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Baiden P, Cañizares C, Broni MN, LaBrenz CA, Sellers CM, Baiden JF, Aryee E, Ansah-Koi S, Wood BM, Hall A. Association between early sexual initiation and forced sexual intercourse with polysubstance use among adolescents: Findings from a population-based study. J Psychiatr Res 2025; 186:163-171. [PMID: 40245531 DOI: 10.1016/j.jpsychires.2025.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 04/08/2025] [Indexed: 04/19/2025]
Abstract
Substance use among adolescents in the United States is a significant public health concern. Despite the use of single substances among adolescents being rare, existing literature focuses on single, rather than the more common polysubstance use (PSU). Furthermore, the relationship between early sexual initiation (ESI), forced sexual intercourse, and PSU is underexplored. This study addresses this gap in the literature by examining this intersection. Data for this study came from the 2021 Youth Risk Behavior Survey (YRBS) and the sample was comprised of 17,033 adolescents aged 14-18. Models were built sequentially using descriptive, bivariate, and finally complementary log-log models to evaluate these associations, while controlling for symptoms of depression, poor mental health during COVID-19, parental monitoring, and demographic characteristics. Of the 17,033 adolescents examined, 18.7 % engaged in PSU, 21.6 % engaged in ESI, and 8.5 % also reported experiencing forced sexual intercourse. In the final model, adolescents who engaged in ESI had more than fourfold higher odds of engaging in PSU when compared to their counterparts who did not engage in ESI (AOR = 4.24, p < .001, 95 % CI = 3.75-4.79). History of forced sexual intercourse was associated with 1.34 times higher odds of engaging in PSU. These results underscore that ESI is significantly associated with increased risk of forced sexual intercourse and PSU. This study highlights the need of future research to uncover the psychological pathways linking ESI, forced sexual intercourse, and PSU.
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Affiliation(s)
- Philip Baiden
- The University of Texas at Arlington, School of Social Work, 501 W. Mitchell St., Box 19129, Arlington, TX, 76019, USA.
| | - Catalina Cañizares
- Florida International University, Robert Stempel College of Public Health and Social Work, 11200 SW 8th St, Miami, FL, 33199, USA; Steinhardt School of Culture, Education, and Human Development, Applied Psychology Department, 82 Washington Square E, New York, NY 10003, USA
| | - Marisa N Broni
- University of Ghana, School of Public Health, P. O. Box LG 25, Legon, Accra, Ghana
| | - Catherine A LaBrenz
- The University of Texas at Arlington, School of Social Work, 501 W. Mitchell St., Box 19129, Arlington, TX, 76019, USA
| | - Christina M Sellers
- Simmons University, School of Social Work, 300 The Fenway, Boston, MA, 02115, USA
| | - John F Baiden
- East Airport International School, P. O. Box KAPM 57, KIA, Accra, Ghana
| | - Edna Aryee
- Kodesh Counseling and Behavioural Health, Toronto, ON, M4W 3Y3, Canada
| | - Selina Ansah-Koi
- National Health Insurance Authority, 36th 6 Avenue Ridge Residential Area, Accra, Ghana
| | - Bethany M Wood
- The University of Texas at Arlington, School of Social Work, 501 W. Mitchell St., Box 19129, Arlington, TX, 76019, USA
| | - Angela Hall
- The University of Texas at Arlington, School of Social Work, 501 W. Mitchell St., Box 19129, Arlington, TX, 76019, USA
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Bai R, Liu J, Gao Y, Wang Y, Liu X. Influence of stress on self-injury among Chinese left-behind adolescents is not cast in stone: Synergistic roles of family protective factors. CHILD ABUSE & NEGLECT 2024; 154:106948. [PMID: 39032354 DOI: 10.1016/j.chiabu.2024.106948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 03/06/2024] [Accepted: 07/13/2024] [Indexed: 07/23/2024]
Abstract
BACKGROUND Left-behind adolescents are vulnerable to stressful life events and often engage in nonsuicidal self-injury (NSSI), which is a growing public concern in China. However, little is known about the synergistic protective effect of family resources on the relationship between stressful life events and NSSI in these adolescents. OBJECTIVE Based on theories of family socialization and resilience, the aim of this study was to examine the synergistic protective role of maternal knowledge and mother-child cohesion in buffering the effect of stressful life events on NSSI in father-absent left-behind adolescents. METHODS This study used two-wave longitudinal data. The analytical sample included 673 adolescents (Mage = 13.47 ± 1.11 years, 48 % male) who were enlisted from 4 junior high schools in rural China. Respondents completed questionnaires on stressful life events, parental knowledge, parent-child cohesion, and NSSI at two-time points. RESULTS The effects of stressful life events on NSSI were significant in father-absent left-behind adolescents. Additionally, maternal knowledge moderated the associations between stressful life events and NSSI in father-absent left-behind adolescents. Moreover, maternal knowledge and mother-child cohesion were found to play synergistic protective roles in the relationship between stressful life events and NSSI. In father-absent left-behind adolescents, only high maternal knowledge and high-quality mother-child cohesion could eliminate the negative effect of stressful life events on NSSI. CONCLUSION The findings underscore the synergistic protective roles of maternal knowledge and mother-child cohesion in buffering the negative effect of stressful life events on NSSI in father-absent left-behind adolescents. Both maternal knowledge and mother-child cohesion should be considered in interventions aimed at reducing NSSI in these adolescents.
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Affiliation(s)
- Rong Bai
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Jinmeng Liu
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Yemiao Gao
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Yumeng Wang
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China
| | - Xia Liu
- Institute of Developmental Psychology, Faculty of Psychology, Beijing Normal University, Beijing, China.
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Jensen AC, Thomsen AE. Parental differential treatment of siblings linked with internalizing and externalizing behavior: A meta-analysis. Child Dev 2024; 95:1384-1405. [PMID: 38439142 DOI: 10.1111/cdev.14091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2024]
Abstract
This meta-analysis linked relative and absolute parental differential treatment (PDT) with internalizing and externalizing behavior of children and adolescents. Multilevel meta-analysis data represented 26,451 participants based on 2890 effect sizes coming from 88 sources, nested within 43 samples. Participants were between 3.18 and 18.99 years of age (Mage = 12.64, SD = 3.89; 51.31% female; 82.23% White; 54.68% from the United States). Less-favored treatment (relative PDT) was linked to more internalizing and externalizing behavior. Additionally, greater differences in parenting between siblings (absolute PDT) were linked to more internalizing and externalizing behavior. Some links were moderated by other factors. For example, some effects were stronger when PDT was reported by children, and others, when siblings were closer in age.
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Cheong Y, Zhu Q, Wang C, Patel A, Ye Y. The roles of parenting, resilience, and interpersonal relationships on adolescents' mental health and stress-related growth during COVID-19. J Adolesc 2023; 95:1641-1652. [PMID: 37583052 DOI: 10.1002/jad.12232] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 07/22/2023] [Accepted: 08/02/2023] [Indexed: 08/17/2023]
Abstract
BACKGROUND The present longitudinal study investigated parenting style as a precursor for Chinese adolescents' stress-related growth and mental health difficulties during the COVID-19 pandemic, as well as the mediating roles of intrapersonal resilience and interpersonal relationships (i.e., peer and parent-adolescent). METHODS Chinese adolescents in a middle school (7th grade) and their parents in Beijing, China, were invited to complete a survey at two time points (T1: September 2020, T2: June 2021). A total of 206 adolescents (52.9% boys; Mage = 12.90 years, SDage = 0.33) and parents (17.5% fathers, 82.4% mothers; Mage = 43.50 years, SDage = 4.76 years) were included in this study. RESULTS Results showed that Chinese parents' authoritarian, not authoritative parenting, predicted adolescents' mental health difficulties nine months later. In addition, parent-adolescent relationships, but not peer relationships nor resilience, mediated the relations between parenting style and stress-related growth. Adolescents' resilience predicted fewer mental health difficulties. CONCLUSION It is important to target multiple ecologies (e.g., family) of adolescents for promoting positive adjustment.
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Affiliation(s)
- Yeram Cheong
- Asian American Studies Program, University of Maryland, College Park, USA
| | - Qianyu Zhu
- Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park, USA
| | - Cixin Wang
- Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park, USA
| | - Ami Patel
- Department of Counseling, Higher Education, and Special Education, University of Maryland, College Park, USA
| | - Yijun Ye
- TsingHua University High School, Beijing, China
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Olsen EM, Whiteley LB, Giorlando KK, Beausoleil N, Tolou-Shams M, Esposito-Smythers C, Brown LK. The Role of Family Factors in the Outcomes of Court-Involved Youth. YOUTH VIOLENCE AND JUVENILE JUSTICE 2023; 21:309-324. [PMID: 38274153 PMCID: PMC10809991 DOI: 10.1177/15412040231179110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
Court-involved youth (CIY) comprise a significant portion of the U.S. population and have a high prevalence of psychiatric illness and substance use. Youth delinquency has also been associated with family variables and parenting practices. However, it is not known which family factors are most relevant to behavioral outcomes in CIY mandated to outpatient mental health treatment. Self-report measures from 163 CIY (M = 15.19 years; 58.3% male) starting psychiatric care in two U.S. cities were utilized in a cross-sectional analysis to examine the association of parental monitoring and family functioning with the severity and variety of delinquent acts. Results demonstrate that parental monitoring is significantly associated with the delinquent behavior of CIY in mental health treatment, beyond that of psychiatric symptoms and substance use. Improved understanding of influential family factors can enhance tailoring of existing interventions to ensure that they are relevant to the needs of CIY, especially those in psychiatric treatment.
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Affiliation(s)
- Elizabeth M. Olsen
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI
- Department of Child and Adolescent Psychiatry, Bradley Hospital, East Providence, RI
| | - Laura B. Whiteley
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI
| | - Kayla K. Giorlando
- Young Adult Behavioral Health Program, Rhode Island Hospital, Providence, RI
| | - Nancy Beausoleil
- Young Adult Behavioral Health Program, Rhode Island Hospital, Providence, RI
| | - Marina Tolou-Shams
- Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA
| | | | - Larry K. Brown
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI
- Department of Child and Adolescent Psychiatry, Bradley Hospital, East Providence, RI
- Young Adult Behavioral Health Program, Rhode Island Hospital, Providence, RI
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