Indirect associations between immigration-related stressors and latine adolescents' depressive symptoms: The moderating roles of familism, nativity, and gender.

OBJECTIVES: This study examined the indirect relationship between immigration-related stressors and depressive symptoms via family conflict and whether familism values moderated this relationship in a sample of U.S. Latine youth. We also explored nativity and gender differences in the predictive model. METHOD: Participants were 306 Midwestern Latine youth (Mage = 15.50, 46.2% girls, 79.9% Mexican origin) and their primary caregivers who completed measures of study constructs. A series of path models examined the potential mediating role of family conflict and the moderating effects of familism values, gender, and nativity. RESULTS: For the overall sample, parental exposure to immigration-related stressors was related to higher youth depressive symptoms through higher levels of family conflict. However, multigroup models revealed significant differences by nativity and gender. The indirect effect through family conflict was only significant for non-U.S.-born youth with low to average levels of familism-support and average to high levels of familism-obligation; it was not significant for U.S.-born youth. Furthermore, the indirect association was only significant for boys with average to high levels of familism-obligation; no significant indirect effects were found for girls. CONCLUSIONS: The results indicate that the indirect pathway linking immigration-related stressors to depressive symptoms via family conflict depends on youth familism values, nativity status, and gender. Findings highlight the distinct effects of familism-support and obligation and the need to consider sociodemographic diversity within Latine communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Current Use of Cigarettes in the United States: The Joint Role of Race/Ethnicity and Health Insurance Coverage.

The goal of this study was to assess the joint role of race/ethnicity and a health insurance coverage type (private, Medicare, Medicaid) in current cigarette use among adults in the U.S. Data from the 2019 Tobacco Use Supplement and the 2019 Annual Social and Economic Supplement of the Current Population Survey were merged (n = 39,882). Bivariate associations between each coverage type and smoking prevalence were examined within each of six racial/ethnic groups. A multiple logistic regression model (for the odds of current cigarette use) was estimated to explore the interactions between race/ethnicity and an indicator of each type of coverage among Hispanic, non-Hispanic (NH) Black/African American, and NH White adults. All analyses included survey weights. Results of bivariate analyses indicated that private and Medicare coverage were associated with significantly lower smoking prevalence (compared to no such coverage), while Medicaid coverage was associated with significantly higher smoking prevalence (all p ≤ 0.05). Some of these associations were significant among NH Black/African American and NH White adults (all p ≤ 0.05). The model indicated that the interaction between race/ethnicity and the indicator of private coverage was significant (p = 0.044): private coverage was significantly associated with lower prevalence among NH White adults only (AOR = 0.59, 98.3%, CI = 0.46:0.76). In addition, Medicaid coverage was significantly associated with higher smoking prevalence (overall). The study points to possible racial/ethnic disparities in the quality of smoking-related health care that people with the same type of coverage receive and possible underutilization of health care services even among adults with health insurance coverage, especially among communities of color and Medicaid enrollees.

Negative impact of chronic pandemic-specific financial stress on food security among college students.

Since the pandemic started, food insecurity has become a more serious issue for U.S. college students. The study goals were to evaluate whether pandemic-specific stress contributes to current food insecurity (as of February-March of 2022) and to determine which student characteristics are associated with food insecurity. We used the 2022 Spring American College Health Association-National College Health Assessment data (n = 620) collected at a public university. We estimated two multiple logistic regression models. The odds of having very low food security (OR = 8.65, 95% CI = 4.84:15.43) and low food security (OR = 2.87, 95% CI = 1.66:4.96) were significantly higher among students whose financial situation had become a lot more stressful as a result of the pandemic (relative to the other students). Sexual and gender minority, relationship, and current tobacco use statuses were associated with very low food security. There is a need for continued efforts to decrease the negative impact of the pandemic on students' food security.

Financial stress caused by the pandemic was significantly associated with food insecurityVery low food security (VLFS) was more common among sexual and gender minority (SGM) relative to non-SGM studentsVLFS was more common among current users of tobacco relative to non-usersAbout 50% of students could not afford balanced meals occasionally or often in the last 30 days (L30D)Almost a quarter of students ever were hungry but didn't eat in the L30D because there wasn't enough money.

Beyond the Morning After: Measuring Positive and Negative Psychosocial Consequences of Sexual Encounters in Early Adulthood.

This study evaluated the validity of a revised measure of positive and negative psychosocial consequences of partnered sexual behaviors (Vasilenko et al., 2012) in a sample of 254 college students (85% women; 88% European American) aged 18-22 years (M = 19.48, SD = 1.22). Confirmatory factor analysis of a broad array of psychosocial consequences (e.g., feelings of satisfaction, emotional intimacy) indicated two subscales corresponding to positive and negative consequences. These factors demonstrated acceptable short-term stability, as well as construct validity in relation to several measures of sexual health and contextual factors (e.g., type of partner) that are logically related to psychosocial consequences of sex. The results suggest that this modified measure is sufficiently reliable and valid as an assessment of common consequences of sexual encounters. The findings also provide novel information on the individual, situational, and relational correlates of positive and negative consequences.

Correlates of COVID-19 vaccine uptake among U.S. College students.

Hesitance toward COVID-19 vaccination has greatly decreased over the course of the pandemic in the U.S. However, some populations have lower vaccination rates than the general population. This study was conducted to identify correlates of being fully vaccinated (i.e., having received all doses required to be fully vaccinated) among college students using students' responses to the 2022 Spring American College Health Association-National College Health Assessment. The surveys were administered in March of 2022. The sample (n = 617) included 18-to-30-year-old students. Firth logistic regression models were performed that controlled for age, sex assigned at birth, and food security (at a 5% significance level). The model-assisted results indicated that being a member of sexual and gender minority communities, being a graduate student, and being concerned about someone close getting COVID-19 were positively associated with being fully vaccinated, while current use of any tobacco product and current use of e-cigarettes were negatively associated with being fully vaccinated (all p-values < 0.05). In addition, the percentage of fully vaccinated students was higher among transgender/gender non-binary students (95%) than among cisgender men and women (85-87%), and among sexual minority groups (93-97%) than among heterosexual/straight students (82%). Among the racial/ethnic groups considered, the percentage of fully vaccinated students was lowest among non-Hispanic Black/African American students (77%), but the racial/ethnic differences were not statistically significant (at 5% level). The study points to a critical need for development and implementation of tailored vaccination campaigns to help students from diverse communities, including tobacco users, make informed decisions and become fully vaccinated.

Pathways From Individual Characteristics to Subjective Consequences of Sex: The Mediating Role of Risky Sexual Encounters.

Objectives: This study examined associations between young adults' psychological characteristics and psychosocial consequences of sex, and whether risky sexual encounters mediated these associations. Methods: College students (N = 265; Mage = 19.49) completed questionnaires concerning risky sexual relationships, behaviors, situations, and psychosocial consequences during their most recent encounter and over the last year. Results: Sexual restraint indirectly predicted positive consequences of the most recent encounter via risky sexual behaviors. Sexual restraint and permissiveness predicted positive and negative consequences over the past year via risky relationships. Conclusions: Psychological characteristics may influence the likelihood of risky sexual encounters, thereby influencing consequences.

Cultural mechanisms linking mothers' familism values to externalizing behaviors among Midwest U.S. Latinx adolescents.

OBJECTIVES: This study was designed to examine associations among parents' familism values, adolescents' cultural resources, and externalizing behavior among Latinx youth in the Midwestern United States. METHOD: Participants were 267 Latinx adolescents (M age = 15.58 years; SD = 1.28 years; 45% girls; 82.8% Mexican American) and their mothers/mother figures who completed individually administered interviews comprised of standardized measures. Structural equation modeling was used to test several alternative mediational models in which youth ethnic identity and familism values served as potential cultural mechanisms linking parents' familism values to lower levels of youth externalizing behavior. RESULTS: Results showed that mothers' familism values were positively associated with youth ethnic identity which was positively associated with youth familism values; in turn, youth familism values were inversely associated with externalizing behavior. The findings did not differ by youth gender or nativity (U.S.-born vs. foreign-born youth). CONCLUSIONS: These findings provide support for cultural resilience perspectives by highlighting the protective role of ethnic identity and familism values among U.S. Latinx adolescents. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Bicultural stress and internalizing symptoms among U.S. Latinx youth: The moderating role of peer and parent support.

OBJECTIVE: U.S. Latinx youth are at increased risk for internalizing problems, perhaps due to high levels of bicultural stress. Taking a resilience perspective, this study examined peer and parent support as potential protective factors that might buffer the effects of bicultural stress on depression and anxiety symptoms among U.S. Latinx youth. METHOD: Participants were 306 Midwestern U.S. Latinx adolescents (M age = 15.50%, 46.2% girls) and their primary caregivers who completed individual interviews. Measures included two types of cultural stress (acculturative and enculturative stress) and, for each type, distinguished the extent of exposure to stressors from the subjective intensity of stress reported. RESULTS: Results indicated that acculturative and enculturative stress were positively associated with internalizing symptoms, while social support from peers and parents was negatively associated with symptoms. Evidence regarding a stress-buffering effect of social support was mixed. Whereas higher levels of peer support mitigated the effects of subjective acculturative stress on depression and anxiety symptoms, parental support did not show a buffering effect. Moreover, in some cases, cultural stress appeared to attenuate the beneficial effect of social support. CONCLUSIONS: Although there was some support for the stress-buffering hypothesis, the impact of bicultural stressors depended on the type of stress considered and whether the focus was on exposure to stressors or subjective stress, as well as the source of social support. The findings highlight the complex effects of bicultural stress on U.S. Latinx youth mental health. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Smokers' reports on receiving a doctor's advice to quit smoking; receiving the advice is more prevalent among smokers with Crohn's Disease relative to smokers with Ulcerative Colitis.

Receiving a doctor's advice to quit smoking is an important predictor for improving smokers' intentions to quit smoking and successful smoking cessation. We examined reports of smokers with Crohn's Disease (CD) and Ulcerative Colitis (UC) regarding receiving a doctor's advice to quit smoking in the past 12 months, and evaluated the differences in the rates of receiving the advice between the CD and UC patients. The data were retrospectively reported by CD and UC patients (n = 453) who self-identified as current smokers in online assessments conducted by IBD Partners in the period from 2011 to 2014 in the USA. Statistical methods included chi-square tests and a multiple logistic regression model for the logit of the probability of receiving the advice as a function of patient's characteristics and assessment year. Overall, about 77% of smokers reported receiving a doctor's advice to quit smoking. The percentage was significantly (p < 0.001) higher among smokers with CD (80%) than it was among smokers with UC (63%). While the specific differences by CD/UC depended on smoking initiation age, the overall effect of disease type on the odds of receiving the advice remained significant: the odds of receiving the advice were higher for smokers with CD relative to smokers with UC (OR = 3.6, p < 0.001). Although the majority of CD and UC patients report receiving a doctor's advice to quit smoking, the encountered difference associated with the disease type is concerning. Because long-term smoking increases cancer and mortality risks, doctors should address smoking cessation with all patients who smoke.

Relations of Stress and Drinking Motives to Young Adult Alcohol Misuse: Variations by Gender.

Theory and empirical findings have linked stress exposure to young adult alcohol misuse, but the processes underlying this association have not been fully investigated. This study examined gender differences in the indirect pathways linking stress in developmentally relevant domains to alcohol misuse in young adults, focusing on drinking motives as a possible mediator of the association. The longitudinal associations between adolescent heavy drinking and young adult stress were also explored. Participants were rural young adults who had been surveyed previously in adolescence (N = 442; 55.7% female; 96% White; Mage = 23.29, SD = 1.07). Chronic stress and drinking motives were concurrently associated with young adult alcohol misuse. For men, occupational stress was indirectly related to alcohol misuse through both social and coping motives for drinking, whereas for women relationship stress was indirectly related to alcohol misuse through social motives only. When investigating the longitudinal effects of adolescent drunkenness, more frequent drunkenness in adolescence was related to more adult occupational stress for men but to neither kind of stress for women. These findings indicate that stress in specific life domains is related to young adult alcohol misuse through drinking motives, that the link between stress and alcohol misuse may be bidirectional for men, and that different stressors and drinking motives are salient for young adult men and women.

Puberty Education in a Global Context: Knowledge Gaps, Opportunities, and Implications for Policy.

Youth programs and policies provide opportunities for institutions and societies to support healthy adolescent development. Puberty education programs are universally important, as they provide crucial knowledge and skills to help youth and their caregivers navigate the physical, emotional, and interpersonal changes of puberty with positive outcomes. However, few puberty programs have been rigorously evaluated, resulting in a lack of evidence-based knowledge and practice in this area. This review examines the status of research on puberty education and related programs and draws on the broader intervention literature and recent research findings on adolescence to identify program features that might improve program effectiveness. Implications for policy are also discussed. The need for rigorous program evaluation is emphasized throughout.

Decision making processes and alcohol use among college students.

Objective: The neurobiological model of risk-taking and the dual-process model of decision making each provide possible explanations of risky behavior among youth, but their interconnections have rarely been explored, especially among college students, a time of increased alcohol use. Participants: n = 382; Mage = 19.25, SD = 1.33. Method: Participants completed a survey about their deliberative and intuitive decision making style (based on the dual-process model), their socioemotional and cognitive control processes (based on the neurobiological model), and alcohol use. Results: Structural equation modeling showed that dual-process variables and neurobiological variables were positively related. Deliberative decision making and cognitive control were negatively related to alcohol use whereas intuitive decision making was not. Comment: Discussion focuses on the integration of theoretical models with real-world health behaviors and considers implications of the current findings in terms of prevention and intervention to reduce drinking among college students.

Prevalence and factors associated with use of hookah tobacco among young adults in the U.S.

INTRODUCTION: Among young adults, use of hookah tobacco (HT) is an emerging health-risk behavior. The goals were to demonstrate that (1) the prevalence of ever-use and current use of HT increased among U.S. young adults (18-30 years old) in the period from 2010 to 2015 and (2) the patterns of HT use differed across diverse demographic subpopulations of young adults. METHODS: We merged and analyzed data from the 2010-2011 and 2014-2015 Tobacco Use Supplement to the Current Population Survey. The sample (n = 55,352) was representative of the young adult population in the U.S. Two binary measures were the ever and current use of HT. The significance level was 5%. RESULTS: The rate of current use of HT increased from 1% in 2010-11 to 2% in 2014-15 (CI = 0.6%:1.1%). The rate of ever-use increased from 7% to 12% (CI = 4.2%:5.6%). The over-time increase was not uniform: the increase was most rapid among 26-30 year-old adults, non-Hispanic Black and African American adults, and in Northeastern and Midwestern U.S. regions. HT ever-use, overall, was associated (all p's < 0.001) with many sociodemographic factors and current tobacco-use behaviors. The rate of HT ever-use was 16% for daily and 23% for occasional cigarette smokers, 23% for users of smokeless tobacco products, 37% for cigar smokers, and 55% for smokers of regular pipe (filled with tobacco). DISCUSSION/CONCLUSION: HT use is becoming increasingly more popular among young adults in the U.S. Methods should target not only cessation of cigarette smoking but use of all tobacco products.

Adolescent predictors of social and coping drinking motives in early adulthood.

Although motivations to use alcohol have been shown to predict alcohol use and alcohol-related problems, little is known about how drinking motives develop. This study identified antecedents in adolescence of social and coping motives for drinking in early adulthood. Data came from a longitudinal study of youths in the eastern U.S. (N = 451) followed from secondary school into early adulthood (52.4% female; Mage = 23.01; SD = 1.03). In a structural equation analysis, frequency of drunkenness and peer alcohol use positively predicted young adult social motives, whereas only frequency of drunkenness predicted coping motives. These findings indicate that alcohol use behaviors and social relationships in adolescence may contribute to the development of adult drinking motives.

Level of Cigarette Consumption and Duration of Smoking Abstinence During Failed Quit Attempts Among Long-Term Daily Smokers: the Role of Race/Ethnicity and Cessation Aids.

The goal of this study was to determine whether race/ethnicity and use of smoking cessation aids are associated with the duration of the last serious quit attempt and reductions in cigarette consumption among long-term daily smokers who tried, and failed, to quit smoking during the preceding year. Data came from the 2010-2011 Tobacco Use Supplement survey conducted in the USA, and analyses included 6672 reports of long-term daily smokers (i.e., smokers who smoked daily for 1 year or longer) who made at least one serious quit attempt in the past 12 months. About 39% of these smokers used at least one smoking cessation aid during their last quit attempt. Use of aids was significantly lower for non-Hispanic Black (NHB, 29%) and Hispanic (HISP, 29%) smokers than for non-Hispanic White (NHW, 42%) smokers, possibly due to differences in socioeconomic status and access to healthcare for smoking cessation. The effect of using any aids on mean cigarette reduction and duration of the last long quit attempt (i.e., one that lasted a day or more) was similar across race/ethnicity. Using any aids did not substantially influence mean cigarette reduction but was positively associated with duration of the quit attempt: the duration was 6 days longer (CI = 3:10), on average, when aids were used than when smokers attempted to quit unassisted. Race/ethnicity was significantly associated with mean cigarette reduction (p = 0.023); non-Hispanic American Indian and Alaska Native smokers had the highest mean reduction (of 3 cigarettes, CI = 1:5) among the racial/ethnic groups considered. Use of aids may help increase duration of quit attempts and thus, may increase likelihood of quitting successfully in the near future.

Temperamental Anger and Effortful Control, Teacher-Child Conflict, and Externalizing Behavior Across the Elementary School Years.

This study examined teacher-child conflict as a possible mediator of the effects of temperamental anger and effortful control on subsequent externalizing behavior. Reciprocal influences between teacher-child conflict and externalizing behavior were also examined. Participants were 1,152 children (49% female; 81.6% non-Hispanic White) from the Study of Early Child Care and Youth Development. Multivariate growth curve modeling revealed that greater effortful control at age 54 months indirectly predicted lower levels of, and subsequent changes in, externalizing behavior from kindergarten to Grade 6 through reduced teacher-child conflict. An alternative model, in which greater effortful control predicted lower teacher-child conflict through lower externalizing behavior, received less support. Within persons, greater-than-expected teacher-child conflict predicted greater-than-expected teacher-reported externalizing behavior concurrently and over time.

Reward Seeking and Cognitive Control: Using the Dual Systems Model to Predict Adolescent Sexual Behavior.

Research has provided support for the dual systems model of adolescent risk taking, but the model has rarely been applied to sexual behavior. Using data from the NICHD SECCYD (N = 958; Mage = 15.07, SD = 0.18), this study examined the effects of cognitive control, reward seeking, and their interaction on sexual behavior. Results of structural equation models revealed that performance on behavioral tasks assessing reward seeking and cognitive control uniquely predicted sexual intercourse, but the interaction between them was not significant. For oral sex, only cognitive control was a significant predictor. The findings provide additional support for the dual systems model, and suggest that reward seeking and cognitive control make unique contributions to adolescent sexual behavior.

Race/ethnicity and intention to quit cigarette smoking.

The study examined racial/ethnic differences in smokers' intentions to quit smoking within the next 6 months. The sample included 20,693 current non-occasional smokers in the U.S. who responded to the 2010-2011 Tobacco Use Supplement to the Current Population Survey. The rates of intention to quit within 1 month were significantly higher for non-Hispanic (NH) Black (21%; OR = 1.44, CI = 1.24-1.67) and Hispanic (21%; OR = 1.42, CI = 1.20-1.68) than for the NH Whites (NHW, 15%). The rates of intention to quit within 6 months were significantly higher for NH Blacks (46%; OR = 1.35, CI = 1.18-1.55) than for NH Whites (39%) and significantly lower for NH American Indians/Alaska Natives (38%; OR = 0.54, CI = 0.33-0.90) and NH Asians (39% OR = 0.55, CI = 0.35-0.86) than for NH multiracial (53%) smokers. Most disparities existed even after adjusting for smoking-related and sociodemographic factors. For most racial/ethnic groups, non-daily smoking and doctor's advice to quit were positively associated with the odds of intending to quit. For each racial/ethnic group, having a longer quit attempt in the past 12 months was positively associated with the odds of intending to quit. For NH Whites, NH Blacks, and Hispanics, the specific differences between racial/ethnic groups also depended on getting a doctor's advice, education, and survey mode. Although a smoker's intention to quit may not necessarily lead to immediate smoking cessation, the lack of intention may drastically delay smoking cessation. The study highlights the importance of accounting for racial/ethnic disparities when designing and implementing interventions to motivate smokers to quit and aid smoking cessation.

Unassisted Quitting and Smoking Cessation Methods Used in the United States: Analyses of 2010-2011 Tobacco Use Supplement to the Current Population Survey Data.

INTRODUCTION: The study estimated the prevalence of unassisted quitting (ie, quitting without pharmacological aids or other interventions) among former smokers and identified the most common smoking cessation methods used by U.S. adult smokers who quit smoking between 2007 and 2011. Among long-term quitters, smoking-related behaviors and factors associated with using pharmacological methods and quitting unassisted were examined. METHODS: The analytic sample consisted solely of former smokers, including 3,583 "long-term quitters" (those who quit 1 to 3 years prior to the survey) and 2,205 "recent quitters" (those who quit within a year prior to the survey), who responded to the 2010-2011 Tobacco Use Supplement to the Current Population Survey. RESULTS: About 72% of former smokers quit unassisted, 26% used at least one pharmacological method, and 7% used at least one nonpharmacological method. The most common pharmacological methods were the nicotine patch (12%), Chantix/Varenicline (11%), and a nicotine gum/lozenge (8%). For long-term quitters, cutting back on cigarettes gradually and relying on social support were more commonly associated with pharmacological methods. Among long-term quitters, younger adults (18 to 44 years old), Non-Hispanic Blacks, Hispanics, those who were less nicotine dependent prior to quitting and those who did not visit a doctor in the past 12 months before quitting had higher odds of reporting unassisted quitting than quitting with pharmacological methods. CONCLUSIONS: Unassisted quitting remains the predominant means of recent and long-term smoking cessation in the United States. Attempters may try different ways of quitting during the same quit attempt. IMPLICATIONS: Unassisted quitting remains a much more common method for recent and long-term smoking cessation than use of pharmacological or nonpharmacological methods. Smokers may try different ways of quitting during the same quit attempt. Thus, population-based studies that investigate the use of particular methods while ignoring other ways of quitting may overestimate the benefits of certain methods for smoking cessation.

Adolescents' changing future expectations predict the timing of adult role transitions.

Individual differences in the transition to adulthood are well established. This study examines the extent to which heterogeneity in pathways to adulthood that have been observed in the broader U.S. population are mirrored in adolescents' expectations regarding when they will experience key adult role transitions (e.g., marriage). Patterns of change in adolescents' expectations and the relations between their expectations and subsequent role transitions are also explored. Data from 626 youth in Grade 11 (Mage = 16), Grade 12, and early adulthood (Mage = 23) are analyzed using mover­stayer latent transition analysis. Results indicate 3 profiles of expected timing, corresponding to youth who anticipate early role entry (i.e., early starters), youth who anticipate earlier entry into employment but no other roles (i.e., employment-focused), and youth who anticipate delays in role transitions favoring increased education (i.e., education-focused). Two thirds of youths changed their expectations from Grade 11 to 12. Grade 11 and 12 profile membership predicted role transitions in early adulthood. These findings highlight the importance of adolescents' expectations and changes in expectations across time in shaping entry into adulthood.