Association of sexual abstinence in adolescence with mental health in adulthood

We examined whether adolescent sexual abstinence predicts better adult mental health. 1,917 adolescents, recruited from middle schools at age 13, were surveyed at ages 13, 18, 23, and 29. In bivariate analyses, adolescent sexual abstinence was associated with better mental health at age 29 for females, but not males; three adolescent factors, educational prospects, family bonding, and unconventionality were investigated as explanatory variables of this relationship. The abstinence-mental health relationship was nonsignificant when educational prospects was included in multivariate models, and marginally significant when family bonding and unconventionality were included; all three explanatory factors accounted for significant proportions of the variance in adult mental health. Girls who are uninvolved in school, have weak family backgrounds, and exhibit unconventionality may have poor adult mental health, whether or not they abstain from sex in adolescence. Interventions that strengthen adolescents' connections to families and schools may reduce risk for long-term mental health problems.     

Irving Crespi, 1926-2004

Irving Crespi was an influential contributor to the field ofpublic opinion research, as theorist, methodologist, practitioner,and leader of the major professional organizations. Throughhis books and articles, Crespi added to the understanding ofhow opinions are formed and changed. The Public Opinion Processexplored the dynamics of opinion formation and the     

Stigma,AIDS, and HIV Prevention in Africa: Reports from Community Organizations Providing Prevention Services

ABSTRACT

The AIDS epidemic in Africa remains a serious health crisis. Nongovernmental organizations (NGOs) in Africa play a critical role in the delivery of HIV prevention services. An important barrier to their HIV prevention efforts is stigma directed at persons living with HIV/AIDS. In order to understand how stigma affects HIV prevention programming, we conducted in-depth qualitative interviews with NGO directors in 29 African countries. Qualitative analytic approaches were used to identify key themes. Substantial discrimination and stigmatization of HIV-positive persons was reported. HIV-positive women were particularly likely to suffer negative social and economic consequences. The stigma associated with HIV interfered with disclosure of HIV status, risk-reduction behaviors, and HIV testing, creating significant barriers to HIV prevention efforts.

Interventions to reduce AIDS-related stigma in Africa are urgently needed. Reducing the burden of stigma is critical to fighting the epidemic in Africa and could play an important role in global HIV reduction.     

Person‐Environment Fit and Positive Youth Development in the Context of High School Gay–Straight Alliances

Drawing from a person‐environment fit framework, we identified profiles of youth in gay–straight alliances (GSAs) based on the extent to which they received information/resources, socializing/support, and advocacy opportunities in their GSAs and the extent to which this matched what they desired from their GSA along these three functions. Further, we examined profile differences in positive developmental competencies while accounting for community‐contextual factors. In a sample of 290 youth from 42 Massachusetts GSAs, latent profile analyses identified five subgroups. Overall, youth receiving less from their GSAs than they desired, particularly regarding opportunities for advocacy, reported lower levels of self‐reflection, bravery, civic engagement, and agency than youth who received information, socializing/support, and advocacy that matched or exceeded what they desired.     

Are Adolescent Substance Users Less Satisfied with Life as Young Adults and if so,Why?

The present study investigated whether adolescent cigarette, alcohol, marijuana, and hard drug use predicts life satisfaction in young adulthood. Survey data were used from a longitudinal cohort of 2376 adolescents at ages 18 and 29, originally recruited from California and Oregon middle schools at age 13. Results of multivariate models indicated that use of cigarettes and hard drugs at age 18 was associated with lower life satisfaction at age 29, controlling for adolescent environmental, social, and behavioral factors related to lower life satisfaction, including poor mental health, loneliness, poor social skills, and Black race. Adolescent alcohol and marijuana use were not significantly related to adult life satisfaction. Low income, poor health, and cigarette use during adulthood each independently mediated the relationship between adolescent cigarette use and adult life satisfaction, together explaining 84.58% of the effect. Adult hard drug use mediated the effect of adolescent hard drug use, explaining 54.79% of the effect. Results suggest that some forms of adolescent substance use limit socio-economic opportunities, and have a lasting effect on health, consequently decreasing life-satisfaction. Continued use of substances may also lead to lower subjective well-being over time. Findings indicate a need for programs that increase social skills and effectively prevent adolescents from using substances, perhaps by incorporating information about consequences of use for socio-economic status, health, and well-being over the long term. This research was funded by grant #R01 DA 13515 from the National Institute on Drug Abuse.     

Accountability and nonprofit organizations: An economic perspective

A popular concern is whether the managers of nonprofit enterprise are accountable. This article considers accountability in the context of three questions. First, how do groups establish a basis on which to hold managers acountable? Second, to whom should a manager be accountable? Third, can a person or group make it important to a manager to act in the best interests of the person or group? These three questions are addressed by the fields of public choice theory, social choice theory, and principal-agent theory, respectively. A cynical way of summarizing the seminal findings in these areas of research is that public choice theory proves that groups will be unable to form, social choice theory proves that once a group forms, it will be unable to make good decisions, and principal-agent theory proves that a decision, once reached, is impossible to implement. A more optimistic view is that the problems identified by these research findings contain the seeds of their own solution, and that thereby valuable lessons for nonprofit managers can be adduced.     

Association of Sexual Abstinence in Adolescence with Mental Health in Adulthood

We examined whether adolescent sexual abstinence predicts better adult mental health. A total of 1,917 adolescents, recruited from middle schools at age 13, were surveyed at ages 13, 18, 23, and 29. In bivariate analyses, adolescent sexual abstinence was associated with better mental health at age 29 for females, but not for males; three adolescent factors, educational prospects, family bonding, and unconventionality, were investigated as explanatory variables of this relationship. The abstinence–mental health relationship was nonsignificant when educational prospects were included in multivariate models, and was marginally significant when family bonding and unconventionality were included; all three explanatory factors accounted for significant proportions of the variance in adult mental health. Girls who are uninvolved in school, have weak family backgrounds, and exhibit unconventionality may have poor adult mental health, whether or not they abstain from sex in adolescence. Interventions that strengthen adolescents' connections to families and schools may reduce risk for long-term mental health problems.     

The lesbian dyad

Little is known regarding how respondents interpret terms that are commonly used in sexual behavior surveys. The present study assessed the impact of four factors on respondents’ judgments of whether the hypothetical actors “Jim” and “Susie “ would consider a particular behavior that they had engaged in to be “sex.” The four factors were respondent's gender, actor's gender, type of act (vaginal, anal, or oral intercourse), and who achieved orgasm (neither, Jim only, Susie only, or both). Two hundred twenty‐three undergraduates (22.2 ± 2.2 years; 65% female) were asked to read 16 scenarios featuring Jim and Susie and to judge whether each actor would consider the described behavior to be sex. Results indicated that vaginal and anal intercourse were considered sex under most circumstances. Whether oral intercourse was labeled as sex depended on the gender and viewpoint of the actor, and whether orgasm occurred. Findings suggest that items in sexual behavior surveys need to be clearly delineated to avoid subjective interpretations by respondents.     

An empirical study of ordinal condom use measures

Accurate condom use assessment is critical in sexually transmitted infection‐prevention research. Ordinal condom use frequency measures may be problematic due to subjective interpretation by respondents. To assess this potential bias, we examined the ordinal condom use labels (e.g., “never,” “rarely,” etc.) assigned by college students to 17 scenarios that described how frequently a hypothetical couple used condoms. Scenarios varied by condom use frequency (0% to 100%) and by whether frequency was described by stating the number of protected acts out of 20 total acts of intercourse, out of 100 total acts, or as a proportion of acts that were protected. There was substantial interpersonal variability in the labels assigned by participants in all 17 scenarios and inconsistent use of the “never” and “always” labels to characterize 0% and 100% condom use, respectively. The assigned labels varied as a function of the number of total acts (20 vs. 100) and whether condom use was expressed as a count or a percentage, which suggests that participants did not convert the number of protected acts to an equivalent proportion. These results call into question both the reliability and validity of ordinal condom use measures.     

Conspiracy beliefs about HIV/AIDS and birth control among African Americans: implications for the prevention of HIV, other STIs, and unintended pregnancy

In this article, we examine the potential role that conspiracy beliefs regarding HIV/AIDS (e.g., "HIV is a manmade virus") and birth control (e.g., "The government is trying to limit the Black population by encouraging the use of condoms") play in the prevention of HIV, other STIs, and unintended pregnancies among African Americans in the United States. First, we review prior research indicating that substantial percentages of African Americans endorse conspiracy beliefs about HIV/AIDS and birth control. Next, we present a theoretical framework that suggests how conspiracy beliefs influence sexual behavior and attitudes. We then offer several recommendations for future research. Finally, we discuss the policy and programmatic implications of conspiracy beliefs for the prevention of HIV, other STIs, and unintended pregnancy .