Food Insecurity and Adolescent Psychosocial Adjustment: Indirect Pathways through Caregiver Adjustment and Caregiver-Adolescent Relationship Quality.

Household food insecurity is associated with youth behavioral problems, yet few studies have examined potential mechanisms that underline this association, particularly among adolescents. The Family Stress Model (FSM) states that food insecurity potentially impacts adolescent psychosocial adjustment indirectly through its effects on parental psychological functioning and parenting. The current study examined data from the Children, Welfare, and Families study (N = 687, 53% female, Mage of child at baseline = 11.74 years, SD = 1.39) to determine whether household food insecurity at the beginning of adolescence predicts later behavioral outcomes and whether that association is mediated through caregiver depression and caregiver-adolescent relationship quality. Caregivers completed measures of past-year household food insecurity, current self-reported depressive symptoms and adolescent behavior problems, while adolescents completed a measure of current caregiver-adolescent relationship quality. A serial multiple mediator model, controlling for baseline values of mediators, outcomes, and relevant demographic covariates, indicated a significant total indirect effect, whereas the total direct effect was not significant. Significant indirect effects through both caregiver depression and caregiver-adolescent relationship quality were also found. These results are the first to explicitly examine the FSM with respect to household food insecurity and to demonstrate the indirect effects of food insecurity on adolescent adjustment. The findings indicate the need to improve food security and address subsequent intra- and inter-personal difficulties among low-income families that contribute to behavioral problems among adolescents facing household food insecurity.

Household Food Insecurity in Early Adolescence and Risk of Subsequent Behavior Problems: Does a Connection Persist Over Time?

OBJECTIVE: Household food insecurity is common among U.S. families, and adolescents are almost twice as likely as school-aged children to be food insecure. However, little is known about how household food insecurity relates to adolescent behavioral outcomes over time. The purpose of this study was to examine whether food security status in early adolescence is associated with behavioral problems over a 6-year period in an ethnically diverse sample of teenagers from low-income households. METHODS: The study examined longitudinal data from the Welfare, Children, and Families: A Three-City Study. A total of 1,049 primary caregivers completed measures of child/adolescent behavioral problems and household food insecurity during the past year. Data were collected across three waves, when focal children were between 10 and 14 years old, 11 and 16 years old, and 16 and 18 years old, respectively. Generalized estimating equations were used to assess initial household food insecurity as a time-invariant effect on adolescent behavioral problems over time. RESULTS: Baseline household food insecurity in pre- or early adolescence was significantly associated with greater internalizing problems and total behavioral problems over time. CONCLUSIONS: These findings indicate that household food insecurity is associated with behavioral problems throughout adolescence. This suggests the need for health providers to screen for household food insecurity during scheduled health visits and highlight the need for integration of psychosocial services into pediatric care and expansions in current federal assistance programs.

Cultural Diversity: A Wake-Up Call for Parent Training - Republished Article.

The United States is becoming increasingly culturally diverse. As a consequence, behavior therapists who utilize parent training as a therapeutic intervention for child behavior problems will likely encounter clients from various ethnic and cultural backgrounds. Unfortunately, the influence of cultural values on parenting behavior has been ignored in behavior therapy research. We examine the cultural context of parenting for four ethnic groups, consider the influence of cultural factors on parent training, and propose new research questions to be addressed by behavior therapists in the near future.

Relations among early adolescents' parent-adolescent attachment, perceived social competence, and friendship quality.

To assess whether the relation between attachment and friendship quality may be explained by social competence, 113 students in Grades 7 and 8 from the Baltimore metropolitan area completed self-report questionnaires on the variables of interest. In hierarchical regression analyses, both maternal Affective Quality of Attachment and the interaction of School with paternal Affective Quality of Attachment predicted social competence. Also, the interaction of School with paternal Affective Quality of Attachment predicted negative friendship features, whereas social competence predicted positive friendship features. These findings provide support for a pathway between adolescents' attachment to both parents and adolescents' perceived social competence and, in turn, their friendship quality.

Efficacy of a parent-based sexual-risk prevention program for African American preadolescents: a randomized controlled trial.

OBJECTIVE: To evaluate the efficacy of a parent-based sexual-risk prevention program for African American preadolescents. DESIGN: Randomized controlled trial. SETTING: Community-based study conducted in Athens, Georgia; Atlanta, Georgia; and Little Rock, Arkansas from 2001 to 2004. PARTICIPANTS: From 1545 inquiries, 1115 African American parent-preadolescent dyads (child, aged 9-12 years) formed the analytic sample. INTERVENTION: Participants were randomized into 1 of 3 study arms: enhanced communication intervention (five 2 1/2-hour sessions), single-session communication intervention (one 2 1/2-hour session), and general health intervention (control, one 2 1/2-hour session). OUTCOME MEASURES: Continuous measures of parent-preadolescent sexual communication and parental responsiveness to sex-related questions at preintervention, postintervention, and at 6- and 12-month follow-ups; and dichotomous measure of preadolescent sexual risk (having engaged in or intending to engage in sexual intercourse at 12-month follow-up). RESULTS: Using intent-to-treat participants, differences of mean change from baseline for continuous measures and relative risk for the dichotomous measure of sexual risk were calculated. Participants in the enhanced intervention had higher mean changes from baseline scores, indicating more sexual communication and responsiveness to sexual communication at each assessment after intervention for all continuous measures than those in the control intervention and single-session intervention. Preadolescents whose parents attended all 5 sessions of the enhanced intervention had a likelihood of sexual risk at the 12-month follow-up of less than 1.00 relative to those whose parents attended the control (relative risk, 0.65; 95% confidence interval, 0.41-1.03) and single-session (relative risk, 0.62; 95% confidence interval, 0.40-0.97) interventions. CONCLUSIONS: These results provide preliminary evidence for the efficacy of a parenting program designed to teach sexual communication skills to prevent sexual risk in preadolescents. TRIAL REGISTRATION; clinicaltrials.gov Identifier: NCT00137943.

Sexual intentions of black preadolescents: associations with risk and adaptive behaviors.

CONTEXT: Adolescent sexual activity in the United states is prevalent and occurring increasingly early, particularly among minority groups. Other risk behaviors (e.g., alcohol consumption) often co-occur with sexual behavior. By examining the association of risk and adaptive behaviors with precursors of sexual behavior--specifically, sexual intentions--it may be possible to identify preadolescents who are at increased risk for early sexual initiation. METHODS: Data from 1,090 black fourth and fifth graders and their parents from the Parents Matter! Program were used in logistic regression analyses to assess covariation between preadolescents' risk and adaptive behaviors, and their intentions to initiate sexual intercourse in the next year. RESULTS: Risk and adaptive behaviors, as reported by both preadolescents and parents, were associated with sexual intentions; the findings were not qualified by youth's gender. Alcohol consumption and having been in trouble with the police were the primary youth-reported risk behaviors associated with the odds of intending to have intercourse (odds ratios, 2.3 and 1.8); the preadolescent's being in trouble at home was the primary parent-reported risk behavior (2.1). In both sets of reports, performing well on schoolwork was associated with reduced odds of intending to engage in sex (0.5 - 0.6). CONCLUSIONS: Risk and adaptive behaviors are markers of sexual intentions among black preadolescents. Prevention programs can use these behaviors to identify black youth who may be at high risk for early sexual initiation.