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1.
Am J Epidemiol ; 2024 Apr 26.
Artículo en Inglés | MEDLINE | ID: mdl-38679465

RESUMEN

Despite significant historical progress toward gender parity in employment status in the US, women remain more likely to provide domestic labor, creating role competition which may increase depression symptoms. Pro-family employee benefits may minimize the stress of competing roles. We tested whether depressive symptoms were higher among women with vs. without competing roles and whether this effect was greater among women without (vs. with) pro-family benefits. Data included employed women surveyed across 4 waves of the National Longitudinal Survey (2010-2019) (N=9884). Depression symptoms were measured with the Mental Health Inventory (MHI-5). The interaction between competing roles and pro-family employee benefits on depressive symptoms was also compared with non-family-related benefits, using marginal structural models to estimate longitudinal effects in the presence of time-varying confounding. MHI-5 scores were 0.56 points higher (95% CI=0.15, 0.97) among women in competing roles (vs. not). Among women without pro-family benefits, competing roles increased MHI-5 scores by 6.1-points (95% CI=1.14, 11.1). In contrast, there was no association between competing roles and MHI-5 scores among women with access to these benefits (MHI-5 difference=0.44; 95% CI=-0.2, 1.0). Results were similar for non-family-related benefits. Dual workplace and domestic labor role competition increases women's depression symptoms, though broad availability of workplace benefits may attenuate that risk.

2.
J Res Adolesc ; 2024 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-38698712

RESUMEN

The goals of this article are to (a) describe and contrast conceptual characteristics of periods of developmental sensitivity, disturbance, and stasis, and (b) translate these concepts to testable analytic models with an example dataset. Although the concept of developmental sensitivity is widely known, the concepts of developmental stasis and disturbance have received less attention. We first define the concepts and their principles and then, using repeated measures data on impulsivity and alcohol use from adolescence to young adulthood, propose the dual latent change score (LCS) growth model as one analytic approach for evaluating evidence for key characteristics of these developmental concepts via examination of intraindividual time-varying associations.

3.
Dev Psychopathol ; 35(3): 1308-1322, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-35068407

RESUMEN

Historical analyses based on US data indicate that recent cohorts engage in lower binge drinking at age 18 relative to past cohorts, but by the mid- to late-20s the reverse is true: recent cohorts engage in higher binge drinking relative to past cohorts. We pinpoint when - both developmentally and historically - this reversal manifested, examine possible reasons for this reversal, and examine sex convergence in these developmental and historical patterns. As part of the US national Monitoring the Future Study, over 75,000 youths from the high school classes of 1976-2006 were surveyed biennially between ages 18 and 30. We found that the reversal primarily manifested between ages 18 and 24 for men and 18 and 22 for women. We also found that the reversal emerged gradually across the last three decades, suggesting it is the result of a broad and durable historical shift. Our findings indicated that historical variation in social roles and minimum legal drinking age collectively accounted for only a modest amount of the reversal, although marriage was the most influential among the factors examined here. Finally, we found evidence that sex convergence in binge drinking was developmentally limited and far more pronounced at the beginning of the transition to adulthood.


Asunto(s)
Consumo Excesivo de Bebidas Alcohólicas , Consumo de Alcohol en Menores , Masculino , Adolescente , Humanos , Femenino , Adulto Joven , Adulto , Consumo Excesivo de Bebidas Alcohólicas/epidemiología , Prevalencia , Etanol , Encuestas y Cuestionarios , Consumo de Bebidas Alcohólicas/epidemiología
4.
Alcohol Clin Exp Res ; 46(8): 1603-1615, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35994040

RESUMEN

OBJECTIVE: Reductions in substance involvement into adulthood are thought to represent a normative maturing out of substance use. However, patterns and predictors of maturing out of alcohol and cannabis co-use remain largely unstudied. Therefore, the current study tested developmental trajectories of alcohol and cannabis use from late adolescence into adulthood and whether late adolescent personality traits predicted trajectory class membership. METHODS: Data come from a longitudinal study of family history of alcohol disorder (N = 458). Age bands were created to model trajectories of drinking quantity, negative alcohol consequences, and cannabis use frequency from late adolescence (age 18-22) to young adulthood (age 23-28) and adulthood (age 29-36). Participants reported on their sensation seeking, conscientiousness, and neuroticism during late adolescence and their typical drinking quantity, negative alcohol consequences, and cannabis use frequency at each age band. RESULTS: Three trajectory classes were derived from an initial Parallel Process Growth Mixture Model: (1) low-risk maturing out of alcohol-only use, (2) high-risk maturing out of co-use, and (3) high-risk switchers who increased their cannabis use into adulthood. Late adolescent sensation seeking was associated with higher odds of being in both co-use trajectories, whereas a lack of conscientiousness was associated with higher odds of being a co-use switcher. CONCLUSIONS: We identified heterogeneity in trajectories of co-use, which suggests that a lack of maturing out of alcohol involvement may be accompanied by increased cannabis use. Moreover, late adolescent personality traits may predispose individuals toward riskier developmental trajectories of substance use into adulthood.


Asunto(s)
Consumo de Bebidas Alcohólicas , Cannabis , Adolescente , Adulto , Consumo de Bebidas Alcohólicas/epidemiología , Humanos , Estudios Longitudinales , Personalidad , Trastornos de la Personalidad , Adulto Joven
5.
J Res Adolesc ; 32(2): 625-635, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35075697

RESUMEN

Racial discrimination remains a mechanism by which ethnic-racial minorities are restricted from power. We examined whether racial discrimination restricts ethnic-racial minority access to high-achieving STEM schools. We conducted an audit correspondence experiment to investigate racial discrimination in guidance counselor responsiveness to 976 emails from fictitious Asian, Black, Latina, and White mothers inquiring about school enrollment. Moderation analyses revealed that guidance counselors restricted access from Asian mothers at schools characterized as rural, lower socioeconomic status, and higher STEM prestige-evidence of gatekeeping points to the restriction of Asian students from advanced STEM opportunities. Results are situated within educational audit experiments to objectively document how racism from multiple facets of the education system intersect to inhibit ethnic-racial minority youth.


Asunto(s)
Racismo , Adolescente , Negro o Afroamericano , Hispánicos o Latinos , Humanos , Instituciones Académicas
6.
Am J Epidemiol ; 190(7): 1190-1206, 2021 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-33423055

RESUMEN

The depression gap refers to higher rates of depression among women than men. Change in the depression gap over time might elucidate social causes of this disparity-such as unequal college attendance or employment status. We conducted a meta-regression analysis to estimate variation in the depression gap over time by age, accounting for potential sources of variation between studies. Electronic databases and bibliographies were searched for English-language studies from January 1980 through October 2019; 144 independent estimates from US-representative samples met selection criteria (n = 813,189). The depression gap was summarized as prevalence ratios among studies using diagnostic instruments and as standardized mean differences among symptom-based studies. Primary study measures were baseline study year (range, 1982-2017) and age (age groups ranging, in years, from 10-59 and 60 or older). Compared with respondents aged ≥60 years, depression prevalence was greater among respondents aged 10-19 (prevalence ratio = 1.26, 95% confidence interval: 1.02, 1.56). Over time, the depression gap did not change among adults, but it increased among adolescents (age-by-time interaction prevalence ratio = 1.05, 95% confidence interval: 1.01, 1.08). Results were similar for symptom-based studies. The present study finds no evidence of a change in the depression gender gap for US adults; however, the gap increased among adolescents. Greater attention to factors driving this widening disparity in adolescent depression is needed.


Asunto(s)
Depresión/epidemiología , Disparidades en el Estado de Salud , Factores Sexuales , Adolescente , Adulto , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Análisis de Regresión , Estados Unidos/epidemiología , Adulto Joven
7.
Alcohol Clin Exp Res ; 45(10): 2069-2079, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34741556

RESUMEN

BACKGROUND: Binge drinking among adolescents and young adults has changed over time, but patterns differ by age and gender. Identifying high-risk groups to target future efforts at reducing drinking in this population remains a public health priority. Forecasting methods can provide a better understanding of variation and determinants of future binge drinking prevalence. METHODS: We implemented regression-based forecasting models to estimate the prevalence and gender differences in binge drinking among cohort groups of U.S. young adults, ages 18, 23-24, and 29-30 through 2040. Forecasting models were adjusted for covariates accounting for changes in demographic, Big-5 social roles (e.g., residential independence), and drinking norms and related substance use, to understand the drivers of forecasted binge drinking estimates. RESULTS: From the last observed cohort group (years varied by age) through 2040, unadjusted binge drinking prevalence was forecasted to decrease from 26% (95% CI: 20, 33%) (2011-15) to 11% (95% CI: 4, 27%) at age 18, decrease from 38% (95% CI: 30, 45%) (2006-2010) to 34% (95% CI: 18, 55%) at ages 23/24, and increase from 32% (95% CI: 25, 40%) (2001-2005) to 35% (95% CI: 16, 59%) at ages 29/30. Gender-stratified forecasts show a continuation in the narrowing of binge drinking prevalence between young men and women, though the magnitude of narrowing differs by age. Estimated trends were partially explained by changing norms regarding drinking and other substance use, though these indirect effects explained less of the total trend as age increased. CONCLUSIONS: Understanding how covariates influence binge drinking trends can guide public health policies to leverage the most important determinants of future binge drinking to reduce the harm caused by binge drinking from adolescence to adulthood.


Asunto(s)
Consumo Excesivo de Bebidas Alcohólicas/epidemiología , Adolescente , Adulto , Femenino , Predicción , Humanos , Masculino , Prevalencia , Caracteres Sexuales , Determinantes Sociales de la Salud , Adulto Joven
8.
Cultur Divers Ethnic Minor Psychol ; 27(2): 296-306, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32406701

RESUMEN

OBJECTIVES: Guided by García Coll and colleagues' (1996) integrative model for the study of developmental competencies in minority children, the current study examined the role of ethnic-racial identity as a mediator through which family ethnic socialization was associated with academic engagement among Latino youth. Furthermore, based on the high prevalence rates of ethnic-racial discrimination among Latino adolescents, the associations between experiences with peer and adult discrimination and youth's academic engagement (controlling for family ethnic socialization and ethnic-racial identity) were tested. Finally, we tested whether discrimination from either peers or adults moderated the mediation process between family ethnic socialization, ethnic-racial identity, and academic engagement. METHOD: Data were collected from a cross-sectional study of adolescents in the Southwestern United States. Participants in the current study consisted of self-identified Latino adolescents (N = 370; Mage = 16.14 years; SD = 1.12; Range = 14-18; 52.8% female; 96.2% U.S.-born) who completed self-administered surveys during school hours. RESULTS: Path analyses indicated that family ethnic socialization was indirectly associated with academic engagement via ethnic-racial identity. Adult discrimination was negatively associated with academic engagement; however, peer discrimination was not associated with academic engagement. Finally, neither source of discrimination emerged as a moderator of the associations of interest. CONCLUSION: Findings point to Latino youth's enhanced resilience against discrimination encounters when they have more experiences with family ethnic socialization and have engaged in greater ethnic-racial identity exploration and resolution. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Racismo , Socialización , Adolescente , Adulto , Estudios Transversales , Femenino , Hispánicos o Latinos , Humanos , Masculino , Identificación Social , Sudoeste de Estados Unidos
9.
Cultur Divers Ethnic Minor Psychol ; 27(3): 376-385, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33570996

RESUMEN

OBJECTIVES: The current study examined the psychometric properties of the American Identity Questionnaire (Phinney & Devich-Navarro, Journal of Research on Adolescence, 1997, 7, 3). American identity has been associated with societal and personal benefits for ethno-racially diverse populations, but limited research has assessed whether American identity measures function equivalently across members of different groups. Thus, the current study examined the measurement equivalence and construct validity of the American Identity Questionnaire among Black, Latino, and White adolescents. METHOD: Using a cross-sectional design, adolescents completed self-administered surveys during regular school time. The current study included U.S.-born adolescents (N = 1,326; M age = 16.16 years; SD = 1.12; 53% female) who self-identified as either Black (n = 315), Latino (n = 345), or White (n = 666). RESULTS: Multigroup confirmatory factor analysis was carried out using ethnic-racial group membership as the grouping variable. Findings suggested that the American Identity Questionnaire demonstrated configural (equivalent factor structures) and metric (equivalent factor loadings) invariance across the three groups. Partial scalar invariance was supported after allowing one item intercept to be freely estimated among Latino youth. Regarding construct validity, American identity was positively associated with self-esteem and personal identity, and negatively associated with depressive symptoms across the three groups. CONCLUSIONS: Findings suggest that the American Identity Questionnaire can be used to assess associations between American identity and other constructs with samples of Black, Latino, and White adolescents. Mean-level comparisons across the three groups may also be possible. Construct validity results indicated that American identity was positively associated with adolescents' psychosocial adjustment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Negro o Afroamericano , Población Blanca , Adolescente , Estudios Transversales , Femenino , Hispánicos o Latinos , Humanos , Masculino , Encuestas y Cuestionarios , Estados Unidos
10.
J Ethn Subst Abuse ; 20(2): 187-210, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-31076018

RESUMEN

Although roughly 70% of the American Indian and Alaska Native (AI) population live in urban areas, research is scarce regarding this population. As a consequence, there is limited understanding about the salient socioenvironmental factors that aid in preventing substance use among urban AI communities. This study utilized a statewide, cross-sectional, school-based survey of urban AI adolescents (N = 2,375) to (a) examine the associations between substance use and risk and promotive factors within the family and peer group, and (b) explore how these associations vary by subgroups (gender, racial/ethnic background, and grade level). Results suggest that risk factors-familial substance use and antisocial peer affiliation-were associated with higher alcohol, cigarette, and marijuana use. However, these findings varied by subgroup. For males, involvement with antisocial peers was associated with greater marijuana use. Involvement with antisocial peers was also positively associated with alcohol and marijuana use for multiracial/multiethnic AI adolescents and those adolescents in 10th and 12th grades. The promotive factors-supportive family environment and prosocial peer affiliation-were not universally associated with lowered substance use by subgroup. This study advances understandings of the risk and promotive factors important in reducing and preventing substance use among urban AI adolescents. Experiencing familial substance use and affiliating with antisocial peers were the salient factors associated with increased substance use, particularly for urban AI adolescents who are older, male, and with multiracial/multiethnic AI backgrounds.


Asunto(s)
Fumar Marihuana , Trastornos Relacionados con Sustancias , Adolescente , Estudios Transversales , Humanos , Masculino , Fumar Marihuana/epidemiología , Indio Americano o Nativo de Alaska
11.
J Pediatr Psychol ; 45(8): 848-857, 2020 09 01.
Artículo en Inglés | MEDLINE | ID: mdl-32632446

RESUMEN

OBJECTIVE: Obesity is a critical public health condition affecting Latinx adolescents and contributes to health disparities across the lifespan. Childhood and adolescent obesity is associated with reduced quality of life (QoL) and decreased self-esteem. The purpose of this study is to examine the role of cultural (e.g., familism) and psychosocial (e.g., self-esteem) factors as predictors of weight-specific QoL among Latinx adolescents with obesity. METHODS: Baseline data from 160 Latinx adolescents (ages 14-16 years) with obesity (BMI > 95th percentile for age and sex) who were recruited for a diabetes prevention intervention were used. Structural equation modeling tested the relationships between four latent constructs (familism, positive self-esteem, self-deprecation, and weight-specific QoL). RESULTS: The model tested paths from familism to positive self-esteem, self-deprecation, and weight-specific QoL, and paths from positive self-esteem and self-deprecation to weight-specific QoL. Higher familism was positively associated with positive self-esteem but not self-deprecation. In turn, positive self-esteem was positively associated with higher weight-specific QoL, whereas self-deprecation was negatively associated. Furthermore, there was an indirect effect of familism on QoL via positive self-esteem. CONCLUSIONS: These data shed light into specific cultural and psychosocial constructs that influence QoL among Latinx adolescents with obesity. This study suggests that familism and positive self-esteem can operate as protective factors associated with higher weight-specific QoL in Latinx adolescents with obesity; whereas self-deprecation may operate as a risk factor for lower weight-specific QoL.


Asunto(s)
Calidad de Vida , Autoimagen , Adolescente , Peso Corporal , Niño , Humanos , Obesidad , Sobrepeso
12.
Alcohol Clin Exp Res ; 43(7): 1344-1359, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31074877

RESUMEN

Alcohol consumption is increasing in the United States, as is alcohol-attributable mortality. Historically, men have had higher rates of alcohol consumption than women, though evidence for birth cohort effects on gender differences in alcohol consumption and alcohol-related harm suggests that gender differences may be diminishing. We review studies using U.S. national data that examined time trends in alcohol consumption and alcohol-related harm since 2008. Utilizing a historical-developmental perspective, here we synthesize and integrate the literature on birth cohort effects from varying developmental periods (i.e., adolescence, young adulthood, middle adulthood, and late adulthood), with a focus on gender differences in alcohol consumption. Findings suggest that recent trends in gender differences in alcohol outcomes are heterogeneous by developmental stage. Among adolescents and young adults, both males and females are rapidly decreasing alcohol consumption, binge and high-intensity drinking, and alcohol-related outcomes, with gender rates converging because males are decreasing consumption faster than females. This pattern does not hold among adults, however. In middle adulthood, consumption, binge drinking, and alcohol-related harms are increasing, driven largely by increases among women in their 30s and 40s. The trend of increases in consumption that are faster for women than for men appears to continue into older adult years (60 and older) across several studies. We conclude by addressing remaining gaps in the literature and offering directions for future research.


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Alcoholismo/epidemiología , Mujeres , Adolescente , Adulto , Anciano , Consumo Excesivo de Bebidas Alcohólicas , Niño , Epidemias , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Sexuales , Estados Unidos/epidemiología , Adulto Joven
13.
Alcohol Clin Exp Res ; 43(2): 287-298, 2019 02.
Artículo en Inglés | MEDLINE | ID: mdl-30645773

RESUMEN

BACKGROUND: This study examined the extent to which the developmental pattern of prevalence of binge drinking in the past 2 weeks from ages 18 through 30 has changed across 29 cohorts of U.S. young adults, and whether the changes differed by gender. METHODS: Analyses used national longitudinal data from 58,019 12th-grade students (from graduating high school classes 1976 to 2004) participating in the Monitoring the Future study followed through modal age 30 (with age 29/30 data collected from 1987 to 2016). Weighted time-varying effect modeling was used to model cohort group differences in age-related patterns of binge drinking. RESULTS: The age of peak binge drinking prevalence increased across cohorts (from age 20 in 1976 to 1985 to 22 in 1996 to 2004 for women, and from 21 in 1976 to 1985 to 23 in 1996 to 2004 for men). Historical change in the developmental pattern of binge drinking across all ages of young adulthood differed for men and women. Even after controlling for key covariates, women in the more recent cohort group reported significantly higher binge drinking prevalence than women in earlier cohorts from ages 21 through 30. Men in the more recent cohort group reported higher binge drinking prevalence at ages 25 to 26, but prevalence levels then converged to those seen in earlier cohort groups by age 30. CONCLUSIONS: An older age of peak binge drinking and a decreased rate of decline in the prevalence of binge drinking in later young adulthood among more recent cohorts have resulted in an extension of individual and societal risks associated with binge drinking, particularly for women, across young adulthood. High-risk alcohol use prevention efforts are needed throughout at least the third decade of life.


Asunto(s)
Factores de Edad , Consumo Excesivo de Bebidas Alcohólicas/epidemiología , Consumo Excesivo de Bebidas Alcohólicas/tendencias , Adolescente , Adulto , Femenino , Humanos , Estudios Longitudinales , Masculino , Modelos Estadísticos , Prevalencia , Factores Sexuales , Adulto Joven
14.
J Youth Adolesc ; 48(8): 1519-1531, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30993595

RESUMEN

Although substance use and violent behaviors often emerge together in adolescence, and both have similar widely cited causes and negative consequences for development, it remains unclear whether and how they may be linked causally. This study of early adolescents in Mexico's three largest cities tested whether alcohol use and violence perpetration are temporally related, whether their relationship is unidirectional or reciprocal, and whether the relationship differs by gender and the type of violence. The study employed longitudinal data from seventh grade students (N = 4830; M age = 12.0, range 11-15; 49% female) in 18 public middle schools in Mexico City, Guadalajara and Monterrey. Students completed questionnaires at the beginning, middle, and end of the 2014-2015 academic year. Students' responses to a multi-dimensional violence assessment emerged in two distinct patterns: criminally violent acts, and bullying/aggression. Although males engaged in both types of violence more frequently than females at all three time points, they used alcohol more frequently than females only at the first survey, after which the gender gap disappeared. Cross-lagged multi-group path models showed that, for both males and females, more frequent alcohol use predicted subsequent increases in criminally violent behavior, and bullying/aggression predicted later increases in alcohol use. Reciprocal associations varied by gender and type of violence: Alcohol use was reciprocally linked to criminally violent behavior among males only, and reciprocally linked to bullying-aggression among females alone. The results are interpreted in the context of sharply increasing rates of violence in Mexico and changing gender norms, with implications for youth prevention programs.


Asunto(s)
Consumo de Bebidas Alcohólicas , Violencia , Adolescente , Conducta del Adolescente , Agresión , Acoso Escolar , Niño , Femenino , Humanos , Masculino , México , Instituciones Académicas , Estudiantes , Encuestas y Cuestionarios , Violencia/estadística & datos numéricos
15.
Monogr Soc Res Child Dev ; 82(2): 31-45, 2017 06.
Artículo en Inglés | MEDLINE | ID: mdl-28475252

RESUMEN

For decades, developmental science has been based primarily on relatively small-scale data collections with children and families. Part of the reason for the dominance of this type of data collection is the complexity of collecting cognitive and social data on infants and small children. These small data sets are limited in both power to detect differences and the demographic diversity to generalize clearly and broadly. Thus, in this chapter we will discuss the value of using existing large-scale data sets to tests the complex questions of child development and how to develop future large-scale data sets that are both representative and can answer the important questions of developmental scientists.


Asunto(s)
Desarrollo Infantil , Proyectos de Investigación , Niño , Estudios Transversales , Interpretación Estadística de Datos , Humanos , Estudios Longitudinales , Proyectos de Investigación/estadística & datos numéricos , Tamaño de la Muestra
16.
Monogr Soc Res Child Dev ; 82(2): 13-30, 2017 06.
Artículo en Inglés | MEDLINE | ID: mdl-28475254

RESUMEN

Despite their disadvantaged generalizability relative to probability samples, nonprobability convenience samples are the standard within developmental science, and likely will remain so because probability samples are cost-prohibitive and most available probability samples are ill-suited to examine developmental questions. In lieu of focusing on how to eliminate or sharply reduce reliance on convenience samples within developmental science, here we propose how to augment their advantages when it comes to understanding population effects as well as subpopulation differences. Although all convenience samples have less clear generalizability than probability samples, we argue that homogeneous convenience samples have clearer generalizability relative to conventional convenience samples. Therefore, when researchers are limited to convenience samples, they should consider homogeneous convenience samples as a positive alternative to conventional (or heterogeneous) convenience samples. We discuss future directions as well as potential obstacles to expanding the use of homogeneous convenience samples in developmental science.


Asunto(s)
Desarrollo Infantil , Proyectos de Investigación , Niño , Humanos , Muestreo
17.
Prev Sci ; 17(6): 721-31, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-27129476

RESUMEN

Parenting in 2 Worlds (P2W) is a culturally grounded parenting intervention that addresses the distinctive social and cultural worlds of urban American Indian (AI) families. P2W was culturally adapted through community-based participatory research in three urban AI communities with diverse tribal backgrounds. This paper reports the immediate outcomes of P2W in a randomized controlled trial, utilizing data from 575 parents of AI children (ages 10-17). Parents were assigned to P2W or to the comparison group, an informational family health curriculum, Healthy Families in 2 Worlds (HF2W). Both the P2W and HF2W curricula consisted of 10 workshops delivered weekly by AI community facilitators. Pretests were administered at the first workshop and a post-test at the last workshop. Tests of the efficacy of P2W versus HF2W on parenting skills and family functioning were analyzed with pairwise t tests, within intervention type, and by baseline adjusted path models using FIML estimation in Mplus. Intervention effect sizes were estimated with Cohen's d. Participants in P2W reported significant improvements in parental agency, parenting practices, supervision and family cohesion, and decreases in discipline problems and parent-child conflict. Compared to HF2W, P2W participants reported significantly larger increases in parental self-agency and positive parenting practices, and fewer child discipline problems. Most of these desired program effects for P2W approached medium size. Culturally adapted parenting interventions like P2W can effectively strengthen parenting practices and family functioning among urban AI families and help address their widespread need for targeted, culturally grounded programs.


Asunto(s)
Competencia Cultural , Relaciones Familiares , Responsabilidad Parental/etnología , Padres/educación , Adulto , Arizona , Femenino , Humanos , Indígenas Norteamericanos , Masculino , Persona de Mediana Edad , Evaluación de Programas y Proyectos de Salud , Población Urbana
18.
Subst Use Misuse ; 51(9): 1159-73, 2016 07 28.
Artículo en Inglés | MEDLINE | ID: mdl-27191732

RESUMEN

UNLABELLED: A growing majority of American Indian adolescents now live in cities and are at high risk of early and problematic substance use and its negative health effects. OBJECTIVE: This study used latent class analysis to empirically derive heterogeneous patterns of substance use among urban American Indian adolescents, examined demographic correlates of the resulting latent classes, and tested for differences among the latent classes in other risk behavior and prosocial outcomes. METHOD: The study employed a representative sample of 8th, 10th, and 12th grade American Indian adolescents (n = 2,407) in public or charter schools in metropolitan areas of Arizona in 2012. Latent class analysis examined eight types of last 30 day substance use. RESULTS: Four latent classes emerged: a large group of "nonusers" (69%); a substantial minority using alcohol, tobacco, and/or marijuana [ATM] (17%); a smaller group of polysubstance users consuming, alcohol, tobacco, marijuana, other illicit drugs, and prescription or OTC drugs in combination (6%); and a "not alcohol" group reporting combinations of tobacco, marijuana, and prescription drug use, but rarely alcohol use (4%). The latent classes varied by age and grade level, but not by other demographic characteristics, and aligned in highly consistent patterns on other non-substance use outcomes. Polysubstance users reported the most problematic and nonusers the least problematic outcomes, with ATM and "not alcohol" users in the middle. CONCLUSIONS: Urban AI adolescent substance use occurs in three somewhat distinctive patterns of combinations of recent alcohol and drug consumption, covarying in systematic ways with other problematic risk behaviors and attitudes.


Asunto(s)
Trastornos Relacionados con Sustancias , Adolescente , Consumo de Bebidas Alcohólicas , Humanos , Drogas Ilícitas , Indígenas Norteamericanos , Medicamentos bajo Prescripción
19.
J Youth Adolesc ; 45(10): 2108-24, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-27262697

RESUMEN

Parental rejection is linked to deep and enduring adjustment problems during adolescence. This study aims to further clarify this relation by demonstrating what has long been posited by parental acceptance/rejection theory but never validated empirically-namely that adolescents' unique or subjective experience of parental rejection independently informs their future adjustment. Among a longitudinal, multi-informant sample of 161 families (early adolescents were 47 % female and 40 % European American) this study utilized a multitrait-multimethod confirmatory factor analysis to isolate for each early adolescent-parent dyad, the adolescent's distinct view of parental rejection (i.e., the adolescent unique perspective) from the portion of his or her view that overlaps with his or her parent's view. The findings indicated that adolescents' unique perspectives of maternal rejection were not differentiated from their unique perspectives of paternal rejection. Also, consistent with parental acceptance-rejection theory, early adolescents' unique perspectives of parental rejection were associated with worse adjustment (internalizing and externalizing) 1 year later. This study further demonstrates the utility and validity of the multitrait-multimethod confirmatory factor analysis approach for identifying and examining adolescent unique perspectives. Both conceptually and analytically, this study also integrates research focused on unique perspectives with a distinct but related line of research focused on discrepancies in perspectives.


Asunto(s)
Ajuste Emocional , Relaciones Padre-Hijo , Generalización Psicológica , Relaciones Madre-Hijo , Rechazo en Psicología , Adolescente , Carácter , Niño , Maltrato a los Niños/psicología , Análisis Factorial , Femenino , Hostilidad , Humanos , Control Interno-Externo , Estudios Longitudinales , Masculino , Inventario de Personalidad
20.
J Early Adolesc ; 35(4): 511-537, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-29527086

RESUMEN

Most research exploring the interplay between context and adolescent separation and detachment has focused on the family; in contrast, this investigation directs its attention outside of the family to peers. Utilizing a latent variable approach for modeling interactions and incorporating reports of behavioral adjustment from 14-year-old adolescents (N = 190) and their mothers, we examine how separation and detachment relate to adolescent peer relationships, and whether peer relationships moderate how separation and detachment relate to adolescent internalizing and externalizing behaviors. Positive peer relationships were both associated with lower detachment and sharply attenuated relations between detachment and higher adolescent internalizing and externalizing. Separation from parents was unrelated to peer relationships, and regardless of whether peer relationships were positive, separation was not related to adolescent internalizing and externalizing. We integrate these findings with those from family-focused investigations and discuss their substantive and clinical implications.

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