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Risky Behaviors (risky + behavior)
Selected AbstractsSymptoms of Depression In Middle School Teenagers Linked to Risky BehaviorPERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, Issue 4 2006-D. Hollander No abstract is available for this article. [source] Risky Behaviors Still Fuel HIV Epidemic Among Men Who Have Sex With MenPERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, Issue 4 2007D. Hollander No abstract is available for this article. [source] Psychobiological models of adolescent risk: Implications for prevention and interventionDEVELOPMENTAL PSYCHOBIOLOGY, Issue 3 2010Susan D. Calkins Abstract The papers in this special section address the phenomena of observed increases in risky behavior during the adolescent period of development. Authors provide well-documented evidence that adolescents are at greater risk for a range of psychological and behavioral problems during this period than at any other time in development. The papers share a developmental and psychobiological perspective on this period, noting that biological, social, and contextual factors interact to produce heightened risk for problematic behavior during this period. This perspective suggests several points of entry for intervention and prevention efforts aimed at reducing both mental and behavioral health problems. Gaps in current research efforts are noted, as is the need for more research focusing on mechanisms of change prior to and during adolescence. © 2010 Wiley Periodicals, Inc. Dev Psychobiol 52: 213,215, 2010 [source] Psychobiological models of adolescent risk: Implications for prevention and interventionDEVELOPMENTAL PSYCHOBIOLOGY, Issue 3 2010Julia Jackson-Newsom Abstract Psychobiological models of risk have much to contribute to the prevention of and intervention with risky behavior among adolescents. Emerging research is beginning to provide better information about mechanisms underlying individual differences in risky behavior (e.g., differences in self-regulation) and providing insight into unique vulnerabilities that occur during adolescence (e.g., increases in reward seeking). This work suggests ways in which prevention programming can be designed to be sensitive to both individual differences and developmental timing. Psychobiological models of risk also have practical implications for the manner and methods of conducting prevention and intervention work. Future work in both the etiology and prevention of risky behavior can benefit from ongoing dialogue and has the potential to result in a more sophisticated understanding of the mechanisms of change related to risky behavior. © 2010 Wiley Periodicals, Inc. Dev Psychobiol 52: 295,297, 2010 [source] Risk-taking and the adolescent brain: who is at risk?DEVELOPMENTAL SCIENCE, Issue 2 2007Adriana Galvan Relative to other ages, adolescence is described as a period of increased impulsive and risk-taking behavior that can lead to fatal outcomes (suicide, substance abuse, HIV, accidents, etc.). This study was designed to examine neural correlates of risk-taking behavior in adolescents, relative to children and adults, in order to predict who may be at greatest risk. Activity in reward-related neural circuitry in anticipation of a large monetary reward was measured with functional magnetic resonance imaging, and anonymous self-report ratings of risky behavior, anticipation of risk and impulsivity were acquired in individuals between the ages of 7 and 29 years. There was a positive association between accumbens activity and the likelihood of engaging in risky behavior across development. This activity also varied as a function of individuals' ratings of anticipated positive or negative consequences of such behavior. Impulsivity ratings were not associated with accumbens activity, but rather with age. These findings suggest that during adolescence, some individuals may be especially prone to engage in risky behaviors due to developmental changes in concert with variability in a given individual's predisposition to engage in risky behavior, rather than to simple changes in impulsivity. [source] The role of personality dispositions to risky behavior in predicting first-year college drinkingADDICTION, Issue 2 2009Melissa A. Cyders ABSTRACT Aims US college student drinking is associated with enormous risks to health, safety and productivity. Recent advances in personality research that have delineated multiple, separate dispositions to engage in risky behaviors may help to clarify the personality contribution to risk for this problem. Design The authors compared the prospective roles of sensation seeking, lack of planning, lack of perseverance, negative urgency and positive urgency (dispositions to engage in rash action when in an unusually negative or positive mood, respectively) in predicting increases in drinking frequency, drinking quantity and negative outcomes from consumption across the first year of college. Setting University of Kentucky campus. Participants A total of 418 first-year US college students enrolled in an Introduction to Psychology course during the first assessment; 293 participants completed both phases of the study. Measurements Participants completed self-report measures of personality and drinking behavior twice during the first year of college [the UPPS-R Impulsive Behavior Scale, positive urgency measure (PUM) and Drinking Styles Questionnaire (DSQ)]. Findings Whereas sensation seeking related to increases in the frequency with which college students drank alcohol, positive urgency predicted increases in (i) the quantity of alcohol students consumed at any given drinking episode and (ii) negative outcomes experienced from drinking. Conclusions It appears that although sensation seeking is a risk factor for participation in drinking behaviors, risk for increased quantity of consumption and its negative outcomes may be more a function of dyscontrol stemming from high positive mood for college students. [source] Infant health production functions: what a difference the data makeHEALTH ECONOMICS, Issue 7 2009Nancy E. Reichman Abstract We examine the extent to which infant health production functions are sensitive to model specification and measurement error. We focus on the importance of typically unobserved but theoretically important variables (typically unobserved variables, TUVs), other non-standard covariates (NSCs), input reporting, and characterization of infant health. The TUVs represent wantedness, taste for risky behavior, and maternal health endowment. The NSCs include father characteristics. We estimate the effects of prenatal drug use, prenatal cigarette smoking, and first trimester prenatal care on birth weight, low birth weight, and a measure of abnormal infant health conditions. We compare estimates using self-reported inputs versus input measures that combine information from medical records and self-reports. We find that TUVs and NSCs are significantly associated with both inputs and outcomes, but that excluding them from infant health production functions does not appreciably affect the input estimates. However, using self-reported inputs leads to overestimated effects of inputs, particularly prenatal care, on outcomes, and using a direct measure of infant health does not always yield input estimates similar to those when using birth weight outcomes. The findings have implications for research, data collection, and public health policy. Copyright © 2008 John Wiley & Sons, Ltd. [source] The Impact of Affective Reactions on Risky Decision Making in Accounting ContextsJOURNAL OF ACCOUNTING RESEARCH, Issue 5 2002Kimberly Moreno In this study we examine whether managers' affective reactions influence their risk,taking tendencies in capital budgeting decisions. Prior research on risky decision making indicates that decision makers are often risk averse when choosing among alternatives that yield potential gains, and risk taking when the alternatives yield losses. The results reported here indicate that negative or positive affective reactions can change this commonly found risky behavior. Managers were generally risk avoiding (taking) for gains (losses) in the absence of affective reactions, as predicted by prospect theory. However, when affect was present, they tended to reject investment alternatives that elicited negative affect and accept alternatives that elicited positive affect, resulting in risk taking (avoiding) in gain (loss) contexts. The results also indicate that affective reactions can influence managers to choose alternatives with lower economic value, suggesting that managers consider both financial data and affective reactions when evaluating the utility of a decision alternative. These findings point to the importance of considering affective reactions when attempting to understand and predict risky decision making in accounting contexts. [source] Parental Predivorce Relations and Offspring Postdivorce Well-BeingJOURNAL OF MARRIAGE AND FAMILY, Issue 1 2001Alan Booth This 2-part study uses national longitudinal interview data from parents and their adult children to examine the way in which predivorce marital conflict influences the impact of divorce on children. In the 1st study, we find that the dissolution of low-conflict marriages appears to have negative effects on offspring's lives, whereas the dissolution of high-conflict marriages appears to have beneficial effects. The dissolution of low-conflict marriages is associated with the quality of children's intimate relationships, social support from friends and relatives, and general psychological well-being. The 2nd study considers how parents in low-conflict marriages that end in divorce differ from other parents before divorce. We find that low-conflict parents who divorce are less integrated into the community, have fewer impediments to divorce, have more favorable attitudes toward divorce, are more predisposed to engage in risky behavior, and are less likely to have experienced a parental divorce. [source] Maturity and adherence in adolescent and young adult heart recipientsPEDIATRIC TRANSPLANTATION, Issue 3 2006Carol S. Stilley Abstract: Background: Pediatric transplant (txp) teams note high rates of non-adherence and risky behaviors linked to morbidity and mortality among adolescent and young adult recipients. Clinicians and parents alike report symptoms of social immaturity and failure to appreciate consequences of risky behavior; relationships between the two have not been studied in this population. Method: This two-phase mixed method study examined adherence, high-risk behaviors, and maturity in a sample of 27 heart recipients, aged 15,31, who underwent transplantation in childhood or adolescence at Children's Hospital of Pittsburgh. All subjects completed a projective ego development measure and a questionnaire about adherence to the post-txp regimen. Nine recipients, purposely selected for good or poor adherence according to criteria determined by the transplant team and matched on age, participated in phase 2 qualitative interviews and mood assessments. Results: Sixty-three percent of the phase 1 sample missed medications, 67% missed appointments, 11% smoked, 37% had difficulty with diet, 89% exercised infrequently, 33% had tattoos, 26% had more than two body piercings, and 11% used street drugs. Six themes and a core construct of maturity were identified with qualitative methodology. Poor adherers were less mature on every theme and consistently scored at a less mature level on the projective measure of ego development. Chronological age was not related to the level of maturity in qualitative or projective data. Most interview subjects reported high levels of anxiety, and two reported clinically significant levels of depression and anger; mood was not related to adherence. Conclusions: Non-adherence and high-risk behaviors are prevalent among adolescent and young adult heart recipients. Level of maturity appears to be associated with ability to adhere to the treatment regimen and avoid high-risk behaviors. [source] Risk behaviors for pesticide exposure among pregnant women living in farmworker households in Salinas, CaliforniaAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 6 2004Lisa Goldman MPH Abstract Background Farmworkers and their families are at risk for pesticide exposure, however, little is known about behaviors that increase their risk. We determined the frequency of risky behaviors among pregnant farmworkers and characterized those at greatest risk. Methods Participants included 153 pregnant farmworkers and 248 pregnant non-farmworkers who resided with farmworkers from the CHAMACOS (Center for the Health Assessment of Mothers and Children of Salinas) study. We examined risky behaviors relating to handwashing, bathing, protective clothing, house cleaning, laundering of work clothes, wearing of work clothes and shoes into the home, and eating produce from the fields. Results Between 25 and 60% of women demonstrated risky behavior on each item. Practices of households with pregnant farmworkers and non-farmworkers did not differ. Women who lived in the United States longer, and in crowded households demonstrated the most risky behavior overall. Conclusions Pregnant farmworkers and those living with farmworkers need to be educated to reduce potential take-home pesticide exposure. Am. J. Ind. Med. 45:491,499, 2004. © 2004 Wiley-Liss, Inc. [source] "It's 10 O'Clock: Do You Know Where Your Children Are?"CHILD DEVELOPMENT PERSPECTIVES, Issue 1 2008Adolescents' Information Management, Recent Advances in Understanding Parental Monitoring ABSTRACT,Recent research has challenged the established conclusion that vigilant parental monitoring is associated with less externalizing behavior among adolescents. Measures of parental monitoring typically have focused on parents' knowledge of their children's whereabouts, not on parents' active surveillance. Recent research, which controls for parent,adolescent relationships, finds that adolescents' voluntary disclosure to parents about their activities, associates, and whereabouts is more important than previously recognized in predicting parental knowledge and, in turn, reducing teens' involvement in risky behavior. This article reviews recent research on how parents obtain knowledge of their adolescents' activities and how adolescents manage that information. The article also highlights the importance of reciprocal parent,adolescent processes. Directions for future research are discussed. [source] Risk-taking and the adolescent brain: who is at risk?DEVELOPMENTAL SCIENCE, Issue 2 2007Adriana Galvan Relative to other ages, adolescence is described as a period of increased impulsive and risk-taking behavior that can lead to fatal outcomes (suicide, substance abuse, HIV, accidents, etc.). This study was designed to examine neural correlates of risk-taking behavior in adolescents, relative to children and adults, in order to predict who may be at greatest risk. Activity in reward-related neural circuitry in anticipation of a large monetary reward was measured with functional magnetic resonance imaging, and anonymous self-report ratings of risky behavior, anticipation of risk and impulsivity were acquired in individuals between the ages of 7 and 29 years. There was a positive association between accumbens activity and the likelihood of engaging in risky behavior across development. This activity also varied as a function of individuals' ratings of anticipated positive or negative consequences of such behavior. Impulsivity ratings were not associated with accumbens activity, but rather with age. These findings suggest that during adolescence, some individuals may be especially prone to engage in risky behaviors due to developmental changes in concert with variability in a given individual's predisposition to engage in risky behavior, rather than to simple changes in impulsivity. [source] The role of personality dispositions to risky behavior in predicting first-year college drinkingADDICTION, Issue 2 2009Melissa A. Cyders ABSTRACT Aims US college student drinking is associated with enormous risks to health, safety and productivity. Recent advances in personality research that have delineated multiple, separate dispositions to engage in risky behaviors may help to clarify the personality contribution to risk for this problem. Design The authors compared the prospective roles of sensation seeking, lack of planning, lack of perseverance, negative urgency and positive urgency (dispositions to engage in rash action when in an unusually negative or positive mood, respectively) in predicting increases in drinking frequency, drinking quantity and negative outcomes from consumption across the first year of college. Setting University of Kentucky campus. Participants A total of 418 first-year US college students enrolled in an Introduction to Psychology course during the first assessment; 293 participants completed both phases of the study. Measurements Participants completed self-report measures of personality and drinking behavior twice during the first year of college [the UPPS-R Impulsive Behavior Scale, positive urgency measure (PUM) and Drinking Styles Questionnaire (DSQ)]. Findings Whereas sensation seeking related to increases in the frequency with which college students drank alcohol, positive urgency predicted increases in (i) the quantity of alcohol students consumed at any given drinking episode and (ii) negative outcomes experienced from drinking. Conclusions It appears that although sensation seeking is a risk factor for participation in drinking behaviors, risk for increased quantity of consumption and its negative outcomes may be more a function of dyscontrol stemming from high positive mood for college students. [source] Non-medical use of prescription stimulants among US college students: prevalence and correlates from a national surveyADDICTION, Issue 1 2005Sean Esteban McCabe ABSTRACT Aims To examine the prevalence rates and correlates of non-medical use of prescription stimulants (Ritalin, Dexedrine or Adderall) among US college students in terms of student and college characteristics. Design A self-administered mail survey. Setting One hundred and nineteen nationally representative 4-year colleges in the United States. Participants A representative sample of 10 904 randomly selected college students in 2001. Measurements Self-reports of non-medical use of prescription stimulants and other substance use behaviors. Findings The life-time prevalence of non-medical prescription stimulant use was 6.9%, past year prevalence was 4.1% and past month prevalence was 2.1%. Past year rates of non-medical use ranged from zero to 25% at individual colleges. Multivariate regression analyses indicated non-medical use was higher among college students who were male, white, members of fraternities and sororities and earned lower grade point averages. Rates were higher at colleges located in the north-eastern region of the US and colleges with more competitive admission standards. Non-medical prescription stimulant users were more likely to report use of alcohol, cigarettes, marijuana, ecstasy, cocaine and other risky behaviors. Conclusions The findings of the present study provide evidence that non-medical use of prescription stimulants is more prevalent among particular subgroups of US college students and types of colleges. The non-medical use of prescription stimulants represents a high-risk behavior that should be monitored further and intervention efforts are needed to curb this form of drug use. [source] Integrative harm reduction psychotherapy: a case of substance use, multiple trauma, and suicidalityJOURNAL OF CLINICAL PSYCHOLOGY, Issue 2 2010Andrew Tatarsky Abstract Harm reduction is a new paradigm that seeks to reduce the harmful consequences of substance use and other risky behaviors without requiring abstinence. This article discusses integrative harm reduction psychotherapy, one application of harm reduction principles to psychotherapy. Seven therapeutic tasks are described with attention to clinical process, skills, and strategies. A case is presented that illustrates the application of this approach with life-threatening substance use that was related to multiple trauma and suicidal depression. © 2010 Wiley Periodicals, Inc. J Clin Psychol: In Session 66: 1,13, 2010. [source] Personality and Risk-Taking: Common Bisocial FactorsJOURNAL OF PERSONALITY, Issue 6 2000Marvin Zuckerman The first part of this article describes a study of the relationships between personality and risk-taking in six areas: smoking, drinking, drugs, sex, driving, and gambling. The participants, 260 college students, were given self-report measures of risky behaviors in each of the six areas and the Zuckerman- Kuhlman five-factor personality questionnaire. Generalized risk-taking (across all six areas) was related to scales for impulsive sensation seeking, aggression, and sociability, but not to scales for neuroticism or activity. Gender differences on risk-taking were mediated by differences on impulsive sensation seeking. The second part discusses biological traits associated with both risk-taking and personality, particularly sensation seeking, such as the D4 dopamine receptor gene, the enzyme monoamine oxidase, and augmenting or reducing of the cortical evoked potential. Comparative studies show relationships between biological markers shared with other species and correlated behaviors similar to sensation seeking in humans. A biosocial model of the traits underlying risk-taking is presented. [source] Developmental Assets: Profile of Youth in a Juvenile Justice FacilityJOURNAL OF SCHOOL HEALTH, Issue 2 2010Weslee Chew BACKGROUND: Possessing high numbers of developmental assets greatly reduces the likelihood of a young person engaging in health-risk behaviors. Since youth in the juvenile justice system seem to exhibit many high-risk behaviors, the purpose of this study was to assess the presence of external, internal, and social context areas of developmental assets in at-risk youth attending a northeast Missouri juvenile justice center. METHODS: Male and female middle and high school students moved to a residential juvenile justice center voluntarily completed the Developmental Assets Profile (DAP) instrument during a regularly scheduled "intake" session. RESULTS: Most respondents reported lacking risk-protective factors in the internal and social context areas. Respondents noted their lack of community involvement in the social context area and their overinvolvement with negative influences in the internal context area. Specifically in the internal and external context areas, most respondents reported having trouble with substance abuse and not having positive peer or parental support. In the social context area, many noted that they wanted to do well in activities and were encouraged to do well; however, they scored service to others and involvement in religious groups or activities as low. CONCLUSIONS: Students who lack protective qualities, especially those who do not feel committed to their community, are more likely to be involved in substance abuse and risky behaviors. School-community partnerships may provide the targeted health protective factors that encourage more community involvement and more positive health behaviors in these youth. [source] Comparisons Between Thai Adolescent Voices and Thai Adolescent Health LiteratureJOURNAL OF SCHOOL HEALTH, Issue 2 2006Vipavee Thongpriwan In 2002, faculty of the Boromarajonani College of Nursing, Nopparat Vajira, Thailand, established a webboard to reach out to high school students for questions and answers on adolescent health. Adolescents pose health questions, which are answered by nursing faculty and students. A total of 106 questions were selected for content analysis. Thai adolescent studies for the years 1992 to 2004 were identified from searches of CINAHL, ERIC, MEDLINE, and PsycINFO databases. The selection criteria required that chosen articles have a Thai adolescent health focus, be written in English, and be retrievable. Of the 68 citations identified, 23 studies met inclusion criteria. Content of the Thai adolescent webboard was compared with a content analysis of the retrieved Thai adolescent research. Physiological development, sexuality, and risky behaviors were common literature themes, whereas Thai adolescents expressed concerns about love and dating relationships. Parenting and parent-child relationships were discussed on the webboard but not in the literature. Analysis of the mental health revealed differences between the literature that covered psychosocial change, and the webboard questions concerned with body image, the need for emotional support, and satisfaction and conflicts of friendship. It is recommended that investigators consider incorporating adolescents as research team participants, particularly as they examine mental health promotion, adolescent and family relationships, and concerns of Thai adolescents. (J Sch Health. 2006;76(2):47-51) [source] Maturity and adherence in adolescent and young adult heart recipientsPEDIATRIC TRANSPLANTATION, Issue 3 2006Carol S. Stilley Abstract: Background: Pediatric transplant (txp) teams note high rates of non-adherence and risky behaviors linked to morbidity and mortality among adolescent and young adult recipients. Clinicians and parents alike report symptoms of social immaturity and failure to appreciate consequences of risky behavior; relationships between the two have not been studied in this population. Method: This two-phase mixed method study examined adherence, high-risk behaviors, and maturity in a sample of 27 heart recipients, aged 15,31, who underwent transplantation in childhood or adolescence at Children's Hospital of Pittsburgh. All subjects completed a projective ego development measure and a questionnaire about adherence to the post-txp regimen. Nine recipients, purposely selected for good or poor adherence according to criteria determined by the transplant team and matched on age, participated in phase 2 qualitative interviews and mood assessments. Results: Sixty-three percent of the phase 1 sample missed medications, 67% missed appointments, 11% smoked, 37% had difficulty with diet, 89% exercised infrequently, 33% had tattoos, 26% had more than two body piercings, and 11% used street drugs. Six themes and a core construct of maturity were identified with qualitative methodology. Poor adherers were less mature on every theme and consistently scored at a less mature level on the projective measure of ego development. Chronological age was not related to the level of maturity in qualitative or projective data. Most interview subjects reported high levels of anxiety, and two reported clinically significant levels of depression and anger; mood was not related to adherence. Conclusions: Non-adherence and high-risk behaviors are prevalent among adolescent and young adult heart recipients. Level of maturity appears to be associated with ability to adhere to the treatment regimen and avoid high-risk behaviors. [source] Romantic relationships and the physical and mental health of college studentsPERSONAL RELATIONSHIPS, Issue 1 2010SCOTT R. BRAITHWAITE This study tested the hypothesis that, analogous to married individuals, college students in committed romantic relationships experience greater well-being than single college students. In a sample of 1,621 college students, individuals in committed relationships experienced fewer mental health problems and were less likely to be overweight/obese. There were no significant differences between groups in frequency of physical health problems. Examination of 2 models suggested that being in a committed romantic relationship decreases problematic outcomes largely through a reduction in sexual partners, which in turn decreases both risky behaviors and problematic outcomes. These results are discussed in the context of how premarital dating relationships may contribute to understanding of the observed association between marriage and well-being. [source] Differences Between Mistimed and Unwanted Pregnancies Among Women Who Have Live BirthsPERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, Issue 5 2004Denise V. D'Angelo CONTEXT: Mistimed and unwanted pregnancies that result in live births are commonly considered together as unintended pregnancies, but they may have different precursors and outcomes METHODS: Data from 15 states participating in the 1998 Pregnancy Risk Assessment Monitoring System were used to calculate the prevalence of intended, mistimed and unwanted conceptions, by selected variables. Associations between unintendedness and women's behaviors and experiences before, during and after the pregnancy were assessed through unadjusted relative risks. RESULTS: The distribution of intended, mistimed and unwanted pregnancies differed on nearly every variable examined; risky behaviors and adverse experiences were more common among women with mistimed than intended pregnancies and were most common among those whose pregnancies were unwanted. The likelihood of having an unwanted rather than mistimed pregnancy was elevated for women 35 or older (relative risk, 2.3) and was reduced for those younger than 25 (0.8); the pattern was reversed for the likelihood of mistimed rather than intended pregnancy (0.5 vs. 1.7,2.7). Parous women had an increased risk of an unwanted pregnancy (2.1,4.0) but a decreased risk of a mistimed one (0.9). Women who smoked in the third trimester, received delayed or no prenatal care, did not breastfeed, were physically abused during pregnancy, said their partner had not wanted a pregnancy or had a low-birth-weight infant had an increased risk of unintended pregnancy; the size of the increase depended on whether the pregnancy was unwanted or mistimed CONCLUSION: Clarifying the difference in risk between mistimed and unwanted pregnancies may help guide decisions regarding services to women and infants [source] Risk behaviors for pesticide exposure among pregnant women living in farmworker households in Salinas, CaliforniaAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 6 2004Lisa Goldman MPH Abstract Background Farmworkers and their families are at risk for pesticide exposure, however, little is known about behaviors that increase their risk. We determined the frequency of risky behaviors among pregnant farmworkers and characterized those at greatest risk. Methods Participants included 153 pregnant farmworkers and 248 pregnant non-farmworkers who resided with farmworkers from the CHAMACOS (Center for the Health Assessment of Mothers and Children of Salinas) study. We examined risky behaviors relating to handwashing, bathing, protective clothing, house cleaning, laundering of work clothes, wearing of work clothes and shoes into the home, and eating produce from the fields. Results Between 25 and 60% of women demonstrated risky behavior on each item. Practices of households with pregnant farmworkers and non-farmworkers did not differ. Women who lived in the United States longer, and in crowded households demonstrated the most risky behavior overall. Conclusions Pregnant farmworkers and those living with farmworkers need to be educated to reduce potential take-home pesticide exposure. Am. J. Ind. Med. 45:491,499, 2004. © 2004 Wiley-Liss, Inc. [source] Risky Parental Behavior and Adolescent Sexual Activity at First CoitusTHE MILBANK QUARTERLY, Issue 3 2002Esther I. Wilder In comparison with other industrialized countries, the United States has exceptionally high rates of adolescent pregnancy and abortion. In 1999, nearly half of high-school students reported having had sexual intercourse, and 6 percent said they had been pregnant or gotten someone pregnant (CDC 2000). American adolescents are especially unlikely to use birth control, and those who do practice contraception tend to rely on inefficient methods (Forrest 1990). Sexual behavior at first intercourse is of particular interest because early entry into sexual activity is associated with contraceptive nonuse and a heightened risk of pregnancy (Abma and Sonenstein 2001; Koenig and Zelnik 1982; Zabin, Kantner, and Zelnik 1979). Moreover, the timing of first intercourse may be a useful marker for risky sexual behavior and a history of sexually transmitted diseases (Greenberg, Magder, and Aral 1992). For example, age at first intercourse is inversely associated with the number of lifetime sexual partners (McGuire et al. 1992). Data from the National Longitudinal Study of Adolescent Health (Add Health) were used to examine the impact of parents' behavior on adolescents' sexual experience and contraceptive use. All else being equal, adolescents whose parents engage in risky behaviors are especially likely to be sexually active and to have had sex before age 15. These findings are only partly attributable to the link between parents' risky behaviors (smoking, drinking, driving without seatbelts) and adolescents' risky behaviors (smoking, drinking, delinquent activity, association with substance-using peers). Although parental behaviors are effective predictors of adolescents' sexual activity, they are not effective predictors of contraceptive use or of method choice at first coitus. Overall, parents with low levels of self-efficacy seem to be especially likely to have children at risk of engaging in problem behaviors. [source] Understanding Disparities in Transplantation: Do Social Networks Provide the Missing Clue?AMERICAN JOURNAL OF TRANSPLANTATION, Issue 3 2010K. Ladin Although the National Organ Transplant Act calls for equity in access to transplantation, scarcity and racial disparities persist. To date, even the most comprehensive models have been unable to adequately explain these racial disparities, leaving policymakers unsure how best to intervene. Previous individual-level analyses, which have implicated risk factors such as race, financial status, cultural beliefs, unemployment, lack of commitment to surgery and lack of continuous access to care, overlook contextual and social network exposures. Social networks present a compelling way to examine cumulative risk clustered across individuals. Social networks have been shown to influence health outcomes and health behaviors through various pathways, including shared social capital, engaging in similar or group risky behaviors, diffusion of information and adopting or propagating social norms. Precursors to chronic kidney disease, including obesity, have been shown to spread through social networks. Social network analysis can reveal shared risks between potential donors and recipients in a given network, clarifying the likelihood of finding an appropriate match through either direct donation or paired exchanges. This paper presents a novel application of social network analysis to transplantation, illustrating implications for disparities and future clinical interventions. [source] The Clinical Impact of Health Behaviors on Emergency Department VisitsACADEMIC EMERGENCY MEDICINE, Issue 11 2009Steven L. Bernstein MD Abstract Modifiable health behaviors are an important cause of visits to emergency departments (EDs). Substance use, unsafe sexual behavior, interpersonal violence, unintentional injury, and other risky behaviors account for a large proportion of ED volume, as well as up to 40% of all deaths in the United States. While emergency physicians commonly treat the illnesses and injuries caused by these behaviors, additional opportunities exist to screen, intervene, refer, and initiate treatment for patients with these health risks. This article reviews the epidemiology and clinical impact of risky health behaviors on ED visits and suggests strategies for creating a research agenda in these areas. [source] LIFE IN THE 813: ONE DAY A MIGRANT STUDENT, THE NEXT A GANGSTERANNALS OF ANTHROPOLOGICAL PRACTICE, Issue 1 2009Alayne Unterberger In this article, I summarize, through the use of two case studies, the anthropological contributions when working with farmworker,migrant youth who have become "gang-involved." The Florida Institute for Community Studies (FICS) worked with a total of 65 youth and their families in a federal antigang initiative, with one session being held in a Presbyterian-based farmworker mission and another at a middle school. Both groups of youth live in rural Hillsborough County, Florida, with a lack of afterschool or other prosocial opportunities outside of school. I share my personal experiences and reflections on how I got involved in working with gangs, which had not been a priority for me in the past. One area of concern was our finding that youth were recruited into gangs and risky behaviors through friendship and familial networks. The school-based youth did not fare as well as the mission-based group, principally because of labeling by the school and the lack of autonomy of youth in a school setting to take ownership of the program. I provide recommendations for anthropologists working with youth who live "la vida loca" or the crazy life. [source] | ||||||||||||||||