Health needs of adolescents: how the adolescent sees them.
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Biomedical subjects
Publications and source records attributed to A F Brunswick.
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The extent to which adolescents' self-appraisals of dental status agree with the dentist's evaluation is analyzed. The dentist's evaluation was expressed in standard dental status indicators (DMF, OHI-S, Russell Index) and in a rating of overall status as "excellent," "good," "fair," "poor." The relationship between the adolescents' self-reported dental care practices and the dentist's evaluation is also examined.
This research is based on a two-wave panel study of 536 urban black adolescents. Six to eight years intervened between measuring the predictors and measurement of subsequent smoking initiation. Separate prediction models were tested for males and females, based on a multivariate causal model which spanned five domains of prior conditions: personal background, school achievement, family-peer orientations, psychogenic orientations, health attitudes and behaviors. Variables from all five domains influenced subsequent smoking but different predictors were implicated for adolescent males vs. females. This lends support to one of the major hypotheses in this research--that the salient experiences which governed the decision to start smoking were different for black males and females. Applying the same prediction model to cigarette smoking and to illicit drug involvement showed no overlap in prediction for males and but two of the same influences to be significantly implicated in females' illicit drug use and cigarette smoking.
Reported here are attitudes and perceptions regarding heroin control, prevention, and treatment obtained in a survey of community leaders in four high drug traffic and drug use neighborhoods in New York City. Studies in the past have focused on the causes and consequences of heroin use primarily from the standpoint of the drug user. Operationalizing the tenet that heroin abuse is a social problem, this study develops an ecological paradigm for analyzing the effects on neighborhoods of illicit drugs and of prevention, intervention, and treatment policies. The research was undertaken in 1981 for the New York State Heroin and Alcohol Study Commission. It demonstrates the importance of including community perspectives in policy decisions and the usefulness of a study group of community leaders as a reliable source of this information.