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A longitudinal study of pubertal timing and extreme body change behaviors among adolescent boys and girls.

Recent studies have examined the prevalence of disordered eating and other health risk behaviors among adolescent boys and girls. However, these studies generally have not examined predictors of these behaviors, and have not embedded the investigations within a theoretical framework. This study employed a longitudinal design to evaluate the validity of a biosocial model in explaining health risk behaviors related to extreme body change strategies (disordered eating, exercise dependence, use of food supplements, steroid use) among adolescents. The participants were 430 adolescent boys (mean age = 13.33 years) and 451 adolescent girls (mean age = 13.28 years) who completed measures of pubertal timing, perceived popularity with peers, body dissatisfaction, focus on sport, involvement in competitive sport, strategies to lose weight, strategies to increase muscle, disordered eating, use of food supplements and steroids, and exercise dependence. It was found that both early and late maturing girls were at greatest risk of engaging in health risk behaviors, whereas boys demonstrated more variability in the relationship between pubertal timing and extreme body change behaviors. The results of this study provide important insights into the role of pubertal development in the adoption of extreme body change behaviors among adolescents.

Adolescent↗

Mechanisms linking violence exposure to health risk behavior in adolescence: motivation to cope and sensation seeking.

OBJECTIVE: This study examined two potential mechanisms linking violence exposure and health risk behavior among adolescents in psychiatric care: sensation seeking and coping with stress through escape behavior. METHOD: Male (59%) and female adolescents (N = 251), ages 12 to 19 years, from diverse ethnic backgrounds (61% African American, 19% white, 12% Latino, 8% biracial or other ethnicity) completed a computer-administered survey assessing study variables from 1999-2004. Overall clinic consent rate was 41%. Age and gender were included in all analyses. RESULTS: Consistent with the literature on nonpsychiatric samples, violence exposure was associated with both increased substance use and sexual risk taking. Violence exposure was not associated with motivation to engage in risk behavior as a means of escape, although motivation to cope through escape was associated with a greater likelihood of substance use. Sensation seeking was related to substance use and sexual risk taking among all adolescents and with violence exposure primarily within male adolescents. CONCLUSIONS: Clinical interventions should promote adaptive coping strategies that emphasize maintaining healthy behavior, effective problem solving skills, and stress management techniques.

Adaptation, Psychological↗

The association of the school food environment with dietary behaviors of young adolescents.

OBJECTIVES: We examined the association between young adolescents' dietary behaviors and school vending machines, à la carte programs, and fried potatoes' being served at school lunch. METHODS: Using a cross-sectional study design, we measured à la carte availability and the number of school stores, vending machines, and amounts of fried potatoes served to students at school lunch in 16 schools. Grade 7 students (n = 598) completed 24-hour dietary recall interviews. RESULTS: A la carte availability was inversely associated with fruit and fruit/vegetable consumption and positively associated with total and saturated fat intake. Snack vending machines were negatively correlated with fruit consumption. Fried potatoes' being served at school lunch was positively associated with vegetable and fruit/vegetable intake. CONCLUSIONS: School-based programs that aim to promote healthy eating among youths should target school-level environmental factors.

Adolescent↗

Sexual behavior of adolescents with chronic disease and disability.

PURPOSE: This study aimed to assess sexual behaviors, sexual orientation, pregnancy, and abuse history among adolescents with and without chronic conditions. METHODS: Analyses were based on a statewide survey of 36,284 young people in the 7th through 12th grades for analytic purposes; subsets were defined using a specialized cohort design including adolescents with visible and nonvisible conditions plus controls. Principle outcome measures included self report of ever having sexual intercourse, age of sexual debut, reasons for not having intercourse, ever causing or having a pregnancy, ever having a sexually transmitted disease (STD), contraceptive use and reasons for their nonuse, history of sexual abuse, and sexual orientation. RESULTS: No differences were evident between adolescents with and without chronic conditions in the proportion ever having intercourse, age of sexual debut, pregnancy involvement, patterns of contraceptive use, or sexual orientation. No differences were evident among girls or boys with visible compared with invisible conditions. A significantly greater proportion of girls and boys with invisible conditions than controls reported a history of sexual abuse. More index boys than controls reported ever having an STD, whereas more girls with visible conditions than controls reported this. CONCLUSIONS: Adolescents with chronic conditions are at least as sexually involved as their peers, and significantly more likely to have been sexually abused. Visibility of chronic conditions does not appear to affect the sexual behaviors of adolescents. The need for comprehensive sexuality education in this population is high, and discussion of sexuality, contraception and abuse must be part of standard psychosocial assessment and anticipatory guidance for all teenagers, including those with chronic conditions.

Adolescent↗

Sexy media matter: exposure to sexual content in music, movies, television, and magazines predicts black and white adolescents' sexual behavior.

OBJECTIVE: To assess over time whether exposure to sexual content in 4 mass media (television, movies, music, and magazines) used by early adolescents predicts sexual behavior in middle adolescence. METHODS: An in-home longitudinal survey of 1017 black and white adolescents from 14 middle schools in central North Carolina was conducted. Each teen was interviewed at baseline when he or she was 12 to 14 years old and again 2 years later using a computer-assisted self interview (audio computer-assisted self-interview) to ensure confidentiality. A new measure of each teen's sexual media diet (SMD) was constructed by weighting the frequency of use of 4 media by the frequency of sexual content in each television show, movie, music album, and magazine the teen used regularly. RESULTS: White adolescents in the top quintile of sexual media diet when 12 to 14 years old were 2.2 times more likely to have had sexual intercourse when 14 to 16 years old than those who were in the lowest SMD quintile, even after a number of other relevant factors, including baseline sexual behavior, were introduced. The relationship was not statistically significant for black adolescents after controlling for other factors that were more predictive, including parental disapproval of teen sex and perceived permissive peer sexual norms. CONCLUSIONS: Exposure to sexual content in music, movies, television, and magazines accelerates white adolescents' sexual activity and increases their risk of engaging in early sexual intercourse. Black teens appear more influenced by perceptions of their parents' expectations and their friends' sexual behavior than by what they see and hear in the media.

Adolescent↗

Adolescent suicide: behaviors, risk factors, and psychiatric nursing interventions.

Current statistics show a marked increase in suicides among adolescents 15 to 19 years of age. The literature suggests an increase in the use of lethal methods such as firearms by young suicide attempters. Studies show that most adolescent suicide completers have never received mental health treatment, although the majority had exhibited psychiatric symptoms previous to their deaths. This review of the literature identifies the characteristics and precipitants of suicidal behavior among adolescents. The literature clearly indicates a need for suicide awareness and prevention programs and for the early identification of teenagers at risk for suicidal behaviors. The most logical location for suicide prevention programs and activities is in the schools where the greatest number of adolescents can be reached. The master's-prepared psychiatric mental health nurse in a consultive and collaborative role can be instrumental in the successful formation and execution of these programs. In a joint effort, school personnel and the psychiatric mental health nurse specialist may be able to decrease significantly the number of suicidal behaviors among adolescents.

Adolescent↗

Adolescent sexual behavior.

Human sexuality is a lifelong process with biologic, psychosocial, and moral consequences. During adolescence, coping with sexual feelings and controlling sexual drive become urgent tasks that are made more difficult by today's society. Recent studies document a dramatic increase in the frequency of sexual activity among teenagers as well as a decrease in the age at which sexual activity begins. The pregnancy rate has increased dramatically in this age-group because of the general lack of willpower and moral strength of young people; lack of adult role models; sexual exploitation of the young, particularly by mass media and industries; and aversion of teenagers to contraception. Births to teenagers have actually decreased slightly, however, because of the accessibility of abortion.

Abortion, Legal↗

Gambling behavior in adolescent substance abuse.

This study assessed the prevalence and correlates of gambling behavior (GB) in adolescent substance abusers (N = 97) consecutively admitted to an outpatient treatment program. Thirty-four percent of the cohort had never gambled; 57% were classified as social/nonpathological gamblers; 8% were labeled as in transition gamblers; and only 1% met criteria for pathological gambling. A significant finding was that males are more likely to gamble and to have a higher severity score than do females. A younger age of GB onset is seen for girls than boys and is correlated with a history of suicide attempts, diagnosis of depression, number of symptoms of oppositional behavior, cluster B personality disorders, and a higher need for psychiatric treatment. None of the gambling youths was ever referred for GB counseling. Increased awareness for and additional studies of adolescent gambling are required.

Adolescent↗

Risk taking behavior of adolescents in Indonesia (country report).

Adolescent problems in Indonesia are becoming more and more relevant due to the increasing reports recently. Although data gathered are very limited a certain consideration should be well planned to get all resources in terms of motivation in paying more attention to the future of Indonesia youth problems such as narcotics/drug abuse, sexual activities including sexual transmitted diseases etc. A good communication with the other Asian countries in controlling those risk taking behaviors in adolescent will be very promising to gain the improvement of people's life quality by the year 2,000.

Accidents, Traffic↗

The effects of race/ethnicity, income, and family structure on adolescent risk behaviors.

OBJECTIVES: The study examined the unique and combined contributions of race/ethnicity, income, and family structure to adolescent cigarette smoking, alcohol use, involvement with violence, suicidal thoughts or attempts, and sexual intercourse. METHODS: Analyses were based on the National Longitudinal Study of Adolescent Health. A nationally representative sample of 7th to 12th graders participated in in-home interviews, as did a resident parent for 85.6% of the adolescent subjects. The final sample included 10,803 White, Black, and Hispanic 7th to 12th graders. RESULTS: White adolescents were more likely to smoke cigarettes, drink alcohol, and attempt suicide in the younger years than were Black and Hispanic youths. Black youths were more likely to have had sexual intercourse; both Black and Hispanic youths were more likely than White teens to engage in violence. Controlling for gender, race/ethnicity, income, and family structure together explained no more than 10% of the variance in each of the 5 risk behaviors among younger adolescents and no more than 7% among older youths. CONCLUSIONS: Findings suggest that when taken together, race/ethnicity, income, and family structure provide only limited understanding of adolescent risk behaviors.

Adolescent↗

Psychosocial correlates of health compromising behaviors among adolescents.

The objective of the present study was to examine psychosocial correlates of diverse health-compromising behaviors among adolescents of different ages. The study population included 123,132 adolescents in sixth, ninth and 12th grades. Psychosocial correlates of substance abuse, delinquency, suicide risk, sexual activity and unhealthy weight loss behaviors were examined. Risk-taking disposition was significantly associated with nearly every behavior across age and gender groups. Other consistent correlates included sexual abuse and family connectedness. Correlates of health-compromising behaviors tended to be consistent across age groups. However, stronger associations were noted between sexual abuse and substance use for younger adolescents, and risk-taking disposition and school achievement were stronger correlates for older youth. The results suggest the presence of both common and unique etiological factors for different health-compromising behaviors among youth. The results emphasize the importance of focusing on positive 'risk-taking' experiences for youth in prevention programs; being sensitive to possible sexual abuse experiences among both female and male adolescents in health-care consultations; integrating strategies for improved family connectedness into health promotion efforts; and making school relevant for all adolescents.

Adolescent↗

Self-schemas and possible selves as predictors and outcomes of risky behaviors in adolescents.

BACKGROUND: Although there is extensive evidence that the self-concept changes in many important ways during the adolescent years and that these changes influence behavioral choices, the majority of studies completed to date have been based on a static model in which the self-concept is viewed solely as an antecedent of the risky behaviors. OBJECTIVES: To investigate the pattern of relationships between three components of the self-concept--the popular, the conventional, and the deviant selves--and risky behaviors in a sample of middle adolescents during their transition from junior high to high school. METHODS: A sample of 160 adolescents completed questionnaires measuring the content of their self-schemas and possible selves and involvement in four risky behaviors (tobacco and alcohol use, sexual intercourse, poor school performance) during the winter of eighth and ninth grades. RESULTS: Popular self-schema score in the eighth grade positively predicted ninth grade risky behaviors. Risky behavior involvement in the eighth grade predicted ninth-grade deviant self-schema and possible self-scores. CONCLUSIONS: These findings suggest that the self-concept may not only play a role in the early stages of engagement in the risky behaviors but may also be one means through which the behaviors become structuralized into potentially enduring aspects of the self.

Adolescent↗

"Out of control" behavior in adolescents.

The physician should approach a problem of "out of control" behavior in an adolescent as a family issue rather than an individual issue, for not only the behavior itself bu the parental response to the behavior are key factors in understanding and coping with it. Areas of commonly encountered misbehavior are explored.

Adolescent↗

Psychosocial correlates of suicide attempts among junior and senior high school youth.

Three groups of junior and senior high schools students (total N = 1050) recruited in rural counties of a mid-Atlantic state--those who had made a prior suicide attempt, those reporting high levels of depressed mood or suicidal ideation, and those who were not depressed or suicidal--were compared with regard to their reports of a number of potential risk factors for suicidal behavior. Adolescents with a history of a suicide attempt reported more frequent stresses related to parents, lack of adult supports outside of the home, police, and sexuality (i.e., concerns about pregnancy, pressure to have sex, getting sexually transmitted diseases), compared with both depressed/suicide ideators and nondepressed adolescents. Suicide attempters were also more likely than the other adolescents to report that they were physically hurt by a parent, that they ran away from home, that they lived apart from both parents, and that they knew someone who had completed suicide. Results are discussed in the context of prior studies of adolescent suicidal behavior in community and clinical samples.

Adolescent↗