Flourishing,Substance Use,and Engagement in Students Entering College: A Preliminary Study

Abstract

Objective: The purpose of this study was to identify the health topics students received information about, how students obtained health-related information, and perceived believability of those sources. Participants and Methods: Students (N = 1202) were surveyed using the National College Health Assessment (NCHA) of the American College Health Association. Results: Nearly half (46%) of the sample reported not receiving any information, whereas only 0.5% received information on all health topics. The Internet was the most common source of health-related information, but, conversely, was perceived as the least believable source. Health center medical staff and university health educators were perceived to be the most believable sources. Conclusions: Future practice at the university setting should focus on delivering health information through believable messengers utilizing the most commonly reported sources of information. This may have implications towards how students shape their health-related social cognitions and subsequent behaviors.     

Ethnic Labels and Ethnic Identity as Predictors of Drug Use among Middle School Students in the Southwest

This article explores differences in the self‐reported drug use and exposure to drugs of an ethnically diverse group of 408 seventh‐grade students from a large city in the southwest. We contrast the explanatory power of ethnic labels (African American, non‐Hispanic White, Mexican American, and mixed ethnicity) and two dimensions of ethnic identity in predicting drug use. One dimension focuses on perceived ethnically consistent behavior, speech, and looks, while the other gauges a sense of ethnic pride. Ethnic labels were found to be somewhat useful in identifying differences in drug use, but the two ethnic identity measures, by themselves, did not generally help to explain differences in drug use. In conjunction, however, ethnic labels and ethnic identity measures explained far more of the differences in drug use than either did alone. The findings indicate that the two dimensions of ethnic identity predict drug outcomes in opposite ways, and these relations are different for minority students and non‐Hispanic White students. Generally, African American, Mexican American, and mixed‐ethnicity students with a strong sense of ethnic pride reported less drug use and exposure, while ethnically proud White students reported more. Ethnic minority students who viewed their behavior, speech, and looks as consistent with their ethnic group reported more drug use and exposure, while their White counterparts reported less. These findings are discussed, and recommendations for future research are provided.     

The use of protective behavioral strategies is related to reduced risk in heavy drinking college students with poorer mental and physical health

The present study examined the moderating role of health status (physical, mental, and social health) and the relationships between protective behavioral strategies utilized to reduce high-risk drinking (e.g., avoiding drinking games, setting consumption limits, or having a designated driver) and alcohol use and negative consequences in a sample of heavy drinking college students (N = 1,820). In this high risk sample, multiple regression analyses showed that stronger social health was related to increased drinking, while poorer physical, mental, and social health were related to increased alcohol negative consequences. Further, moderation effects revealed that increasing the use of protective behaviors was associated with significantly less drinking in those with stronger social health, as well as significantly lower numbers of negative consequences among participants with poorer physical and mental health. Implications for college counselors and medical personnel are discussed.     

Cultural Dimensions of Career Decision‐Making Difficulties

This study investigated cultural dimensions of career decision‐making difficulties using the Career Decision‐Making Difficulties Questionnaire. Career decision‐making difficulties were compared among White, African, Hispanic, and Asian American high school and university students at U.S. schools. Results indicated Asian American students perceived significantly more difficulties in career decision making than other groups, whereas White American students perceived the fewest difficulties. Asian American students reported more difficulties than White and Hispanic American students before the process and more difficulties than White and African American students during the process. Findings are discussed based on perspectives of cultural differences.     

Differences Between Black/African American and White College Students Regarding Influences on High School Completion,College Attendance,and Career Choice

Compared with White persons, Black/African American persons in the United States continue to experience high rates of educational deficits and employment stagnation as well as lower college graduation rates. This study examined the influences on Black/African American and White college students' high school completion, college attendance, and career choice. Results indicate that future income and future status have a greater influence on the career choice of Black/African American college students than on the career choice of White college students. The authors discuss these findings and present implications for career development professionals.     

Short-term positive and negative consequences of sex based on daily reports among college students

Because sexual behavior may be associated with a broader range of outcomes than physical consequences like sexually transmitted infections and pregnancy, it is important to understand consequences of sex that may influence mental and social well-being in emerging adulthood. This article describes the short-term intrapersonal and interpersonal consequences reported by college students on days they engage in vaginal sex and what factors predict experiencing particular consequences. Data are from first-year college students who reported vaginal sex on at least one of 28 sampled days (mean age = 18.5 years; 53% female; 30% Hispanic/Latino [HL]; of non-HL participants, 30% were African American, 22% were Asian American, 35% were European American, and 12% were multiracial; N = 209 people and N = 679 person days). Participants reported positive consequences more frequently than negative consequences. Non-use of contraception and sex with a non-dating partner were associated with greater odds of reporting negative consequences. These findings have implications for messages about casual sex and use of contraception in sex education and sexual health programming.     

Adolescent Secretive Behavior: African American and Hmong Adolescents' Strategies and Justifications for Managing Parents' Knowledge About Peers

Drawing upon the expectancy violation‐realignment theory of autonomy development, this qualitative study examined African American and Hmong adolescent autonomy‐seeking behaviors and parent–child communication about activities and relationships with peers. Twenty‐two African American and 11 Hmong adolescents in grades 6–12 and 14 African American and 8 Hmong primary caregivers were interviewed. Participants discussed their perspectives on adolescent information management regarding activities with friends. Four categories of information management strategies and four primary types of adolescent justifications were identified. Adolescents were pragmatic in their decisions about secretive behaviors but also considered the impact of their behaviors on their relationships with parents. Adolescent strategies were consistent across ethnic groups, whereas justifications for secretive behaviors were embedded within cultural and family experiences.     

College Major Choice in STEM: Revisiting Confidence and Demographic Factors

Using national freshman survey data, the authors examined confidence and background variables (e.g., gender, minority status, parental occupation) as predictors of science, technology, engineering, and mathematics (STEM) major choice. Logistic regression analyses revealed that students were more likely to choose STEM majors if they had strong confidence in mathematics and academic areas and had parents with STEM occupations. Although female students were unlikely to choose a STEM major, African American and Latina/o students were equally as likely to choose a STEM major as were White or Asian American students. Findings suggest that students' confidence level in their academic and mathematics abilities makes a significant difference in their initial STEM major choice. Study findings could assist educators, counselors, and policy makers in their efforts to promote student choice of STEM‐related majors and careers.     

Uptake of HPV vaccine in traditional-age undergraduate students: Knowledge,behaviors, and barriers

Abstract

Objective: This study investigated potential factors associated with HPV vaccine uptake in a diverse population of traditional-age undergraduate students. Participants: One hundred and twenty-nine undergraduate students aged 18–24 attending a small southeastern university completed surveys in January to March of 2013. Methods: Questionnaires included demographic information, basic HPV knowledge, HPV vaccine uptake, and factors influencing uptake decision. Survey results were analyzed with chi-square and t-test analyses. Results: Vaccine uptake was significantly higher in students who reported that health care provider, public health information, parents, and access to vaccine were important factors in their decision to get vaccinated. Female students had a significantly higher vaccine uptake in comparison to males and the HPV knowledge scores differed significantly by race but not gender. Conclusions: It is especially important to consider how public health campaigns and communication with parents and health care providers help promote HPV vaccine uptake in this high-risk group.     

Self-Esteem,Locus of Control,and Suicide Risk

Abstract

Past research suggests that African American clients in need of mental health services are less likely to be properly diagnosed and receive appropriate treatment compared to White Americans. It has been further suggested that this may be even a greater problem for those who are both African American and female. In the current study, 2 groups of hospitalized clinically depressed females (92 African American females; 99 White females) were administered the Self-Esteem Rating Scale, Internal Control Index, and Suicide Risk Scale. Results indicated more similarities than differences between the two groups. For instance, there were no differences in locus of control or suicide risk between groups. In addition, although there were differences in self-esteem between groups, self-esteem was the best predictor of suicide risk within groups (White, R² =42%; African American, R² = 19%). African American females possessed higher self-esteem than White females (p = .05). For African American females age and self-esteem were positively correlated (r = .27, p =.01). Clinically depressed females could benefit from treatment focusing on improving self-esteem within a context of multicultural sensitivity.     

Everyday Conflict and Stress Among Older African American Women

Abstract

Older African American women are at high risk for morbidity due to anger suppression and stress. Yet sources of everyday stress and conflict in the lives of older African American women have not been documented. Such information is essential for developing health promotion programs. A focus group study was conducted with older African American women on everyday stress and conflict. Everyday stress stemmed from worries about functional disability and about accessing transportation. Everyday conflicts occurred with adult children, teen-aged grandchildren, and older neighbors or peers. Conflicts with adult children centered on how the adult child was raising his/her children. Conflicts with grandchildren centered on social respect. Conflicts with neighbors/peers centered on perceived rudeness or past transgressions. Participant strategies for dealing with stress and conflict tended to be avoidant. A training program in constructive conflict strategies for older African American women is presented that draws on information gained in the focus groups.     

The association of multiple risk factors with fruit and vegetable intake among a nationwide sample of college students

Few college students meet fruit and vegetable intake recommended requirements, and most receive no information from their institutions about this issue. The avoidable disease burden among students is large, the necessary information infrastructure exists, and Healthy People 2010 objectives indicate efforts should be taken to increase intake. OBJECTIVE: The authors examined the association of high-risk behaviors and fruit and vegetable intake to inform design of multiple risk factor interventions. PARTICIPANTS AND METHODS: The authors obtained data from a sample of 40,209 18- to 25-year-old college students who completed the American College Health Association-National College Health Assessment during the spring 2002 and 2003 semesters. RESULTS: Predictors of high fruit and vegetable intake for men and women included better: seatbelt and helmet use, physical activity, perceived health, sleep, self-care behaviors, and grades. Other notable predictors of high intake were reduced likelihood of cigarette smoking, alcohol use, drinking and driving, and feeling hopeless in both sexes; reduced likelihood of drinking and driving among men; and a greater likelihood of anorexia among women. CONCLUSIONS: The authors discuss implications of these findings.     

Assessing University Students’ Self-efficacy to Employ Alcohol-Related Harm Reduction Strategies

Abstract

Objective: Develop and evaluate key psychometric properties of a self-report questionnaire specifically designed to assess student drinkers’ self-confidence to employ a variety of strategies intended to reduce unhealthy consequences of high-risk drinking. Methods: Four hundred ninety-eight participants rated their confidence (from “not at all confident” to “completely confident”) to employ 17 harm reduction strategies when drinking. Results: Factor analysis and internal consistency reliability analyses indicated that the 17 items constitute a single scale with good test–retest reliability. Consistent with other research examining previous use of such strategies, women in our sample reported significantly higher harm reduction self-efficacy than did men. Harm reduction self-efficacy was also associated with reported number of high-risk drinking episodes in the previous 2 weeks. Conclusion: This brief and easily administered questionnaire holds promise as a clinical tool to identify individuals with low harm reduction self-efficacy and as an outcome measure for health promotion and educational interventions.     

Calorie Restriction on Drinking Days: An Examination of Drinking Consequences Among College Students

Objective: This study examined the association between restricting calories on intended drinking days and drunkenness frequency and alcohol-related consequences among college students.

Participants: Participants included a random sample of 4,271 undergraduate college students from 10 universities.

Methods: Students completed a Web-based survey regarding their high-risk drinking behaviors and calorie restriction on intended drinking days.

Results: Thirty-nine percent of past 30-day drinkers reported restricting calories on days they planned to drink alcohol, of which 67% restricted because of weight concerns. Restricting calories on drinking days was associated with greater odds of getting drunk in a typical week. Women who restricted were more likely to report memory loss, being injured, being taken advantage of sexually, and having unprotected sex while drinking. Men were more likely to get into a physical fight.

Conclusions: These results highlight the importance of considering weight control behaviors in the examination of high-risk college drinking.     

Binge drinking and alcohol-related problems among community college students: implications for prevention policy

Binge drinking and alcohol-related problems among students at traditional 4-year universities have been well documented. However, little is known about the frequency of their such behaviors and its consequences among community college students, who comprise roughly 44% of all undergraduate students in the United States. The present study examined binge drinking and alcohol-related problems in 762 (61% female) ethnically diverse (65% Caucasian, 20% Hispanic, 9% African American) community college students (mean age = 26.23, SD = 7.81). Based on gender-specific criteria, 25% engaged in binge drinking. As compared to nonbingers and current abstainers, bingers had higher rates of drinking-related problems. The implications of these findings for research and for prevention/intervention programs are discussed.     

The Culture of High-Risk Alcohol Use Among Club and Intramural Athletes

Abstract

Objective: The purpose of this study was to examine the drinking patterns of club and intramural college athletes and compare their alcohol consumption, perceived norms around the excessive use of alcohol, experience of negative consequences, and employment of protective strategies with those of campus varsity athletes. Participants: A total of 442 undergraduate students attending a private, suburban institution in the Northeast participated in the American College Health Association National College Health Assessment-II Web survey in spring 2011. Thirty-five students identified themselves as varsity athletes, 76 identified as club sport athletes, and 196 students identified themselves as intramural athletes. Methods: Survey responses were analyzed using Statistical Package for the Social Sciences. The Pearson's correlation coefficient and test for independence were applied to identify significant relationships between athlete status and identified variables related to alcohol use. Results: Results indicated that there were significant correlations between athlete status and all variables, to varying degrees. Conclusions: These findings have implications for campus health promotion professionals and athletics program coordinators seeking to address high-risk alcohol use among college athletes.     

White Mothers Negotiating Race and Ethnicity in the Mothering of Biracial,Black-White Adolescents

Abstract

Eleven White mothers of biracial, Black/White adolescents were interviewed in a qualitative study to determine whether and how these mothers socialize their children to issues of race and ethnicity. The majority of the women were raising their children with a focus exclusively on an African American culture and not including elements of an ethnicity germane to the mother. Their children identified as biracial privately and Black publicly. The specific strategies utilized by the women to foster ecological competence are discussed.     

Comparison of role perceptions of white and African American foster parents

The number of U.S. children entering foster care is increasing faster than the number of available foster parents. Of particular concern are the growing number of African American children in foster care and the lack of African American foster parents to care for them. This study compares role perceptions of African American and white foster parents and provides information on recruiting African American foster parents. These foster parents are more likely than their white counterparts to feel responsible for facilitating the relationship between foster children and birthparents. They are more likely to accept responsibility for the roles of agency partner and emotional developer of the child. Implications include the need for agencies to develop recruitment models that are sensitive to the qualities African American families can bring to the foster parent role.     

The perceived effects of drug messages on use patterns in adolescents

Following a survey of over 5,000 students in north central Idaho and southeast Washington, an interviewing strategy was implemented with 223 adolescents randomly selected by their principals. The strategy was designed to learn: 1) which sources have utility and credibility with youth in providing drug information; 2) whether different message content and delivery style have differential effects upon that group; and 3) whether widely held perceptions voiced by parents and teachers about their ineffectiveness as information sources were accurate. Double-blind interviews, arranged to protect respondent anonymity, were conducted by trained interviewers from a research methods class. No interview was held when either an interviewer or respondent knew the other. Among the important findings of the study were that: 1) parents and teachers are trusted, credible sources of drug information; 2) doctors, nurses, law officers, and clergy are also credible but not visible to youth; 3) the evil media and celebrity fears of parents and teachers are largely ungrounded in adolescent perception; and 4) factual information from credible sources emphasizing the range of types of negative consequences associated with drug use can exert powerful effects upon adolescents' reported personal use of drugs.