What family dimensions are important for health-related quality of life in adolescence?

Adolescence is a relevant life stage in which to study a global well-being measure, health-related quality of life, in order to analyse the impact of important determinants in adolescents' health-related quality of life (e.g., the quality of family relationships). This study aimed to examine the impact of several family dimensions (parental affection, parental promotion of autonomy, family activities, adolescent disclosure, parental solicitation and parental knowledge) on adolescents' health-related quality of life. Additionally, this study investigated whether demographic variables (adolescents' gender and age) influenced health-related quality of life and moderated the relationship between family dimensions and health-related quality of life. The sample was composed of 14,825 adolescents, aged 13–14, 15–16, and 17–18, from the 2006 edition of Spain's Health Behaviour in School-aged Children study. The results showed that parental promotion of autonomy, family activities and especially parental affection were the most important dimensions influencing health-related quality of life. Boys reported higher health-related quality of life than girls, and younger adolescents reported higher health-related quality of life than older adolescents. The discussion explains how the aforementioned family dimensions encourage better health-related quality of life in adolescents.     

How does active parental consent influence the findings of drug-use surveys in schools?

This study examines the impact of passive and active parental consent procedures on the type of adolescents participating in a school-based survey examining substance use. Schools recruited from a random sample of metropolitan schools were assigned to passive or active parental consent condition. Results showed that participation rates in active consent schools were lower than in passive consent schools for junior students (60% vs. 80%) but not senior students. Although consent condition had limited impact on prevalence estimates among older students, among younger students estimates of cannabis use and ecstasy use were higher in the passive consent condition than the active consent condition. Active consent procedures introduce some degree of selection bias into studies of adolescents' substance use and may compromise the external validity of prevalence estimates produced, especially among younger students.     

Nonverbal Deception Abilities and Adolescents' Social Competence: Adolescents with Higher Social Skills are Better Liars

High and low socially-skilled adolescents, ranging in age from 11 to 16 years, were led to be verbally deceptive or truthful about their enjoyment of a drink that either tasted good or bad. Short, silent videotaped samples of the adolescents while they were being deceptive or truthful were shown to a group of judges, who were asked to indicate how much each adolescent actually enjoyed the drink on the basis of their nonverbal behavior. Results indicated that, as predicted, adolescents with higher levels of social competence were generally better at deceiving than adolescents of lower social competence. However, these findings held primarily for younger adolescents. Furthermore, older adolescents were better at being deceptive than younger ones, and younger females were more proficient liars than younger males.     

Linguistic,affective, parental,and educational contributions to the bicultural identity development of Balkan minority adolescents

This study investigated linguistic, affective, parental, and educational contributions to bicultural identity, in two samples of younger (13- to 14-year-old; N = 95) and older (16- to 17-year-old; N = 67) bilingual adolescents, who were immigrants or belonged to ethnic minority communities in the Balkans. While bicultural identity level was not differentiated as a function of age group, there was an age-related shift in its predictors. Bicultural identity level was significantly predicted by perceived educators' attitudes toward linguistic/cultural diversity in the younger adolescent group, but by personal affective states (motivation and attitudes) toward the mainstream language in the older adolescent group. Implications of the findings are discussed regarding educational and family practices that would facilitate biculturalism in minority adolescents.     

Support From Parents and Teachers in Relation to Psychosomatic Health Complaints Among Adolescents

This study explores the relative contribution of parental and teacher support to adolescents’ psychosomatic health complaints, with a particular focus on gender and age differences. Based on a survey of 49,172 ninth‐ and eleventh‐grade students in Stockholm (2006–2014), structural equation modeling results demonstrated negative associations between parental and teacher support on psychosomatic health complaints. Parental support had a stronger association with the outcome among girls than boys. It was also more important than teacher support for psychosomatic health complaints. Parental support was more important for younger girls’ health compared to older girls, with opposite patterns for teacher support. These findings highlight the need to consider gender and age to understand the links between social support and health during adolescence.     

Sleep and Its Association With Socioeconomic Status,Health, and Risky Behaviors Among Ghanaian School Children

Socioeconomic differences in sleep and how sleep relates to health and risky behaviors among 12‐ to 18‐year‐old Ghanaians (N = 1,195) were investigated. Overall, 49.2% of boys and 60.8% of girls had inadequate sleep. Girls (OR = 1.6, 95% CI = 1.3–2.0) and older (16‐ to 18‐year‐olds) adolescents (OR = 1.6, 95% CI = 1.3–2.1) had higher probability of inadequate sleep than boys and younger (12‐ to 15‐year‐old) adolescents, respectively. High material affluence, low parental education, low parental occupational grade, drunkenness, marijuana use, drug use, and not having plans to continue schooling after graduation decreased the chances of inadequate sleep, while low school performance, low fruit and vegetable intake, and tiredness during daytime increased the probability of inadequate sleep. Promotion of adequate sleep and gender equality should be taken into consideration in adolescent health promotion programs.     

Differences in Views of Family Life According to Age,Gender, and Parental Marital Status

A sample (N = 706) of children, adolescents, young adults, and older adults were surveyed with regard to their views of family. Young adults endorsed more nontraditional views than children and older adults and were more likely than other age groups to indicate that there is no best family type. Children and older adults were more likely than adolescents and young adults to endorse married or living together parents as the best family type. Women and respondents who had experienced parental divorce endorsed traditional views of family less strongly, but women also endorsed stronger expectations for their own family formation. Findings support the possibility of both developmental and sociocontextual influences on attitudes toward family life.     

Adolescent Perceptions of Conflict in Interdependent and Disengaged Friendships

Interdependent and disengaged friendships in a middle‐class sample of suburban Israeli adolescents were examined for differences in reports of conflict behavior. A total of 194 (100 females, and 94 males) close, reciprocal friends participated in a joint problem‐solving task used to categorize friendships. Interdependent friends balanced closeness and individuality by cooperating on the task, whereas disengaged friends emphasized individuality by working independently on the task. In separate interviews, these friends recounted their most important conflict from the previous week. Older adolescents (M= 17.4 years) reported more conflicts over private disrespect than did younger adolescents (M= 12.7 years), whereas younger adolescents reported more conflicts over public disrespect and undependability than did older adolescents. Differences between friendship types in conflict initiation, negative affect, and relationship impact were found among older adolescents but not younger adolescents; differences in conflict resolutions were found in both age groups. In contrast to disengaged friends, interdependent friends were better able to manage conflicts in a manner that emphasized relationship harmony over individual gain.     

Middle‐Class African American Parents’ Conceptions of Parenting in Early Adolescence

Conceptions of parenting were examined in 87 middle‐class African American parents (87 mothers and 51 fathers) of early adolescents (M= 13.11 years of age). Using semistructured interviews, parents were queried about two developmentally salient issues of early adolescence: parental limit‐setting and adolescent independence. Parents primarily defined firm limits in terms of nonnegotiation, strongly endorsed setting firm limits regarding a range of issues, and justified the importance of limits by focusing on adolescents’ socialization and psychological development. Mothers rated limiting adolescents’ behavior as more important than permitting or encouraging adolescents’ independence. Limits were seen as more important by mothers of younger rather than older early adolescent females, but mothers encouraged independence more for younger rather than older early adolescent males. Mothers permitted independent decisions regarding a limited range of issues such as clothes and appearance, based on psychological concerns with adolescents’ developing autonomy and competence; they encouraged independence primarily by encouraging greater responsibility. The results demonstrate that there is considerable heterogeneity in African American parents’ beliefs and goals about parenting in early adolescence.     

A multi-site study of the ACT Raising Safe Kids program: Predictors of outcomes and attrition

The present study examined the factors related to attrition and treatment outcomes in the ACT-Raising Safe Kids (ACT-RSK) program. ACT-RSK is a family violence and child abuse prevention program for parents and caregivers of young children. Sixty parents or caregivers of children aged 9 years or younger completed the ACT-RSK group program and the research measures. The study took place at 7 community-based sites in the midwestern United States. Program completers were significantly older than noncompleters, suggesting that parent age relates to attrition from this program. Pre/post comparisons indicated increased nurturing behavior, decreased harsh parenting, and decreased negative discipline, as well as decreased child behavior problems following completion of the ACT-RSK program. Parent age predicted children's outcomes, indicating better results for the children of older parents/caregivers. In addition, pre-test harsh parenting scores predicted children's outcomes, suggesting that families with relatively higher initial levels of parental psychological aggression and corporal punishment had more robust child outcomes following completion of the program.     

The Relations Between Parents' Smoking, General Parenting, Parental Smoking Communication, and Adolescents' Smoking

The present study examined whether the associations between general parenting practices (i.e., support, behavioral control, and psychological control) and parental smoking on the one hand and older and younger siblings' smoking on the other were mediated by parental smoking communication (i.e., frequency and quality of parent–adolescent communication concerning smoking-related issues). The focus of this paper was on examining whether these associations of parental actions and adolescents' smoking were different in older and younger siblings within the family. Participants were 428 Dutch families (mother, father, and their 2 adolescent siblings aged 13–17). The results of parent and adolescent reports indicated that general parenting practices and parental smoking were associated with parental smoking communication, which, in turn, was related with adolescent smoking. The magnitude of the associations between parenting and adolescent smoking did not differ between older and younger siblings. Supportive parents were generally more likely to engage in a high quality communication about smoking with their adolescent children; this was related to a lower likelihood to smoke. Parents who exerted psychological control were more likely to talk more frequently with their adolescents on smoking matters, which in turn, relates to a higher likelihood to smoke. Also, smoking parents were less likely to have high-quality parent–adolescent communication that relates to higher likelihoods to smoke. In general, the findings were similar across reporters. Implications for prevention are addressed.     

Determinants of marital fertility in Pakistan: the impact of education,work and family planning

The relative impact of the indirect and direct determinants of fertility of Pakistani women was assessed using the 1990/91 Pakistan Demographic and Health Survey (PDHS). A total of 7926 households was selected and 5713 women of reproductive age (15-49 years old) who had at least one birth were interviewed. Several social, economic, and demographic variables were employed to assess the number of children ever born. Ordinary least squares regression was used to estimate four multivariate models of children ever born. The direct and indirect determinants and the control variable of current age were simultaneously entered for each of four models that differed by age: 15-49, 15-24, 25-34, and 35-49 years. There was a 0.5 child difference between children ever born (4.64) and living children (4.11) for the 15-49 age group. This indicates infant and child mortality: 26% of the women experienced at least one child death before the age of 2 years. The oldest group had the lowest percentage ever attending school: 19% vs. 25% and 26% (15-24 and 25-34 age groups, respectively). Education was nonsignificant for the youngest and middle-aged cohorts, but it was negative and significant for the older cohorts. For employment, only the 25-34 age group was negative and significant. Age at marriage and breast feeding were strong and negative for all models. Current use of family planning was positive and significant for the oldest age group and the total. The younger cohorts did not have a negative and significant relationship between education and fertility; and the 15-24 age group living in a major city had significantly higher fertility than their town and village counterparts. The variables that showed differential impact were education, employment, residence, and contraceptive use. Education did not significantly lower fertility for the younger groups, but it did for the older group. Employment significantly lowered fertility for the 25-34 age group. Contraceptive prevalence steadily increased from 7% in the 15-19 age group to nearly 21% in the 35-39 age group.     

Effects of Photovoice: Civic Engagement Among Older Youth in Urban Communities

Youth civic engagement is critical to many community empowerment initiatives. Photovoice is a popular empowerment technique for disenfranchised groups, including youth. The technique has little published empirical support. This research assesses Photovoice as a youth mobilization project within the context of an ongoing community development initiative. It was hypothesized that Photovoice participation would (a) improve students' interest in civic engagement and (b) have greater impact on older rather than younger adolescents. Thirty-three (33) youths (15–21 years of age) completed a Survey of Youth Engagement before and after Photovoice participation. Results indicate a main effect for age, with youths 18 years of age and older scoring significantly higher than youths under 18 years of age. This study suggests that Photovoice promotes significant changes in perceived civic engagement among older youths.     

Behavior problems and attachment in adopted and non-adopted adolescents

Many studies have shown that adopted adolescents present more behavioral problems than non-adopted adolescents do. However, few studies have been published about national adoption in South America, even though this is the most common type of adoption in these countries. The goal of this study was to examine the differences in behavioral problems between nationally adopted and non-adopted adolescents (using Achenbach's Child Behavior Check-list (CBCL) and the Youth Self Report (YSR)), as well as to examine the relationship between behavioral problems and attachment style in adolescents. Participants: 25 adolescents adopted at the age of 6 months or older and 25 non-adopted adolescents. Results: No significant differences were found between groups in terms of behavioral problems. Adolescents adopted at a later age presented more “social problems” than those who were adopted earlier on. Even though the adopted adolescents presented more insecure attachment, there were no significant differences between groups in terms of behavioral problems and attachment style. There was a significant interaction between adoption and attachment on the Thought Problems scale of the YSR, with the non-adopted/insecure adolescents scoring higher. Possible interpretations of these results are presented in the discussion. In general, the adopted adolescents were not significantly different from the adolescents who grew up with their birth families. Furthermore, adoption within the first two years of life may represent a protective factor against “social problems” during adolescence. These findings may contribute to the de-stigmatization of adoption and a move away from the idea that adopted adolescents are “difficult”.     

Profiles of the parents of adolescent CSA perpetrators attending a voluntary outpatient treatment programme in Ireland

A group of 22 parents of adolescent sexual offenders (PASO) was compared with a group of 19 normal controls (NC) and 10 clinical controls (CC) on demographic, developmental, personal adjustment and family environment variables. The assessment protocol included the General Health Questionnaire‐12, the Culture‐Free Self‐Esteem Inventory, the Child Behaviour Checklist, the Family Assessment Device, the Parent Satisfaction Scale and the Multidimensional Scale of Perceived Social Support. Compared with clinical and normal controls, more parents in the PASO group reported that they had been arrested or charged for a criminal offence; had personally experienced child abuse; and more of their adolescents had experienced child abuse, with emotional abuse being the most common form of abuse for both parents and adolescents. Compared with clinical and normal controls, more adolescents of parents in the PASO group had witnessed parental drug or alcohol abuse and had been placed in care outside their home. While parents in the PASO group did not differ from clinical or normal controls in terms of personal adjustment, their adolescents had significantly more internalizing behaviour problems than normal controls, whereas adolescents of parents in the clinical control group had significantly more externalizing behaviour problems than normal controls. Compared with normal controls, parents in both the PASO and clinical control groups reported more difficulties with general family functioning, roles, affective responsiveness, affective involvement and behaviour control and lower levels of parental satisfaction. However, the groups did not differ significantly in their levels of perceived social support. Copyright © 2003 John Wiley & Sons, Ltd.     

Family,Peer, and Pubertal Determinants of Dating Involvement Among Adolescents

This study examines the influence of family, peer, and biological contributors to dating involvement among early adolescents (11–14 years of age; n = 244). Further, we assess how parental monitoring may be modified by pubertal maturation and older sibling risky behavior. Data on delinquent peer affiliation, pubertal maturation, parental monitoring, older sibling risky behavior, and dating involvement were gathered through observations and surveys from adolescents, mothers, older siblings, and teachers. Results indicate that lower levels of parental monitoring and higher levels of older sibling risky behavior were related to adolescents' dating involvement through delinquent peer affiliation. Pubertal maturation was directly related to dating involvement for early daters. Findings emphasize the value of examining social and biological factors, in concert, over time.     

Relation Between Parental Divorce and Adjustment in College Students

The role of parental divorce on the adjustment of emerging adults has been understudied and mostly limited to first-year college students. This study sought to examine the relation between parental divorce and adjustment in college students to identify differences in students from intact and divorced families while also examining gender and age differences. Results indicated no adjustment differences as a whole or by gender for intact and divorced families. However, students who were older when their parents divorced had higher levels of self-esteem than those whose parents divorced when they were younger. Implications of the study are discussed.     

The Contribution of Internal and External Resources to Emotional Adjustment: A Comparison of At-Risk and Normative Adolescents

The article discusses the differences between normative and at-risk adolescents with regard to the contribution of background variables (gender and age), internal resources (mastery and emotional maturity), and external resources (parental support and peer support) to their emotional adjustment. The results indicate lower levels of mastery, emotional maturity, parental, and peer support among the at-risk adolescents, than the normative adolescents, and the former display more emotional symptoms. The findings also show that gender does not contribute to emotional adjustment in either research group. In the normative group, the age of the adolescent was found to have a small contribution. With regard to internal resources, while both mastery and emotional maturity were found to contribute significantly in the at-risk group, only the emotional maturity of the adolescent was found to contribute in the normative group. Of the external resources, contrary to the research hypotheses, the contribution of peer support was not found to be higher in the normative group. In both groups, and particularly the normative one, parental support contributed to emotional adjustment. The discussion suggests explanations for the research findings and their implications, as well as recommendations for further research.     

Childless Elders in Assisted Living: Findings from the Maryland Assisted Living Study

We compared data drawn from a random sample of 399 current assisted living residents and a subsample of 222 newly admitted residents for two groups: childless residents and residents with children. The percentage of childless residents (26%) in our study was slightly higher than U.S. population estimates of childless individuals aged 65 years and older (20%). In the overall sample, the two groups differed significantly by age, race, and women's years of education. The childless group was slightly younger, had a higher percentage of African American residents, and had more years of education than the group with children. In the subsample, we looked at demographic, functional, financial, and social characteristics and found that childless residents reported fewer diagnoses of dementia and fewer visits from a relative but more reported paying less money per month for assisted living and having private insurance than residents with children. As childlessness among older adults continues to increase, it will become increasingly important to understand how child status affects the need for and experience of long-term care.     

Early childbearing and later economic well-being

In a study of 1268 women, aged 20-24 in 1968, who were surveyed in 1968 and reinterviewed in 1973 and 1975 as part of the National Longitudinal Surveys of the Labor Market Experience of Young Women, the economic situation of the women at age 27 was compared for those who had given birth to a child during their teen years with those who did not bear a child until after age 18. The effects on economic status of early childbearing were primarily negative and operated indirectly through intervening variables such as, decreased educational levels and higher fertility rates. For each year a birth was postponed, annual earnings at age 27 were increased by $197. Surprisingly, women who had a child at age 15 or 16 experienced fewer negative economic effects at age 27 than those who had a child at age 17 or 18; perhaps the younger girls continued to live with their parental family and remained in school while the slightly older girls left the parental family and dropped out of school. The negative economic effects at age 27 for black women who bore a child at an early age were less pronounced than for white women. Policy makers should be aware of these long-term negative economic effects of early childbirth and efforts should be made 1) to increase child care programs which enable young mothers to continue their schooling; 2) to provide family planning services to young mothers who are at greater risk of subsequently having large families; 3) to encourage young mothers to remain living with their parental family; and 4) to provide additional training and job counseling for young mothers. Tables depict 1) mean and standard deviations for 50 sociodemographic variables for women who were less than 19 at first birth and for women who were 19 or older at first birth; 2) estimated structural equations for the total sample, for whites only, for blacks only, for those 19 years or older at first birth, and for those less than 19 years of age at first birth; and 3) effect on economic well-being at age 27 of delaying birth by one year by age at first birth and by race.