Engagement In Risky Behaviors Research Articles

The cognitive, emotional, and behavioral sequelae of trauma exposure: An integrative approach to examining trauma's effect.

In this study, we tested direct pathways from trauma exposure to trauma symptomatology and risky and self-destructive behavior and indirect pathways through two cognitive and affective mechanisms: (a) world assumptions and (b) emotion dysregulation. A sample of 270 undergraduate students with an average age of 20.02 years participated in the study (204 women, 65 men, and one participant choosing not to disclose). Participants completed self-report measures assessing trauma exposure, trauma symptoms, emotion dysregulation, world assumptions, and lifetime and past-month engagement in any of 38 risky and self-destructive behaviors. The direct path from trauma exposure to trauma symptoms was significant, and so was the indirect effect of self-worth assumptions on this association. The indirect pathway between trauma symptoms and risky and self-destructive behavior in the past month was significant through difficulties with impulse control when distressed. Trauma symptoms had an indirect effect on the association between trauma exposure and lifetime and past-month engagement in risky and self-destructive behavior, while the direct pathway from trauma exposure to lifetime engagement remained significant. We offer theoretically and empirically supported integrative pathways that explicate some aspects of trauma exposure's negative sequelae with potential areas for intervention. Clinical Impact Statement: Trauma exposure is widespread and is associated with negative views about oneself and the world and with difficulties in managing one's emotions, which in part is associated with individuals' risk for developing psychopathology and engaging in risky and self-destructive behaviors. The findings inform optimal time for intervention and prevention efforts targeting trauma exposure. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Evaluating the Influence of Positive Affect, Risk Perception, and Personal Characteristics on the Risk-Taking Riding Behaviors of Motorcyclists

This study on Malaysian motorcyclists was carried out due to the high fatality rate of motorcycle traffic accidents. A survey was conducted to assess demographic information, risky behavior engagement, positive affect, and risk perception among Malaysian motorcyclists. The results were analyzed using partial least square structural equation modeling to assess the survey’s reliability and validity. Consequently, a statistical model was created based on the hypothesis model where the relationship among each latent construct was evaluated, including risk perception, positive affect, risky behavior, and mediator personal characteristics. The model revealed that positive affect had the strongest positive relationship with the construct of risky behavior (t-value of 15.517), while the personal characteristics of the rider had a significant direct effect on risky behavior, with a t-value of 2.175. In addition, an indirect effect of personal characteristics on risky behavior through positive affect was also found to be significant (t-value = 3.885). These results concur with most studies conducted on motorist driving behavior showing that motorcyclist risky behavior engagement can potentially be reduced from the perspective of encouragement and empowerment instead of enforcement and deterrence. This study is important in identifying practical measures that can integrate road safety into a broader strategy for sustainable transportation.

EXHIBITION OF MASCULINITY AMONG MIGRANT MEN: PREDISPOSING FACTOR OF SEXUAL RISK BEHAVIOR

Masculinity has been recognized as a significant influence on risky sexual behavior. The migrant men present various sexual risk behaviors. The present study aims to explore migrant men's perspectives on the construction of masculinity and to understand their experiences and engagement in risky sexual behavior in Rawalpindi, Pakistan. This anthropological study included 14 focus group discussions with migrant men aged 18-45 years in the Commercial Market of Rawalpindi. The data were collected from the informal focus group discussions. The data were analyzed by using thematic inductive analysis presented by Clarke. The research results represent that masculine behavior among migrant men leads to risky sexual behavior. It was found that an autonomous living structure with peer groups and increased avenues of expression of sexual desire due to being away from families enhance the risky sexual behavior of migrant men. Such behaviors lead them to indulge in risky sexual practices with low-paid commercial sex workers or non-commercial partners, mostly without availing any protective measures. Furthermore, the normative behavior of migrant men, including peer pressure, economic independence, opportunity structure, and homogeneous population, were the significant factors that led to risky sexual behavior. The study suggests that such behavior remains an essential practice to conform to social expectations and norms aligned with masculinity in the Pakistani urban male population. Therefore, there is a need to address the gender norms that lead to masculine behavior among the migrant population. Keywords: masculinity, risky sexual behavior, migrant men, peer pressure, real man, hegemonic masculinity.

“Give Your Thumb a Break” from Surfing Tragic Posts: Potential Corrosive Consequences of Social Media Users’ Doomscrolling

ABSTRACT Negativity bias predicts that individuals will attend to, learn from, and prioritize negative news more than positive news. Drawing from the addiction components model, this cross-sectional study conceptualized and measured “doomscrolling” as excessive thoughts, urges, or behaviors related to the consumption of negative news on social media platforms. Participants were a convenience sample (N = 747) of Iranian social media users. The 8-item, unidimensional Social Media Doomscrolling Scale showed excellent psychometric properties. Men were more likely than women to report doomscrolling. Most respondents reported arousal following doomscrolling. Doomscrolling was negatively associated with psychological wellbeing, satisfaction with life, and motivation to avoid unhealthy behaviors. Doomscrolling was positively associated to impulsivity, engagement in risky behaviors, depression, and future anxiety. Results suggest that doomscrolling is an arousing activity that has the potential to exacerbate worrisome thoughts about future, breed feelings of hopelessness, cultivate appetite for risk, and stifle health consciousness.

Adolescent Sexting, Violence, and Sexual Behaviors: An Analysis of 2014 and 2016 Pennsylvania Youth Risk Behavior Survey Data.

Sexting is common among adolescents and is associated with numerous health risk behaviors and negative psychosocial constructs. This study examined the relationships between high school students' experiences with sexual violence victimization, dating violence victimization, and engagement in risky sexual behaviors with experiences of receiving sexts. Cross-sectional data from the 2014 to 2016 data from Pennsylvania Youth Risk Behavior. Participants were selected using an independent 2-stage cluster sample design to produce a statewide population-based sample. The pencil and paper surveys were conducted in school. Participants included 6734 Pennsylvania high school students in grades 9-12. Overall, 29.0% of Pennsylvania high school students had received a sext, which varied by sex, race/ethnicity, school grade, and sexual identity. Students who engaged in sexual risk behaviors, experienced dating violence, or experienced lifetime sexual violence outside of the dating context had a significantly higher prevalence of receiving a sext than students who did not engage in those behaviors or have those experiences. Early screening and prevention efforts that include discussions about sexting behaviors may help prevent other negative outcomes, such as risky sexual behaviors and interpersonal violence. Addressing sexting in the education and health sectors may help to prevent other related harmful health and violence experiences during adolescence.

The relationship between non-suicidal self-injury, identity conflict, and risky behavior among Druze adolescents.

This study aimed to explore the prevalence of non-suicidal self-injury (NSSI) among Druze adolescents in Israel, an ethnic minority, and examine the influence of identity conflict, depression, and performance of risky behaviors on such adolescents' engagement in NSSI. This investigation is important because little is known about NSSI among adolescents from ethnic minorities. Overall, 290 Druze adolescents aged 16-18 (mean = 16.26, standard deviation = 0.9) years (63.9% female) participated in this study. They were recruited through snowball sampling from three Druze schools that agreed to participate in the study. All participants completed self-report measures for NSSI, depression, anxiety, engagement in risky behaviors, emotion regulation, sleep problems, and identity integration. Almost 20% of the total sample engaged in NSSI. Those who engaged in NSSI reported more significant depression, anxiety, sleep problems, and engagement in risky behaviors when compared with those who did not engage in NSSI. Moreover, those who engaged in NSSI reported experiencing a higher level of identity conflict. Further analysis revealed an indirect effect of identity conflict on NSSI through engagement in risky behaviors. This study's findings clarify the prevalence of NSSI among Druze adolescents, as well as contributing factors, and also highlights the importance of developing interventions that specifically target this unique ethnic group.

"When I woke up I was so worried and ashamed, I thought it was a disease": Adolescent boys' transitions through puberty in Kenya.

Growing evidence suggests a need for more focused attention on boys' experiences of puberty in sub-Saharan Africa to assure healthy transitions into young adulthood. Existing research remains limited on the masculinity norms shaping boys' maturation experiences in Kenya. To help fill this gap, we conducted a comparative case study using qualitative methodologies with 16-19-year-old male youth in rural and urban Kenya, and with adults interacting in boys' daily lives. Findings suggest that Kenyan boys experience shame, confusion and silence around changes happening in their bodies; face pressures from new societal expectations as they become young men; and have adolescent lives shaped by minimal supervision, increased peer pressures and engagement in more risky health behaviors. Additional research and targeted interventions on boys transitioning through puberty and early adolescence are needed to better understand their vulnerabilities and prevent or reduce their engagement in unsafe behaviors.

Conceptual Overview (Portrayals of Sexuality in Pornography)

Conceptual Overview (Portrayals of Sexuality in Pornography)

Nonmedical use of anxiolytics among Tunisian students: Connecting the dots from 2013 to 2021

Abstract Background Nonmedical use of prescription drugs such as sedatives and anxiolytics is a fast growing public health threat in several countries. In Tunisia, although several studies have investigated the prevalence of nonmedical use of anxiolytics among school-age students, there is a gap in knowledge regarding trends in anxiolytics misuse. We aimed to determine the prevalence of nonmedical use of anxiolytics and examine trends between 2013 and 2021. Methods Pooled data from three Mediterranean school surveys on alcohol and other drugs (MedSPAD I-2013, MedSPAD II-2017, MedSPAD III-2021) were used. Based on three-stage stratification sampling method, teenagers in first and second grades of secondary education, were enrolled. Were not included students enrolled in vocational training centers and out-of-school adolescents. Data collection was performed using a self-administered standardized questionnaire. We studied weighted lifetime nonmedical use of prescription anxiolytics and performed global and by gender trend analysis. Epi data software was used for data entry and all statistical analysis, were performed with STATA software. Results A total of 14.723 students were enrolled with sex ratio (Male/Female) equal to 0.61 and mean age of 16.2±0.8 years. The prevalence of nonmedical anxiolytics’ use increased from 2.1% to 3% then to 8.4% for 2013, 2017 and 2021, respectively. Global and by gender trends analysis concluded to significant increase from 2017 to 2021 (p < 10-3). However, a non-significant increase was revealed from 2013 to 2017. Conclusions Our study is the first to confirm a significant increasing trend in non-medical use of anxiolytics among Tunisian adolescents. These findings emphasize the urgent need for early detection of psychological vulnerability among adolescents in order to prevent their engagement in such risky behaviors. Key messages • Decision makers should be sensitized regarding the alarming increasing trend in non-medical use of anxiolytics, among Tunisian adolescents. • The state control of these substances accessibility and early detection of psychological vulnerability, are highly required.

3.10 Self-Control Depletion, Frustration Tolerance, Irritability, and Engagement in Risky Behaviors in College Students With ADHD Risk

To expand upon the existing literature on college students with ADHD, this study used the Strength Model of Self-Control as a theoretical framework and: 1) experimentally investigated associations between self-control resource depletion, frustration tolerance, and irritability; and 2) considered associations between frustration tolerance, irritability, and engagement in risky behaviors (ERBs) for which college students with ADHD are at elevated risk.

"Take It Out on the Floor": Experiences of Violence Among Black LGBT House and Ball Community Youth in a Rust Belt City.

Black, lesbian, gay, bisexual, and transgender (LGBT), individuals experience higher rates of violent victimization compared to their cisgender heterosexual counterparts over their life course. Among Black LGBT people, witnessing and experiencing violence have been related to poor health outcomes, including depression, risky sexual behavior, substance use, and lower engagement in healthcare services. We engaged in research to better understand the effects of violence experienced by the Black LGBT youth community. We conducted a qualitative, phenomenological study focused on the causes of violence occurring in the lives of Black LGBT youth engaged in a recreation-based community health program. The study consisted of four focus groups with Black LGBT youth (N = 24) and in-depth individual interviews with medical and social service providers who work with Black LGBT youth (N = 4). Data analysis presented three themes: (1) causes of violence, (2) the context of intracommunity violence, and (3) solutions to violence. The first theme describes the reasoning, motivation, or explanation for violence experienced by the Black LGBT youth community. The second theme, the context of intracommunity violence, describes how violence occurs specifically within Black LGBT young adult communities. The third theme, solutions to violence, describes the recommendations for addressing, reducing, and/or eliminating violence within the Black LGBT youth community. Our findings highlight the need for safe spaces, culturally-relevant services, and trusted figures for Black LGBT young adults, which can serve as mechanisms for mitigating violence.

The effect of Internet access on body weight: Evidence from China

The Internet has significantly changed people’s daily lives, including their health status. In this paper, we study the health implications of Internet access with a specific focus on body weight. We exploit an Internet speed upgrading project in China and conduct a difference-in-differences analysis, where the treatment intensity depends on cities’ pre-existing Internet infrastructure conditions. We find consistent and robust evidence that increased Internet access reduces the incidence of being overweight. Regarding the mechanisms behind this result, we provide indirect evidence for the information channel, evidenced by improved health behaviors after the project: less engagement in risky health behaviors and increased participation in preventive health services and exercise. Internet diffusion also increases income, supporting the income channel through which the Internet can affect body weight.

Sexual Aggression among Women and Men in an Iranian Sample: Prevalence and Correlates

This pre-registered study examined the prevalence and correlates of sexual aggression in a sample of 530 Iranians (322 women, 208 men) with a behaviorally specific questionnaire distinguishing between different coercive strategies, victim-perpetrator relationships, and sexual acts. Significantly more women (63.0%) than men (51.0%) experienced at least one incident of sexual aggression victimization since the age of 15 years, and significantly more men (37.0%) than women (13.4%) reported at least one incident of sexual aggression perpetration. In women and men, the experience of child sexual abuse predicted sexual victimization and sexual aggression perpetration after the age of 15 years, both directly and indirectly through higher engagement in risky sexual behavior. Greater endorsement of hostile masculinity among men explained additional variance in the prediction of sexual aggression perpetration. This research is a first step towards documenting and explaining high rates of sexual aggression victimization and perpetration among Iranian women and men, providing important information for sex education as well for the prevention of sexual aggression. However, to achieve these goals, we highlight the need for systematic actions in all educational, social, and legal sectors of Iranian society.

Lifestyle and Self-Regulation of Senior High School Students

Self-regulation is deemed most important during the adolescence stage where media consumption and engagement in risk behaviors are at their height. Notably, the degree to which an adolescent can control his/her media consumption and risk behaviors is theorized to be carried over to learning behaviors. This study aimed to explore the lifestyle and self-regulation of senior high school students. It employed descriptive method of research with 277 randomly selected Grade 11 and 12 academic track students as respondents. The mean was used to describe gathered data while Pearson-product moment correlation was used to determine the relationship between the variables. The 0.05 level of significance was used in the interpretation of findings on relationship. It was found that senior high school students generally have low mass media exposure, rare engagement in distal, proximal, and risky social behaviors, and moderate level of self-regulated learning. Furthermore, it was revealed that neither mass media consumption nor engagement in risk behaviors is related with self-regulated learning. The students are encouraged to take charge of their own learning and lifestyle while parents and teachers are reminded of their primordial role as guide while students endeavor to take lead in their learning.

Evaluating schizotypy and alcohol usage as predictors of increased engagement in risky sexual behaviors in an undergraduate sample.

The window of risk for developing a schizophrenia-spectrum disorder overlaps with young adulthood, a time of increased independence and self-sufficiency. Research suggests that this period is also associated with increased substance use and risky sexual encounters. The current study aimed to examine rates of alcohol usage and risky sexual behaviors in those demonstrating higher rates of schizotypy (i.e., risk indicator for schizophrenia). Data was collected at a midsized university in the Northeastern United States during the 2019–2020 and 2020–2021 academic years. A total of 385 undergraduate students enrolled in introductory psychology classes completed the study either in-person or online. The study consisted of questionnaires related to alcohol usage, rates of sexual risk behaviors, and schizotypal traits. Due to COVID-19 restrictions and the time period covered by the sexual risk measure (i.e., the last six months), the authors deemed it necessary to omit certain participants, leaving 179 participants in our main analyses. Participants who reported higher levels of alcohol usage and positive schizotypy demonstrated increased engagement in specific sexual risk behaviors, while higher levels of negative schizotypy may have acted as a protective factor against engagement in sexual risk. Descriptive data for participants collected during the pandemic period was provided for comparison and for the interest of future researchers looking at the pandemic period (n = 180). The current findings provide a snapshot (baseline rate) of sexual behavior and alcohol usage in a nonclinical sample with varying risk for psychosis that extends previous research involving clinical samples.

Contexts, beliefs and health behaviour: Are individuals who engage in risky sexual behaviour likely to wear facemasks against COVID-19?

Beside age, underlying comorbidities and availability of sanitation facilities, individual health beliefs and behaviour are critical in combating the sustained prevalence of Covid-19. Behaviour has, however, been shown to be consistent but could be context- dependent based on the individual’s beliefs. To investigate whether or not individuals’ protective behaviour against coronavirus is associated with their behaviour in a previous health context. Facemask usage and engagement in risky sexual behaviour (RSB) were employed as corollaries of Covid-19 protective behaviour and a previous health context respectively. Data on them and other sociodemographic correlates of health behaviour were collected on 522 Nigerians via a web-based survey. The data were analyzed using frequency, Chi Square and Binary Logistics Regression. About 31% of the population wore facemasks in public, 48.1% believed Covid existed and was severe, and 31.6% had engaged in RSB. Individuals who engaged in RSB had lower odds of wearing facemasks in public in both the general population and across the rural-urban divide. The relationship was, however, only statistically significant (OR:0.642, p<0.05) in the adjusted regression model. Other significant determinants of facemask use were gender, place of residence, employment status and beliefs about Covid. The similarity of individual beliefs and behaviours in different health contexts provides an opportunity to model behaviour change communication policies for preventing and combating the spread of coronavirus and other infectious diseases.

Migration, personal physical safety and economic survival: drivers of risky sexual behaviour among rural–urban migrant street youth in Kampala, Uganda

BackgroundDespite the vulnerabilities associated with the youth migration process, knowledge on the drivers of risky sexual behaviour among migrant street youth is limited. This study sought to explore the pathways driving risky sexual behaviour among rural–urban migrant street youth in Kampala, Uganda.MethodsWe conducted 11 focus-group discussions composed of 8–10 participants each, and 15 in-depth interviews with urban street adolescents and youth aged 12–24 years. We purposively recruited street youth who had migrated from other districts to Kampala, Uganda, and who identified themselves as street youth. Data were analysed thematically using an inductive approach facilitated by Dedoose software.ResultsThe migration journey acted as a catalyst for risky sexual behaviour among the adolescents and youth moving from rural districts to Kampala. Three primary pathways were found to drive risky sexual behaviour of street youth: 1) rural–urban migration itself, through sexual exploitation of and violence toward street youth especially young girls during movement, 2) economic survival through engaging in casual jobs and sex work upon arrival in the city, and 3) personal physical safety through friendships and networks, which consequently lead to having multiple sexual partners and unprotected sex. Engagement in risky sexual behaviour, especially sex work, was found to be an adaptation to the challenging and complex street life within the city.ConclusionsThis study highlights the migration process, personal physical safety and economic survival as major pathways driving risky sexual behaviour among rural–urban street youth in Kampala. Interventions to improve sexual health, physical safety and protection of street youth during the migration process and within the city spaces should be prioritised.

A multilevel mixed effect analysis of neighbourhood and individual level determinants of risky sexual behaviour among young people in South Africa

BackgroundDespite national and international commitments and efforts to prevent risky sexual behaviours, a high proportion of young people in South Africa are engaged in risky sexual behaviour. However, most efforts are currently directed toward addressing individual-level factors at the expense of not addressing neighbourhood-level determinants such as social disorganisation, contributing to risky sexual behaviour among young people in South Africa. This study investigated the multilevel factors of risky sexual behaviours among young people by gender in South Africa, using the lens of socio-ecological and social disorganisation frameworks.MethodsData from a nationally representative sample of 1268 males and 2621 females aged 15–24 years, giving a total of, 3889 never-married youths, were drawn from the 2016 South Africa Demographic and Health Survey. Analysis was conducted using multilevel mixed-effect logistic regressions with random community-level effects.ResultsFindings show that youth who were from a heterogeneous ethnic group (AOR = 0.49, CI: 0.35–0.67), household size of 5 + members (AOR = 0.78, CI: 0.54–1.15), community education (AOR = 0.97, CI: 0.72–1.32) were associated with low engagement in multiple sexual partnerships. Youths who were employed (AOR = 0.84, CI: 0.59–1.18), and from high-level community poverty (AOR = 0.76, CI: 0.58–1.00) were also associated with reduced odds of unprotected sex. In addition, older youth aged 20–24 years (AOR = 12.6, CI: 9.93–16.00); secondary education attainment (AOR = 1.01, CI 0.58–1.77); family structure (AOR = 1.37, CI: 0.75–1.15); Gauteng province (AOR = 1.45 CI: 0.92–2.28); residential mobility (AOR = 1.25, CI: 1.02–1.53), community media exposure to contraceptives (unprotected sex) (AOR = 1.38, CI: 1.09–1.76) were more likely to engage in risky sexual behaviour.ConclusionThe study revealed that neighbourhood and individual-level factors were important in explaining the factors associated with risky sexual behaviour among young people in South Africa. In addition, engagement in risky sexual behaviour was high, with minimal variation among young females and males in South Africa. It specifies that the practice of risky sexual behaviour is significantly associated with multilevel factors of social disorganisation that cut across gender. These results imply that there is a need to review policies of sexual risks reduction for each gender, which might help mitigate the adverse effects of social disorganisation for women and men youths in South Africa.

COVID-19 and Vitamin D Misinformation on YouTube: Content Analysis.

BackgroundThe “infodemic” accompanying the SARS-CoV-2 virus pandemic has the potential to increase avoidable spread as well as engagement in risky health behaviors. Although social media platforms, such as YouTube, can be an inexpensive and effective method of sharing accurate health information, inaccurate and misleading information shared on YouTube can be dangerous for viewers. The confusing nature of data and claims surrounding the benefits of vitamin D, particularly in the prevention or cure of COVID-19, influences both viewers and the general “immune boosting” commercial interest.ObjectiveThe aim of this study was to ascertain how information on vitamin D and COVID-19 was presented on YouTube in 2020.MethodsYouTube video results for the search terms “COVID,” “coronavirus,” and “vitamin D” were collected and analyzed for content themes and deemed useful or misleading based on the accuracy or inaccuracy of the content. Qualitative content analysis and simple statistical analysis were used to determine the prevalence and frequency of concerning content, such as confusing correlation with causation regarding vitamin D benefits.ResultsIn total, 77 videos with a combined 10,225,763 views (at the time of data collection) were included in the analysis, with over three-quarters of them containing misleading content about COVID-19 and vitamin D. In addition, 45 (58%) of the 77 videos confused the relationship between vitamin D and COVID-19, with 46 (85%) of 54 videos stating that vitamin D has preventative or curative abilities. The major contributors to these videos were medical professionals with YouTube accounts. Vitamin D recommendations that do not align with the current literature were frequently suggested, including taking supplementation higher than the recommended safe dosage or seeking intentional solar UV radiation exposure.ConclusionsThe spread of misinformation is particularly alarming when spread by medical professionals, and existing data suggesting vitamin D has immune-boosting abilities can add to viewer confusion or mistrust in health information. Further, the suggestions made in the videos may increase the risks of other poor health outcomes, such as skin cancer from solar UV radiation.

Men's and women's endorsement of hegemonic masculinity and responses to COVID-19.

Using a gendered psychology of health approach, we examine the effects of the culturally idealized form of masculinity-hegemonic masculinity-for both men and women's health attitudes and behaviors. Using data collected across four studies (N = 805) during the COVID-19 pandemic, we found that stronger endorsement of hegemonic masculinity related to health attitudes antithetical to mitigation strategies (e.g. more engagement in risky behaviors, less support for federal mandates) and evaluations of how political leaders have responded to COVID-19. These effects did not differ by gender suggesting that hegemonic masculinity has implications for both men and women's health.