Adolescent Risky Behavior Research Articles

Risky sexual behavior in adolescent survivors of childhood cancer: A report from the Childhood Cancer Survivor Study.

To identify correlates of risky sexual behavior among adolescents surviving childhood cancer. The Child Health and Illness Profile-Adolescent Edition (CHIP-AE) was completed by 307 survivors of childhood cancer aged 15-20 years (M age at diagnosis 1.53 years; range 0-3.76). Univariate analyses were performed using χ² and Fisher's Exact tests, and multivariable logistic regression models were used to calculate odds ratios (OR) and 95% confidence intervals (CI) for risky sexual behaviors. Diagnosis of central nervous system cancer (OR = .13, 95% CI: .02-.96, p < .05), no history of beer or wine consumption (OR = .20, CI: .06-.68, p = .01), and fewer negative peer influences (OR = .28, CI: .09-.84, p = .02) associated with decreased likelihood of sexual intercourse. Good psychological health (scores ≥-1.5 SD on the CHIP-AE Emotional Discomfort scale) associated with decreased risk of early intercourse (OR = .19, CI: .05-.77, p = .02), whereas high parental education (≥ college degree) associated with decreased risk of multiple lifetime sexual partners (OR = .25, CI: .09-.72, p = .01). Increased time from diagnosis (OR = .27, CI: .10-.78, p = .02) and psychological health (OR = .09, CI: .02-.36, p < .01) associated with decreased risk of unprotected sex at last intercourse, whereas high parent education associated with increased risk (OR = 4.27, CI: 1.46-12.52, p = .01). Risky sexual behavior in adolescents surviving childhood cancer is associated with cancer type, time since diagnosis, psychological health, alcohol use, and peer influences. Consideration of these factors may provide direction for future interventions designed to reduce adolescent sexual risk-taking.

Risky Sexual Behavior of Modern Teenager’s Current Challenges

This article deals with some ways of conceptualizing and prevention of adolescent risky behavior. Specific ways for preventing and managing risky sexual behavior are discussed. Anonymous interviews in Ukrainian schools have demonstrated, that sexual activity (including sexual intercourse) is common among adolescents. The risk is that it may cause diseases in reproductive system and unwanted pregnancy. Modern psychologists are widely attracted to this area because of the revolutionary societal changes during last decades.

Beyond involvements in romantic and sexual relationships: effects of self-esteem and parental distress on trajectories of adolescent psychological distress

Adolescent psychological problems have often been associated with subsequent depression that contributes to the global disease burden. We propose initial levels of psychological distress and subsequent changes over the period between late adolescence and young adulthood are partly a consequence of adolescent self-esteem and parental distress, both of which may be at least as influential as teen involvement in romantic and sexual relationships. Data were from longitudinal surveys of Taiwanese adolescents at age 16 with three follow-ups over a 6-year time period (n = 2314). Psychological distress was assessed by Symptom Checklist-90 Revised. Growth curve models were used to predict the relationships between adolescent self-esteem, parental distress, and trajectories of adolescent distress, after taking early involvement in romantic and sexual relationships, risky behaviors, and influence of peers, school, and family into account. After a wide range of adjustments, the multivariate analyses indicated that positive self-esteem was associated with diminished initial levels of psychological distress in adolescents (β = −0.04, p < 0.05) and also ameliorates their psychological distress over time (β = −0.01, p < 0.01). In contrast, parental distress was not significantly associated with initial measurement of adolescent distress, but parental distress did exacerbate adolescent distress over time (β = 0.01, p < 0.001). In addition, living with both biological parents and having a high level of family cohesion were associated with lower levels of psychological distress. Early involvement in sexual and romantic relationships and risky behaviors of adolescents and their close friends were strongly related to higher levels of psychological distress. These results underscore the importance of an integrated psychosocial perspective. Policies and educational interventions aimed at promoting adolescent psychological well-being are recommended.

Family Efficacy as a Protective Factor against Immigrant Adolescent Risky Behavior.

Family Efficacy as a Protective Factor against Immigrant Adolescent Risky Behavior.

Exploring the relationship of functional network connectivity to latent trajectories of alcohol use and risky sex.

Alcohol use is a major risk factor associated with unprotected sexual behavior, leading to higher risk of sexually transmitted infections (STI) including the human immunodeficiency virus (HIV). Emerging largely cross-sectional data suggest functional network connectivity strength is associated with problematic alcohol use, and as evidence supports a relationship between risky sexual behaviors and alcohol use, we hypothesized that functional connectivity might be associated with both categories of risk behavior. As part of a sexual risk reduction intervention study, juvenile justice-involved adolescents (N = 239) underwent a baseline functional magnetic resonance imaging scan and completed questionnaires about their alcohol use and risky sexual behavior at 3-month intervals over 12 months of follow up. To test both cross-sectional and longitudinal relationships between alcohol use and sexual risk behaviors, we estimated a parallel process latent growth model that simultaneously modeled the trajectories of alcohol use and sexual risk behavior. Functional connectivity strength was included as an exogenous variable to evaluate its relationship with level of risk and change in risk over time in both behaviors. Associations were found between baseline alcohol use and risky sex, and between longitudinal trajectories of alcohol use and risky sex. Network functional connectivity strength of the dorsal default mode network was associated with initial and longitudinal alcohol use, which may suggest that self-awareness of the effects of alcohol could serve as a useful target to decrease subsequent risky sexual behavior in adolescence.

Parental supervision and adolescent risky behaviors

This paper re-examines the relationship between parental supervision and adolescents’ engagement in risky behaviors. Using the Child Development Supplement and Transition to Adulthood of the Panel Study of Income Dynamics, I consider different measures of supervision among a sample of adolescents 10–21 years old. Issues relating to endogeneity bias and unobserved heterogeneity are accounted for using lagged amounts of supervision and fixed effects as an estimation strategy. The results highlight the role of fathers in mitigating cigarette smoking in the past month, regular alcohol consumption in the past year, and marijuana smoking in the past month. The research emphasizes the need to account for unobserved heterogeneity and supports the idea of looking at the different roles of each parent in affecting child outcomes.

Physiological Correlates of Neurobehavioral Disinhibition that Relate to Drug Use and Risky Sexual Behavior in Adolescents with Prenatal Substance Exposure

Physiological correlates of behavioral and emotional problems, substance use onset and initiation of risky sexual behavior have not been studied in adolescents with prenatal drug exposure. We studied the concordance between baseline respiratory sinus arrhythmia (RSA) at age 3 and baseline cortisol levels at age 11. We hypothesized that children who showed concordance between RSA and cortisol would have lower neurobehavioral disinhibition scores which would in turn predict age of substance use onset and first sexual intercourse. The sample included 860 children aged 16 years participating in the Maternal Lifestyle Study, a multisite longitudinal study of children with prenatal exposure to cocaine and other substances. Structural equation modeling was used to test pathways between prenatal substance exposure, early adversity, baseline RSA, baseline cortisol, neurobehavioral disinhibition, drug use, and sexual behavior outcomes. Concordance was studied by examining separate male and female models in which there were statistically significant interactions between baseline RSA and cortisol. Prenatal substance exposure was operationalized as the number of substances to which the child was exposed. An adversity score was computed based on caregiver postnatal substance use, depression and psychological distress, number of caregiver changes, socioeconomic and poverty status, quality of the home environment, and child history of protective service involvement, abuse and neglect. RSA and cortisol were measured during a baseline period prior to the beginning of a task. Neurobehavioral disinhibition, based on composite scores of behavioral dysregulation and executive dysfunction, substance use and sexual behavior were derived from questionnaires and cognitive tests administered to the child. Findings were sex specific. In females, those with discordance between RSA and cortisol (high RSA and low cortisol or low RSA and high cortisol) had the most executive dysfunction which, in turn, predicted earlier initiation of alcohol by age 16. Among boys, there also existed a significant baseline RSA by baseline cortisol interaction. Boys with low baseline RSA and high baseline cortisol had the highest levels of behavioral dysregulation. This increase in behavioral dysregulation was in turn related to initiation of alcohol use by age 16 and lower age of first sexual intercourse. We found sex-specific pathways to the initiation of alcohol use and risky sexual behavior through the combined activity of parasympathetic and neuroendocrine functioning. The study of multiple physiological systems may suggest new pathways to the study of age of onset of substance use and engagement in risky sexual behavior in adolescents.

ADHD and risky sexual behavior in adolescents: conduct problems and substance use as mediators of risk.

Recent studies have linked attention-deficit/hyperactivity disorder (ADHD) to elevated rates of risky sexual behavior (RSB) in adult samples. The current study tested whether ADHD symptoms were associated with RSB among adolescents, and examined comorbid conduct problems and problematic substance use as joint mediators of this association. ADHD symptoms, conduct problems (oppositional defiant disorder/conduct disorder symptoms), problematic alcohol use (alcohol use disorder symptoms, alcohol use frequency), problematic marijuana use (marijuana use disorder symptoms, marijuana use frequency), and RSB were assessed among an ethnically diverse cross-sectional sample of adolescents (N=115; mean age=14.9years) involved in the juvenile justice system. Bootstrapped mediation models revealed an initial association between ADHD symptoms and RSB that was accounted for fully by the influence of problematic alcohol and marijuana use, but not conduct problems. A follow-up multiple groups mediation analysis demonstrated that the relationship between ADHD symptoms and RSB emerged only among youth with clinically elevated conduct problems, and that problematic marijuana use fully accounted for this relationship. Hyperactive/impulsive, but not inattentive, symptoms were related to RSB, although the pattern of indirect effects was consistent with the multiple groups analysis. The association between ADHD and adolescent RSB is restricted to youth with elevated comorbid conduct problems and reflects the contributions of comorbid marijuana use problems, and to a lesser extent alcohol use problems. Early identification and treatment of these comorbid conditions may be important for the prevention of negative sexual health outcomes among youth with ADHD.

Perceived parental permissiveness toward gambling and risky behaviors in adolescents.

Background and aims: Perceived parental permissiveness toward gambling may relate to adolescents’ engagement in various risky behaviors. To examine this possibility, we analyzed data from a high-school based risk-behavior survey to assess relationships between perceived parental permissiveness toward gambling and adolescent gambling behavior, substance use and related problems. We also evaluated predictions that relationships between perceived parental permissiveness toward gambling and risky behaviors would be particularly strong amongst adolescents reporting high sensation-seeking or impulsivity. Methods: High-school students (n = 2,805) provided data on risky behaviors, perceived parental permissiveness toward gambling, impulsivity and sensation-seeking. Bivariate and logistic regression analyses were conducted to examine relationships with gambling and alcohol, cigarette and marijuana use. Results: Perceived parental permissiveness toward gambling related significantly to adolescent gambling, all substance-use behaviors as well as alcohol and drug problems. There were significant parental-permissiveness-by-sensation-seeking interactions in multiple models. Relationships between perceived parental permissiveness toward gambling and alcohol-use frequency were particularly strong among those with high sensation-seeking. This relationship also applied to gambling and heavy cigarette smoking, albeit to a lesser extent. Impulsivity related strongly to drug problems among those who perceived their parents to be more and less permissive toward gambling. Discussion and conclusions: These findings support the relevance of perceived parental permissiveness toward gambling to adolescent risky behaviors. Parenting perceived as less permissive toward gambling appeared to have protective effects on gambling, alcohol and cigarette use, even among those with high sensation-seeking. Reducing parental permissiveness toward gambling may be a valuable intervention goal, particularly for parents of sensation-seeking adolescents.

Reinforcement sensitivity, impulsivity, and sensation seeking

This symposium focuses on the interplay of the behavioral approach system (BAS) and the behavioral inhibition system (BIS) and their relationships with impulsivity and sensation-seeking. The first contribution (Zuckerman) discusses the relationships and the biological basis of sensation-seeking, impulsivity as well as BIS and BAS. The second talk (De Pascalis) offers further evidence of the involvement of BIS and BAS in approach and avoidance behavior and extends previous EEG findings to optimism. The third presentation (Stautz & Cooper) gives results of a meta-analysis on adolescent impulsivity and alcohol-consumption as well as empirical results from a recent study on adolescent substance-consumption. The fourth contribution (Schmitz & Wilhelm) also focuses on reinforcement sensitivity and sensation-seeking as predictors of adolescent risky and counter-productive behavior. The fifth presentation (Franquesa & Torrubia) reports findings as to functional and dysfunctional impulsivity as well as sensitivity to reward and punishment in attention deficit hyperactivity disorder.

Vulvovaginal Ulceration in an Adolescent—Risky Behavior or Physician Bias?

Vulvovaginal Ulceration in an Adolescent—Risky Behavior or Physician Bias?

Family structure and risk behaviors: the role of the family meal in assessing likelihood of adolescent risk behaviors

BackgroundPrevious literature has asserted that family meals are a key protective factor for certain adolescent risk behaviors. It is suggested that the frequency of eating with the family is associated with better psychological well-being and a lower risk of substance use and delinquency. However, it is unclear whether there is evidence of causal links between family meals and adolescent health-risk behaviors.PurposeThe purpose of this article is to review the empirical literature on family meals and adolescent health behaviors and outcomes in the US.Data sourcesA search was conducted in four academic databases: Social Sciences Full Text, Sociological s, PsycINFO®, and PubMed/MEDLINE.Study selectionWe included studies that quantitatively estimated the relationship between family meals and health-risk behaviors.Data extractionData were extracted on study sample, study design, family meal measurement, outcomes, empirical methods, findings, and major issues.Data synthesisFourteen studies met the inclusion criteria for the review that measured the relationship between frequent family meals and various risk-behavior outcomes. The outcomes considered by most studies were alcohol use (n=10), tobacco use (n=9), and marijuana use (n=6). Other outcomes included sexual activity (n=2); depression, suicidal ideation, and suicide attempts (n=4); violence and delinquency (n=4); school-related issues (n=2); and well-being (n=5). The associations between family meals and the outcomes of interest were most likely to be statistically significant in unadjusted models or models controlling for basic family characteristics. Associations were less likely to be statistically significant when other measures of family connectedness were included. Relatively few analyses used sophisticated empirical techniques available to control for confounders in secondary data.ConclusionMore research is required to establish whether or not the relationship between family dinners and risky adolescent behaviors is an artifact of underlying confounders. We recommend that researchers make more frequent use of sophisticated methods to reduce the problem of confounders in secondary data, and that the scope of adolescent problem behaviors also be further widened.

Victimization of Peruvian adolescents and health risk behaviors: young lives cohort

BackgroundWhile extensive research has been conducted on bullying and victimization in western countries, research is lacking in low- and middle-income settings. This study focused on bullying victimization in Peru. It explored the relationship between the caregiver’s perception of child victimization and the child’s view of selected negative experiences occurring with other children their age. Also, the study examined the association between victimization and adolescent health risk behaviors.MethodsThis study used data from 675 children participating in the Peru cohort of the Young Lives study. Children and caregivers were interviewed in 2002 when children were 8 years of age and again in 2009 when children were 15 years of age. Measures of victimization included perceptions from children and caregivers while measures of health risk behaviors included cigarette smoking, alcohol drinking, and sexual relations among adolescents.ResultsCaregivers identified 85 (12.6%) children bullied at ages 8 and 15, 235 (34.8%) bullied at age 8 only, 61 (9.0%) bullied at age 15 only, and 294 (43.6%) not bullied at either age. Children who were bullied at both ages compared with all other children were 1.58 (95% CI 1.00-2.50) times more likely to smoke cigarettes, 1.57 (1.04-2.38) times more likely to drink alcohol, and 2.17 (1.41-3.33) times more likely to have ever had a sexual relationship, after adjusting for gender. The caregiver’s assessment of child victimization was significantly associated with child reported bullying from other children their age. Child reported victimization was significantly associated with increased risky behaviors in some cases.ConclusionLong-term victimization from bullying is more strongly associated than less frequent victimization with increased risk of cigarette smoking, alcohol drinking, and sexual relations at age 15. Hence, programs focused on helping children learn how to mitigate and prevent bullying consistently over time may also help reduce risky adolescent health behaviors such as smoking, alcohol consumption, and sexual activity.

Preference on Cash-Choice Task Predicts Externalizing Outcomes in 17-Year-Olds

Delay-discounting, the tendency to prefer a smaller-sooner reward to a larger-later reward, has been associated with a range of externalizing behaviors. Laboratory delay-discounting tasks have emerged as a useful measure to index impulsivity and a proclivity towards externalizing pyschopathology. While many studies demonstrate the existence of a latent externalizing factor that is heritable, there have been few genetic studies of delay-discounting. Further, the increased vulnerability for risky behavior in adolescence makes adolescent samples an attractive target for future research, and expeditious, ecologically-valid delay-discounting measures are helpful in this regard. The primary goal of this study was to help validate the utility of a "cash-choice" measure for use in a sample of older adolescents. We used a sample of 17-year-old twins (n = 791) from the Minnesota Twin Family Enrichment study. Individuals who chose the smaller-sooner reward were more likely to have used a range of addictive substances, engaged in sexual intercourse, and earned lower GPAs. Best fitting biometric models from univariate analyses supported the heritability of cash-choice and externalizing, but bivariate modeling results indicated that the correlation between cash-choice and externalizing was determined largely by shared environmental influences, thus failing to support cash-choice as a possible endophenotype for externalizing in this age group. Our findings lend further support to the utility of cash-choice as a measure of individual differences in decision making and suggest that, by late adolescence, this task indexes shared environmental risk for externalizing behavior.

The relationship between weight and smoking in a national sample of adolescents: Role of gender

This study sought to investigate the role of weight status and body mass index percentile in risky smoking behaviors in male and female adolescents. Analyses of the data obtained in the 2011 Youth Risk Behavior Surveillance System were conducted. The national sample size included 15,425 adolescents. Questions addressing weight status and smoking behaviors were used in analyses. Significant effects of perceived weight status, weight change status, and body mass index percentile on smoking behaviors were found for both genders. The current findings indicate the importance of accounting for both gender and weight status when developing prevention and cessation programs targeting smoking behaviors.

Family Efficacy as a Protective Factor Against Immigrant Adolescent Risky Behavior

Research suggests that family efficacy-defined as a family's beliefs in its capability to manage different situations in order to achieve a desired outcome-is linked to a decreased likelihood of adolescents to engage in risky health behaviors. It is not clear, however, if this is true for immigrant families when they are encountering with increased challenges in their host countries. To provide holistic nursing care to immigrant families, it is important to know the sources of family efficacy particularly for immigrant adolescents when they are developing health behavior. This integrative review examined existing literature to learn about the sources of family efficacy among immigrant adolescents and how different domain of family efficacy is related to risky behaviors. We examined 22 studies on the topics of immigration, adaptation, risky adolescent behavior, and family function. Findings showed that multidimensional sources of family efficacies (specifically those in the relational, pragmatic, and value-laden domains) exert significant positive effects on immigrant adolescents' health behaviors.

Sinners or Saints? Preachers’ Kids and Risky Health Behaviors

How do parents influence adolescent risky behavior? In this paper, we focus on a unique population: children of the clergy, more commonly known as preachers’ kids (PKs). We used data on risky behavior among American adolescents from the National Longitudinal Survey of Youth 1979 Cohort and used latent variable and zero-inflated count models to analyze the effect of being a PK on both uptake and intensity of use of alcohol, cigarettes, marijuana, and other drugs. We found that being a PK significantly reduced alcohol use. This effect came exclusively from a reduction in the probability of any alcohol use and this increased abstinence among children of the clergy persisted into adulthood. We found no significant effects of being a PK on cigarette uptake or intensity of use but some evidence of a negative PK effect on the uptake of marijuana and other drugs.

Study of Risky Behaviors in Adolescents with Psychiatric Disorders Attending a Mental Health Department

Background: Risky behaviors can have damaging consequences in physical or mental health in adolescents, even more causing the majority of adolescent morbidity and mortality. In line with the Problem behavior theory, the balance between protective and risk factors will define the proneness for problem behaviors. The purpose of this study was to assess the prevalence of risky behaviors in adolescents with psychiatric disorders and to assess the possible predictive role of the presence of a psychiatric diagnosis, age and gender. Methods: A questionnaire was developed, to assess environmental factors and risky behaviors in adolescents with psychiatric disorders who attended the Department of Child and Adolescent Psychiatry and Psychology in a general public hospital in Barcelona. Results: It was observed that almost half of the sample presented at least a second diagnose. It should be noted that more than half of the sample had had feelings of hopelessness and that almost half presented suicidal thoughts. A logistic regression analysis showed that, except for going on a restrictive diet and doing physical exercise to control or lose weight, all problem behaviors were predicted by constitutional and environmental factors, rather than by having a psychiatric diagnosis. Conclusion: Most of the risky behaviors were mainly predicted by environmental factors, such as having both parents present, restructured family, friends consume marijuana, peers’ opinion more valued than parents’ opinion or retaking a school year, and diagnostic categories had a low influence on the different risky behaviors. Out of these findings, it is evident that the Problem behavior theory was confirmed in a clinical sample and that there is need for screening tools on a regular base, to detect problem behaviors, protective and risk factors in each adolescent’s case,to do an improved prevention and intervention, promoting protective factors related to adolescent’s values and expectations, encouraging parental controls and support and boosting peer models of healthy behaviors.

Deciding in the dark: Age differences in intuitive risk judgment.

Elevated levels of risky behavior in adolescence may signal developmental change in unconscious appraisal of risk. Yet, prior research examining adolescent risk judgment has used tasks that elicit conscious deliberation. The present study, in contrast, attempts to characterize age differences in (less conscious) intuitive impressions of risk. Participants (N = 282; ages 10-30) were presented with depictions of a range of risky and nonrisky activities. They were given 2.5 s to rate each activity on a continuous scale ranging from "bad idea" (low-risk favorability) to "good idea" (high-risk favorability). A curvilinear pattern was found, such that favorability ratings increased across adolescence and peaked around age 20. These results pose a challenge to developmental models that view early adolescence as the period of greatest predisposition toward risk taking; however, they are fairly consistent with age patterns for actual risk taking, at least with respect to crime, binge drinking, and unwanted pregnancy.

Peer harassment and risky behavior among sexual minority girls and boys.

The role of peer harassment in the association between sexual minority status and adolescent risky behavior was examined for 15-year-olds in the NICHD Study of Early Child Care and Youth Development (n = 957). The findings, although exploratory, suggest the importance of gender. For girls, peer harassment was best viewed as a moderator of the link between sexual minority status and increased risky behavior. It intensified an existing association, reflecting the gendered nature of the impact of sexual minority status on the adolescent social context. For boys, peer harassment was primarily a mediator, such that sexual minority status was associated with more risky behavior via elevated harassment, although sexual minority status itself was associated with lower risky behavior overall.