Puerto Rican Adolescents Research Articles

The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents.

The efficacy of cognitive-behavioral and interpersonal treatments for depression in Puerto Rican adolescents.

Similar and Different Precursors to Drug Use and Delinquency Among African Americans and Puerto Ricans

Correlational and net regression techniques were used to examine the commonalities and differences in risks for later drug use and delinquency among African American and Puerto Rican adolescents. Eighty-eight percent of the risks were significantly related to both problem behaviors. Within the personality, family, peer, ecology, and acculturation domains, many risks independently contributed to the prediction of each problem. Only three risks had a significantly stronger relationship to one of the problem behaviors than to the other. Finding so many common predictors supports a general dimension of problem behavior and highlights the psychosocial risks for drug use and delinquency. The commonalities suggest that interventions targeting these adolescent risks might reduce both problem behaviors.

Patterns of Alcohol Use Among Ethnically Diverse Black and Hispanic Urban Youth

Adolescent alcohol use remains a pressing problem. Identifying which groups are at greater risk of alcohol use helps in understanding the etiology of drinking and the development of alcohol prevention programs. Little epidemiologic information regarding alcohol use among inner-city minority adolescents is available. This study examined the relationship between patterns of alcohol use and ethnic group, a black group consisting primarily of African-Americans and Caribbean/West Indians and a Hispanic group of predominantly Puerto Ricans and Dominicans, among urban youth. Hispanic youth reported greater experience with alcohol than black youth. Dominican adolescents drank more frequently, drank more per drinking occasion, and planned to drink more in the future than Puerto Rican adolescents. Similarly, Caribbean/West Indian youth drank more frequently, became drunk more often, drank more per drinking occasion, and planned to drink more in the future relative to African-American youth. In general, gender did not moderate the relationship with alcohol. This study indicates that only considering ethnic group membership is not sufficient because there were important subgroup differences in patterns of alcohol use for both Hispanics and Blacks. Implications for prevention are discussed.

Gender-Related Ideals of Puerto Rican Adolescents

Young adolescents (N = 417; 12 through 16 years of age) attending public or private schools in Puerto Rico rated 40 characteristics of the ideal man or ideal woman and also drew the ideal person engaged in an activity. Principal component analysis revealed two conceptually coherent components. Girls, more than boys, endorsed the qualities loading on the first component, labeled Sociable Personality. Boys amending private schools who rated the ideal man perceived Sociable Personality to be less important than did other groups. Physically Attractive was rated as more important for the opposite-gender ideal than for the same-gender ideal. These findings revealed that the values of interpersonal respect and integrity, previously identified as traditional values in Puerto Rico, were present in adolescents' perceptions of the ideal person. The results also indicated that girls and boys may respond differently to conditions of cultural change and school context.

Gestational Age and Infant Size at Birth Are Associated with Dietary Sugar Intake among Pregnant Adolescents , ,

The objective of this study was explore the relationship between pregnancy outcomes and dietary sugar intake by pregnant adolescents. From two urban, prenatal clinics in the City of Camden, NJ, a cohort of 594 nondiabetic, pregnant adolescents, aged 13–19 y, who delivered live, singleton newborns between 1985 and 1990, was recruited and followed through pregnancy. Registered dietitians collected up to three 24-h recalls during pregnancy. The adolescents were categorized according to total sugar in their diets, with those in the top 10th percentile defined as high sugar consumers (≥206 g, n = 60) and the remainder as reference consumers (<206 g). Primary outcome measures were birth of small-for-gestational-age infants and gestational age. The cohort was 61% black, 30% Hispanic (Puerto Rican) and 9% white. The adjusted odds ratio was 2.01 (95% confidence interval 1.05–7.53) for the delivery of a small-for-gestational-age infant for adolescents consuming high sugar diets, regardless of their ethnicity. In addition, gestational age at delivery was −1.69 ± 0.62 wk (β ± SE) shorter among Puerto Rican adolescents consuming high sugar diets (P = 0.007) compared with all reference sugar consumers and white adolescents consuming high sugar diets. Black adolescents consuming high sugar diets did not exhibit a shortening of gestation. Thus, adolescents consuming high sugar diets are at increased risk for delivering small-for-gestational-age infants, and for delivering infants earlier if they are of Puerto Rican ethnicity.

Strengths-Based Practice with Puerto Rican Adolescents: Lessons from a Substance Abuse Prevention Project

Strengths-based practice offers potential for reaching undervalued and underserved communities in the United States. This article describes the experiences of a substance abuse prevention project targeting Puerto Rican adolescents in a New England community. Cultural pride played an instrumental role in youths discovering their strengths while helping themselves and their families and community.

Drug Use and Delinquency: Shared and Unshared Risk Factors in African American and Puerto Rican Adolescents

The shared and unshared psychosocial risk factors related to stage of drug use and delinquency were examined. The sample consisted of 655 African American and 600 Puerto Rican male and female adolescents. Net regression analysis was used to analyze the data. The results showed that adolescent stage of drug use and delinquency reflect shared and unshared risk factors. The magnitude of the risk factors for adolescent delinquency was greater than for stage of drug use. The findings support a socialization hypothesis (from parent, to personality, to behavior), and the data were congruent with a dispositional model (from child, to parent or peer, to behavior).

AIDS prevention in inner-city puerto rican adolescents: The teens offer solutions

AIDS prevention in inner-city puerto rican adolescents: The teens offer solutions

Psychosocial correlates of drug use among Puerto Rican youth: Generational status differences

This study investigates the role of several social psychological variables which could help explain the process by which Puerto Rican adolescents become vulnerable to drug use involvement with exposure to a host society, New York City, where the prevalence of drug use is higher than in the society of origin, Puerto Rico. To study how acculturation affects the psychosocial factors associated with adolescent drug use, four generational status groups of Puerto Rican students living in two settings—New York City and San Juan, Puerto Rico—were surveyed: New York Ricans (New York City-born Puerto Ricans); New York migrants (island-born Puerto Ricans living in New York); Puerto Rican islanders (adolescents who had never lived outside of Puerto Rico); and Puerto Rican immigrants (New York City-born youngsters of Puerto Rican parentage whose families had returned to live on the Island). A theoretical model developed to explain adolescent problem behavior, which posits a continuum of antecedent, intrapersonal, interpersonal and perceived environment dimensions theoretically conductive to adolescent drug use, guided the analysis. Analysis of variance was used to test for generational status group differences in each of the psychosocial risk factors. The relationship between generational status, the intervening psychosocial variables, and drug use were explored through multiple regression analyses. The data showed that Puerto Rican youth's generational status was systematically related to differences in the occurrences of the social psychological risk factors for adolescent drug use involvement. With greater exposure to the New York City environment, Puerto Rican youngsters were more likely to report problems in parental socialization, personal control and perceived environment domains. Each of the psychosocial characteristics was associated with the students' drug use involvement, and these relationships were conditioned by generational status. New York Ricans exhibited the greatest susceptibility to drug use involvement in the presence of weakening of parental controls, increased tolerance of deviance and drug use, increased unconventionality with respect to school and church, and peer use of legal and illegal drugs. Sociodemographic and psychosocial variables together explained 47% of the variance in the drug use involvement of Puerto Rican adolescents.

Environmental Tobacco Smoke Exposure Among Hispanic Women of Reproductive Age

Exposure to environmental tobacco smoke is a potential health risk for women of reproductive age and their children. Household and workplace exposures were estimated for 4256 Hispanic women age 12 to 49 who participated in the Hispanic health and nutrition examination survey. Age-specific household exposure for nonsmokers was 31% to 62% for Mexican-Americans, 22% to 59% for Puerto Ricans, and 40% to 53% for Cuban-Americans. Exposure was significantly high for Puerto Rican and Mexican-American adolescents, 59% and 62%, respectively. Workplace exposure for nonsmokers was 22% to 35% for Mexican-Americans, 28% to 33% for Puerto Ricans, and 33% to 49% for Cuban-Americans. Young Mexican-American and Puerto Rican and all Cuban-American women reported high exposure to environmental tobacco smoke in the home or workplace. Assessment of family living and smoking patterns, understanding cultural values and norms, and household smoking control and cessation strategies that are mutually derived are useful for nurses and Hispanic and Latino populations to meet the environmental tobacco smoke health objectives for the nation.

Sequence of Sexual Behavior and Its Relationship to Other Problem Behaviors in African American and Puerto Rican Adolescents

This study examined the sequence of sexual behavior of 695 African American and 637 Puerto Rican adolescents and the relationship of this sequence to other problem behavior measures. Analyses indicated that adolescents proceed through four stages of sexual behavior: no involvement, then deep kissing, then petting, and, finally, sexual intercourse. The sequence was similar in both ethnic groups and seemed both unidimensional and cumulative. In addition, for both ethnic groups the degree of sexual involvement was significantly related to the level of drug use and to the frequency of delinquent behavior, thereby suggesting an underlying problem behavior syndrome. Directions for future research are suggested.

Vulnerabilities and cultural change: drug use among Puerto Rican adolescents in the United States.

The investigations examined drug usage-based and culture-based differences in young Puerto Ricans living in New York (100 nonusers and 192 drug users), Americans living in New York (100 nonusers and 99 drug users), and Puerto Ricans living in Puerto Rico (100 nonusers and 98 drug users). The Associative Group Analysis method was used to measure cultural change in three dimensions: dominant perceptions, priorities, and evaluations. The findings show that the Puerto Rican drug user and nonuser groups in New York differed significantly in their paths of acculturation. The nonusers were shown to progress successfully in learning American meanings and adopting American perspectives and cultural norms. The drug users were attracted to dominant American priorities (e.g., wealth and freedom) but showed little progress in adopting deeper American cultural meanings necessary for effective coping.

A Comparison of the Fertility of Dominican, Puerto Rican and Mainland Puerto Rican Adolescents

Data from three fertility surveys are used to examined the probabilities and determinants of adolescent births among Dominican and Puerto Rican women. Young women in the Dominican Republic are the most likely to have had a child by each year of age from 14 through 24, followed by young women on the Island of Puerto Rico; the probability of an early birth is lowest for Puerto Rican women on the U.S. mainland. Eighteen percent of Dominican women have had a child before their 18th birthday, compared with 13% of women living in Puerto Rico, and 10% of Puerto Rican women in metropolitan New York. The cumulative probabilities that Puerto Rican women will have borne a child before their 20th birthday are almost identical, whether the women live on the island or the U.S. mainland, but the difference between Puerto Rican and Dominican women widens. The order is reversed, however, in the analysis of premarital births: The probability of a premarital birth during adolescence is highest for Puerto Rican women in New York, and lowest for Dominican women. In a separate logistic regression analysis, education and age at first sexual intercourse are shown to be important determinants of adolescent fertility in all three populations.

Factors Affecting Cigarette Smoking and Intention to Smoke Among Puerto Rican-American High School Students

Using data from a survey of Puerto Rican adolescents in Boston and Hartford, a cross-sectional analysis was conducted of factors affecting recent cigarette smoking status and intentions to smoke in the next 5 years. Among Puerto Rican-American high school students between the ages of 14 and 20 years, nearly 12% of the males and 10% of the females had smoked at least one cigarette during the month prior to in-home interviews. Two factors -the proportion of close friends who smoked and exposure to smokers during recreational activities-were positively associated with the likelihood that respondents had smoked in the past month and intended to smoke in the future. The smoking status offamily members had no major independent effects on a teen's behavior. Degree of acculturation, measured by three language usage items, was associated with higher rates of smoking by male students but not by females. These results suggest that peer pressure is as important an influence on the cigarette smoking behavior of Puerto Ricans as it is for non-Latino students.

Sociocultural factors associated with smoking behavior by Puerto Rican adolescents in Boston

This study examined cigarette smoking among Puerto Rican adolescents in the Boston area in its sociocultural context by describing who uses cigarettes, and by identifying factors that encourage or discourage cigarette use. The study, conducted from 1986-87, used two approaches. The first was to survey 605 Puerto Rican households with adolescents 11-20 years old. Households were identified from a random sample of census blocks in five neighborhoods. In each household, interviews were completed with one adolescent and his or her female caretaker. The second approach was to conduct ethnographic interviews with 40 adolescents selected through a purposive sample of survey respondents from three of the study neighborhoods. Bivariate and multivariate statistical analyses were used to examine the relationships between smoking behavior and characteristics of the adolescents. The results of these analyses were examined in light of the ethnographic data. Overall, 13.7% reported smoking in the month preceding the interview. Smoking was most prevalent among males 17-20. Patterns of smoking were associated with teens' social networks. The Puerto Rican adolescents in this study were more likely to smoke when their friends and household members smoked, if they participated in recreational activities such as sports or unsupervised games, and if they were not in school. These effects varied according to the gender of the respondent.

Ethnicity and Psychosocial Factors in Alcohol and Tobacco Use in Adolescence

Research on ethnic group differences has suggested that (a) adolescents from various groups differ on a number of dimensions that have been related to risk for substance use initiation, and (b) adolescents of different groups choose different substances. However, there is little consensus regarding the reasons for such differences. There is an especially high rate of alcohol use among Hispanic adolescents, and Hispanics are at high risk for alcohol abuse. In light of ethnic group differences in both substance use and the precursors of substance use in adolescence, this study examined differences among black, Anglo, Puerto Rican, and Dominican adolescents in the relation between cigarette and alcohol use and psychosocial functioning. Comparisons between the Puerto Rican and Dominican subjects were of special interest due to preexisting differences between these groups that may be attributed to acculturation. Results provided evidence of the importance of acculturation in modifying psychosocial vulnerability, especially for alcohol use, with the Dominican group at highest risk.

Epidemiological Comparisons of Puerto Rican and U.S. Mainland Children: Parent, Teacher, and Self-Reports

U.S. mainland and Puerto Rican nonreferred samples were compared via the Child Behavior Checklist (ages 4 to 16), Teacher's Report Form (ages 6 to 16), and Youth Self-Report (ages 12 to 16). Problem scores were significantly higher in parent and teacher ratings of Puerto Rican than mainland subjects, but were significantly lower in self-ratings by Puerto Rican adolescents. Adolescents in both cultures reported significantly more problems than their parents or teachers did. Most of the significant cross-cultural differences in parent, teacher, and self-ratings of competencies showed more favorable scores for the mainland subjects. High referral rates, a high prevalence of DSM diagnoses, and low scores on the Children's Global Assessment Scale are consistent with the high problem rates reported by Puerto Rican parents and teachers but not with the lower rates reported by adolescents. Different clinical cutoffs may be needed for all assessments in the mainland versus Puerto Rico.

Hero/heroine modeling for Puerto Rican adolescents: A preventive mental health intervention.

Culturally sensitive treatments of the special mental health needs of high-risk Puerto Rican adolescents are lacking. The hero/heroine intervention was based on adult Puerto Rican role models to foster ethnic identity, self-concept, and adaptive coping behavior. 90 nonclinical Puerto Rican 8th and 9th graders were screened for presenting behavior problems in school and randomly assigned to an intervention and a control group. After 19 sessions, the intervention significantly increased adolescents' ethnic identity and self-concept and reduced anxiety. Treatment outcomes varied as a function of grade level, sex, and household composition. Self-concept was negatively affected among girls from intact families. The study supports the effectiveness of the culturally sensitive modality as a preventive mental health intervention for high-risk Puerto Rican adolescents, especially from single-parent families.

Culturally sensitive psychotherapy for Puerto Rican children and adolescents: A program of treatment outcome research.

Recognition of cultural distance between Hispanic clients and non-Hispanic therapists has prompted efforts to introduce culture into therapy, but there is little evidence that such efforts influence treatment outcomes. This article evaluates treatment outcomes from a program of research on modeling therapy with Puerto Ricans, targeting anxiety symptoms, acting-out behavior, and self-concept problems. Evaluation of outcomes confirmed the impact of culturally sensitive modeling therapy on anxiety symptoms and other selected target behaviors, but negative treatment effects also were evident. Results suggest that new approaches to psychotherapy for special populations, such as Hispanic children and adolescents, should be buttressed by programmatic research oriented toward the comparative evaluation of treatment outcomes and should be attuned to therapeutic processes mediating between culture and outcome.

Culturally sensitive psychotherapy for Puerto Rican children and adolescents: A program of treatment outcome research.

Culturally sensitive psychotherapy for Puerto Rican children and adolescents: A program of treatment outcome research.