Examining Self-Regulation and Problematic Smartphone Use in Canadian Adolescents: A Parallel Latent Growth Modeling Approach.

Despite extensive research on the prevalence and mental health implications of problematic smartphone use in adolescents, the cognitive mechanisms underpinning its development, such as self-regulation, remain underexplored. This study aims to fill this research gap by investigating the developmental trajectories of self-regulation and problematic smartphone use among Canadian adolescents. Participants (N = 1303; 614 girls; Mage = 14.60 years, SD = 1.16 years) attended one of five public high schools in Southern British Columbia. Adolescents self-reported their self-regulation skills, as well as problematic smartphone use annually for three years. In line with developmental expectations, results indicated that both self-regulation and problematic smartphone use increased across the three years. Parallel latent growth models revealed significant intercept and positive slope differences for self-regulation and problematic smartphone use, showing that higher initial self-regulation predicted lower initial problematic smartphone use, and vice versa. Girls exhibited higher initial levels of problematic smartphone use, but gender differences in developmental trajectories were not observed. These findings emphasize the importance of early self-regulation skills in preventing the escalation of problematic smartphone use in adolescents, providing evidence-based insights for developing targeted interventions.

Acceptability of integrating mental health and substance use care within sexual health services among young sexual and gender minority men in Vancouver, Canada.

BACKGROUND: Despite well-established evidence showing that young sexual and gender minority (SGM) men experience disproportionate mental health and substance use inequities, few sexual health services provide mental health and substance use care. This qualitative study examined the experiences and perspectives about integrated care models within sexual health services among young SGM men experiencing mental health and substance use challenges. METHODS: Semi-structured interviews were conducted with 50 SGM men aged 18-30 years who reported using substances with sex in Vancouver, Canada. Interviews were analyzed using thematic analysis. RESULTS: Three themes were identified: 1) participants asserted that their sexual health, mental health and substance use-related health needs were interrelated and that not addressing all three concurrently could result in even more negative health outcomes. These concurrent health needs were described as stemming from the oppressive social conditions in which SGM men live. 2) Although sexual health clinics were considered a safe place to discuss sexual health needs, participants reported not being invited by health providers to engage in discussions about their mental health and substance use health-related needs. Participants also perceived how stigmas associated with mental health and substance use limited their ability to express and receive support. 3) Participants identified key characteristics they preferred and wanted within integrated care, including training for health providers on mental health and SGM men's health and connections (e.g., referral processes) between services. Participants also recommended integrating social support programs to help them address SGM-related social challenges. CONCLUSION: Our findings highlight that SGM men's sexual health, mental health and substance use-related health needs and preferences are interrelated and should be addressed together. Tailored training and resources as well as structural adaptations to improve communication channels and collaborative connections between health providers are required to facilitate the development of integrated care for young SGM men.

Developmental Trajectories of Cyber-Aggression among Early Adolescents in Canada: The Impact of Aggression, Gender, and Time Spent Online.

The objective of the present study was to examine developmental trajectories of cyber-aggression in early adolescence, as well as their relationship with predictive factors related to cyber-aggression (e.g., overt aggression, gender, and time spent online). Participants were 384 adolescents from the Lower Mainland of British Columbia, Canada who were in grade six and grade seven at Time 1 of the study (192 boys, Mage = 13.62 years, SD = 0.74 year). Three years of longitudinal data on cyber-aggression, overt aggression, and time spent online were collected via online self-report questionnaires. Findings indicated three different trajectories of cyber-aggression: (a) a low-increasing (85.7% of the sample), (b) a stable trajectory (9.3% of the sample), and (c) a high-decreasing trajectory (4.9% of the sample). Adolescents who reported higher scores on overt aggression and spent more time online were more likely to be in the stable or high-decreasing groups. These findings highlight the importance of studying subgroups regarding the developmental course of cyber-aggression in early adolescence. The implications of present study findings give insight into gender differences and overt aggression among youth to inform cyber-aggression intervention and prevention.

Differentiating the role of alcohol in young men's use of substances with sex: A qualitative study.

BACKGROUND: Alcohol consumption is common among young men and occurs in many contexts. The sexualized substance use literature has generated some insight into the role of alcohol alongside other substances in the context of sex, though there remain opportunities for targeted and context-sensitive studies to examine the sexual practices and outcomes associated with alcohol, specifically. METHODS: This interpretive description study explores how experiences and contexts of alcohol use feature in the sexual lives of young men who use substances with sex. Data collection involved in-depth interviews conducted between 2018 and 2021 in Vancouver, Canada, with N = 76 young men (ages 18-30; mean = 23.9 years) who use substances with sex, including men with diverse sexual identities. Data were analyzed in an iterative manner through a social constructivist lens and an interpretive description framework, leveraging constant comparison techniques. FINDINGS: This analysis yielded three interconnected themes: (1) using alcohol for sexual(ity) freedoms; (2) backgrounding alcohol within a sexualized polysubstance milieu; and (3) navigating the risks and consequences of using alcohol with sex. Alcohol use was found to reduce inhibitions and support experimentation, including by facilitating the transgression of conservative or restrictive social and sexual norms. Alcohol was seldom explicitly classified as a sexualized substance, though it was evidently a widespread and normative social practice. This practice was associated with important risk and consequences, including with respect to consent, pregnancy and sexually transmitted and bloodborne infection risk, and sexual dysfunction. CONCLUSIONS: Findings from this study position alcohol as a backgrounded yet significantly influential substance that young men use with sex. The sexualized use of substances must be understood, and responded to, in a manner that is grounded in harm reduction and that considers the full spectrum of substances-inclusive of but not limited to alcohol-and associated benefits and risks that feature in young men's sexual lives. Specifically, sexual health and primary care providers working with young men should invite and open up meaningful conversation about how they may be using substances (including alcohol) with sex, while offering de-stigmatizing, sex-positive, and affirming education and supports to promote safer sex and substance use.

Should We Be Worried about Smartphone Addiction? An Examination of Canadian Adolescents' Feelings of Social Disconnection in the Time of COVID-19.

As the COVID-19 global pandemic limited face-to-face social contact, mental health concerns increased for adolescents. Additionally, many adolescents turned to technology to communicate with their peers, which also raised concerns about adolescent smartphone addiction. However, research has yet to examine how mental health and technology engagement are related to adolescents' feelings of social connection-an important developmental predictor of wellbeing across the lifespan. Specifically, little is known regarding the relative risk of adolescents' mental health concerns, a known risk factor for social disconnection and isolation and smartphone addiction in contributing to feelings of social disconnection in the time of COVID-19. The present study investigated how mental health outcomes and smartphone addiction contributed to Canadian adolescents' (n = 1753) feelings of social disconnection during COVID-19. Between October 2020 and May 2021, data were collected from five secondary schools in and around the lower mainland of British Columbia using an online-administered self-report questionnaire. Adolescents responded to questions about their smartphone addiction, internalizing problems, and an open-ended question about their feelings of connection to others. Findings from logistic regression analyses indicated that depression was a predictor of feeling socially disconnected: however, smartphone addiction was not associated with feelings of social disconnection during COVID-19. Implications of these findings can help inform the development of prevention programs targeting adolescents at risk for social disconnection in times of increased social isolation (e.g., a global pandemic). Specifically, these findings suggest that adolescents higher in depressive symptoms, and not those higher in smartphone addiction, are the ones most at risk.

Social Disconnection During COVID-19: The Role of Attachment, Fear of Missing Out, and Smartphone Use.

This mixed-methods study explored adolescents' (n = 682) feelings of social connection in the time of the COVID-19 pandemic and examined potential risk (fear of missing out, problematic smartphone use) and protective (parent/peer attachment, smartphone use) factors to social disconnection. Data were collected from two schools in Canada using an online survey with questionnaires and open-ended questions. Three themes regarding adolescents' feelings of social connection during the pandemic were identified through thematic content analysis: (1) feeling socially connected, (2) feeling socially disconnected, and (3) feeling socially indifferent. Moreover, regression analysis identified secure peer attachments as a protective factor against social disconnection in the time of the COVID-19 pandemic, while fear of missing out was identified as an independent risk factor.

Cannabis use and mental health among young sexual and gender minority men: A qualitative study.

Despite a growing body of evidence demonstrating that cannabis use is associated with mental illness among sexual and gender minority (SGM) men, little is known about the motivations, patterns and contexts that influence this relationship. Our study aimed to characterize how cannabis use features within the mental health-related experiences of young SGM men in Vancouver, Canada. From January to December 2018, semi-structured interviews were conducted with 50 SGM men ages 15 to 30 years to explore their experiences using cannabis. We draw on thematic analysis to reveal three themes regarding participants' experiences with cannabis use and mental health. First, participants experiences emphasized the interconnectedness of cannabis use, sexual, and mental health, including using cannabis to: (i) cope with mental health symptoms during sexual encounters (e.g., anxiety, sexual trauma-related stress); and (ii) substitute or replace other substances (e.g., crystal methamphetamine, MDMA) to reduce drug-related harms in Chemsex practices (e.g., decreased ability to consent, drug-induced psychosis). Second, participants discussed the instrumental use of cannabis to alleviate and address symptoms of mental health (e.g., depression, post-traumatic experiences). Third, participants described adverse effects of cannabis use on their mental health, including feelings of paranoia that they associated with cannabis use, as well as concerns around developing cannabis dependence. Our findings reveal important implications for public health policy on how cannabis can be used to manage experiences of mental health among young SGM men, while also highlighting the need to develop harm reduction services for those who may experience mental health-related harms.

Social determinants of playing outdoors in the neighbourhood: family characteristics, trust in neighbours and daily outdoor play in early childhood.

OBJECTIVES: The goal of this study was to investigate socio-demographic and contextual factors in relation to the frequency of outdoor play in the neighbourhood in early childhood, drawing from a large sample of children in British Columbia, Canada. METHODS: Parents/caregivers of 2280 4- to 5-year-old children completed the Childhood Experiences Questionnaire (CHEQ) in 2018. Binary logistic regression analyses were conducted to predict the likelihood of children participating in everyday outdoor play in their neighbourhood based on the child's gender, family ethnicity (i.e., European origin vs. other), household income (i.e., less vs. equal/more than CDN$75,000), population centre (i.e., urban vs. rural) and parent's trust in neighbours (i.e., trusting vs. not trusting neighbours to look out for children). RESULTS: Thirty-five percent of children in this study met recommendations of playing outdoors every day. Children whose parents perceived strong trust in neighbours were twice as likely to play outdoors in their neighbourhood every day, when compared with those whose parents perceived low trust in neighbours. Additionally, children from families with higher incomes (equal/more than $75,000) were significantly more likely to play outdoors daily than those with lower incomes, but only if they resided in rural areas. Last, children with European family backgrounds were 64% more likely to play outdoors every day compared with those with non-European backgrounds. CONCLUSION: Findings from this study contribute to an emerging body of work examining socio-economic, demographic and contextual factors associated with children meeting the recommendations for everyday outdoor play in their neighbourhood.

RéSUMé: OBJECTIFS: Le but de la présente étude était d'étudier les facteurs sociodémographiques et contextuels liés à la fréquence de jeu en plein air dans le quartier pendant la petite enfance, à partir d'un vaste échantillon d'enfants de la Colombie-Britannique, au Canada. MéTHODES: Les responsables de 2 280 enfants de quatre à cinq ans ont rempli le Childhood Experiences Questionnaire (CHEQ) en 2018. Des analyses de régression logistique binaire ont été effectuées pour prédire la probabilité que les enfants participent à des jeux extérieurs quotidiens en fonction du genre de l'enfant, de l'origine ethnique de la famille (c.-à-d. origine européenne ou autre), du revenu du foyer (c.-à-d. inférieur ou égal/supérieur à 75 000 $ CA), du centre de la population (c.-à-d. urbain ou rural) et de la confiance des parents envers les voisins (c.-à-d. confiance ou non dans les voisins pour veiller sur les enfants). RéSULTATS: Trente-cinq pour cent des enfants ont joué dehors au quotidien. Les enfants dont les parents ont perçu une forte confiance dans les voisins étaient deux fois plus probables de jouer dehors. De plus, les enfants issus de familles aux revenus plus élevés étaient nettement plus susceptibles de jouer dehors, mais seulement s'ils résidaient dans des régions rurales. Enfin, les enfants de familles européennes étaient 64 % plus probables de jouer dehors au quotidien. CONCLUSION: Les résultats de cette étude contribuent à un nouveau corpus de recherches examinant les facteurs socio-économiques, démographiques et contextuels associés au jeu en plein air au quotidien pendant la petite enfance.

The sexualised use of cannabis among young sexual minority men: "I'm actually enjoying this for the first time".

The objective of this study was to identify how cannabis use features within the sexual lives of young sexual minority men who use substances, and how this might intersect with features of their contemporary socio-cultural contexts in a setting where non-medical cannabis was recently legalised: Vancouver, Canada. Forty-one sexual minority men ages 15 to 30 years were recruited between January and December 2018 to participate in in-depth, semi-structured 1-2 h interviews about their experiences of using substances (e.g. cannabis) for sex. Drawing on constant comparative analytic techniques, two themes emerged with regards to participants' perceptions of, and experiences with, the sexualised use of cannabis. First, participants described how they used cannabis for sex to increase sexual pleasure and lower inhibitions. Second, participants described using cannabis for sex to reduce feelings of anxiety and shame, and foster intimacy and connection with sexual partners. These findings identify how the sexualised use of cannabis functions as a 'strategic resource' for sexual minority men to deliberately achieve both physiological and psychoactive effects, while concurrently underscoring the extent to which the contexts, patterns and motivations associated with cannabis use for sex parallel those associated with this form of Chemsex.