Social Networking Technology Use and Engagement in HIV-Related Risk and Protective Behaviors Among Homeless Youth

Preliminary studies with homeless youth have found surprisingly pervasive social media use and suggest that youth’s online interactions may be associated with their HIV-related risk and protective behaviors. As homeless youth are transient and difficult to engage in place-based services, social media may represent a novel venue for intervention. A critical 1st step in intervention development is gaining greater understanding of how homeless youth use social media, especially as it relates to who they connect to and around what topics. Given the salience of social networking sites in the lives of these otherwise difficult-to-reach adolescents, and their potential to disseminate prevention interventions, this study assessed associations between online social networking technology use and HIV risk behaviors among homeless youth in Los Angeles, California. Homeless youth ages 13 through 24 (N = 1,046) were recruited through 3 drop-in centers and surveyed about their social media use and self-reported HIV-related risk behaviors. Results suggest that social media use is widely prevalent among this population, and the content of these online interactions is associated with whether youth engage in risk or protective behaviors. Implications for interventions and further research are discussed.     

Health Risk Behaviors among HIV-Infected Youth in Bangkok,Thailand

PurposeTo describe health risk behaviors, including sexual risk, alcohol/substance use, and medication adherence in HIV-infected youth in Bangkok. Despite the high burden of HIV in developing countries compared with developed countries, considerably more information is available in the latter compared with the former regarding adolescent health risk behaviors. Currently there is no information on health risk behaviors among HIV-infected youth in Thailand.MethodsHIV-infected Thai youth 16–25 years of age were enrolled. Participants were seen at a baseline visit and a 3-month visit to assess health risk behaviors. The interviews were completed at both visits.ResultsThere were 29 men and 41 women. Twenty-eight participants (40%) were on antiretroviral therapy at baseline visit. Mean adherence was 94.3–98.2% over the past month and 90.9–96.3% over the past 3 months, though up to one-third reported less than 95% adherence. The proportion of youth with consistent condom use in the previous 30 days at baseline (55.6%) was comparable to the proportion at 3-month visit (58.3%) (p = 1.0). Men were more likely to have a partner with unknown human immunodeficiency virus (HIV) status and were less likely to disclose HIV status to their partners. Forty-nine youth (70.0%) had used alcohol in the past 12 months; nine (12.9%) had used more than 20 times. Approximately 1/4 had used alcohol in the previous 30 days at baseline and at 3-month visit. Substance use besides cigarettes was uncommon.ConclusionLevels of treatment adherence were high among Thai youth receiving antiretroviral therapy. Alcohol use was prevalent, though other drug use was not. Sexual acts without a condom in both genders and nondisclosure among males were concerning. Interventions focusing on sexual risk reduction for HIV-infected youth are needed and must be scaled up in Thailand.     

The Clustering of Risk Behaviors Among Caribbean Youth

Objective: To examine the relationships among risk behaviors for Caribbean youth; and to determine the correlations between initiation of sexual activity and other risk behaviors. Methods: The associations between cigarette smoking, alcohol and marijuana use, early initiation of sexual intercourse, involvement in violence and delinquency were examined using odds ratios on data from the Caribbean Youth Health Survey (n = 15,695). Survival analysis was then used to determine the association between initiation of sexual activity and the risk behaviors. Findings: There were statistically significant relationships between all pairs of risk behaviors for both male and female adolescents. Even though more males than females had engaged in each of the behaviors, the strengths of association were higher for females. From survival analysis, initiation of sexual activity was associated with gang involvement and weapon carrying among young adolescents and even more risk behaviors among the older adolescents. Conclusion: Health compromising behaviors cluster among Caribbean youth with associations being stronger for females. Initiating sexual activity was a predictor of other risk behaviors with the likelihood increasing among older adolescents and females.     

Sensation Seeking,Risk Behaviors,and Alcohol Consumption Among Mexican Origin Youth

PurposeTo examine factors associated with ever use of alcohol among Mexican origin youth.MethodsUsing a prospective study design, we followed 1,053 Mexican origin adolescents. Participants completed two surveys in their homes and three follow-up telephone interviews, every 6–8 months, in between. The second home survey was completed 30 months (SD = 4.8 months) after baseline. Acculturation, subjective social status, and family cohesion were assessed at baseline and final home visit. Ever drinking, risk behaviors, and sensation-seeking tendencies were assessed at the final home visit only.ResultsOverall, 30% of the study participants reported ever drinking alcohol. Multivariate models revealed that being female, increasing age, lower levels of acculturation, family cohesion and subjective social status, higher sensation-seeking tendencies, and concomitantly engaging in three or four other risk behaviors were associated with ever drinking. Also, social disinhibition, an aspect of sensation seeking, mediated the relationship between engaging in other risk behaviors and alcohol use. This is consistent with previous research, suggesting that social disinhibition is a common factor that underlies the use of alcohol, tobacco, illicit drugs, and other problem behaviors.ConclusionsThe results of this study support taking a family-based approach to prevention that includes discussion of other risk behaviors, especially smoking, among Mexican origin youth. In addition, tailoring programs by gender, directly addressing how changes in social norms resulting from acculturation can affect a youth's decision to drink alcohol and underlying gender-based differences in why youth drink could improve the efficacy of preventive interventions.     

Social Support,Mastery, Self-Esteem and Individual Adjustment among At-Risk Youth

The study explored the relationship between internal resources (self-esteem, sense of mastery), external resources (social support) and the adjustment of 112 adolescents living in a typical Israeli residential treatment center. All had been exposed to abuse and neglect in their familial homes. Although none of the resources was related significantly to all of the adjustment measures, various resources were related to individual adjustment measures in different ways. Peer support did not relate significantly to any of the adjustment measures. Self-esteem was related to the academic adjustment of adolescents, and a sense of mastery was related to social and personal adjustment. As for external resources, family support was related to both academic and personal adjustment. In the regression analysis the contribution of family support to academic adjustment was indirect and only in interaction with the distance between the residential treatment center and the family’s home.     

Influence of Permissive Parenting on Youth Farm Risk Behaviors

Farm youth continue to experience high rates of injuries and premature deaths as a result of agricultural activities. Increased parental permissiveness is positively associated with many different types of high-risk behaviors in youth. This study explored whether permissive parenting (fathering and mothering) predicts youth unsafe behaviors on the farm. Data were analyzed for 67 youth and their parents. Families were recruited from a statewide farm publication, through youth organizations (i.e., FFA [Future Farmers of America]), local newspapers, farmer referrals, and through the Cooperative Extension Network. Hierarchical multiple regression was completed. Results revealed that fathers and mothers who practiced lax-inconsistent disciplining were more likely to have youth who indulged in unsafe farm behaviors. Key hypotheses confirmed that permissive parenting (lax-inconsistent disciplining) by parents continued to predict youth unsafe farm behaviors, even after youth age, youth gender, youth personality factor of risk-taking, and father’s unsafe behaviors (a measure associated with modeling) were all taken into account. A key implication is that parents may play an important role in influencing youth farm safety behaviors. Parents (especially fathers) need to devote time to discuss farm safety with their youth. Farm safety interventions need to involve parents as well as address and respect the culture and values of families. Interventions need to focus not only on safe farm practices, but also promote positive parenting practices, including increased parent-youth communication about safety, consistent disciplining strategies, and increased monitoring and modeling of safe farm behaviors by parents.     

青少年自杀风险的社会心理因素研究现状

近年来,青少年的自杀率持续上升,并且表现出明显的低龄化趋势,青少年自杀已成为一个世界性的公共卫生问题.从社会心理的角度对青少年自杀现象进行了回顾和总结,为预防控制青少年自杀提供参考依据.     

The Associations Among Sibling and Peer-Bullying,Social Support and Internalizing Behaviors

Background

Peer bullying is associated with internalizing problems for children and adolescents. However, less is known about how these same behaviors are related to student well-being when they occur within the context of the sibling relationship and how supportive behavior may benefit those experiencing bullying.

Objective

The purpose of this study was to examine the unique associations among peer and sibling bullying and internalizing problems, and the role of peer and sibling social support in relation to social-emotional outcomes.

Methods

Data on students’ experiences of peer and sibling bullying, perceptions of social support and internalizing symptoms were collected from a sample of 372 elementary school students using the Revised Olweus Bully/Victim Questionnaire (OBVQ; Olweus 1996), a modified version of the OBVQ created to assess bullying by siblings, the Child and Adolescent Social Support Scale (CASSS; Malecki et al. 2000), and three subscales from the Behavior Assessment System for Children, Second Edition, Self-Report of Personality (Reynolds and Kamphaus 2004).

Results

Results indicated that Sibling Bullying was significantly related to internalizing problems above and beyond Peer Bullying alone. Additionally, social support from peers moderated the association between Sibling Bullying and Depression; and social support from siblings moderated the association between Peer Bullying and Social Stress. Gender differences in study findings were also uncovered.

Conclusions

Results of this study suggest that bullying behaviors are detrimental to student social-emotional well-being, regardless of whom the perpetrator may be, and that being bullied by siblings is associated with similar outcomes as traditional bullying.

     

Sexual Orientation Disparities in Cancer-Related Risk Behaviors of Tobacco,Alcohol, Sexual Behaviors,and Diet and Physical Activity: Pooled Youth Risk Behavior Surveys

Objectives. We examined sexual orientation disparities in cancer-related risk behaviors among adolescents.Methods. We pooled data from the 2005 and 2007 Youth Risk Behavior Surveys. We classified youths with any same-sex orientation as sexual minority and the remainder as heterosexual. We compared the groups on risk behaviors and stratified by gender, age (< 15 years and > 14 years), and race/ethnicity.Results. Sexual minorities (7.6% of the sample) reported more risk behaviors than heterosexuals for all 12 behaviors (mean = 5.3 vs 3.8; P < .001) and for each risk behavior: odds ratios (ORs) ranged from 1.3 (95% confidence interval [CI] = 1.2, 1.4) to 4.0 (95% CI = 3.6, 4.7), except for a diet low in fruit and vegetables (OR = 0.7; 95% CI = 0.5, 0.8). We found sexual orientation disparities in analyses by gender, followed by age, and then race/ethnicity; they persisted in analyses by gender, age, and race/ethnicity, although findings were nuanced.Conclusions. Data on cancer risk, morbidity, and mortality by sexual orientation are needed to track the potential but unknown burden of cancer among sexual minorities.A 2011 Institute of Medicine report detailed the lack of national data to estimate cancer incidence and prevalence among lesbian, gay, bisexual, and transgender individuals,1 representing little progress since a 1999 report from the Institute on the health of lesbians that highlighted the absence of cancer data for that group.2 The persistent lack of national surveillance data on cancer among sexual minorities is a significant public health omission. Cancer remains the second most common cause of mortality in the United States, accounting for nearly 1 of every 4 deaths.3 Behaviors that increase the risk for cancer are elevated among sexual minorities, are likely to be apparent at young ages, and may become habitual over the life span by means of behavioral reinforcement and neurobiological reward circuits.     

Neighborhood Influences on Perceived Social Support and Parenting Behaviors

Maternal and Child Health Journal - The aim of our study is to explore the relationships between neighborhood context, perceived social support, and parenting for low-income mothers with young...     

Risk Behaviors and Emotional Well-Being in Youth With Chronic Health Conditions

Using a cross-sectional comparison group design, 4, 746 ethnically diverse middle and high school students from 31 public schools in a metropolitan area were surveyed about their health, emotional factors (self-esteem, depressive symptoms, and suicidality), and behaviors (tobacco, alcohol, and drug use). Based on regression analyses that adjusted for gender, race, school level, and socioeconomic status, adolescents with chronic health conditions were significantly more likely to report depressive symptoms and low self-esteem than adolescents without chronic health conditions; they were almost twice as likely to have considered suicide and over 3 1/2 times more likely to have attempted suicide. They also reported greater use of cigarettes, marijuana, and illicit drugs. Given the extent of behavioral and emotional problems among adolescents with chronic health conditions, appropriate referrals and mental health services for these adolescents are warranted.     

Perceptions of Risk,Stressors, and Locus of Control Influence Intentions to Practice Safety Behaviors in Agriculture

ABSTRACT

This article argues that a combination of factors including risk perceptions, locus of control, and chronic stress influences farmers' intentions to behave safely. To demonstrate how these intervening variables influence behavioral intentions, results of 16 empirical research projects are superimposed upon an extensive literature review. Analyses include data collected from 3165 respondents via survey questionnaires, couple and key informant interviews, quasi-experimental evaluation instruments, and focus group dialogue. Using Ajzen's framework, this multilayered research process yields a wealth of both qualitative and quantitative data to support the argument.

The results suggest that information alone will not affect behavior. Only when chronic stressors from occupational and structural processes are alleviated and coping mechanisms introduced, the political economy of farming improves, and farm populations perceive that they are in control of their work environment will meaningful reduction in agricultural injuries and agricultural-related disease be possible.