Anticipated Mortality,HIV Vulnerability,and Psychological Distress Among Adolescents and Young Adults at Higher and Lower Risk for HIV Infection

This study described multivariate patterns of associations among psychological distress, anticipated mortality, and perceived vulnerability to HIV among urban, multiethnic samples of (a) adolescents (N = 120) undergoing substance abuse treatment, and (b) young adult university students (N = 222). While there were significant correlations between (a) psychological distress and reported vulnerability to HIV in the treatment sample; and (b) psychological distress and anticipated mortality in the university sample, there was no significant relation between anticipated mortality and perceived vulnerability to HIV in either sample. Cluster analysis revealed four distinct and meaningful groups in both samples, including parallel high- and low-functioning subgroups. Multivariate group differences in both samples were validated via corresponding group differences in (a) motives for drinking during sex, and (b) markers of serious psychological distress (e.g., suicidal thoughts and attempts). The findings challenge popular sterotpes of adolescents' perceptions of their own mortality and vulnerability to HIV and may have significant implications for the planning and implementation of effective HIV preventions among at-risk youth.     

Adolescent Risk Behavior Subgroups: An Empirical Assessment

Theories and prior research have outlined a constellation of adolescent risk behaviors that tend to co-occur, reflecting a general pattern. Although their generality has largely been supported, there is some question about how to best study and portray the relationship among these behaviors. This study used data from a survey administered to high school youth (n = 2549, 38 schools). The general population sample comprised an even split between boys and girls, averaged roughly 16 years of age, and was 59% White and 10% Hispanic/Latino. Using latent class analysis, four subgroups, comprised of varying types and degrees of risky behavior, were identified. Specifically, there were two groups that “abstained” and “experimented” with risky behaviors and two others that had higher, but somewhat distinct, patterns of such activities. These groups were then examined in relation to youth characteristics (e.g., mental and physical health, school performance) and socio-environmental factors (e.g., social support, parental monitoring) that may be useful for better understanding “problem behavior syndrome” and development of prevention strategy.     

“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 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.     

Risk factors related to suicidal behavior among male and female adolescents

This study examined gender differences in self-reported suicidal behavior in relation to the risk factors of tobacco use, alcohol use, drug use, school misconduct, academic difficulties, home environment, sexual activity, and violence among seventh-through twelfth grade students (N=3461)in a northern Midwest school district. Data were gathered from the Survey Instrument of Attitude/Behavior administered in the school district during the spring of 1993. The dependent variables were suicidal activity and suicidal tendency. Stepwise forward regression ordered the independent factors in predicting suicidal activity and suicidal tendency for the male and female samples. The comparison of regression results revealed the following: (1) the independent factors accounted for more variance in male suicidal activity and tendency than in female suicidal activity and tendency; (2) as the level of suicidality increased, so did the frequency of violent behaviors among both genders; (3) leading predictors for suicidal activity were similar between gender; and (4) gender differences were displayed in predictors of suicidal tendency.Major interests include risk taking behaviors, youth suicide, and educator use of research.     

Understanding the Association Between Maltreatment History and Adolescent Risk Behavior by Examining Popularity Motivations and Peer Group Control

The purpose of the present study was to examine how peer group processes of pressure and control and individual motivations for popularity would add to, and moderate the relationship between, childhood maltreatment and risky behavior in adolescence. A total of 1558 youth (804 girls) from three high schools in Ontario, Canada (M age = 15.02 years, SD = .86) reported on their alcohol use, delinquent behavior, childhood experiences of physical and emotional maltreatment and neglect, peer group processes involving control and individual popularity motivations. Regression analyses showed that, beyond the significant contributions of childhood maltreatment, peer group control predicted risky alcohol use and delinquent behavior. Peer group control and popularity motivations exacerbated the negative effect of physical maltreatment on delinquent behavior. Boys’ experiences of peer group control were more strongly linked to alcohol use and delinquent behavior than girls’. These results suggest that there is a significant window of opportunity during adolescence where the peer group context can exacerbate or buffer childhood experiences.

Coping with Maternal Depressed Affect and Depression: Adolescent Children of Depressed and Well Mothers

This study examined the strategies adolescents use to cope with their mothers' depressive symptoms and/or episodes. An open-ended semistructured interview and a closed-ended coping scale, the Maternal Affectivity Coping Scale derived from the Self-Report Coping Scale (D. L. Causey and E. F. Dubow [1992] Development of a Self-Report Measure for Elementary School Children, Journal of Clinical Child Psychology, Vol. 21, pp. 47–59), was administered to pairs of adolescent siblings (N = 179) from families (N = 94) in which the mother was either depressed or well. With a few important exceptions, the results reveal similar coping styles in the offspring of depressed and well mothers. One difference was that mothers' current psychological distress was weakly related to young adolescents' coping patterns (e.g., problem solving, externalizing). Also, adolescents' coping styles (e.g., provide support) were related to the type of depressive symptoms the mother exhibited (e.g., anger, irritability). Second, greater sibling differences were found for emotion-focused coping strategies (e.g., distancing) in children of depressed mothers than in children of well mothers. Third, the results suggest that the sex of the adolescent may be important in attempting to understand individual differences in coping. Females were more likely than males to engage in interpersonally focused coping strategies (e.g., provide support to their mother, seek support from others). The feelings of responsibility for contributing to their mother's depression that were more evident in females than males may offer some insight into gender differences and may also have implications for placing females at higher risk for internalizing disorders.     

The Role of “Very Important” Nonparental Adults in Adolescent Development

Two hundred one adolescents of diverse ethnic backgrounds (mean age = 16.7 years) reported whether they considered any adult other than their parents to be a very important person (VIP) in their lives, and described various attributes of the VIP and their relationship with this individual. Perceived VIP characteristics—especially perceived involvement of the VIP in behavior that is uniformly illegal (e.g., theft) or illegal for adolescents (e.g., alcohol use)— were robust predictors of boys' self-reported misconduct and had modest links with their level of self-reported depressive symptomatology. In contrast, VIP attributes showed their strongest linkages to girls' depressive symptoms, with perceived VIP warmth and acceptance related to a lower incidence of depressed mood. Regression analyses indicated that these VIP attributes contributed uniquely to the explanation of misconduct and depressive symptoms even when analogous parental and friend attributes were included in the models. In view of the findings of this exploratory study, several future research directions are suggested, including research on the mechanisms through which VIP effects may be transmitted.     

School-based health services for urban adolescents: Psychosocial characteristics of clinic users vs nonusers

Evaluated psychosocial differences between adolescent users and nonusers of an urban school-based health clinic, considering the influence of gender. As expected, a number of gender differences were found (e.g., girls reported more fear, were rated as more likeable by peers than boys). Examination of differences based purely on clinic use indicated that nonusers were rated as more socially withdrawn by their peers than clinic users; otherwise, these two groups did not differ on psychosocial measures. Gender by clinic-status interaction effects were found for academic measures (e.g., nonusing boys had more absences and lower grades than boys who used the clinic). A group of intensive clinic users (n=14) reported higher levels of emotional distress than other students, and surprisingly, most of these students were not receiving mental health services.Received Ph.D. from Virginia Polytechnic Institute and State University in 1991. Research interests include evaluation of school mental health services, empirical development of interventions for children, and the impact of violence on urban youth.Received B.A. from Loyola College. Interested in applied work with adolescents and adults.Received B.A. from Cornell University. Interests include stress and coping in children, identification of resilience factors, and evaluation of child mental health systems of care.Received Ph.D. from the University of Oklahoma in 1967. Research interests in psychophysiology, sleep disorders, and biofeedback and instrumentation.Received M.D. from Duke University in 1968. Research interests include training in child and adolescent psychiatry, adolescent psychopathology, and the development of school mental health programs.     

Disentangling the Weight of School Dropout Predictors: A Test on Two Longitudinal Samples

The aims of this study are to identify the most powerful predictors of school dropout and to determine how stable they are over time. Two generations of White French-speaking boys and girls from 12 to 16 years old (n = 791 in 1974, n = 791 in 1985) completed a self-administered questionnaire on their psychosocial adjustment at least one year before leaving school. As expected, the analyses showed that school, family, behavioral, social, and personality variables could all predict dropping out of school in the two samples. Furthermore, these predictors were quite stable over time. However, statistical improvement measures in logistic regression analyses indicated that school experience variables (i.e., grade retention, school achievement, school commitment) were the best screening variables for potential dropouts. The contribution of other psychosocial variables, even though significant, did not improve very much the capacity to identify who will drop out of school. The discussion highlights the implications of the findings for secondary prevention and screening practices.     

Latent Profile Analysis of Left-behind Adolescents’ Psychosocial Adaptation in Rural China

Parental absence, a consequence of parents’ rural-to-urban migration, exerts negative influences on their left-behind adolescents in rural China. Existing studies are limited by their focus on the isolated developmental outcomes of left-behind adolescents and by a dearth of work focused on naturally occurring patterns of their developmental outcomes. The present study used a person-centered approach to identify adolescents’ adaptation profiles based on internalizing indicators (i.e., depressive symptoms, loneliness, subjective happiness, life satisfaction), externalizing indicators (i.e., rule-breaking behavior, aggressive behavior, prosocial behavior) and academic achievement and to relate these profiles to left-behind status, characteristics of parent-adolescent separation and gender. The study included 2102 adolescents (M_age?=?13.48?±?1.10 years, 46.8% girls) in junior high schools in rural China. A latent profile analysis identified 3 profiles: an adequate adaptation profile, an internalizing problem profile and an externalizing problem profile. These profiles were linked to left-behind status, to characteristics of parent-adolescent separation (i.e., separation duration, interval of long-distance communication and face-to-face communication) and to gender. These findings provide significant implications for future research and the development of interventions.

     

Rural and Non-Rural African American Youth: Does Context Matter in the Etiology of Problem Behaviors?

The current study provides new information on the etiology of adolescent problem behaviors in African American youth by testing the importance of known predictors, namely parenting measures (monitoring, support, and communication), peers, and neighborhood characteristics across rural and non-rural developmental contexts. More specifically, the study examined whether rural versus non-rural developmental contexts moderated the relationships between known predictors and a variety of problem behaviors (alcohol use, drug use, delinquency, and violence). Data were collected from N = 687 rural and N = 182 non-rural African American adolescents (mean age = 15.8 years). Findings indicate that both parenting constructs and peer deviance had significant effects on problem behaviors and that these effects were consistent across rural and non-rural developmental contexts. The study results are discussed in terms of their implications for ecological frameworks for testing problem behavior etiology.

A Case Control Study of Adolescent Risky Sexual Behavior and Its Relationship to Personality Dimensions,Conduct Disorder,and Substance Use

In comparison to the general adolescent population, adolescents with a history of externalizing behaviors including substance use and conduct disorder are younger at first intercourse, have a larger number of sexual partners, and use condoms less often when they engage in intercourse, placing them at higher risk for sexually transmitted diseases as well as unplanned pregnancy (Morris, R. E., Baker, C. J., Valentine, M., and Pennisi, A. J. (1998). J. Adolesc. Health 23: 39–48). A primary goal of this paper was to examine linkages between Cloninger's novelty-seeking, harm avoidance, and reward dependence dimensions and risky sexual behavior among 200 boys in treatment for substance abuse and delinquency compared to 200 boys recruited from the community, and matched on age, ethnicity, and geographic location. Analyses indicated that though there were mean differences on all personality constructs examined, these differences in personality failed to account for observed differences in risky sexual behavior. The structure of problem behavior also differed in the 2 groups.     

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.     

The Nurturing Neighborhood: The Brownsville Boys Club and Jewish Community in Urban America, 1940–1990, by G. Sorin

Abstract

Corporal punishment (CP) refers to the deliberate infliction of physical pain on children in response to an apparent disobedience or disapproved behavior. It is still used in educational settings in numerous nations worldwide, including Bangladesh. Despite the government’s efforts to ban corporal punishment in Bangladesh, the practice is prevalent, with children routinely enduring various punishments in the school system. Questions remain related to how widespread this practice is and whether certain groups of children (e.g., low income or rural) are being affected more severely than others. This article explores the use of physical punishment in Bangladeshi elementary schools and the socioeconomic variables that may be predictors of its use. The primary research questions that guide this article are: (1) do socioeconomic characteristics (i.e., gender, age, education, school type, parental socio-economic status) predict physical punishment in the school system in Bangladesh? and (2) is there a statistically significant relation between poverty and physical punishment for elementary school children in Bangladesh? Findings indicate that of the 450 children included in the sample, more than 86.6% were subjected to at least one form of physical abuse (e.g., hit with a stick or slapped) and types of abuse varied by their demographics. Findings also show that poverty status is a strong predictor of physical punishment in the school within Bangladesh.     

Childhood Predictors and Mid-Adolescent Correlates of Developmental Trajectories of Alcohol Use among Male and Female Youth

The identification of salient risk factors for alcohol consumption among male and female adolescents is an important topic not only for etiology research but also for designing effective gender-specific alcohol prevention programs for young people. This study examined the extent to which problematic alcohol use trajectories from ages 14 to 18 among male and female youth were related to childhood predictors assessed at age 9 (i.e., impulsivity, academic self-confidence, social problems with peers), socio-demographic variables, and mid-adolescent correlates [i.e., parental use, body mass index (BMI), risky peer context, conduct problems at school, parent–child relationship, somatic complaints]. Data analysis was based on a representative German longitudinal study (1986–1995, n = 1,619, 55 % female). Using growth mixture modeling methodology, associations of childhood predictors and mid-adolescent correlates to distinctive trajectories of alcohol use were examined for males and females separately. For males, a problematic consumption trajectory was associated with poor relationships to parents in adolescence and small community size. For females, low impulsivity during childhood, high BMI, and contact with deviant peers during adolescence predicted problematic as compared to normative alcohol use trajectories. Additionally, high parental alcohol use, low parental educational background, and conduct problems at school during adolescence were common predictors of a problematic alcohol use trajectory in both genders. The results provide insights regarding differences in the gender-typical development of adolescent alcohol use as well as stress the need of gender-specific intervention components along with universal prevention strategies against problematic consumption trajectories.     

Understanding the Authoritative Parenting–Early Adolescent Tobacco Use Link: The Mediating Role of Peer Tobacco Use

Eighth-grade students (N = 156) completed questionnaires in which they reported on their perceptions of parents' warmth, structure, and psychological autonomy granting (used to create an index of authoritative parenting) and their own levels of tobacco use. Adolescents were also asked to list the names of other students at their school with whom they spent time (friends). Independent reports obtained from these friends were used to form an index of the mean level of tobacco use among each adolescent's friends. Higher levels of authoritative parenting were associated with lower levels of tobacco use among target adolescents. The association between parental authoritativeness and adolescent tobacco use was mediated by levels of tobacco use among peers. An amplification effect was observed in which adolescents were particularly unlikely to use tobacco products when they both received authoritative parenting at home and were members of non-tobacco-using peer groups.     

Factors Associated with Academic Achievement for Sexual and Gender Minority and Heterosexual Cisgender Students: Implications from a Nationally Representative Study

Research on sexual and gender minority student achievement indicates that such students report lowered achievement relative to other students. Increased victimization and less school belonging, amongst other factors, have been identified as contributing to these inequalities. However, supportive schooling structures and caregiver support may support their achievement. A nationally representative survey of secondary school students was used to identify specific factors that support achievement for sexual minority (n?=?485), gender minority (n?=?298), and heterosexual cisgender (where one’s sex assigned at birth “matches” a binary gender identity, i.e., a male assigned at birth identifies as a boy/man, n?=?7064) students in New Zealand. While reported victimization did not affect achievement for sexual and gender minority students, school belonging, and teacher expectations of success, emerged as significant factors. Differences emerged between sexual minority and gender minority achievement factors, suggesting a range of detailed policy implications and recommendations.

     

Cultural Orientation as a Protective Factor Against Tobacco and Marijuana Smoking for African American Young Women

The present study examined cultural orientation as a protective factor against tobacco and marijuana smoking for African American young women (ages 18 to 25). African American college students (N=145) from a predominantly White university were administered subscales from the African American Acculturation Scale-Revised (AAAS-R); the shortened Individualism/Collectivism (INDCOL) Scale; a Tobacco and Drug Use Survey; and a background survey. Multiple logistic regression was conducted using cultural orientation variables as predictors and smoking status (i.e., tobacco and marijuana) as the criterion. It was expected that young women who endorsed traditional African American cultural characteristics (i.e., religious beliefs, health, family values, and socialization) and were collectivistic in their community (i.e., cultural interdependency) and familial (i.e., familial interdependency) interactions would be less likely to smoke. Results show that traditional religious beliefs and practice was protective against tobacco smoking for this sample of young women. Familial interdependency (e.g., supportive exchanges between friends, and consultation and sharing with parents), and traditional religious beliefs and practices surfaced as protective factors against marijuana smoking. Traditional health beliefs and practices was a risk factor for both tobacco and marijuana smoking. The implications signal the need for smoking prevention and cessation programs to focus on interpersonal factors which may strengthen African American young women’s religious and familial bonding. Associate Professor in the Department of Psychology, James Madison University, Harrisonburg, VA. Dr. Nasim also serves as affiliate research professor in the Center for Cultural Experiences in Prevention (CCEP), Department of Psychology, Virginia Commonwealth University, Richmond, VA. He received his Ph.D. in Developmental Psychology from Howard University, Washington, DC. His primary research interests focus on the etiology of substance use behaviors among African Americans Professor of Psychology at Virginia Commonwealth University, and Director of the Center for Cultural Experiences in Prevention (CCEP). She received her Ph.D. from the University of Maryland. Her research and programmatic efforts focus on the role of culture, community, and context in psychological, physical, and social outcomes among African Americans Assistant Professor at Virginia Commonwealth University. She received her Ph.D. in Clinical Psychology from the University of California, Los Angeles. Her major research interests focus on minority youth adjustment, adolescent sexual health, and families affected by HIV/AIDS. Associate Professor at Virginia Commonwealth University in the Department of Psychology. He received his Ph.D. in Counseling Psychology from Fordham University. His research interest is in the area of African American culture and mental health. Institute for Innovative Health & Human Services at James Madison University. She received her B.S. in Psychology from James Madison University. Her research focuses on school-based interventions for adolescents.