Associations Between Sugar-Sweetened Beverage Consumption and Fast-Food Restaurant Frequency Among Adolescents and Their Friends

ObjectiveTo assess associations between adolescents and their friends with regard to sugar-sweetened beverage (SSB)/diet soda intake and fast-food (FF) restaurant visits.DesignPopulation-based, cross-sectional survey study with direct measures from friends.SettingTwenty Minneapolis/St Paul schools during 2009–2010.ParticipantsAdolescents (n = 2,043; mean age, 14.2 ± 1.9 years; 46.2% female; 80% non-white).Main Outcome MeasuresAdolescent SSB/diet soda intake and FF visits.AnalysisGeneralized estimating equation logistic models were used to examine associations between adolescents' SSB/diet soda intake and FF visits and similar behaviors in nominated friends (friend groups and best friends). School-level (middle vs high school) interactions were assessed.ResultsSignificant associations were found between adolescents and friends behaviors for each of the beverages assessed (P < .05), but they varied by friendship type and school level. Five of 6 models of FF visits (including all FF visits) were significantly associated (P < .05) among adolescents and their friends. Significant interactions by school level were present among adolescents' and friends' FF visits, with associations generally for high school participants compared with middle school participants (P < .05).Conclusions and ImplicationsFindings suggest that for many beverages and FF restaurant types, friends' behaviors are associated, especially FF visits for older adolescents. Nutrition education efforts may benefit by integrating knowledge of the impact of adolescents' friends on FF visits.     

Peer Influences: The Impact of Online and Offline Friendship Networks on Adolescent Smoking and Alcohol Use

PurposeOnline social networking sites (SNSs) have become a popular mode of communication among adolescents. However, little is known about the effects of social online activity on health behaviors. The authors examined the use of SNSs among friends and the degree to which SNS activities relate to face-to-face peer influences and adolescent risk behaviors.MethodsLongitudinal egocentric friendship network data along with adolescent social media use and risk behaviors were collected from 1,563 10th-grade students across five Southern California high schools. Measures of online and offline peer influences were computed and assessed using fixed-effects models.ResultsThe frequency of adolescent SNS use and the number of their closest friends on the same SNSs were not significantly associated with risk behaviors. However, exposure to friends' online pictures of partying or drinking was significantly associated with both smoking (β = .11, p < .001) and alcohol use (β = .06, p < .05). Whereas adolescents with drinking friends had higher risk levels for drinking, adolescents without drinking friends were more likely to be affected by higher exposure to risky online pictures (β = −.10, p < .05). Myspace and Facebook had demographically distinct user characteristics and differential effects on risk behaviors.ConclusionsExposure to risky online content had a direct impact on adolescents' risk behaviors and significantly interacted with risk behaviors of their friends. These results provide evidence that friends' online behaviors should be considered a viable source of peer influence and that increased efforts should focus on educating adolescents on the negative effects of risky online displays.     

Associations between friends' disordered eating and muscle-enhancing behaviors

Dieting, unhealthy weight control and muscle-enhancing behaviors are common among adolescents: friends are a probable source of influence on these behaviors. The present study uses data provided by nominated friends to examine associations between friends' disordered eating and muscle-enhancing behaviors and participants' own behaviors in a diverse sample of American youth. Male and female adolescents (mean age = 14.4) completed surveys and identified their friends from a class roster; friends' survey data were then linked to each participant. Participants (N = 2126) who had at least one nominated friend were included in the analytic sample. Independent variables were created using the same weight control and muscle-enhancing behaviors reported by nominated friends, and were used in logistic regression models to test associations between participants' and their friends' behaviors, stratified by gender. Results indicated that dieting, disordered eating and muscle-enhancing behaviors were common in this sample, and selected friends' behaviors were associated with the same behaviors in participants. For example, girls whose friends reported extreme weight control behaviors had significantly greater odds of using these behaviors than girls whose friends did not report these same behaviors (OR = 2.39). This research suggests that friends' weight- and shape-related behaviors are a feature of social relationships, and is the first report demonstrating these associations for muscle-enhancing behaviors. Capitalizing on the social element may be important to the development of increasingly effective intervention and prevention programs.     

My peers, my friend, and I: peer interactions and somatic complaints in boys and girls

In this article we present two studies about the relations between peer relationships and somatic complaints in children in Den Bosch, the Netherlands. In the first study (n=711), when the children were average 10 years old, we focused on social status as rated by classmates (popular, neglected, controversial, rejected, and average), self-reported social anxiety and somatic complaints. The second study (n=688) conducted 1.5 years later on the same sample, focused on possible positive influences of best friends on somatic complaints. We analyzed how reciprocity of the friendship, self-reported disclosure with the nominated best friend and self-reported emotion communication skill were related to children's somatic complaints. The results indicate an influence of peer interactions on somatic complaints. Social anxiety was associated with more somatic complaints, but peer status was unrelated to somatic complaints. Further, for girls with a reciprocated best friend, emotion communication skill was related to fewer somatic complaints. For boys emotion communication skill was negatively associated with somatic complaints when their friendship was unreciprocated, whereas disclosure with the nominated peer was related to the experience of more complaints in this case. The results indicate different associations of the sharing of emotions among boys and girls with regard to somatic complaints. It should be noted that self-reports on relationships and health may overlap more than classmates' reports of peer status because of shared method variance.     

Changing Friend Selection in Middle School: A Social Network Analysis of a Randomized Intervention Study Designed to Prevent Adolescent Problem Behavior

Adolescent friendships that promote problem behavior are often chosen in middle school. The current study examines the unintended impact of a randomized school-based intervention on the selection of friends in middle school, as well as on observations of deviant talk with friends 5 years later. Participants included 998 middle school students (526 boys and 472 girls) recruited at the onset of middle school (age 11–12 years) from three public middle schools participating in the Family Check-up model intervention. The current study focuses only on the effects of the SHAPe curriculum—one level of the Family Check-up model—on friendship choices. Participants nominated friends and completed measures of deviant peer affiliation. Approximately half of the sample (n?=?500) was randomly assigned to the intervention, and the other half (n?=?498) comprised the control group within each school. The results indicate that the SHAPe curriculum affected friend selection within school 1 but not within schools 2 or 3. The effects of friend selection in school 1 translated into reductions in observed deviancy training 5 years later (age 16–17 years). By coupling longitudinal social network analysis with a randomized intervention study, the current findings provide initial evidence that a randomized public middle school intervention can disrupt the formation of deviant peer groups and diminish levels of adolescent deviance 5 years later.     

Social integration in friendship networks: the synergy of network structure and peer influence in relation to cigarette smoking among high risk adolescents

Using data from a study of high risk adolescents in Southern California, U.S.A. (N=851), this study examined synergy between social network measures of social integration and peer influence in relation to past month cigarette smoking. Using Hierarchical Linear Modeling, results indicated that being central in networks was significantly and positively related to past month cigarette smoking, across all study models. In addition, there is modest evidence that the number of reciprocated friendship ties was positively related to past month cigarette smoking. There is also some modest evidence that the relationship between having reciprocated friendships and past month cigarette smoking was moderated by a network peer influence process, smoking with those in youths' best friend networks. Findings indicate that being integrated within a social network context of peer influences favoring drug use relates to more smoking among these high risk youth.     

Temperament and the Quality of Best Friendships: Effect of Same‐Sex Sibling Relationships*

The authors examined whether early adolescents' sibling relationships ameliorate the effects of a difficult temperament on best friendships, exploring whether qualities of early adolescents' sibling relationships would moderate the link between temperamental difficulties and best friendship quality. Data were collected at two points. At first collection, parents provided temperament ratings for 73 later‐born siblings (M= 7 years ). Five years later, adolescents provided information about support and discord present in their best friendships and older siblings provided information about the warmth and conflict in their same‐sex sibling dyads. The hypothesized moderating effect of the sibling relationship was found only for early adolescent girls. Support and discord in girls' best friendships was negatively and positively predicted, respectively, by level of temperamental difficulty only when relationships with their older sisters were lower in warmth or higher in conflict. Implications for understanding and improving early adolescents' closest friendships are discussed.     

Temporal Associations of Popularity and Alcohol Use Among Middle School Students

PurposeThe goal of this study is to better understand the longitudinal cross-lagged associations between popularity, assessed through self-rating and peer nominations, and alcohol use among middle school students.MethodsThe analytical sample comprises 1,835 sixth- to eighth-grade students who were initially recruited from three California middle schools and surveyed in the fall and spring semesters of 2 academic years. Students reported on their background characteristics, past-month alcohol use, and perceived popularity. Additionally, students provided school-based friendship nominations, which were used to calculate peer-nominated popularity. A cross-lagged regression approach within a structural equation modeling framework was used to examine the longitudinal relationship between popularity (self-rated and peer-nominated) and alcohol use.ResultsThere was a statistically significant (p = .024) association between peer-nominated popularity and the probability of alcohol consumption at the subsequent survey, but not vice versa. Our results suggest that in a scenario where 8% of students are past-month drinkers, each increase of five friendship nominations is associated with a 30% greater risk of being a current drinker at the next wave. We found no evidence of longitudinal associations between past-month alcohol consumption and self-rated popularity.ConclusionsPopularity is a risk factor for drinking during the middle school years, with peer-nominated popularity being more predictive of use than self-perceptions of popularity. To inform alcohol prevention efforts for middle school students, additional research is needed to better understand why adolescents with a larger number of school-based friendship ties are more inclined to drink.     

Physical Activity in Adolescents: Examining Influence of the Best Friend Dyad

PurposeThe aim of this study was to determine the influence of dyadic friendship relationships on adolescent physical activity (PA) behavior. Unique to this study was examination of the “best friend” dyad.MethodsParticipants were 268 adolescents (13–18 years of age) of both sexes (boys n = 140, girls n = 128), constituting 134 best friendship dyads; 84 were reciprocal best friends and 50 were not. PA was evaluated with the short version of the International Physical Activity Questionnaire. The Actor-Partner Interdependence Model was tested using a hierarchical linear model. First, a null model was run to calculate intraclass correlation coefficient for each type of PA. Next, sex, age, and reciprocity in friendship were included in the model as PA predictors.ResultsThe null models revealed significant intraclass correlation coefficient values for vigorous PA (VPA) (.32) moderate PA (MPA) (.31), and sitting behavior (.21), but not for walking. Age was the only predictor for VPA, whereas for MPA the predictors were sex and age of the partner. Reciprocity in friendship (best friend) was not a significant predictor for PA.ConclusionsThese results indicate a high degree of similarity between best friend dyad in PA, except for walking. The age and sex of the best friend (partner) were important predictors of MPA. The reciprocity in friendship (being reciprocal best friends) was not a relevant variable.     

Estimating the effects of friends on health behaviors of adolescents

This paper estimates the effects of friends' smoking and drinking on own behavior while controlling for correlated unobservables between friends. The effect of friends' behaviors is identified by comparing similar individuals who have similar friendship opportunities and make similar friendship choices, exploiting the idea that friendship choice reveals information about unobservables. We combine this identification strategy with an across‐cohort within school design so that identification arises in our reduced form estimates from across‐grade differences in the clustering of health behaviors. Finally, we use estimated information on correlated unobservables to examine longitudinal data on the onset of health behaviors, where the likelihood of reverse causality should be minimal. We find evidence that this strategy produces somewhat smaller (no more than 16% smaller) friendship effect estimates than the more standard school fixed effect models consistent with at most modest bias from correlated unobservables.     

Attitude Ambivalence,Friend Norms,and Adolescent Drug Use

This study assessed the moderating effects of attitudinal ambivalence on adolescent marijuana use in the context of the theory of planned behavior (TPB). With data from the National Survey of Parents and Youth (N?=?1,604), two hierarchical multiple regression models were developed to examine the association of ambivalent attitudes, intentions, and later marijuana use. The first model explored the moderating effect of ambivalence on intentions to use marijuana; the second tested the moderation of ambivalence on actual marijuana use 1 year later. Results across both analyses suggest that ambivalence moderated the association of friend norms and subsequent adolescent marijuana use: friend norms were better predictors of marijuana intentions (β?=?0.151, t?=?2.29, p?=?0.02) and subsequent use when adolescents were attitudinally ambivalent about marijuana use (β?=?0.071, t?=?2.76, p?=?0.006). These results suggest that preventive programs that affect the certainty with which adolescents holds pro- or antimarijuana attitudes may influence the likelihood of their resistance to, initiation, or continuance of marijuana use.     

The Changing Role of Self-Efficacy in Adolescent Smoking Initiation

BackgroundRefusal self-efficacy is assumed to be linked to adolescent smoking. The aim of the present study was to examine the changing role of self-efficacy in adolescent smoking over time while controlling for parental, sibling, and friends' smoking.MethodsThis study used data from five annual waves of the “Family and Health” project. A total of 428 adolescents (mean age = 13.3 years; standard deviation = .48) and their parents participated at baseline. Only never smokers at baseline (n = 272) were included to measure smoking initiation. First, the effects of baseline self-efficacy, parental, sibling, and friends' smoking on adolescent smoking initiation at measurement five were examined. Second, with latent growth curves analyses, individual growth curve parameters of adolescent smoking, self-efficacy, parental, sibling, and friends' smoking were calculated. Subsequently, these growth parameters were used to predict growth of adolescent smoking.ResultsFindings showed that baseline self-efficacy, parental and friends' smoking did not predict adolescent smoking at wave five, but baseline sibling smoking did. However, growth curve parameters showed that a decrease in self-efficacy, an increase in proportion of smoking friends, and an increase in sibling smoking over time were related to an increase in adolescent smoking. Initial levels of sibling and friends' smoking moderated the link between self-efficacy and adolescent smoking over time.ConclusionA decrease in self-efficacy over time, rather than baseline self-efficacy, is associated with smoking initiation in adolescence. Findings emphasize the need for more fine-grained analyses when looking at self-efficacy or other individual characteristics that might fluctuate over time.     

Friendship,sexual intimacy and young people’s negotiations of sexual health

Abstract

This paper examines how young people’s friendships influence safer sexual practices. Through a thematic discourse analysis, interviews with Sydney-based young people (aged 18–25 years) and Australian-based sexual health websites for young people are considered. Interview data illustrate how friendships can support young people's sexual experiences, concerns and safeties beyond the practice of ‘safe sex’ (condom use). This is evident in friends’ practices of sex and relationship advice, open dialogue, trust and sharing experiential knowledge, as well as friend-based sex. Meanwhile, friendship discourse from selected Australian sexual health websites fails to engage with the support offered by friendship, or its value to a sexual health agenda. Foucault’s account of friendship as a space of self-invention is considered in light of these data, along with his argument that friendship poses a threat to formal systems of knowing and regulating sex. Whether sexual or not, many close friendships are sexually intimate given the knowledge, support and influence these offer to one’s sexual practices and relations. This paper argues that greater attention to friendship among sexual health promoters and researchers would improve professional engagements with young people’s contemporary sexual cultures, and better inform their attempts to engage young people through social media.     

The influence of electronic cigarette age purchasing restrictions on adolescent tobacco and marijuana use

ObjectiveIn the United States, many states have established minimum legal purchase ages for electronic nicotine delivery systems (ENDS) to ban adolescent purchases, but these policies may also affect other related substance use. We explore whether ENDS are substitutes or complements for cigarettes, cigars, smokeless tobacco, and marijuana among adolescents by using variation in state-level implementation of ENDS age purchasing restrictions.MethodsWe linked data on ENDS age purchasing restrictions to state- and year-specific rates of adolescent tobacco and marijuana use in 2007–2013 from the Youth Risk Behavior Surveillance System. This data provides a nationally representative sample of adolescents who attend public and private schools. We performed a fixed effect regression analysis exploring the influence of ENDS age purchasing restrictions on outcomes of tobacco use and marijuana use, controlling for state and year fixed characteristics, age-race cohorts, cigarette excise taxes, and cigarette indoor use restrictions.ResultsFor cigarette use, we separate our results into cigarette use frequency. We found causal evidence that ENDS age purchasing restrictions increased adolescent regular cigarette use by 0.8 percentage points. ENDS age purchasing restrictions were not associated with cigar use, smokeless tobacco use, or marijuana use.ConclusionsWe document a concerning trend of cigarette smoking among adolescents increasing when ENDS become more difficult to purchase.     

Peer Smoking, Other Peer Attributes, and Adolescent Cigarette Smoking: A Social Network Analysis

Peer attributes other than smoking have received little attention in the research on adolescent smoking, even though the developmental literature suggests the importance of multiple dimensions of adolescent friendships and peer relations. Social network analysis was used to measure the structure of peer relations (i.e., indicators of having friends, friendship quality, and status among peers) and peer smoking (i.e., friend and school smoking). We used three-level hierarchical growth models to examine the contribution of each time-varying peer variable to individual trajectories of smoking from age 11 to 17 while controlling for the other variables, and we tested interactions between the peer structure and peer smoking variables. Data were collected over five waves of assessment from a longitudinal sample of 6,579 students in three school districts. Findings suggest a greater complexity in the peer context of smoking than previously recognized.     

Homophily and Contagion as Explanations for Weight Similarities Among Adolescent Friends

Purpose

To determine whether weight-based similarities among adolescent friends result from social influence processes, after controlling for the role of weight on friendship selection and other confounding influences.

Methods

Four waves of data were collected from a grade 8 cohort of adolescents (N = 156, mean age = 13.6 years) over their initial 2 years of high school. At each wave, participants reported on their friendship relations with grade-mates and had their height and weight measured by researchers to calculate their body mass index (BMI). Newly developed stochastic actor-oriented models for social networks were used to simultaneously assess the role of weight on adolescents' friendship choices, and the effect of friends' BMIs on changes in adolescent BMI.

Results

Adolescents' BMIs were not significantly predicted by the BMI of their friends over the 16 months of this study. Similarities in the weights of friends were found to be driven predominantly by friendship selection, whereby adolescents, particularly those who were not overweight, preferred to initiate friendships with peers whose weight status (overweight/nonoverweight) was the same as their own.

Conclusions

Weight-based similarities among friends were largely explained by the marginalization of overweight adolescents by their peers, rather than by the “contagion” of excess weight among friends. These findings highlight the importance of adequately modeling friendship selection processes when estimating social influence effects on adiposity.     

Relationship between Adolescents' and Their Friends' Eating Behaviors: Breakfast,Fruit, Vegetable,Whole-Grain,and Dairy Intake

We examined associations between adolescents' and their friends' healthy eating behaviors, specifically breakfast, fruit, vegetable, whole-grain, and dairy food intake as reported by both adolescents and their friends. Data for this study were drawn from EAT-2010 (Eating and Activity among Teens), a population-based study examining multilevel factors of eating, physical activity, and weight-related outcomes among adolescents (80% racial/ethnic minority) in Minneapolis/St Paul, MN, during the 2009-2010 academic year. In-class surveys were completed by 2,043 adolescents in 20 schools. Adolescents identified friends from a class roster; friends' survey data were then linked to each participant. Generalized estimating equation linear regression models were used to examine associations between adolescents' healthy eating behaviors and these behaviors from their friends (friend group and best friends), adjusting for sociodemographic characteristics. Significant positive associations were found for breakfast eating between adolescents and their friend groups and best friends (friend groups β=.26, P<0.001; best friends β=.19, P=0.004), as well was for whole-grain intake (friend groups β=.14, P<0.001; best friends β=.13, P=0.003) and dairy food intake (friend groups β=.08, P=0.014; best friends β=.09, P=0.002). Adolescents' and their best friends' vegetable intake were also significantly related (β=.09, P=0.038). No associations were seen among friends for fruit intake. Findings from our study suggest that adolescent friends exhibit similarities in healthy eating patterns. Registered dietitians and health professionals may consider developing strategies to engage friends to promote adolescents' healthy dietary behaviors.     

Peers, schools, and adolescent cigarette smoking.

PURPOSE: To investigate the effects of popularity, best friend smoking, and cigarette smoking within the peer networks on current smoking of seventh- through 12th-grade students. These factors were examined for adolescents attending schools with varying rates of student cigarette smoking. METHODS: This study used data from the saturated school sample of National Longitudinal Study of Adolescent Health (Add Health), a nationally representative school-based sample. The sample for the present study was 2525 adolescents in Grades 7-12 who completed an in-school questionnaire and an in-home interview. Information from the in-school questionnaire was used to construct measures of school smoking prevalence and popularity. Using peer nominations from the in-home interview, best friend smoking, and peer network smoking exposure were constructed using the peers' own reports of their cigarette smoking. Multiple regression techniques were used to estimate the risk of current cigarette smoking as a function of popularity, best friend smoking, peer network smoking, and school smoking prevalence, and all first-order interactions between measures of peer and school smoking prevalence. RESULTS: Adjusting for age, gender, race/ethnicity, parent education, school, and availability of cigarettes in the home, the risk of current smoking was significantly associated with peer networks in which at least half of the members smoked [odds ratio (OR) = 1.91], one or two best friends smoked (OR = 2.00), and with increasing rates of school smoking prevalence (OR = 1.73). In addition, there was a significant interaction of popularity and school smoking prevalence such that risk of current smoking was somewhat greater among popular students in schools with high smoking prevalence than among popular students in schools with low smoking prevalence. CONCLUSION: Findings suggest that school environments are important contexts for understanding peer group influences on adolescent cigarette smoking.     

A Comparison of Peer Influence Measures as Predictors of Smoking Among Predominately Hispanic/Latino High School Adolescents

PurposeConsistent evidence has shown that one of the most significant influences on adolescent smoking is peer influence. There is considerable variation, however, in how peer influence is measured. This study constructs social network influence and selection variables from egocentric and sociometric data to compare their associations with smoking, with considerations of perceived smoking norms and adolescent popularity.MethodsLongitudinal data were collected in the 9th and 10th grades in October 2006 and 2007 from predominantly Hispanic/Latino adolescents in seven Southern California schools; among these adolescents, 1,950 completed surveys at both waves. Both cross-sectional (separately for 9th and 10th graders) and longitudinal models were estimated.ResultsAn egocentric measure of perceived friend smoking was strongly and consistently associated with individual smoking (adjusted odds ratio [AOR] ≈ 1.80, p < .001), whereas its sociometric counterpart of friend self-report smoking was only associated with smoking in the 9th-grade cross-sectional models (e.g., AOR = 1.56, p < .001) and rarely in longitudinal models. Popularity, measured by proportion of nominations received by class size, was associated with smoking and becoming a smoker (AOR = 1.67, p < .001), whereas perceived norms were not, in longitudinal models. Friend selection was also associated with becoming a smoker (AOR = 1.32, p = .05).ConclusionsThis study illustrates the utility of egocentric data for understanding peer influence and underscores the importance of perceptions and popularity as mechanisms that influence adolescent smoking.