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Helene R White

Publications and source records attributed to Helene R White.

8 recordsLinked to original sources
PubMed2007

Alcohol initiation experiences and family history of alcoholism as predictors of problem-drinking trajectories.

OBJECTIVE: The purpose of this study was to identify developmental trajectories of problem drinking from adolescence into young adulthood and to determine if alcohol use initiation experiences and family history of alcoholism, as well as their interactions, would predict trajectory group membership. METHOD: Five waves of data were collected from respondents who were 12 years old at the time of recruitment to the Rutgers Health and Human Development Project and followed until age 31 (n = 438). A standardized measure of problem drinking (Rutgers Alcohol Problem Index) was used to develop trajectories with growth-mixture modeling. Differences across groups in first- use experience (age of onset, pleasantness of the experience, and feeling intoxicated), a family history of alcoholism, and gender were analyzed with chi-square and analysis of variance tests, and logistic regression analyses were used to estimate the odds of group membership. RESULTS: Three trajectory groups of drinkers were identified: no or low problem (66.2%), adolescence-limited problem (ALP; 21.6%), and escalating problem (EP; 12.1%) drinkers. Age at drinking onset, feeling drunk during the first alcohol experience, and family history of alcoholism were associated with significantly greater odds of being in a problem trajectory group relative to the no or low problem trajectory. Early experiences did not differentiate the ALP and EP trajectories. None of the interactions was significantly associated with membership in any of the groups. CONCLUSIONS: The levels and patterns of problem drinking during early to mid-adolescence point to a need for secondary prevention efforts that target problematic users in addition to the current emphasis on primary prevention of alcohol consumption. Prevention-based research may benefit from special focus on the meaning and consequences of self-perception of drunkenness when alcohol is first used.

Adolescent↗
PubMed2006

Evaluating two brief substance-use interventions for mandated college students.

OBJECTIVE: This study evaluated two brief personal feedback substance-use interventions for students mandated to the Rutgers University Alcohol and Other Drug Assistance Program for Students (ADAPS): (1) a brief motivational interview (BMI) intervention and (2) a written feedback-only (WF) intervention. A key question addressed by this study was whether there is a need for face-to-face feedback in the context of motivational interviewing to affect changes in substance-use behaviors or whether a written personal feedback profile is enough of an intervention to motivate students to change their substance use. METHOD: The sample consisted of 222 students who were mandated to ADAPS, were eligible for the study, and completed the 3-month follow-up assessment. Eligible students completed a baseline assessment from which a personal feedback profile was created. They were then randomly assigned to the BMI or WF condition. Students were followed 3 months later. RESULTS: Students in both interventions reduced their alcohol consumption, prevalence of cigarette and marijuana use, and problems related to alcohol and drug use between baseline and follow-up. There were no differences between the two intervention conditions in terms of any substance-use outcomes. CONCLUSIONS: The results suggest that, under these circumstances and with these students, assessment and WF students changed similarly to those who had an assessment and WF within the context of a BMI. Given the fact that the former is less costly in terms of time and personnel, written profiles may be found to be a cost-effective means of reducing alcohol and drug use and related problems among low- to moderate-risk mandated college students. More research is needed with mandated students to determine the efficacy of feedback interventions and to isolate the effects of interventions from the effects of being caught and being reprimanded to treatment.

Adolescent↗
PubMed2005

Young girls' expectancies about the effects of alcohol, future intentions and patterns of use.

OBJECTIVE: In recent years, rates of alcohol use among young female adolescents have been increasing. Despite such trends, little is known about the precursors of use and intentions to use alcohol among preadolescents. The current prospective study examines the prevalence and correlates of alcohol use, future intentions and alcohol-related expectancies among young girls from ages 8 to 10 years. METHOD: Alcohol use behaviors and attitudes were assessed annually over a 3-year period in a community sample of 1,161 preadolescent girls. The girls comprised the two oldest cohorts of the ongoing Pittsburgh Girls Study (N = 2,451). Data were collected via separate parent and child interviews conducted in the participants' homes. RESULTS: The prevalence of alcohol use without parental permission was less than 3% in any given year between ages 8 and 10. Most girls reported sipping only, and there was little continuity of use across assessments. Alcohol-related expectancies were predominantly negative during this period but decreased with age. Positive expectancies, however, increased, particularly among white girls. Early alcohol use was predicted by black race and peer use. Intentions to use alcohol were predicted by low levels of negative expectancies and peer use. CONCLUSIONS: This study adds to the knowledge of use of alcohol and the development of positive and negative alcohol-related expectancies in girls of elementary school age.

Alcohol Drinking↗
PubMed2004

Racial differences in trajectories of cigarette use.

This study examined racial differences in developmental trajectories of cigarette smoking from childhood into young adulthood. We used data from the Pittsburgh Youth Study, a prospective, longitudinal study of high-risk males. We developed trajectories of cigarette smoking from age 10 through age 25. Models were estimated separately for African-Americans (N = 562) and Whites (N = 421) because preliminary analyses indicated that there were significant racial differences in onset, levels and patterns of cigarette use. Three trajectory groups emerged for both races: nonsmokers, light/occasional smokers and heavy/regular smokers. Significantly more Whites were in the heavy/regular smoker group and more African-Americans were in the nonsmoker group. White compared to African-American heavy/regular smokers began smoking earlier and reached higher mean quantities of cigarettes per day. In addition, there were racial differences in the timing and rapidity of the development of regular smoking over time. Race remained a significant predictor of cigarette use even after controls for socioeconomic status. Overall, the results indicate that developmental trends in smoking differ by race and that cigarette smoking remains more prevalent and more frequent for White than African-American males, at least through young adulthood.

Adolescent↗
PubMed2003

Longitudinal effects of age at onset and first drinking situations on problem drinking.

The purpose of this study was to describe aspects of the first alcohol-use experience, and examine the predictive relations among age of first use, context of alcohol use initiation, and problem drinking with and without controls for psychosocial risk factors. Data were from the Rutgers Health and Human Development Project, a five-wave, prospective study of substance-use behaviors in a community sample. Respondents, who were first interviewed at age 12 (1979-81) and most recently at age 30 or 31 (1999-2000) (N=371), reported on their first drinking experience, and on a range of known risk factors for alcohol abuse. Most alcohol initiation occurred during a family gathering. Regardless of initiation context, youth who drank at an early age were more likely than youth who initiated later to become problem drinkers, although the risk was relatively greater for the youth who first drank outside a family gathering. Based on multivariate logistic regressions, feeling drunk at initiation was the only onset-related variable significantly associated with problem drinking; other significant risks factors included male gender, delinquency, and family history of alcoholism. Because most initiation occurs at a family gathering, alcoholism prevention research may benefit from examining the role that drinking in family contexts could play with regard to socializing young drinkers to less risky drinking behaviors in adulthood. In particular, further research focusing on the subjective effects experienced by youth when they first drink may be merited.

Adolescent↗
PubMed2003

Transformations of covariates for longitudinal data.

This paper develops a general approach for dealing with parametric transformations of covariates for longitudinal data, where the responses are modeled marginally and generalized estimating equations (GEEs) are used for estimation of regression parameters. We propose an iterative algorithm for obtaining regression and transformation parameters from estimating equations, utilizing existing software for GEE problems. The algorithmic technique is closely related to that used in the Box-Tidwell transformation in classical linear regression, but we develop it under the GEE setting and for more general transformation functions. We provide supporting theorems for consistency and asymptotic Normality of the estimates. Inference between two nested models is also considered. This methodology is applied to two data sets. One consists of pill dissolution data, the other is taken from the Pittsburgh Youth Study (PYS). The PYS is a prospective longitudinal study of the development of delinquency, substance use, and mental health in male youth. We use the model-based parametric approach to examine the association between alcohol use at an early stage of adolescent development and delinquency over the course of adolescence.

Adolescent↗
PubMed2002

Characteristics of girls with early onset disruptive and antisocial behaviour.

BACKGROUND: Crime, particularly among juvenile females, has increased in recent years. Little is known, however, about the development and precursors in childhood of female delinquent behaviour. This is primarily due to a lack of consensus on how to define and assess female antisocial behaviour, and a lack of studies using sufficiently large samples. METHOD: A community sample of 2451 girls between the ages of five and eight years were recruited into a longitudinal study following the enumeration of 103,238 households in the city of Pittsburgh. Data on disruptive and antisocial behaviours were collected from parents, teachers and children during the first wave of the study. RESULTS: Prevalence rates of disruptive disorders varied by choice of informants and measurement thresholds. The prevalence of most disruptive behaviours was similar across the four age cohorts. Where there were differences, parents of younger girls tended to report fewer problematic behaviours compared with parents of older girls. Teachers reported more disruptive behaviours than parents and, by their reports, older girls were more likely to show oppositional/defiant behaviour and relational aggression than younger girls. Girls scoring highly on several domains relative to their peers were over-represented in disadvantaged neighbourhoods. CONCLUSIONS: A range of disruptive disorders are present among a subgroup of females at an early age, particularly among girls in the most disadvantaged neighbourhoods. Longitudinal follow-up is required to examine the developmental trajectories and predictive utility of these behaviours. The implications for clinical interventions are discussed.

Adolescent↗