庭消费需求行为及购买约束与科学消费

职工家庭收入由劳动收入、资本收入及转移收入三部分构成。职工家庭支出包括消费和投资支出,消费首先是物质消费,其次是精神文化消费。职工家庭消费是享用有偿提供的商品和服务,使人的需要得到满足的行为。职工家庭消费偏好是对特定的商品信任。职工家庭消费是生存必须基础,但是消费受职工家庭收入即实际购买力的约束,因此需要科学安排职工家庭消费支出。     

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.     

Parental Smoking-specific Communication,Adolescents’ Smoking Behavior and Friendship Selection

In this study, we investigated whether parental smoking-specific communication is related to adolescents’ friendship-selection processes. Furthermore, we investigated whether adolescents and their best friends influence each other over time, and what role parents play in this process. In the present study we used data from the Family and Health project in which at baseline 428 full families participated. In this 2-year, three-wave longitudinal study data were available from fathers, mothers, early adolescents (aged M = 13.4 years, SD = .50), and middle adolescents (aged M = 15.2 years, SD = .60). The majority of the participating adolescents were of Dutch origin (>95%). There was an almost equal distribution of boys and girls, and adolescents with lower, middle, and higher educational levels were equally represented. Analyses were conducted by means of Structural Equation Modeling. Results demonstrate that a high quality of the smoking-specific communication is related to a lower likelihood of adolescent smoking, whereas the frequency is positively associated with adolescent smoking. Both the quality and frequency of parental smoking-specific communication were related to adolescents’ selective affiliation with (non-)smoking friends. The findings suggest that parental smoking-specific communication is associated with adolescent smoking directly but also indirectly by influencing the friends the adolescents will associate with.

Developing Citizens: Missed Opportunities in Health and Social Service Provision? A View From Aotearoa New Zealand

This article is a reflection on an evaluation of multisystemic therapy services in Aotearoa New Zealand, established to treat young people aged 12–16, for alcohol and drug misuse and to decrease unwanted or “antisocial” behaviors. The therapy engaged parents/caregivers in a systems approach and did not require the young person to be directly engaged. This raised three issues. First, because the young people were not active participants, the services missed the opportunity to help the young people develop skills of self management. Second, this lack of engagement created a missed opportunity to engage the young person to re-establish or reconnect relationships that had been harmed. Finally, we reflect on the cultural fit of the service with Māori values. These issues raise a number of questions about the aims of service provision with young people and the assumptions that underpin particular types of service.     

The Relative Importance of Mothers’ and Youths’ Neighborhood Perceptions for Youth Alcohol Use and Delinquency

Prior studies have examined the influence of neighborhood perceptions on youth outcomes, but few studies have examined whose report of neighborhoods, parents’ or youths,’ are most important in predicting youth outcomes. This study addresses the relative associations of youths’ and mothers’ neighborhood perceptions with youth alcohol use and delinquency. The sample includes 499 mother-child dyads (youth age: 10 to 16 [mean=13.3; SD=2]). Structural equation modeling showed that youths’ perceived neighborhood problems were significantly associated with their delinquency but not their alcohol use. However, mothers’ perceived neighborhood problems were not related to either youth alcohol use or delinquency, suggesting that youths’ perceptions are better indicators of youth behavior. Youth reports may reflect their activities in the neighborhood and their exposure to different forms of deviance, so youths’ reports would be better indicators of exposure to neighborhood risk. Challenges for prevention are discussed. NIAAA Postdoctoral Fellow and Associate Research Scientist at the School of Public Health, University of California, Berkeley, and the Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA. Her research interests include psychosocial and environmental factors influencing youth problem behaviors. Interests are interventions for children with substance use or externalizing problems and their families. She is currently conducting alcohol, drug and other risky behavior prevention studies that include a focus on young adults in club settings as well as a variety of different family-based studies in different geographic regions (San Francisco Bay Area, Alaska, Thailand). Her work integrates both quantitative and qualitative research methods and centers on alcohol and other drug use, and related health issues among adolescents and young adults. She is especially interested in applying theoretical models of socially learned behaviors to populations with different cultural and social backgrounds