1
|
Sanchez LM, Oman RF, Yang Y, Lensch T, Clements-Nolle K. Youth Assets and Initiation of Sexual Intercourse by Family Structure: A Longitudinal Cohort Study. HEALTH EDUCATION & BEHAVIOR 2022; 49:985-992. [PMID: 35950332 DOI: 10.1177/10901981221116792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The purpose of this study was to assess the protective influence of individual, family, and community assets from the initiation of sexual intercourse (ISI) for adolescents living in one-parent households compared with adolescents living in two-parent households. METHODS Five waves of data were collected annually over a 4-year period (N = 591, 52.5% female, mean age = 14.0 years) from a racially/ethnically diverse sample of adolescents. Extended Cox models were used to assess the relationship between assets and time of ISI while controlling for demographic variables. Potential interactions between adolescent's household structure and assets were examined. RESULTS Five of 17 assets were prospectively and significantly associated with a reduced risk of ISI among adolescents living in one-parent households compared with 11 of 17 assets for adolescents living in two-parent households. Adolescents living in one-parent households who possessed any one of five assets (e.g., general aspirations for the future, relationship with mother, positive peer role models) had between a 27% and 57% lower risk of ISI, whereas adolescents living in two-parent households who possessed any of one of 11 assets (e.g., responsible choices, family communication, community involvement) had between a 20% and 42% lower risk of ISI. CONCLUSION The results suggest that strengthening specific youth assets across multiple dimensions of behavioral influence may decrease the risk of ISI for adolescents living in both one-parent and two-parent households. Public health efforts focused on developing programs to promote asset building tailored to adolescent's family structure are warranted.
Collapse
Affiliation(s)
| | - Roy F Oman
- University of Nevada, Reno, Reno, NV, USA
| | | | | | | |
Collapse
|
2
|
Watanabe K, Totsu Y, Duong TT, Van Truong P, Huong PTT. Sexual awareness and cognitive social capital among high school students: a cross-sectional study in rural Vietnam. J Rural Med 2020; 15:132-138. [PMID: 33033532 PMCID: PMC7530599 DOI: 10.2185/jrm.2020-010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 04/20/2020] [Indexed: 11/27/2022] Open
Abstract
Objective: Since the late 1980s, Vietnam has seen numerous social changes,
likely leading to changes in adolescent sexual awareness. Adolescents are currently
exposed to a plethora of sexual information without adequate sex education and knowledge.
Globally, researchers have identified sexual knowledge and self-esteem as determinants of
adolescent sexual awareness and behavior, but little is known about the role of social
capital, especially in rural areas. This study aimed to clarify the relationship between
sexual awareness and cognitive social capital among high school students in rural
Vietnam. Materials and Methods: We conducted a questionnaire-based survey assessing
sexual knowledge, sexual awareness, perceptions of peers’ sexual experience, structural
and cognitive social capital, and self-esteem (Rosenberg Self-Esteem Scale) in March 2017
among 1,583 11th graders at four public high schools in Hai Duong Province, Vietnam. Results: The final sample comprised 1,517 students (95.8% of total
responses): 609 boys (40.1%) and 908 girls (59.9%). Multiple logistic regression analysis
was performed with intolerance toward premarital sex as the dependent variable. In the
first model, the independent variables were self-esteem, knowledge of proper timing for
condom use, and perception that many peers are sexually experienced. The second model
added an indicator of cognitive social capital. In the first model, self-esteem, knowledge
of proper timing for condom use, and perception that many peers are sexually experienced
were all significantly associated with intolerance toward premarital sex for both boys and
girls. In the second model, for both boys and girls, only cognitive social capital was
significantly associated with intolerance toward premarital sex. Conclusion: The results of this study regarding the effect of social capital
in rural Vietnam are consistent with previous findings in urban areas. Social capital
should be emphasized in efforts to improve sexual awareness and, in turn, sexual and
reproductive health among adolescents in rural areas.
Collapse
Affiliation(s)
| | | | | | | | - Phuong Thi Thu Huong
- Center for Population Research, Information and Database (CPRID), General Office for Population and Family Planning (GOPFP), Vietnam
| |
Collapse
|
3
|
Tingey L, Larzelere F, Goklish N, Rosenstock S, Jennings Mayo-Wilson L, Pablo E, Goklish W, Grass R, Sprengeler F, Parker S, Ingalls A, Craig M, Barlow A. Entrepreneurial, Economic, and Social Well-Being Outcomes from an RCT of a Youth Entrepreneurship Education Intervention among Native American Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2383. [PMID: 32244495 PMCID: PMC7177681 DOI: 10.3390/ijerph17072383] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Revised: 03/21/2020] [Accepted: 03/28/2020] [Indexed: 12/02/2022]
Abstract
Background: Entrepreneurship education has demonstrated positive impacts in low-resource contexts. However, there is limited evidence of such programs evaluated among Native American (NA) youth in a rural reservation. Methods: A 2:1 randomized controlled trial evaluated the impact of the Arrowhead Business Group (ABG) entrepreneurship education program on entrepreneurship knowledge, economic empowerment, and social well-being among 394 NA youth. An intent to treat analysis using mixed effects regression models examined within and between study group differences from baseline to 24 months. An interaction term measured change in the intervention relative to change in the control. ABG participants were purposively sampled to conduct focus groups and in-depth interviews. Results: Significant intervention vs. control group improvements were sustained at 12 months for entrepreneurship knowledge and economic confidence/security. Significant within-group improvements were sustained for ABG participants at 24 months for connectedness to parents, school, and awareness of connectedness. Qualitative data endorses positive impacts on social well-being among ABG participants. Conclusion: Observed effects on entrepreneurship knowledge, economic empowerment, and connectedness, supplemented by the experiences and changes as described by the youth themselves, demonstrates how a strength-based youth entrepreneurship intervention focused on developing assets and resources may be an innovative approach to dually address health and economic disparities endured in Native American communities.
Collapse
Affiliation(s)
- Lauren Tingey
- Department of International Health, Johns Hopkins Center for American Indian Health, 415 N. Washington St., Baltimore, MD 21231, USA; (S.R.); (A.I.); (A.B.)
| | - Francene Larzelere
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Novalene Goklish
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Summer Rosenstock
- Department of International Health, Johns Hopkins Center for American Indian Health, 415 N. Washington St., Baltimore, MD 21231, USA; (S.R.); (A.I.); (A.B.)
| | - Larissa Jennings Mayo-Wilson
- Department of International Health, Johns Hopkins Center for American Indian Health, 415 N. Washington St., Baltimore, MD 21231, USA; (S.R.); (A.I.); (A.B.)
- Department of Applied Health Science, Center for Sexual Health Promotion, Indiana University School of Public Health, 1025 E. 7th St., Bloomington, IN 47405, USA;
| | - Elliott Pablo
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Warren Goklish
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Ryan Grass
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Feather Sprengeler
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Sean Parker
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Allison Ingalls
- Department of International Health, Johns Hopkins Center for American Indian Health, 415 N. Washington St., Baltimore, MD 21231, USA; (S.R.); (A.I.); (A.B.)
| | - Mariddie Craig
- Department of International Health, Johns Hopkins Center for American Indian Health, 308 Kuper St., Whiteriver, AZ 85941, USA; (F.L.); (N.G.); (E.P.); (W.G.); (R.G.); (F.S.); (S.P.); (M.C.)
| | - Allison Barlow
- Department of International Health, Johns Hopkins Center for American Indian Health, 415 N. Washington St., Baltimore, MD 21231, USA; (S.R.); (A.I.); (A.B.)
| |
Collapse
|
4
|
Lauren T, Catherine S, Rachel C, Hima P, Angelita L, Shauntel L, Laura M, Anna S, Anne R, Mariddie C, Charlotte G. Protecting our future generation: study protocol for a randomized controlled trial evaluating a sexual health self-care intervention with Native American youth and young adults. BMC Public Health 2019; 19:1614. [PMID: 31791323 PMCID: PMC6888928 DOI: 10.1186/s12889-019-7956-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Accepted: 11/18/2019] [Indexed: 01/01/2023] Open
Abstract
Background Disparities in sexually transmitted infections (STI) are an urgent problem among Native American youth and young adults which are not fully explained by different sexual or related behaviors. These sexual health disparities are more likely attributed to social environments and structural determinants such as a shortage of sexual healthcare providers, lower socioeconomic status, and access barriers to STI screening and treatment, including geographic isolation and confidentiality concerns. Innovative, non-clinic based alternatives to promote STI screening and treatment are essential for alleviating these disparities. Self-care, or the care taken by individuals towards their own health and well-being may be such a strategy. This study will assess the efficacy of a self-care intervention, called Protecting Our Future Generation, for increasing uptake of STI screening and impacting sexual risk and protective behaviors among Native American youth and young adults living in a reservation-based community in the Southwestern United States. Methods The proposed study is a randomized controlled trial to test the efficacy of a self-care intervention compared to a control condition. Participants will be Native Americans ages 14–26 years old who have had vaginal or anal sex at least once in their lifetime. Participants will be randomized to the intervention which includes: 1) a sexual health self-assessment with embedded clinical prediction tool predicting STI positivity, and 2) personalized messaging with key steps to lower risk for STIs, or the control condition which includes: 1) a self-assessment about water, soda and sugar sweetened beverage consumption, and 2) personalized messaging to meet recommended daily intake. All participants will be offered a self-administered STI test. Participants will complete assessments at baseline, 3- and 6-months follow-up. The primary outcome measure is completion of STI screening. Discussion Protecting Our Future Generation is among the first self-care interventions uniquely focused on sexual health among a Native American population, who endure significant sexual health disparities and are under-represented in research. If efficacious, the intervention will be a model of sexual health self-care for Native American youth and young adults adaptable for use in healthcare and community-based settings. Trial registration Clinical Trials: http://clinicaltrials.gov; NCT03895320; Registered 03/28/2019.
Collapse
Affiliation(s)
- Tingey Lauren
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21231, USA.
| | - Sutcliffe Catherine
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21231, USA
| | - Chambers Rachel
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21231, USA
| | - Patel Hima
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21231, USA
| | - Lee Angelita
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 308 Kuper St., Whiteriver, AZ, 85941, USA
| | - Lee Shauntel
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 308 Kuper St., Whiteriver, AZ, 85941, USA
| | - Melgar Laura
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 308 Kuper St., Whiteriver, AZ, 85941, USA
| | - Slimp Anna
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 308 Kuper St., Whiteriver, AZ, 85941, USA
| | - Rompalo Anne
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 415 N. Washington St., Baltimore, MD, 21231, USA
| | - Craig Mariddie
- Johns Hopkins Center for American Indian Health, Johns Hopkins University, Bloomberg School of Public Health, 308 Kuper St., Whiteriver, AZ, 85941, USA
| | - Gaydos Charlotte
- Johns Hopkins Center for the Development of Point Of Care Tests for Sexually Transmitted Diseases, Johns Hopkins University, Bloomberg School of Public Health, 855 N. Wolfe St., Baltimore, MD, 21205, USA
| |
Collapse
|
5
|
Greene KM, Eitle D, Eitle TM. Developmental Assets and Risky Sexual Behaviors among American Indian Youth. THE JOURNAL OF EARLY ADOLESCENCE 2018; 38:50-73. [PMID: 29290640 PMCID: PMC5744875 DOI: 10.1177/0272431615596427] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
This study examined the relationship between developmental assets during early and mid-adolescence and early adult sexual behaviors among American Indians using a subsample from the National Longitudinal Study of Adolescent Health (N = 465). Grounded in an assets framework, the authors explored the protective role of personal, family, school, and community assets as well as cumulative assets for sexual behaviors including early sexual debut, number of sexual partners, and frequency of condom use. The results indicated that certain assets during early and mid-adolescence, such as self-control, family support, and school attachment were protective for various risky sexual behaviors in early adulthood. Furthermore, cumulative assets emerged as an important predictor of sexual behaviors. These findings highlight the utility of applying a developmental asset framework to understand protective factors among American Indian youth.
Collapse
Affiliation(s)
- Kaylin M. Greene
- Please direct all correspondence to Kaylin Greene, Ph.D.; Department of Sociology and Anthropology; Montana State University; 2–128 Wilson Hall; Bozeman, MT 59717 ()
| | | | | |
Collapse
|
6
|
Green J, Oman RF, Vesely SK, Cheney M, Carroll L. Beyond the Effects of Comprehensive Sexuality Education: The Significant Prospective Effects of Youth Assets on Contraceptive Behaviors. J Adolesc Health 2017; 61:678-684. [PMID: 28974359 DOI: 10.1016/j.jadohealth.2017.06.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2017] [Revised: 06/30/2017] [Accepted: 06/30/2017] [Indexed: 11/16/2022]
Abstract
PURPOSE The purpose of the study was to prospectively determine if youth assets were significantly associated with contraception use after accounting for the effects of youths' exposure to comprehensive sexuality education programming. METHODS Prospective associations between youth asset scores, comprehensive sexuality education topics received, type of contraceptive used, and consistent contraceptive use were analyzed using multinomial and binomial logistic regression in a sample of 757 sexually active youth. RESULTS Higher youth asset scores were associated with condom use (adjusted odds ratio [AOR] = 1.51, 95% CI = 1.01-2.28), hormonal birth control use (AOR = 2.71, 95% CI = 1.69-4.35), dual method use (AOR = 2.35, 95% CI = 1.44-3.82), and consistent contraceptive use (AOR = 1.97, 95% CI = 1.38-2.82). After controlling for youths' experience with comprehensive sexuality education, higher youth asset scores remained a significant predictor of hormonal birth control use (AOR = 2.09, 95% CI = 1.28-3.42), dual method use (AOR = 2.58, 95% CI = 1.61-4.15), and consistent contraceptive use (AOR = 1.95, 95% CI = 1.36-2.80). CONCLUSIONS Youth serving organizations that are interested in preventing teen pregnancy should consider widespread implementation of evidence-based youth development programs that focus on building and strengthening specific youth assets.
Collapse
Affiliation(s)
| | - Roy F Oman
- School of Community Health Sciences, University of Nevada, Reno, Reno, Nevada.
| | - Sara K Vesely
- Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
| | - Marshall Cheney
- Department of Health and Exercise Science, University of Oklahoma, Norman, Oklahoma
| | - Leslie Carroll
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center/OU-Tulsa, Tulsa, Oklahoma
| |
Collapse
|
7
|
Diéguez JL, Sueiro E, López-Castedo A. Evolución de los primeros escenarios sexuales de las jóvenes. REVISTA DE ESTUDIOS E INVESTIGACIÓN EN PSICOLOGÍA Y EDUCACIÓN 2015. [DOI: 10.17979/reipe.2015.0.14.1095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Pretendemos conocer los cambios en los primeros escenarios sexuales, en 10 años. Estudio longitudinal, transversal y de tendencia sobre una muestra de 3223 (curso 97-98) y 1362 (07-08) universitarias, que realizaban primer y último curso en la Universidad de Vigo, utilizando una encuesta estructurada, anónima y voluntaria en la que se recogía la edad y variables referidas al primer coito, analizando con el SPSS 17.0. Las edades medias son 20.61 años (97-98) y 20.96 años (07-08). El 40.9% y el 72,3% de las primeras y segundas, respectivamente habían iniciado sus coitos -diferencias significativas (p<.05)-, a los 18.42 y 17,41 años. También hay diferencias significativas (p<.05) en el sexo de la primera pareja coital, relación existente con la misma, sentimiento experimentado, tiempo de conocimiento previo, mediación afectiva como motivo del primer encuentro, lugar donde aconteció, frecuencia y número de parejas durante el primer año, uso y tipo de protección y persona que propone.
Collapse
|
8
|
Cheney MK, Oman RF, Vesely SK, Aspy CB, Tolma EL. The Prospective Association of Youth Assets With Tobacco Use in Young Adulthood. AMERICAN JOURNAL OF HEALTH EDUCATION 2015. [DOI: 10.1080/19325037.2015.1077177] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
| | - Roy F. Oman
- University of Oklahoma Health Sciences Center
| | | | | | | |
Collapse
|
9
|
Cheney MK, Oman RF, Vesely SK. Prospective associations among youth assets in young adults and tobacco use. Am J Prev Med 2015; 48:S94-S101. [PMID: 25528715 DOI: 10.1016/j.amepre.2014.09.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2014] [Revised: 09/16/2014] [Accepted: 09/24/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND Developmental assets protect adolescents from tobacco use; however, their influence during the transition to young adulthood is unknown. PURPOSE To determine the prospective associations among assets and tobacco use in older adolescents and young adults. METHODS Prospective analyses were conducted using five waves of annual data collected from 467 randomly selected ethnically diverse youth (baseline age, 15-17 years) from 2003 to 2008. Logistic regression was conducted in 2013 to prospectively examine associations between ten Wave 1 assets with no tobacco use in the past 30 days over the five waves of the study (no use). Assets that were significantly associated with no use were included in a second analysis to examine the cumulative effect of Wave 1 assets on no use. RESULTS Youth who possessed Family Communication, Relationship with Mother, Aspirations for the Future, Parental Monitoring, or Responsible Choices assets had significantly higher odds of no tobacco use. There were significant interactions between Relationship with Father, Non-Parental Adult Role Models, Future Educational Aspirations, and Peer Role Models assets and family structure, gender, or both. There was a significant interaction between cumulative assets and family structure. For youth in two-parent households at Wave 1, those with more assets had significantly greater odds of reporting no tobacco use over five waves compared to those with the fewest assets. CONCLUSIONS The influence of assets in adolescents can influence tobacco use into young adulthood. Family structure and gender can influence the asset-tobacco use relationship.
Collapse
Affiliation(s)
- Marshall K Cheney
- Department of Health and Exercise Science, University of Oklahoma, Norman.
| | - Roy F Oman
- Department of Health Promotion Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
| | - Sara K Vesely
- Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
| |
Collapse
|
10
|
Oman RF, Vesely SK, Aspy CB, Tolma EL. Prospective Associations Among Assets and Successful Transition to Early Adulthood. Am J Public Health 2014; 105:e51-e56. [PMID: 25393188 DOI: 10.2105/ajph.2014.302310] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Objectives. We investigated prospective associations among assets (e.g., family communication), which research has shown to protect youths from risk behavior, and successful transition to early adulthood (STEA). Methods. We included participants (n = 651) aged 18 years and older at study wave 5 (2007-2008) of the Youth Asset Study, in the Oklahoma City, Oklahoma, metro area, in the analyses. We categorized 14 assets into individual-, family-, or community-level groups. We included asset groups assessed at wave 1 (2003-2004) in linear regression analyses to predict STEA 4 years later at wave 5. Results. Individual- and community-level assets significantly (P < .05) predicted STEA 4 years later and the associations were generally linear, indicating that the more assets participants possessed the better the STEA outcome. There was a gender interaction for family-level assets suggesting that family-level assets were significant predictors of STEA for males but not for females. Conclusions. Public health programming should focus on community- and family-level youth assets as well as individual-level youth assets to promote positive health outcomes in early adulthood.
Collapse
Affiliation(s)
- Roy F Oman
- Roy F. Oman and Eleni L. Tolma are with the Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City. Sara K. Vesely is with the Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center. Cheryl B. Aspy is with the Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center
| | | | | | | |
Collapse
|
11
|
Aspy CB, Tolma EL, Oman RF, Vesely SK. The influence of assets and environmental factors on gender differences in adolescent drug use. J Adolesc 2014; 37:827-37. [PMID: 25086459 DOI: 10.1016/j.adolescence.2014.05.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Revised: 05/13/2014] [Accepted: 05/18/2014] [Indexed: 10/25/2022]
Abstract
For adolescents, illicit drug use remains a significant public health problem. This study explored prospectively the differential effects of 17 youth assets and 5 environmental factors on drug use in adolescent males and females (Youth Asset Study - a 5-wave longitudinal study of 1117 youth/parent pairs). Baseline analyses included 1093 youth (53% female). Mean age was 14.3 years (SD = 1.6) and the youth were 40% Non-Hispanic White, 28% Hispanic, 24% Non-Hispanic Black, and 9% Non-Hispanic other. Analyses revealed that 16 assets for males and 15 for females as well as the total asset score were prospectively associated with no drug use. No environmental factors were prospectively associated with any drug use for males, and for a subset of females, only Neighborhood Support was significant. This study confirms and extends previous work regarding youth drug use by recognizing the importance of the protective effect of assets for both males and females.
Collapse
Affiliation(s)
- Cheryl B Aspy
- Department of Family and Preventive Medicine, College of Medicine, University of Oklahoma Health Sciences Center, 900 NE 10th St., Oklahoma City, OK 73104, USA.
| | - Eleni L Tolma
- P.O. Box 26901, Rm. 453, Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73126-0901, USA.
| | - Roy F Oman
- P.O. Box 26901, Rm. 453, Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73126-0901, USA.
| | - Sara K Vesely
- Post Office Box 26901, Room 358, Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73126-0901, USA.
| |
Collapse
|
12
|
McPherson KE, Kerr S, Morgan A, McGee E, Cheater FM, McLean J, Egan J. The association between family and community social capital and health risk behaviours in young people: an integrative review. BMC Public Health 2013; 13:971. [PMID: 24138680 PMCID: PMC4015354 DOI: 10.1186/1471-2458-13-971] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2013] [Accepted: 10/11/2013] [Indexed: 11/10/2022] Open
Abstract
Background Health risk behaviours known to result in poorer outcomes in adulthood are generally established in late childhood and adolescence. These ‘risky’ behaviours include smoking, alcohol and illicit drug use and sexual risk taking. While the role of social capital in the establishment of health risk behaviours in young people has been explored, to date, no attempt has been made to consolidate the evidence in the form of a review. Thus, this integrative review was undertaken to identify and synthesise research findings on the role and impact of family and community social capital on health risk behaviours in young people and provide a consolidated evidence base to inform multi-sectorial policy and practice. Methods Key electronic databases were searched (i.e. ASSIA, CINAHL, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Embase, Medline, PsycINFO, Sociological Abstracts) for relevant studies and this was complemented by hand searching. Inclusion/exclusion criteria were applied and data was extracted from the included studies. Heterogeneity in study design and the outcomes assessed precluded meta-analysis/meta-synthesis; the results are therefore presented in narrative form. Results Thirty-four papers satisfied the review inclusion criteria; most were cross-sectional surveys. The majority of the studies were conducted in North America (n=25), with three being conducted in the UK. Sample sizes ranged from 61 to 98,340. The synthesised evidence demonstrates that social capital is an important construct for understanding the establishment of health risk behaviours in young people. The different elements of family and community social capital varied in terms of their saliency within each behavioural domain, with positive parent–child relations, parental monitoring, religiosity and school quality being particularly important in reducing risk. Conclusions This review is the first to systematically synthesise research findings about the association between social capital and health risk behaviours in young people. While providing evidence that may inform the development of interventions framed around social capital, the review also highlights key areas where further research is required to provide a fuller account of the nature and role of social capital in influencing the uptake of health risk behaviours.
Collapse
Affiliation(s)
- Kerri E McPherson
- Institute for Applied Health Research, School of Health & Life Sciences, Glasgow Caledonian University, Cowcaddens Road, Glasgow G4 0BA, UK.
| | | | | | | | | | | | | |
Collapse
|
13
|
Oman RF, Vesely SK, Aspy CB, Tolma EL, Gavin L, Bensyl DM, Mueller T, Fluhr JD. A longitudinal study of youth assets, neighborhood conditions, and youth sexual behaviors. J Adolesc Health 2013; 52:779-85. [PMID: 23402985 DOI: 10.1016/j.jadohealth.2012.12.005] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2012] [Revised: 12/10/2012] [Accepted: 12/11/2012] [Indexed: 11/18/2022]
Abstract
PURPOSE To prospectively determine whether individual, family, and community assets help youth to delay initiation of sexual intercourse (ISI); and for youth who do initiate intercourse, to use birth control and avoid pregnancy. The potential influence of neighborhood conditions was also investigated. METHODS The Youth Asset Study was a 4-year longitudinal study involving 1,089 youth (mean age = 14.2 years, standard deviation = 1.6; 53% female; 40% white, 28% Hispanic, 23% African American, 9% other race) and their parents. Participants were living in randomly selected census tracts. We accomplished recruitment via door-to-door canvassing. We interviewed one youth and one parent from each household annually. We assessed 17 youth assets (e.g., responsible choices, family communication) believed to influence behavior at multiple levels via in-person interviews methodology. Trained raters who conducted annual windshield tours assessed neighborhood conditions. RESULTS Cox proportional hazard or marginal logistic regression modeling indicated that 11 assets (e.g., family communication, school connectedness) were significantly associated with reduced risk for ISI; seven assets (e.g., educational aspirations for the future, responsible choices) were significantly associated with increased use of birth control at last sex; and 10 assets (e.g., family communication, school connectedness) were significantly associated with reduced risk for pregnancy. Total asset score was significantly associated with all three outcomes. Positive neighborhood conditions were significantly associated with increased birth control use, but not with ISI or pregnancy. CONCLUSIONS Programming to strengthen youth assets may be a promising strategy for reducing youth sexual risk behaviors.
Collapse
Affiliation(s)
- Roy F Oman
- Department of Health Promotion Sciences, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
| | | | | | | | | | | | | | | |
Collapse
|
14
|
Wisnieski D, Sieving RE, Garwick AW. Influence of Peers on Young Adolescent Females' Romantic Decisions. AMERICAN JOURNAL OF HEALTH EDUCATION 2013. [DOI: 10.1080/19325037.2012.749716] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
15
|
Talbott S, Henderson JW, Stonecipher L, Bolland J, Lian B. Developmental assets and age of first sexual intercourse among adolescent African American males in Mobile, Alabama. Health (London) 2013. [DOI: 10.4236/health.2013.56a3005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
16
|
Aspy CB, Vesely SK, Oman RF, Tolma E, Rodine S, Marshall L, Fluhr J. School-related assets and youth risk behaviors: alcohol consumption and sexual activity. THE JOURNAL OF SCHOOL HEALTH 2012; 82:3-10. [PMID: 22142169 DOI: 10.1111/j.1746-1561.2011.00661.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
BACKGROUND Two risk behaviors, alcohol consumption and early initiation of sexual intercourse (ISI), can have devastating consequences for youth. The purpose of this study was to determine the association of school connectedness and school-related behaviors (eg, academic performance, skipping school, getting into trouble at school) with these 2 risk behaviors. METHODS The Youth Asset Survey (YAS) was administered to 1117 youth/parent pairs in their homes using Computer-Assisted Personal/Self-Interviewing (CAPI/CASI). The YAS measures 17 youth assets and risk behaviors including alcohol consumption and sexual activity. RESULTS The mean age of the sample was 14.3 years; 53% were female; and 70% were from 2-parent homes. Five school-related behaviors were positively associated with no ISI. Four school-related behaviors were positively associated with reporting no alcohol consumption in the past 30 days, including the School Connectedness asset (only among 12- to 13-year-olds), not skipping school (only among non-Hispanic Caucasians), staying out of trouble, and paying attention. CONCLUSIONS School is very much a part of the lives of youth and therefore the relationship they have with their school experience is important and may influence their involvement in risk behaviors. Feeling connected to school is a positive asset that can protect youth from such risky behaviors as sexual initiation and alcohol consumption.
Collapse
Affiliation(s)
- Cheryl B Aspy
- College of Medicine, Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, 900 NE 10th Street, Oklahoma City, OK 73104, USA.
| | | | | | | | | | | | | |
Collapse
|
17
|
Zullig KJ, Teoli DA, Ward RM. Not all developmental assets are related to positive health outcomes in college students. Health Qual Life Outcomes 2011; 9:52. [PMID: 21752293 PMCID: PMC3155895 DOI: 10.1186/1477-7525-9-52] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2011] [Accepted: 07/13/2011] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The purpose of this investigation was to model the relationships between developmental assets, life satisfaction, and health-related quality of life (HRQOL) among a stratified, random sample (n = 765, 56% response rate) of college students. METHODS Structural equation modeling techniques were employed to test the relationships using Mplus v4.21; Model evaluations were based on 1) theoretical salience, 2) global fit indices (chi-square goodness of fit, comparative fit index: CFI and Tucker-Lewis Index: TLI), 3) microfit indices (parameter estimates, root mean squared error of approximation: RMSEA and residuals) and 4) parsimony. RESULTS The model fit the data well: χ2(n = 581, 515) = 1252.23, CFI = .94, TLI = .93 and RMSEA = .05. First, participants who reported increased Family Communication also reported higher levels of life satisfaction. Second, as participants reported having more Non-Parental Role Models, life satisfaction decreased and poor mental HRQOL days increased. Finally increased Future Aspirations was related to increased poor mental HRQOL days. Results were variant across gender. CONCLUSIONS Preliminary results suggest not all developmental assets are related to positive health outcomes among college students, particularly mental health outcomes. While the findings for Family Communication were expected, the findings for Non-Parental Role Models suggest interactions with potential role models in college settings may be naturally less supportive. Future Aspirations findings suggest college students may harbor a greater temporal urgency for the rigors of an increasingly competitive work world. In both cases, these assets appear associated with increased poor mental HRQOL days.
Collapse
Affiliation(s)
- Keith J Zullig
- Department of Community Medicine, West Virginia University, Morgantown, WV, USA
| | - Daniel A Teoli
- Department of Community Medicine, West Virginia University, Morgantown, WV, USA
| | - Rose Marie Ward
- Department of Kinesiology and Health, Miami University of Ohio, Oxford, OH, USA
| |
Collapse
|
18
|
Bensyl DM, Vesely SK, Tolma EL, Oman RF, Aspy C. Associations between youth assets and sexual intercourse by household income. Am J Health Promot 2011; 25:301-9. [PMID: 21534832 DOI: 10.4278/ajhp.090401-quan-124] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Evaluate youth assets or potential strengths and sexual intercourse associations by household income. DESIGN Data consisted of youth and parent responses from randomly selected households from a cross-sectional study and wave one of a longitudinal extension of that study. Youth assets and sexual intercourse were compared for four income categories. SETTING Midwestern racially diverse, inner-city neighborhoods. SUBJECTS One adolescent (12-19 years) and one parent (2335 pairs). MEASURES Adjusted odds ratios (ORs) were calculated using logistic regression. Variables assessed included parent and youth demographics, youth sexual intercourse, and youth assets (adult and peer role models, family communication, use of time [religion or sports], community involvement, future aspirations, responsible choices, and health practices). RESULTS Youths' mean age was 14.9 (± 1.8) years, and 52% were female; 44% of respondents were white. Use of time (religion) was significantly associated with never having sex for all but the lowest income youth (OR range=1.79-2.64). The variable peer role models was significant for the lowest income (O =2.01) and two upper income groups (ORs=2.52 and 4.27, respectively). The variable future aspirations was significant for the lowest income youth (OR=1.77). CONCLUSION The youth asset variable future aspirations was critical for the lowest income households. Other asset variables, such as peer role models and use of time (religion) were critical regardless of income.
Collapse
Affiliation(s)
- Diana M Bensyl
- Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | | | | | | | | |
Collapse
|
19
|
Hayes D, Huey EL, Hull DM, Saxon TF. The Influence of Youth Assets on the Career Decision Self-Efficacy in Unattached Jamaican Youth. JOURNAL OF CAREER DEVELOPMENT 2011. [DOI: 10.1177/0894845310390364] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- DeMarquis Hayes
- Department of Educational Psychology, University of North Texas, Denton, TX, USA
| | - Erron L. Huey
- Department of Educational Psychology, University of North Texas, Denton, TX, USA
| | - Darrell M. Hull
- Department of Educational Psychology, University of North Texas, Denton, TX, USA
| | - Terrill F. Saxon
- Department of Educational Psychology, Baylor University, Waco, TX, USA
| |
Collapse
|
20
|
Rotegård AK, Moore SM, Fagermoen MS, Ruland CM. Health assets: A concept analysis. Int J Nurs Stud 2010; 47:513-25. [DOI: 10.1016/j.ijnurstu.2009.09.005] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2009] [Revised: 08/21/2009] [Accepted: 09/06/2009] [Indexed: 10/20/2022]
|
21
|
Connectedness as a predictor of sexual and reproductive health outcomes for youth. J Adolesc Health 2010; 46:S23-41. [PMID: 20172458 DOI: 10.1016/j.jadohealth.2009.11.214] [Citation(s) in RCA: 276] [Impact Index Per Article: 19.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2009] [Revised: 11/21/2009] [Accepted: 11/23/2009] [Indexed: 11/20/2022]
Abstract
To review research examining the influence of "connectedness" on adolescent sexual and reproductive health (ASRH). Connectedness, or bonding, refers to the emotional attachment and commitment a child makes to social relationships in the family, peer group, school, community, or culture. A systematic review of behavioral research (1985-2007) was conducted. Inclusion criteria included examination of the association between a connectedness sub-construct and an ASRH outcome, use of multivariate analyses, sample size of >or=100, and publication in a peer-reviewed journal. Results were coded as protective, risk, or no association, and as longitudinal, or cross sectional. Findings from at least two longitudinal studies for a given outcome with consistent associations were considered sufficient evidence for a protective or risk association. Eight connectedness sub-constructs were reviewed: family connectedness (90 studies), parent-adolescent general communication (16 studies), parent-adolescent sexuality communication (58 studies), parental monitoring (61 studies), peer connectedness (nine studies), partner connectedness (12 studies), school connectedness (18 studies), and community connectedness (four studies). There was sufficient evidence to support a protective association with ASRH outcomes for family connectedness, general and sexuality-specific parent-adolescent communication, parental monitoring, partner connectedness, and school connectedness. Sufficient evidence of a risk association was identified for the parent overcontrol sub-construct of parental monitoring. Connectedness can be a protective factor for ASRH outcomes, and efforts to strengthen young people's pro-social relationships are a promising target for approaches to promote ASRH. Further study regarding specific sub-constructs as well as their combined influence is needed.
Collapse
|
22
|
Youth Assets and Sexual Risk Behavior: Differences Between Male and Female Adolescents. HEALTH EDUCATION & BEHAVIOR 2009; 37:343-56. [DOI: 10.1177/1090198109344689] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Youth internal assets and external resources are protective factors that can help youth avoid potentially harmful behaviors. This study investigates how the relationship between youth assets or resources and two sexual risk behaviors (ever had sex and birth control use) varied by gender. Data were collected through in-home interviews from parent—adolescent dyads, including 1,219 females and 1,116 males. Important differences exist between male and female adolescents. Females with the nonparental role models or the family communication resource were more likely to report never having had sexual intercourse than were females without the resources. Among males, the aspirations for the future and responsible choices assets were associated with never having had sexual intercourse. Males and females had two assets or resources in common that were protective of never having had sex: peer role models and use of time (religion). Considering which youth assets and resources are more likely to positively influence sexual behaviors of males and females may be important when planning prevention programs with youth.
Collapse
|
23
|
Zullig KJ, Ward RM, King KA, Patton JM, Murray KA. Testing the feasibility of developmental asset measures on college students to guide health promotion efforts. Assessment 2008; 16:31-42. [PMID: 18689776 DOI: 10.1177/1073191108321998] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of this investigation was to assess the reliability and validity of eight developmental asset measures among a stratified, random sample (N = 540) of college students to guide health promotion efforts. The sample was randomly split to produce exploratory and confirmatory samples for factor analysis using principal axis factoring and varimax rotation and structural equation modeling techniques. Items were retained on factors if they had high loadings greater than .40 and were not complex. Concurrent validity was examined among substance use (including alcohol and tobacco) and sexual risk-taking variables. Exploratory and confirmatory samples did not differ on demographics. Parallel analysis confirmed the eight theorized constructs. Exploratory factor loadings were greater than .40. Concurrently, validity analyses were in the predicted direction. Cronbach alphas were .70 or greater with the exception of the Future Aspirations asset. Preliminary analyses support the reliability and validity of measuring developmental assets among emerging adults. Implications and potential uses are discussed.
Collapse
Affiliation(s)
- Keith J Zullig
- Department of Community of Medicine, West Virginia University, Morgantown, WV 26506, USA.
| | | | | | | | | |
Collapse
|
24
|
Buhi ER, Goodson P. Predictors of adolescent sexual behavior and intention: a theory-guided systematic review. J Adolesc Health 2007; 40:4-21. [PMID: 17185201 DOI: 10.1016/j.jadohealth.2006.09.027] [Citation(s) in RCA: 259] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2006] [Revised: 09/21/2006] [Accepted: 09/21/2006] [Indexed: 11/21/2022]
Abstract
PURPOSE To better understand why adolescents initiate sexual activity at early ages, we conducted a systematic literature review guided by eight key elements outlined in an integrative theoretical framework. METHODS Using the matrix method for literature reviews, we extracted-from 69 published studies-statistically significant and nonsignificant findings (related to the attempted prediction/explanation of adolescents' sexual behavior and intention) and organized them using the various integrative model elements. We also assessed these publications' methodological quality including each study's deployment of theory, appropriate design, and data analytic/reporting techniques. RESULTS Three integrative theoretical framework elements-intention, perceived norms, and an environmental constraint variable, time home alone-emerged as stable predictors of sexual behavior outcomes in this body of literature. This analysis revealed, however, a literature that has remained rather stagnant regarding its methodological quality, over time. CONCLUSIONS Implications for adolescent sexual health promotion practice and research are discussed.
Collapse
Affiliation(s)
- Eric R Buhi
- Department of Community and Family Health, University of South Florida, Tampa, Florida 33612, USA.
| | | |
Collapse
|
25
|
Parental communication and youth sexual behaviour. J Adolesc 2006; 30:449-66. [PMID: 16750265 DOI: 10.1016/j.adolescence.2006.04.007] [Citation(s) in RCA: 165] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2005] [Revised: 04/06/2006] [Accepted: 04/07/2006] [Indexed: 11/20/2022]
Abstract
The role of parental communication and instruction concerning sexual behaviour were studied in a community-based sample of 1083 youth aged 13-17 (mean age of 15 years; 51% girls, 49% White). The Youth Asset Survey was administered along with items measuring demographics and youth risk behaviours. After controlling for demographic factors, multivariate analysis revealed that youth were much less likely to have initiated sexual intercourse if their parents taught them to say no, set clear rules, talked about what is right and wrong and about delaying sexual activity. If youth were sexually active, they were more likely to use birth control if taught at home about delaying sexual activity and about birth control. Having only one sexual partner was associated with having an adult role model who supports abstinence, being taught at home about birth control, and being taught at home how to say no. If parents reported talking with youth about birth control and sexually transmitted disease (STD) prevention, youth were significantly more likely to use birth control. Our conclusion is that parents have the opportunity and ability to influence their children's sexual behaviour decisions.
Collapse
|