Problem Behavior Theory Research Articles

Multiple risk behaviors and suicidal ideation and behavior among Israeli and Palestinian adolescents

Based conceptually on Problem Behavior Theory, Normalization Theory and theories of adolescent ethnic identity formation this study explores relationships between individual and cumulative multiple risk behaviors and suicidal ideation and behavior among mid-adolescents in three different populations in the Middle East. Data from the 2004 Health Behavior in School-Aged Children in the Middle-East (HBSC-ME) study included 8345 10th-grade pupils in three populations: Jewish Israelis (1770), Arab Israelis (2185), and Palestinians in Gaza and the West Bank (4390). We considered risk behaviors and factors including tobacco use, bullying, medically-attended injuries, excessive time with friends, parental disconnectedness, negative school experience, truancy and poor academic performance. Substantial population differences for suicidal tendency and risk behaviors were observed, with notably high levels of suicidal ideation and behavior among Arab-Israeli youth and higher levels of risk behaviors among the Jewish and Arab-Israeli youth. For all populations suicidal tendency was at least 4 times higher among adolescents reporting 4+ risk behaviors, suggesting that similar psychosocial determinants affect patterns of risk behaviors and suicidal tendency. Results highlight the importance of understanding cultural contexts of risk behaviors and suicidal ideation and behavior.

Understanding tobacco use among urban African American adolescents living in public housing communities: A test of problem behavior theory

This study was guided by Jessor and Jessor's problem behavior theory (PBT) to test the relative effects of personality, perceived environment and behavior system variables on urban teen tobacco use. A sample of 518 urban African American youth residing in public housing communities in three large U.S. cities was utilized. Our results provide partial support for PBT in this study. Personality system variables (i.e., positive attitudes toward tobacco use, and depressive affect, cause and outcome indicators) and behavior system variables (i.e., delinquent behaviors) significantly predicted adolescent tobacco use. Depressive effect and cause indicators were stronger than depressive outcome indicators in predicting the extent of tobacco use. Additionally, age positively moderated the impact of positive attitudes about tobacco use on the extent of adolescent tobacco use.However, perceived environment system variables (e.g., exposure to delinquent peers) did not predict such use. This study suggests that PBT may aid in understanding adolescent tobacco use. Implications for practice and future inquiry are discussed.

“Hit Me Up and We Can Get Down”

Young people's sexual self-disclosures in social media profiles can be problematic for those who produce them and for those who consume them. This study merged a content analysis with survey data to identify the characteristics of youth who engaged in online sexual self-disclosure. MySpace profiles belonging to 560 National Study of Youth and Religion respondents in the United States (18 to 23 years old) were analyzed (56,462 content units). A third of the profiles contained at least one sexual self-disclosure; their average incidence was less than one per profile. Online sexual self-disclosure was associated with offline sexual risk behaviors (e.g., sex with casual partners), and with increased frequency of alcohol consumption. Among sexually active females, it was associated with early sexual debut. In light of problem behavior theory, these findings suggest that online sexual self-disclosure may be considered a sexual risk behavior.

Music Video Viewing as a Marker of Driving After the Consumption of Alcohol

This study has two main objectives. First, it is examined whether the frequent exposure to music video viewing is associated with driving after the consumption of alcohol. Second, it is examined which theoretical framework, a combination of Cultivation Theory and the Theory of Planned Behavior or the Problem Behavior Theory, is suited best to explain this relationship. Participants were 426 Flemish adolescents who took part in a two-wave panel survey (2006–2008) about media use, risk-taking attitudes, intentions, and behaviors. In line with Cultivation Theory and the Theory of Planned Behavior, the results showed that adolescents’ music video viewing is a significant marker of later risky driving behavior and that this relationship is mediated through their attitudes and intentions. No support was found for the hypothesis that music video viewing is part of a cluster of problem behaviors (Problem Behavior Theory). Thus, the results of this study seem to indicate that a combination of Cultivation Theory and the Theory of Planned Behavior provides a more useful framework for explaining the relationship between music video viewing and driving after the consumption of alcohol. The implications for prevention and the study's limitations are discussed.

Prevalence and Correlates of Street Racing Among Ontario High School Students

Objectives: This study examined the prevalence and correlates of street racing among adolescents derived from the 2009 Ontario Student Drug Use and Health Survey (OSDUHS), an epidemiological survey of students in Ontario, Canada. Methods: The key response variable, self-reported street racing in past year, was examined in relation to grade level, rural/urban, school marks, cannabis use, drinking and driving, cannabis use and driving, and property, physical, drugs, and weapons delinquencies. All survey estimates were weighted, and variance and statistical tests were corrected for the complex sampling design. Results: Of the 3053 9th- to 12th-graders (66% response rate), 5.6 percent of high-schoolers (an estimated 42,000 in the province) and (20.4% of grade 11 and 12 students with an advanced-level or full license) reported driving a car, truck, or sport utility vehicle (SUV) in a street race in the 12 months before the survey. Logistic regression analysis of the advanced-level or fully licensed students in grades 11 and 12 found that males compared to females and students in grade 11 compared to students in grade 12 had significantly higher adjusted odds of street racing. Supportive of problem behavior theory, students who reported property and drug delinquencies compared to students not engaging in these delinquencies also had significantly higher adjusted odds of street racing. Conclusions: This first population-based study in North America suggested that the prevalence of street racing at 1 in 5 of advanced or fully licensed high-schoolers in grades 11 and 12 poses significant public health concerns, especially related to the potential for unintentional injury.

Understanding Alcohol Consumption and Its Correlates among African American Youths in Public Housing: A Test of Problem Behavior Theory

African American youths are overrepresented in urban public housing developments characterized by violence, poverty, and alternative market activities. Using Jessor and Jessor's problem behavior theory (PBT), the authors examined alcohol use and its correlates in a sample of African American youths from three public housing developments (N = 403). Multiple logistic regression analyses were performed to estimate the relative contributions of demographics, personality, environment, and behavior system variables in predicting past-year alcohol use. Results provide support for PBT. Depressive effects and causes were significant predictors of adolescent alcohol use. Delinquent behavior and affiliation with delinquent peers were also associated with alcohol use. Furthermore, age was related to alcohol use. Implications for practice and future inquiry are suggested. KEY WORDS: African American youths; alcohol use; disaggregated effects; problem behavior theory; public housing development ********** African American youths are overrepresented in urban public housing developments characterized by violence, poverty, and alternative market activities. In the past few years, research has begun to focus specifically on this vulnerable population of youths. This research has contributed to our understanding of how various domains relate to African American adolescents' symptoms and behaviors, especially in the context of public housing neighborhoods. Alcohol use or misuse is a common maladaptive behavior in the United States (U.S. Department of Health and Human Services, 2001). Research evidence shows that problems associated with excessive alcohol consumption--for example, liver disease, cardiovascular disease, neurological damage, and psychiatric problems--tend to be exacerbated in youths reporting early initiation (Odgers et al., 2008). In particular, evidence suggests that alcohol is the most widely used drug by youths (Office of Juvenile .Justice and Delinquency Prevention [OJJDP], 2008). African American youths drink less than other youths on average (Substance Abuse and Mental Health Services Administration [SAMHSA], 2009). However, results of national surveys reveal that while frequent heavy drinking among white male individuals ages 18 to 29 continued to drop, rates of heavy drinking and alcohol-related problems remained high among African Americans in the same age group (see, for example, SAMHSA, 2009). Consequently, the age-adjusted death rate from alcohol-related diseases for African Americans is 10% greater than it is for the general population (Kochanek, Murphy, Anderson, & Scott, 2004). Furthermore, alcohol use is related to the four leading causes of death among African Americans ages 12 to 20: homicide, unintentional injuries, car accidents, and suicide (National Center for Injury Prevention and Control, 2006). In this group, alcohol consumption has also been linked to depressive symptoms (Grant, 1997). Other consequences of alcohol use or misuse include later adolescent predicaments, inhibiting acquisition of skills necessary for employment, and heightened health risks. We used Jessor and Jessor's (1977) problem behavior theory to help understand and explicate adolescent alcohol use in a sample of African American youths in public housing. The conceptual structure of the theory consists of three major systems that explain problem behavior: personality, perceived environment, and the behavior system. The theory asserts that each system serves either as instigator for or control against engaging in problem behavior. Proneness to problem behavior is determined by the balance between instigators and controls across the three systems. This study may guide development of interventions with greater potential to prevent the emergence of alcohol abuse and dependence during adolescence and early adulthood. This overview provides a context for understanding the significance of the social ecology in understanding African American adolescents' behavior in urban public housing. …

Childhood Risk Factors for Early-Onset Drinking

There is relatively little research on the childhood antecedent predictors of early-onset alcohol use. This study examined an array of psychosocial variables assessed at age 10 and reflecting Problem Behavior Theory as potential antecedent risk factors for the initiation of alcohol use at age 14 or younger. A sample of 452 children (238 girls) ages 8 or 10 and their families was drawn from Allegheny County, PA, using targeted-age directory sampling and random-digit dialing procedures. Children and parents were interviewed using computer-assisted interviews. Logistic regression analyses were used to examine the age-10 univariate and multivariate predictors of the initiation of alcohol use by age 14 or younger. Twenty-five percent of the sample reported having more than a sip or a taste of alcohol in their life by age 14. Sex, race, and age cohort did not relate to early drinking status. Children with two parents were less likely to initiate drinking early. Early initiation of drinking related significantly to an array of antecedent risk factors (personality, social environment, and behavioral) assessed at age 10 that reflect psychosocial proneness for problem behavior. In the multivariate model, the variables most predictive of early-onset drinking were having a single parent, sipping or tasting alcohol by age 10, having parents who also started drinking at an early age, and parental drinking frequency. Initiation of alcohol use by age 14 reflects childhood psychosocial proneness to engage in problem behavior as measured by Problem Behavior Theory and having a family environment conducive to alcohol use.

Early Risk Behaviors and Adolescent Injury in 25 European and North American Countries

Injury is a leading cause of mortality and morbidity among adolescents in developed countries. Jessor and Jessor’s Problem Behavior Theory suggests an association between risk behaviors (e.g., smoking, drunkenness, cannabis use, and sexual intercourse) and adolescent injury. The present study examined whether early engagement in risk behaviors would predict injury at age 15. It also examined whether such associations were consistent in strength across countries. Based on the data from the 2005-2006 Health Behaviour in School-aged Children (HBSC) survey, a multigroup logistic regression analysis was conducted. Our findings demonstrate a cross-national consistent association (with relative odds of injury rising to 1.85; 95% CI: 1.70-2.02). Based on the study findings, early engagement in risk behaviors was considered a marker for a trajectory that places adolescents at higher risk for physical injury, independent of their national context.

Peer Influence, Social Bonding, Physical and Relational Aggression: Perpetration and Victimization in an Elementary School Sample

Aggression in the school context is a problem that has received increasing attention over the past decade. It is important for the prevention of aggression in school that we understand the etiology of aggression at different ages and grades in school to help us better identify targets for program intervention. The present study draws insights primarily from an integrated theory of problem behavior first proposed by Elliott, Ageton, and Canter (1979) to examine the impacts of internal bonding, external bonding, and peer influence on perpetration of and victimization by physical and relational aggression for students at the elementary school level. Although the research is done in the context of an intervention program to reduce school aggression and bullying, the focus is not on the program itself, but on the nonprogram variables that influence school aggression. This research also represents the extension of research on the integrated theory to a younger age group than has been previously studied in this theoretical context. The results provide support for the integrated theory, and suggest that interventions targeting peer influence and social bonding have promise in reducing aggressive behavior in the schools.

Directionality Between Tolerance of Deviance and Deviant Behavior is Age-Moderated in Chronically Stressed Youth

Problem behavior theory posits that tolerance of deviance is an antecedent to antisocial behavior and substance use. In contrast, cognitive dissonance theory implies that acceptability of a behavior may increase after experiencing the behavior. Using structural equation modeling, this investigation tested whether changes in tolerance of deviance precede changes in conduct disorder criteria or substance use or vice versa, or if they change concomitantly. Two-year longitudinal data from 246 8- to 16-year-olds suggested that tolerance of deviance increases after conduct disorder criteria or substance use in 8-to-10- and 11-to-12-year-olds. These results were consistent with cognitive dissonance theory. In 13-to-16-year-olds, no directionality was suggested, consistent with neither theory. These results were replicated in boys and girls and for different types of conduct disorder criteria aggression (covert behavior), deceitfulness and vandalism (overt behavior), and serious rule-breaking (authority conflict). The age-specific directionality between tolerance of deviance and conduct disorder criteria or substance use is consistent with unique etiologies between early onset versus adolescent-onset subtypes of behavior problems.

Adolescent risk behaviors: Studying typical and atypical individuals via multidimensional scaling profile analysis

Within the framework of problem behavior theory, the purpose of this study was to examine risk behavior profiles of typical and atypical adolescents and the differential outcomes of well-beings for these individuals in the United States. Based on the data from the survey of Health Behavior of School-Aged Children by World Health Organization, multidimensional scaling profile analysis was used to identify prototypical risk behavior profiles and atypical adolescents. Analyses suggested prototypicality of risk behavior patterns rather than a risk behavior syndrome. The regression analysis was then conducted to investigate the effects of atypical individuals vs. prototypical risk groups on well-being outcomes. The results indicated that those adolescents who were identified as more atypical than typical reported less positive psychological outcomes.

Integrative Literature Review of Adolescent Risk and Health Compromising Behaviors Guided by the Problem Behavior Theory

Twenty percent of the world’s population is adolescents. Although generally healthy, risky behaviors result in premature death from injury and establish lifestyle choices which may give rise to poor health and disability during adult life. This integrative review presents the state of the literature related to adolescent health risk behaviors as framed by the problem behavior theory. The key word search using the databases of ERIC, CINAHL Plus with full text, PsycARTICLES, and PsycINFO yielded an internationally representative group of articles consistent with the guiding framework. Fifteen articles related to risk factors, protective factors, risk behaviors, and health-compromising behaviors of adolescents were retained from the past five years. Although the literature is replete with research involving adolescents, gaps are identified, and recommendations for future research are considered.

Mediagebruik en risicogedrag van jongeren in het verkeer

Media use and adolescents’ risk taking in traffic: a literature review Media use and adolescents’ risk taking in traffic: a literature review The aim of this article is to provide an overview of the research on the relationship between media use and adolescents’ risk taking in traffic. In sum, two main approaches on this issue can be found in the literature. First, following Cultivation Theory and the Theory of Planned Behavior (TPB) media use can be seen as a predictor of people’s perceptions of and attitudes towards risky driving (cultivation) and of people’s intentions to take risks in traffic and their actual risky driving behavior (TPB). Second, following the Problem Behavior Theory certain types of media use and risky driving can be considered to be part of a cluster of problem behavior. This study explores the theoretical foundations of these two main research perspectives on media use and risk taking in traffic and discusses the research results in both traditions. Although more research is needed to examine the relationship between media use and risky driving, the literature suggests that media and risky driving are indeed related and that media use primarily seems to be a predictor of risk taking in traffic.

Prevalence and Correlates of Gambling Problems Among a Nationally Representative Sample of Brazilian Adolescents

The objectives of the study are: (a) to provide the first prevalence estimates of pathological gambling among Brazilian adolescents using an age-specific instrument in a nationally representative sample; (b) to investigate the extent to which adolescents participate in gambling activities in a developing country; and (c) to correlate different levels of gambling behavior with demographic variables. Multistage cluster sampling selected 3,007 individuals over 14years of age from Brazilian household population. A total of 661 participants were between 14 and 17years old. The Lie/Bet Questionnaire and the DSM-IV-MR-J were used for assessing problem and pathological gambling. 2.8% scored positive on the screening questionnaire, while 1.6% were classified as problem and pathological gamblers. Factors associated with problem and pathological gambling were male sex, not currently studying and considering religion as not important. Less than 4months elapsed between the age of regular gambling involvement and the first gambling problem. Prevalence rates were quite similar from recent studies which used nationally representative samples. The association of problem and pathological gambling with male sex, school drop-out and low religiosity supports the Problem Behavior Theory. The fast progression to problem gambling adds evidence that adolescents may be more vulnerable to the effects of gambling.

Risk and protective factors for residential foster care adolescents

Based on Jessor's (1998) Problem Behavior Theory, this study investigated the relationship between risk and protective factors and adolescent psychopathology and adjustment. For this purpose, adolescent girls (n = 69) and boys (n = 71) living in residential foster homes in the city of Tehran, responded to an adapted version of the Adolescent Health and Development Questionnaire, Jessor, 1998) and their foster home caregivers rated the adolescents' internalizing/externalizing problems and prosocial behavior with the Strengths and Difficulties Questionnaire (SDQ, Goodman, 2001). This study identified several influential aspects at the levels of the individual, foster home, peers and community that serve as a direct risk and protective factors, and also documented indirect pathways of gender, individual, foster home, peers and community influence. Three main patterns, protective, protective and enhancing, and protective but reactive seemed to characterize most of the risk by protective factor interactions. The risk and protective factors associated with foster home adolescents' mental health are broadly in line with previous published findings. Based on the present findings, the extension of universal intervention programs designed within the framework of PBT and which address multiple targets seems justified to be used with foster care home adolescents.

Risky Behavior in Affluent Youth: Examining the Co-occurrence and Consequences of Multiple Problem Behaviors

Children of affluent parents are often excluded in psychological research as they are considered to be at "low risk"; however, research is beginning to suggest that this previously under-studied population may be at risk for developing multiple problem behaviors, including substance use and externalizing problems. The current study aimed to extend the application of Problem Behavior Theory (PBT) to a sample of affluent adolescents by examining the extent to which these behaviors co-occurred and were associated with negative outcomes. Data were collected from 1,147 high school students living in an affluent community via anonymous questionnaires regarding their engagement in various problem behaviors. PBT was supported in this sample, and youth who engaged in multiple problem behaviors reported experiencing more negative outcomes than youth who did not engage in these behaviors. The findings of this study support the generalizability of PBT and also highlight the importance of continuing to study affluent youth in addition to traditionally high-risk populations.

Early sexual debut and associated factors among in‐school adolescents in eight African countries

This report examines early sexual debut (<age 15) among 15-year-old in-school adolescents in eight African countries. The total sample included 10 070 school children aged 15 years from nationally representative samples from eight African countries. Univariate and multivariate analyses were conducted to assess the relationship between early sexual debut and alcohol, tobacco and other drug use, mental distress, physical activity, protective factors and socioeconomic status variables. A total of 27.3% had experienced sexual debut before age 15, 38.1% among boys and 15.8% among girls. Boys and girls with sexual debut at less than age 15 were more likely to report alcohol, tobacco and drug use, truancy, poor parental or guardian connectedness, sedentary behaviour, having been in a physical fight and seriously injured, while for girls, mental distress and poor economic status and for boys, bullied and poor parental or guardian supervision were associated with early coital debut. In multivariable analysis, early sexual debut was among boys associated with currently smoking (OR = 4.45, p = 0.002) and truancy (OR = 2.02, p = 0.007) and, among girls, associated with lower education (OR = 0.22, p = 0.004), ever drunk (OR = 3.94, p = 0.016), having no close friends (OR = 3.36, p = 0.014) and poor parental connectedness (OR = 2.43, p = 0.037). The study found a high prevalence of early sexual debut among 15-year-olds in eight African countries. Risk factors identified were consistent with problem behaviour theory in which early onset of adolescent sexual behaviour is shared with other problem behaviours. Prevention programmes should broaden sexual health promotion including problem behaviour such as substance use and mental distress for boys and girls in the preteen years, before sexual debut.

Predictors of the Transition from Experimental to Daily Smoking in Late Adolescence and Young Adulthood

Although smoking initiation is rare in young adulthood, the progression to a higher level of smoking still occurs at this developmental stage. Thus, this study was aimed at exploring predictors of the transition from experimental to daily smoking in late teens and young adults using the 2nd and 3rd waves from the National Longitudinal Study of Adolescent Health. Predictors were chosen based on Problem Behavior Theory and others that have been found to be influential in the literature. Of the variables studied, age, racial-ethnic identity (Black and Hispanic as compared to White youth), risk-taking tendency, and marijuana use predicted daily smoking 5 years later. Only one predictor, GPA, was protective for reducing the likelihood for the transition to daily smoking. The results are discussed in regard to implications for prevention of the progression to persistent daily smoking.

Adolescent problem behavior in Nairobi's informal settlements: applying problem behavior theory in sub-Saharan Africa.

Adolescent involvement in problem behaviors can compromise health, development, and successful transition to adulthood. The present study explores the appropriateness of a particular theoretical framework, Problem Behavior Theory, to account for variation in problem behavior among adolescents in informal settlements around a large, rapidly urbanizing city in sub-Saharan Africa. Data were collected from samples of never married adolescents of both sexes, aged 12–19, living in two Nairobi slum settlements (N = 1,722). Measures of the theoretical psychosocial protective and risk factor concepts provided a substantial, multi-variate, and explanatory account of adolescent problem behavior variation and demonstrated that protection can also moderate the impact of exposure to risk. Key protective and risk factors constitute targets for policies and programs to enhance the health and well-being of poor urban adolescents in sub-Saharan Africa.

Early Adolescent Sexual Initiation as a Problem Behavior: A Comparative Study of Five Nations

Using a Problem Behavior Theory framework, this article examines the extent to which psychosocial correlates of early sexual initiation (before age 16) vary across developed nations. Fifteen-year-old participants (n = 5,624) in the 1997-1998 World Health Organization collaborative Health Behavior in School-Aged Children survey (Finland, Scotland, France, and Poland) and the 1996 U.S. Add Health survey self-reported substance use (alcohol and tobacco), school attachment, positive parental communication, and early sexual intercourse experience. Stratifying by gender, we performed univariate, bivariate, and multivariable analyses controlling for family socioeconomic status, family structure, and nation fixed effects. Self-reported early sexual experience, substance use, school attachment, and positive communication with parents varied significantly across nations for both boys and girls. In both crude and adjusted analyses, substance use was positively associated with early sexual experience among boys and girls across nations, although associations were stronger in Europe than in the United States (adjusted odds ratio [AOR]; range, 1.56-3.74). School attachment was similarly inversely related to early sexual experience among boys and girls across nations (AOR range, .63-.94). However, positive parent communication was significantly inversely related to early sexual experience only among U.S. females (AOR .50). Findings overall supported the fit of early adolescent sexual initiation as a risk behavior within a Problem Behavior Theory framework cross-nationally, suggesting that similar factors could be targeted to prevent early sexual initiation across some developed nations. However, further research is warranted examining the temporality of these relationships.