Adolescent Sexuality: Disentangling the Effects of Family Structure and Family Context

Growing up in single‐parent, step‐, cohabiting, or lesbian families has been suggested to have negative effects on adolescent sexual behavior. However, our analysis reveals that, with the exception of girls in single‐parent families, family structure does not significantly influence adolescents' sexual initiation. Rather, the family context—more specifically the mother‐child relationship, their level of interaction, and the mother's attitudes toward and discussion of sex—is associated with adolescent sexual debut. When looking at sexually active teenagers, neither family structure nor family context have an impact on the sexual partnerships of boys, and they explain little in terms of girl's sexual partnering.     

Community Context,Social Integration Into Family,and Youth Violence

The purpose of this study is to analyze the extent to which neighborhood‐level family structure and feelings of family integration are associated with acts of violence among 16,910 adolescents from the National Longitudinal Study of Adolescent Health. The results from our hierarchical linear models indicate that adolescents who live in neighborhoods with lower proportions of single‐parent families and who report higher levels of family integration commit less violence. We also find that neighborhood‐level family structure shapes the extent to which social integration into family matters: In neighborhoods that are considered higher risk environments (i.e., contain greater proportions of single‐parent families), family integration is often less effective in deterring youth violence than it is in lower risk environments.     

The Effect of Family Communication Patterns on Adopted Adolescent Adjustment

Adoption and family communication both affect adolescent adjustment. We proposed that adoption status and family communication interact such that adopted adolescents in families with certain communication patterns are at greater risk for adjustment problems. We tested this hypothesis using a community‐based sample of 384 adoptive and 208 nonadoptive families. Adolescents in these families were, on average, 16 years of age. The results supported our hypothesis. Adopted adolescents were at significantly greater risk for adjustment problems compared to nonadopted adolescents in families that emphasized conformity orientation without conversation orientation and in families that emphasized neither conformity nor conversation orientation. Adolescents in families emphasizing conversation orientation were at lower risk for adjustment problems, regardless of adoption status.     

NEIGHBORHOOD DISADVANTAGE, SOCIAL CAPITAL, STREET CONTEXT, AND YOUTH VIOLENCE

This article integrates arguments from three perspectives on the relationship between communities and crime—constrained residential choices, social capital, and street context perspectives—to specify a conceptual model of community disadvantage and the violence of individual adolescents. Specifically, we propose that status characteristics (e.g., race, poverty, female headship) restrict the residential choices of families. Residence in extremely disadvantaged communities, in turn, increases the chances of violent behavior by youths by influencing the development and maintenance of community and family social capital, and by influencing the chances that youths are exposed to a criminogenic street context. We assess our conceptual model using community contextual and individual-level data from the National Longitudinal Study of Adolescent Health. Our findings suggest that individual or family status characteristics influence violence largely because of the communities in which disadvantaged persons and families reside. Although we find that community social capital does not predict individual violence, both family social capital and measures of an alternative street milieu are strong predictors of individual violence. Moreover, our street context variables appear to be more important than the social capital variables in explaining how community disadvantage affects violence.     

Community Context of Social Resources and Adolescent Mental Health

This study investigated cross‐level mediational and moderational community and family influences on adolescent depressive symptoms. Using multilevel data from the National Longitudinal Study of Adolescent Health, we predicted that structural community characteristics such as community poverty and ethnic heterogeneity would influence community social resources, which in turn would influence adolescent depressive symptoms. We further predicted that community social resources would influence adolescent depressive symptoms through family social resources. Findings also suggested that the influence of the parent‐child relationship on adolescent depressive symptoms is weaker in more adverse communities than in less adverse communities. The findings underscore the importance of placing family process models within the community context when adolescent outcomes are investigated.     

Adolescent and Parent Alliances With Therapists in Brief Strategic Family TherapyTM With Drug-Using Hispanic Adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Family Structure,Family Processes,and Adolescent Smoking and Drinking

This study examined whether family structure was associated with adolescent risk behaviors, including smoking and drinking. Family living arrangements have become increasingly diverse, yet research on adolescent risk behaviors has typically relied on measures of family structure that do not adequately capture this diversity. Data from the 1994–1995 National Longitudinal Study of Adolescent Health were used to conduct logistic regression analyses that revealed adolescents in two biological married parent families were least likely to smoke or drink, whereas adolescents in cohabiting stepfamilies were most likely. Those in single‐mother families and married stepfamilies were in between. Maternal socialization was related to reduced odds of smoking and drinking. Maternal modeling was positively associated with smoking and drinking. Family structure is indicative of distinct family processes that are linked to risky behaviors among adolescents.     

Adolescent and parent alliances with therapists in Brief Strategic Family Therapy with drug-using Hispanic adolescents

This study examined the relationship between alliance and retention in family therapy. Alliance was examined at the individual (parent, adolescent) and family level (within-family differences) for families that either dropped out or completed family therapy. Participants were 31 Hispanic adolescents and their family members who received brief strategic family therapy for the treatment of adolescent drug use. Videotapes of first sessions were rated to identify parent and adolescent alliances with the therapist. Results demonstrated that Completer cases had significantly higher levels of alliance across all family members than Dropout cases, and Dropout cases had significantly higher unbalanced alliances than Completer cases. Clinical implications are discussed.     

Staying Out of Trouble: Community Resources and Problem Behavior Among High‐Risk Adolescents

This research considers how community resources affect adolescent risk‐taking attitudes and problem behavior. Data from the 1990 United States Census and the National Longitudinal Survey of Youth 1979 Merged Mother–Child files are merged to form a sample of 860 adolescents age 14 to 18 in 1994. Among these high‐risk adolescents, selected community resources have significant associations with adolescent outcomes. Residential stability decreases both adolescent risk‐taking attitudes and aggressive behavior, regardless of the level of disadvantage present within the community. Higher quality schools, as perceived by mothers, are environments in which adolescents are less likely to get into trouble, even controlling for attributes of the adolescent's family situation.     

Engaging Fathers in Family Therapy with Violent Adolescents

Violent behavior in adolescents can often signal profound distress or pain arising from family conflicts, hostile marital separations, sudden losses and other family turmoil. By circumventing blame the therapist engages the family in a constructive process that allows adolescents to change and grow and parents to share pain and sorrow about their own issues and responsibilities for their children. This re‐establishes healthy generational boundaries, produces a clearer co‐parenting alliance (e.g. after divorce) and creates sibling support. This paper describes an experiential approach, for working with violent adolescents in family therapy influenced by the pioneer work of Satir and Whitaker. It integrates systemic and developmental theories linking the presenting problem to relevant family events. The therapist: (1) explores adolescent development in the family and social context; (2) establishes a therapeutic alliance through understanding the interpersonal context for violent behavior, and (3) re‐directs negative actions into positive connections with family members. Segments of family therapy sessions with two adolescent boys and their families from different cultural backgrounds illustrate the impact of paternal absence for adolescent well‐being and the need to actively engage fathers in family therapy. Mario, the father's ‘tumor’, and Juan with his despairing violence are two problematic adolescents brought to therapy because of their aggressive behavior at home and/or in the school. The paper describes how to give them a different voice and build a therapeutic alliance with the family.     

Family Loyalty and Adolescent Problem Behavior: The Validity of the Family Group Effect

Erratum . Journal of Law and Society Volume 32 Issue 3 The present study examined the relation between perceived justice and trust within family relationships and adolescent internalizing and externalizing problem behavior. Data were gathered from the father, the mother, and two of their adolescent children in 288 families. The social relations model was used to assess perceived justice and trust at the family level and the individual level. Adolescent internalizing and externalizing problem behavior turned out to be best predicted at the family level. Adolescents from families with less just or trustworthy climates showed more of these problem behaviors. Also associations between adolescent problem behavior and individual characteristics of the adolescents were found: adolescents who were generally viewed as less just/trustworthy were reported to have more problems. Our findings suggest that processes at different levels of family functioning (i.e., individual, whole‐family) should be taken into account when investigating associations between family characteristics and children's outcomes.     

Sexual Intercourse and Pregnancy Among African American Girls in High‐Poverty Neighborhoods: The Role of Family and Perceived Community Environment

Data are used from a random sample of African American families in impoverished Chicago neighborhoods to address two questions: How well do modeling, supervision, and marital transition hypotheses explain the relationship between family structure and early sexual debut and pregnancy for disadvantaged Black female adolescents? Do higher levels of social support from parents and neighborhood adults decrease the risk of sexual activity for youth in poor communities? Support for each hypothesis is contingent upon the family transition experienced and specific sexual outcome examined. Living in any type of married household reduces the risk of sexual debut and pregnancy. Stronger parent‐child relationships are associated with delayed sexual onset, whereas the risk of pregnancy is reduced when adolescents report more working adults in their social networks.     

Substance Use Among Rural African American Adolescents: Identifying Risk and Protective Factors

Substance use continues to be a significant problem among youth in our society, particularly in rural communities. The purpose of the current study was to identify the possible risk and protective factors that may be affecting the rates of alcohol and illegal drug use among a population of African American adolescents living in a rural, southern community. The following were identified as possible risk factors: (1) Being an older adolescent (15 years of age or older); (2) Spending afternoons after school with friends; (3) Having friends or family members who use alcohol or illegal drugs; (4) Being raised by non-family members; and (5) Having plans to enter military after high school. The following characteristics were associated with less alcohol and illegal drug use, and were identified as possible protective factors: (1) Being raised by parent(s) or other family members; (2) Spending afternoons after school with parents; (3) Having parents who talk to youth about dangers of drug and alcohol use; (4) Having parents who disapprove of their child using drugs or alcohol; (5) Being involved in extra-curricular church-related activities; and (6) Having plans to work, or attend college or technical school after high school. Characteristics that have been associated with drug and alcohol in previous research that were not associated with use in the current study include: (1) Being male; (2) Peer pressure to use alcohol or illegal drugs; (3) Grades in school; and (4) Involvement in extra-curricular activities. Implications for developing effective community programs aimed at reducing substance use among our youth are discussed.     

Mental Health and HIV Risk Among African American Adolescents

Summary

The family system is integral to adolescent mental health and HIV risk. However, few studies have addressed family variables and adolescent outcomes among African American families. This study tested a longitudinal model of parenting, adolescent mental health, and adolescent HIV risk, among a community sample of low-income, urban African American families from the Collaborative HIV prevention and AdolescentMental Health Project (CHAMP). Consistent with general adolescent population data, we expected less parental monitoring, greater psychological control and less positive parenting to increase risk for adolescent depression and conduct problems. We hypothesized that these variables would in turn increase rates of HIV risk. We followed one hundred and thirty-four African American youth and theirmaternal caregivers as part of the CHAMP project. Study variables included: positive parenting, parental monitoring, psychological control, adolescent distress, conduct problems, and recent HIV risk. We examined the relationship among these variables via longitudinal path analysis. Age was strongly associated with increased adolescent HIV risk. Contrary to hypotheses, more parental psychological control was marginally associated with less HIV risk, while positive parenting was marginally associated with greater HIV risk. Adolescent depression was associated with more conduct problems, but unrelated to HIV risk. Thus, parenting practices generally considered negative might actually be protective among some lower SES African American families. This underscores the importance of extending studies of family context and adolescent risk behaviors to diverse social and ethnic groups. Designing prevention programs for diverse groups will require articulating culturally specific effects for different parenting practice.     

Romantic Relationships among Immigrant Adolescents1

We examine the importance of the family and friendship group as two crucial developmental contexts for adolescent relationship experiences. We focus particularly on immigrant adolescents who make up an increasing proportion of the youth population and who come from cultural contexts with stronger family traditions than native‐born adolescents.  Using data from the National Longitudinal Study of Adolescent Health, we model the characteristics associated with having romantic relationships and participating in sex‐related activities within relationships for immigrant adolescents, children of immigrants and adolescents in native‐born families.  First generation adolescents are less likely to enter romantic relationships than adolescents in native‐born families, but those who do participate engage in similar sex‐related activities as native‐born youth.  This evidence suggests that immigrant youth who enter romantic relationships are selective of the more assimilated to native adolescent norms of heterosexual behavior.  The peer group is especially important for immigrant adolescents because it provides opportunities for romantic relationship involvement.     

Perceived Bonding by Parents Living With HIV and Their Adolescent Children

This study examined the associations between parent and adolescent reports of bonding within families and the relationships among reported parental bonding, family conflict and adolescent stress. A total of 118 families from Anhui, China, were recruited for this study. Two family‐level bonding scores were constructed: the average of and difference between parent and adolescent bonding scores. Study results indicated that the difference between parent and adolescent bonding reports was associated with higher levels of adolescent daily stress. A negative association was observed between average family‐level bonding and the level of parent‐reported conflict. Our findings highlight the importance of combining data from both parents and adolescents when studying issues related to family wellbeing.     

Family patterns and the politicization of consumption relations

There has been little sociological research on the processes of exploitation and the politicization of relations of consumption. This study examines the role that family structure plays in the development of a class‐based politicization of consumption relations in a community. I compare communities of the Lake Superior region at the turn of the 20th century that were settled largely by the male immigrants living without families with structurally‐similar communities from the same region and time that were settled larged by married workers and their families. Using local newspapers, corporate reports and federal and state investigations, I compare the level of politicization of consumption relations in family‐settled communities with those settled by male workers. I find some relationship between family settlement patterns and the politicization of consumption in a community, but the relationship is not constant across communities. Family‐based communities do have a greater ability to organize alternatives to corporate‐controlled consumption than do non‐family based communities.     

Step-Up: Promoting Youth Mental Health and Development in Inner-City High Schools

African American and Latino youth who reside in inner-city communities are at heightened risk for compromised mental health, as their neighborhoods are too often associated with serious stressors, including elevated rates of poverty, substance abuse, community violence, as well as scarce youth-supportive resources, and mental health care options. Many aspects of disadvantaged urban contexts have the potential to thwart successful youth development. Adolescents with elevated mental health needs may experience impaired judgment, poor problem-solving skills, and conflictual interpersonal relationships, resulting in unsafe sexual behavior and drug use. However, mental health services are frequently avoided by urban adolescents who could gain substantial benefit from care. Thus, the development of culturally sensitive, contextually relevant and effective services for urban, low-income African American and Latino adolescents is critical. Given the complexity of the mental health and social needs of urban youth, novel approaches to service delivery may need to consider individual (i.e., motivation to succeed in the future), family (i.e., adult support within and outside of the family), and community-level (i.e., work and school opportunities) clinical components. Step-Up, a high school-based mental health service delivery model has been developed to bolster key family, youth and school processes related to youth mental health and positive youth development. Step-Up (1) intervenes with urban minority adolescents across inner-city ecological domains; (2) addresses multiple levels (school, family and community) in order to target youth mental health difficulties; and (3) provides opportunities for increasing youth social problem-solving and life skills. Further, Step-Up integrates existing theory-driven, evidence-based interventions. This article describes Step-Up clinical goals, theoretical influences, as well as components and key features, and presents preliminary data on youth engagement for two cohorts of students.     

‘Somebody Else's Roadmap’: Lived Experience of Maudsley and Family‐based Therapy for Adolescent Anorexia Nervosa

The Maudsley and more recent family‐based therapy manualised approaches are positioned by some as the gold standard, evidence‐based therapy for adolescent anorexia nervosa (AN). However, a significant proportion of adolescents and their families either discontinue this therapy and/or find that it simply does not work for them. These adolescents and families are under‐represented in the literature on therapeutic interventions for adolescent AN. This paper begins to address this gap with an in‐depth qualitative case study that explores the lived experience of Maudsley family therapy (MFT)/family‐based therapy (FBT) for one female adolescent (age 14 years) and her family over the period of 3 years (ages 11–14). Although initially handing over the responsibility for her eating was comforting and reinstated a sense of control in the family system, these experiences were not maintained. When she did not progress past the first phase of FBT, she and her family experienced the approach as blaming. She felt silenced and family alliances were weakened. This paper analyses how the family members negotiated and preserved their identities within this disabling context.     

Cybersex and the E‐teen: What Marriage and Family Therapists Should Know

Adolescents who use the Internet regularly (the “e‐teen”) present a new set of challenges for marriage and family therapists. This article introduces marriage and family therapists to (a) the basic technological concepts and unique psychological characteristics of the Internet important in understanding and addressing adolescent online sexual behavior, (b) the appropriate developmental expectations for teens online, including risk‐taking behaviors and critical decision‐making skills, and (c) suggested strategies for assessment, prevention, and intervention when dealing with problematic online sexual behavior in adolescents. Marriage and family therapists cannot ignore the role the Internet plays in adolescent sexual development and its implication for the family. This article will serve as a primer for the marriage and family therapist when presented with adolescents who engage in online sexual behaviors.