Changes in peer and parent influence during adolescence: Longitudinal versus cross-sectional perspectives on smoking initiation.

3,819 6th–11th graders were administered a questionnaire to explore whether the influence of peers or parents on smoking transition differed with age or sex. 69.7% of these Ss completed the questionnaire 1 yr later. Ss were divided into smoking-status groups based on their responses to a self-report smoking measure. Overall findings indicate that both peer and parent influences were significantly predictive of subsequent transitions to higher levels of smoking. Initial onset of smoking among never-smokers was more likely for Ss with more smoking friends and parents, lower levels of parental support, and friends with lower expectations for the Ss' general and academic success. For girls, the transition from experimental to regular smoking was more likely if their friends had more positive attitudes toward their smoking and lower expectations for their general and academic success; for boys, the transition was more likely if their friends had higher expectations for their success. Contrary to previous findings, data indicate that both parents and peers exert a significant influence on adolescent behavior. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Adolescent psychological and social predictors of young adult smoking acquisition and cessation: A 10-year longitudinal study.

Objective: A 10-year follow-up study to test the extent to which theory-based adolescent psychological and social factors directly predict and moderate the prediction of young adult smoking acquisition and cessation. Design: A prospective community-based sample. A total of 2,970 adolescents participated in the large Washington State Hutchinson Smoking Prevention Project (HSPP) longitudinal cohort. As predictors, psychological factors (i.e., parentnoncompliance, friendcompliance, rebelliousness, achievement motivation, and thrill seeking) and social environmental factors (i.e., parent's and friend's smoking) were measured when adolescents were 17–18 years old. Main Outcome Measures: As main outcome measures, smoking acquisition and cessation were assessed both at ages 18 and 28. Results: Psychological and social factors predicted 3% to 7% probability (p     

Family functioning and parental smoking as predictors of adolescent cigarette use: A six-year prospective study.

The goal of this study was to determine how family functioning influences the onset of adolescent cigarette smoking and how family functioning and parental smoking together influence adolescent smoking. A 6-year prospective design was used to follow a group of 508 families with a child aged 11–13 years. Predictor measures were parents" smoking status at Time 1, parents" scores on scales measuring family cohesion and parent–adolescent strain, and adolescents" scores on 3 scales measuring psychological adjustment. Results showed that poorer family functioning predicted subsequent adolescent smoking, independent of other measured factors. The strongest predictions were yielded by the combination of low family cohesion and parental smoking, with early adolescents who had a parent who smoked and low family cohesion reporting more than twice the rate of smoking in late adolescence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

P300 delay and attenuation in schizophrenia: reversal by neuroleptic medication

PURPOSE: To examine parental influences on two transitions in the adolescent smoking uptake process: from never having smoked to experimentation and from experimentation to established smoking. METHODS: Using data from the longitudinal Teenage Attitudes and Practices Survey of 1989-1993, we related perceived parental concern about their adolescents' future smoking, parental smoking status, problem-solving communication between parent and adolescent, demographics, and other factors at baseline to experimentation by follow-up among those who had never puffed on a cigarette (n = 4149). We also related these factors at baseline to reaching a lifetime level of smoking of at least 100 cigarettes by follow up among those who had experimented but smoked < 100 cigarettes (n = 2684) in univariate and multivariate analyses. RESULTS: Among never-smokers, baseline susceptibility to smoking and having male best friends who smoke predicted experimentation in the next 4 years. Among experimenters, susceptibility to smoking, having male or female best friends who smoked, and lack of parental concern about future smoking distinguished those who progressed to established smoking by follow-up. Furthermore, communicating with parents first about serious problems was protective against progression from experimentation to established smoking. CONCLUSION: Interventions aimed at reducing adolescent smoking should encourage cessation for parents who smoke and help parents communicate strong anti-smoking norms to children and adolescents and maintain strong lines of communication with them.     

Smoking: high hazards in high school

BACKGROUND: Young people in school are at an impressionable age, peer pressures are intense, and the probability that they will pick up a high-risk behavior, such as smoking, is high. The key to reduction of smoking among adults is to target our prevention efforts at young adults and teens. OBJECTIVE: To study the prevalence and trend of smoking among young adults and teens and to formulate guidelines on smoking reduction to guide those who counsel young people. STUDY DESIGN: The study design is cross sectional. METHODS: This study is based on the data from the Oklahoma Behavioral Risk Factor Surveillance System and the National Youth Risk Behavioral Surveillance System - the two systems that monitor the prevalence of behaviors that most influence health. RESULTS: The prevalence of smoking among young adults (age 18-24) in Oklahoma is high at more than 21%. The disturbing feature is that it is higher among young females than among young males. The prevalence of smoking among young adults is the highest among high school dropouts and is more than 38%. It is lower among high school graduates (about 28%) and lowest among college graduates (about 18%). The percentage of smoking among students who classify themselves as current smokers rises from 23% to 30% as the students progress from grade 9 to 12 and the percentage of frequent smokers increases from 8% to 16%. CONCLUSIONS: Guidelines suggested for counselors are: 1. Along with smoking, look for comorbid behaviors such as alcohol use, drug abuse, and high-risk sexual behavior. 2. Ask whether the student has easy access to free cigarette samples. 3. Check whether the teen is trying to lose weight; suggest appropriate methods for losing weight if smoking is being used for losing weight. 4. Target health education efforts early in a student's school career starting in elementary school, but concentrate especially at the 8th or 9th grade level to have maximum preventive impact.     

Family, school, and neighborhood: Links to Chinese American adolescent perceptions of racial/ethnic discrimination.

The purpose of the study was to examine how family, school, and neighborhood factors contributed to Chinese American adolescent perceptions of discrimination. The sample included 185 Chinese American adolescents (mean age = 16.8 years, SD = .81; 58% female; 70% U.S.-born) and their parents. As hypothesized, the results showed that greater parent perceptions of discrimination, more negative school environment, and less availability of cultural resources were related to greater adolescent perceptions of discrimination. Contrary to the hypothesis, parent/adolescent subjective perceptions of ethnic density were related to greater adolescent perceptions of discrimination. The findings suggest that adolescent perceptions of discrimination are related to both within and outside family factors, supporting an ecological approach to understanding racial/ethnic discrimination. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Differentiating stages of smoking intensity among adolescents: Stage-specific psychological and social influences.

Researchers' understanding of the impact of sociocultural and psychological factors on the various stages of adolescent smoking update is limited. Using national data, the authors examined transitions across smoking stages among adolescents (N=20,747) as a function of interpersonal, familial, and peer domains. Peer smoking was particularly influential on differentiating regular smoking, whereas alcohol use was most influential on earlier smoking. Although significant, depression and delinquency were attenuated in the context of other variables. Higher school grade was more likely to differentiate regular smoking from earlier smoking stages, whereas African American ethnicity and connectedness to school and family were protective of smoking initiation. Results lend support for an interactional approach to adolescent smoking, with implications for stage-matched prevention and intervention applications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of risk for different stages of adolescent smoking in a biracial sample

This investigation was designed to identify the risk factors associated with different stages of cigarette use in a large biracial adolescent sample. A questionnaire assessing smoking habits and variables thought to be related to smoking was administered to 6,967 7th graders. Analysis revealed that the best predictor of experimentation with cigarettes was the perception that they were easily available. Regular smoking appeared to be heavily influenced by cost. Social influences contributed to both experimental and regular smoking, but the impact of social models varied with ethnicity and gender. Analysis further revealed that weight-related variables were closely tied to regular smoking. Implications of the findings for smoking prevention programs are discussed.     

Mutual influences in parent and adolescent psychological distress.

Using a cross-lagged effect model with 3 waves of panel data, this study examined mutual influences in parent and adolescent psychological distress reported independently by respondents in each of 4 parent–child dyads: mothers–sons, mothers–daughters, fathers–sons, and fathers–daughters. Results showed that parent and adolescent distress were reciprocally related across time, even after earlier emotional status was statistically controlled. These mutual influences in distress, however, were gender specific, with the strongest cross-lagged associations occurring between mothers and sons and fathers and daughters. Moreover, boys were more susceptible to parental distress during early adolescence, girls during early to mid-adolescence. Incremental fit comparisons for alternative models suggest that a son's distress may have more negative consequences for mothers than the reverse. Finally, mutual influences in psychological distress for fathers and daughters were more pronounced for girls who were experiencing the onset of menarche and for girls who recently experienced a school transition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Applying a prospective approach to the treatment of abuse by adolescent parents.

Advocates that prospective techniques (PTs) be used in conjunction with retrospective techniques for obtaining insight into abusive adolescent patients' conflict, promoting an adaptive interpersonal outcome, and deterring abusive behavior. Parents with a history of childhood abuse risk repeating abusive patterns with their own children. The potential for this intergenerational transmission of abuse is compounded in adolescent parents whose psychological development is undergoing dramatic change. Both the risk of enacting abusive behaviors and the continuous developmental transformations that adolescents experience suggest that retrospective techniques may not be fully effective for deterring abuse in these parents. PTs derived from adaptive parent–infant interaction orient the adolescent parent toward upcoming events, thereby helping the parent prepare for developmental transition and the effective management of future conflict. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Risk factors for disordered eating during early and middle adolescence: Prospective evidence from mainland Chinese boys and girls.

Despite evidence that sociocultural and psychological factors contribute to disordered eating, researchers have yet to examine the extent to which putative risk factors influence vulnerability for girls versus boys within and across phases of adolescence, particularly in non-Western cultures. In this study, early and middle adolescent samples from China (N = 2,909) completed measures of eating disorder pathology and putative risk factors at baseline and were reassessed 12 months later. Among both younger and older girls, elevations in appearance-focused interactions with friends, negative affect, and body dissatisfaction predicted increases in symptomatology at follow-up. In contrast, there was more discontinuity in risk factors relevant to samples of boys. Although media and friendship influences contributed to later disturbances among early adolescent boys, psychological factors, including body dissatisfaction and negative affect, had stronger effects in the multivariate model for older boys. Implications of finding are discussed in relation to adolescent development and a Chinese cultural context. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Asian blepharoplasty with a short-pulsed contact Nd-Yag laser: limited-incision resectable laser double fold with internal medial and lateral functional epicanthoplasty

PURPOSE: To determine how often primary care physicians screen adolescents for important risk factors and to determine how rates of screening vary by physicians' specialty and practice setting, patients' age, and type of risk factor. METHODS: A stratified random sample of 343 California physicians who are Board certified in pediatrics, family practice, or internal medicine, and physicians in these specialties who specialized in adolescent medicine were surveyed about their screening practices using a mailed questionnaire. Subjects were asked the percentage of routine comprehensive physical examination during which they personally queried or screened each age group of adolescents (11-14 years old and 15-18 years old) for each of the following risk factors: high blood pressure, alcohol use, cigarette use, sexual activity, and drug use. RESULTS: The frequency with which primary care physicians reported actually screening younger and older adolescents for the various risks were approximately: 93% and 96% for high blood pressure, 70% and 84% for alcohol use, 74% and 82% for drug use, 67% and 83% for sexual activity, and 76% and 86% for smoking, respectively. For all risk factors, providers screened older adolescents more frequently than younger adolescents (p < 0.01). Finally, screening rates varied by specialty (p < 0.01) but not by practice setting. CONCLUSIONS: This study found that California physicians frequently screen adolescents for a variety of risk factors. However, the reported rates may not be consistent with published guidelines. Interventions may need to be developed which focus on improving primary care physicians' adolescent-specific screening practices.     

Family and individual factors associated with substance involvement and PTS symptoms among adolescents in greater New Orleans after Hurricane Katrina.

Objective: This study examined the influence of hurricane impact as well as family and individual risk factors on posttraumatic stress (PTS) symptoms and substance involvement among clinically referred adolescents affected by Hurricane Katrina. Method: A total of 80 adolescents (87% male; 13–17 years old; mean age = 15.6 years; 38% minorities) and their parents were interviewed at the adolescent's intake into substance abuse treatment, 16 to 46 months postdisaster. Independent measures included hurricane impact variables (initial loss/disruption and perceived life threat); demographic and predisaster variables (family income, gender, predisaster adolescent substance use, predisaster trauma exposure, and parental substance abuse); postdisaster family factors (parental psychopathology, family cohesion, and parental monitoring); and postdisaster adolescent delinquency. Results: Hierarchical multivariate regression analyses showed that adolescent substance involvement was associated with higher family income, lower parental monitoring (adolescent report), and more adolescent delinquency. Adolescent-reported PTS symptoms were associated with greater hurricane-related initial loss/disruption, lower family cohesion (adolescent report), and more adolescent delinquency, whereas parent-reported adolescent PTS symptoms were associated with greater parental psychopathology, lower parental monitoring (adolescent report), and lower family cohesion (parent report). Conclusions: The results suggest that hurricane impact was related only to adolescent-reported PTS. However, certain postdisaster family and individual risk factors (low family cohesion and parental monitoring, more adolescent delinquency) were associated both with adolescent substance involvement and with PTS symptoms. Identification of these factors suggests directions for future research as well as potential target areas for screening and intervention with substance-abusing adolescents after disasters. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of changes in weight esteem among mainland Chinese adolescents: A longitudinal analysis.

Weight and body image concerns are prevalent among adolescents across cultures and pose significant threats to well-being, yet there is a paucity of longitudinal research on samples living in non-Western and developing countries. This prospective study assessed the extent to which select sociocultural, psychological, and biological risk factors contributed to changes in weight esteem among adolescent girls and boys living in the People’s Republic of China. Students (181 boys, 320 girls) from middle schools and high schools in Southwest China completed measures of demographics; weight esteem; thin female and lean, muscular male appearance ideals; positive and negative affect; and appearance-based social pressure, teasing, and comparison. Subsequently, weight esteem was reassessed 18 months later. Girls having stronger preferences for thin ideals, a high body mass index, and more negative affect at Time 1 were more likely to experience losses of weight esteem at follow-up. Among boys, high baseline levels of appearance pressure contributed to later reductions in weight esteem—an effect that was also moderated by age. For both sexes, appearance social comparisons also contributed to weight esteem changes in univariate analyses, albeit these effects were attenuated within multivariate prediction models. In sum, this study highlights how specific experiences implicated previously in research on body dissatisfaction in Western samples are also salient in understanding changes in weight esteem for adolescent girls and boys in rapidly developing China. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms.

This study examined the role of both pubertal and social transitions in the emergence of gender differences in depressive symptoms during adolescence. This study generated the following findings: (a) Gender differences in depressive symptoms emerged during 8th grade and remained significant through 12th grade. (b) Pubertal status in 7th grade was related to adolescent depressive symptoms over time. (c) Early-maturing girls represented the group with the highest rate of depressive symptoms. (d) Depressive symptoms measured in 7th grade predicted subsequent symptom levels throughout the secondary school years. (e) Recent stressful life events were associated with increased depressive symptoms. (f) Early-maturing girls with higher levels of initial symptoms and more recent stressful life events were most likely to be depressed subsequently. The findings demonstrate the importance of the interaction between the pubertal transition and psychosocial factors in increasing adolescent vulnerability to depressive experiences. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Watching and drinking: Expectancies, prototypes, and friends’ alcohol use mediate the effect of exposure to alcohol use in movies on adolescent drinking.

Objective: To investigate the psychological processes that underlie the relation between exposure to alcohol use in media and adolescent alcohol use. Design: The design consisted of a structural equation modeling analysis of data from four waves of a longitudinal, nationally representative, random-digit dial telephone survey of adolescents in the United States. Main Outcome Measures: The main outcome measures were adolescent alcohol consumption and willingness to use alcohol. Tested mediators were alcohol-related norms, prototypes, expectancies, and friends’ use. Results: Alcohol prototypes, expectancies, willingness, and friends’ use of alcohol (but not perceived prevalence of alcohol use among peers) were significant mediators of the relation between movie alcohol exposure and alcohol consumption, even after controlling for demographic, child, and family factors associated with both movie exposure and alcohol consumption. Conclusion: Established psychological and interpersonal predictors of alcohol use mediate the effects of exposure to alcohol use in movies on adolescent alcohol consumption. The findings suggest that exposure to movie portrayals may operate through similar processes as other social influences, highlighting the importance of considering these exposures in research on adolescent risk behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived control in adolescent substance use: Concurrent and longitudinal analyses.

A sample of 9th-grade students (1,293 individuals, 51% girls) attending compulsory schools in Reykjavik, Iceland, was surveyed and followed up 3 years later. The relationship between perceived control and substance use is examined concurrently at age 14 for experimentation with tobacco and alcohol and longitudinally (14–17 years of age) for daily smoking, heavy drinking, and illicit drug use. Taking into account sociodemographic characteristics (family structure, socioeconomic status, and gender) and parental and peer use, the results of concurrent analyses indicate that adolescents who expressed more personal control were less likely to have smoked and to have had a drink at age 14. Longitudinal analyses showed that perceived control at age 14 predicted both daily smoking and illicit drug use among girls at age 17 but not among boys. Conversely, perceived control did not predict heavy drinking among adolescents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Underage drinking among young adolescent girls: The role of family processes.

Guided by family interaction theory, this study examined the influences of psychological, peer, and familial processes on alcohol use among young adolescent girls and assessed the contributions of familial factors. An ethnically diverse sample of 1,187 pairs of girls (M age = 12.83 years), and their mothers completed surveys online. Questionnaires assessed girls’ lifetime and recent alcohol use, as well as girls’ demographic, psychological, peer, and family characteristics. Hierarchical logistic regression models showed that although girls’ drinking was associated with a number of psychological and peer factors, the contributions of family domain variables to girls’ drinking were above and beyond that of psychological and peer factors. The interaction analyses further highlighted that having family rules, high family involvement, and greater family communication may offset risks in psychological and peer domains. Study findings underscore the multifaceted etiology of drinking among young adolescent girls and assert the crucial roles of familial processes. Prevention programs should be integrative, target processes at multiple domains, and include work with parents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prevalence and correlates of early smoking among elementary schoolchildren in multiethnic, low-income inner-city neighborhoods

PURPOSE: The prevalence and correlates of early smoking were investigated among schoolchildren in grades 4-6 living in multiethnic, low-income neighborhoods in Montreal. METHODS: As part of the evaluation of a school-based heart health promotion program, baseline data on the prevalence of early smoking were collected from 2285 students aged 9-13 years in 24 inner-city elementary schools during May-June 1993. RESULTS: Overall, 28.7% of boys and 20.3% of girls had smoked. Girls began trying later than boys, but by age 13 the prevalence of experimental or regular smoking by girls overtook that of boys. Univariately, ever smoking varied considerably by family origin, from 2.1% among Vietnamese girls, to 35.8% among Portuguese boys. In multivariate analysis, age, perceived smoking habits of friends, and smoking by family members, were strong correlates of smoking. Being of Asian family origin was negatively associated with smoking. None of the indicators of social class were significantly associated with ever smoking. CONCLUSIONS: Smoking prevention should begin with children even younger than age 9 in multiethnic, low-income, inner-city neighborhoods. With the exception of a lower prevalence of smoking among Asian children, ethnicity and social class were not strong influences on early smoking behavior in this population.     

Trajectories of smoking from adolescence to early adulthood and their psychosocial risk factors.

Objective: To explore patterns of persistence and change in smoking behavior as well as risk factors associated with the developmental course of smoking from age 13 to 25. Design: Data from the public use sample of the National Longitudinal Study of Adolescent Health (N = 5,789) were analyzed using semiparametric group-based modeling. Main Outcome Measures: Smoking quantity-frequency in the past 30 days. Results: Six distinct smoking trajectories were identified: nonsmokers, experimenters, stable light smokers, quitters, late escalators, and stable high smokers. Baseline risk factors that were associated with greater likelihood of membership in all of the smoking trajectory groups compared with nonsmokers included alcohol use, deviance, peer smoking, and (with the exception of the late escalators) drug use. Deviance, peer smoking, and alcohol and drug use also distinguished the likelihood of membership among several of the 5 smoking trajectory groups. Conclusion: The results add to basic etiologic research on developmental pathways of smoking in adolescence and young adulthood by providing evidence of heterogeneity in smoking behavior and prospectively linking different patterns of risk factors with the probability of trajectory group membership. (PsycINFO Database Record (c) 2010 APA, all rights reserved)