Christopher P. Salas-Wright

Violence and Externalizing Behavior Among Youth in the United States: Is There a Severe 5%?

Despite research demonstrating that approximately 5% of study populations are composed of severely antisocial persons who account for a disproportionate share of problem behaviors, there have been no nationally representative studies assessing this phenomenon among adolescents. Using a large nationally representative sample (N = 18,614), we identified a severe group (4.7% of respondents) characterized by involvement in varied and intensive externalizing behaviors, greater internalizing, lower academic achievement, and less parental involvement. The current study is the first nationally representative study of criminal careers/externalizing behaviors among adolescents in the United States, which is convergent with prior research and theory.

Trends in the disapproval and use of marijuana among adolescents and young adults in the United States: 2002–2013

Abstract Background: Despite policy changes related to the use and distribution of marijuana in cities and states across the country, few studies have examined changes in disapproval and use of marijuana among American youth. Objectives: To examine trends in disapproval and use of marijuana among adolescents and young adults in the United States. Method: We employed nationally representative data spanning the period of 2002–2013. Analyses were based on self-reported measurements from 105,903 younger adolescents (aged 12–14); 110,949 older adolescents (aged 15–17); and 221,976 young adults (aged 18–25). Results: Between 2002 and 2013 the proportion of adolescents aged 12–14 reporting “strong disapproval” of marijuana use initiation increased significantly from 74.4–78.9%. Concurrently, a significant decrease in past 12-month marijuana use (OR = 0.98, 95% CI = 0.97–0.99) was observed among younger adolescents. No significant trend was observed for marijuana use disapproval among adolescents aged 15–17 between 2002 and 2013. Yet a significant (OR = 0.99, 95% CI = 0.98–0.99) decrease in the past 12-month marijuana use was observed (2002 = 26.2%, 2013 = 21.9%) among this group. Among young adults (aged 18–25), a substantial decrease – from 40.5% in 2002 to 22.6% in 2013 – was observed in the proportion reporting “strong disapproval” of marijuana use initiation; however, increases in the past 12-month use were relatively small among young adults (Δ = 2.21) but statistically significant (OR = 1.02, 95% = 1.01–1.02). Conclusions: Changes are underway in the perception and use of marijuana among American youth. However, changes differ in important ways among youth from distinct developmental subgroups.

Mood, anxiety, and personality disorders among first and second-generation immigrants to the United States

A careful examination of the multigenerational relationship between immigrant status and mental disorders can provide important information about the robustness and nature of the immigrant-mental health link. We examine immigrant status as a protective factor against mental illness, assess intergenerational effects, examine differences across race/ethnicity, and report the prevalence of mood, anxiety, and personality disorders of immigrants across major world regions. We employ data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) and compare first (n=5363) and second-generation (n=4826) immigrants from Asia, Africa, Europe, and Latin America to native-born Americans (n=24,461) with respect to mental disorders. First-generation immigrants are significantly less likely than native-born Americans to be diagnosed with a mood, anxiety, or personality disorder, though the prevalence of mental health diagnoses increases among second generation immigrants. Similar results were observed for immigrants from major world regions as the prevalence of psychiatric morbidity was lower among immigrants from Africa, Latin America, Europe, and Asia compared to native-born Americans. Findings provide evidence in support of the notion that the immigrant paradox may be extended to include mood, anxiety, and personality disorders in the United States.

Alcohol Use Among Hispanic Early Adolescents in the United States: An Examination of Behavioral Risk and Protective Profiles

Few studies have examined the behavioral and protective correlates of alcohol use among young Hispanics. Using a national sample (N = 7,606), logistic regression and latent profile analysis (LPA) are employed to examine the relationships between alcohol use, psychosocial factors, and externalizing behavior among Hispanics during early adolescence. Early drinkers are more likely to report truancy, fighting, smoking, and drug use. LPA results revealed a three class solution. Classes identified included: psychosocial risk (41.11%), moderate protection (39.44%), and highly religious (19.44%). Alcohol use is clearly associated with externalizing behavior; however, an important degree of psychosocial and behavioral heterogeneity nevertheless exists.

The protective effects of religious coping and spirituality on delinquency: Results among high-risk and gang-involved Salvadoran youth

While research conducted in Western nations suggests that religiosity and spirituality protect against delinquent behavior, few studies have examined these relationships in developing world contexts. Using a community sample of 290 high-risk and gang-involved adolescents (11-17 years) and young adults (18-25 years) in San Salvador, El Salvador, structural equation modeling and logistic regression are used to examine the relationships between religious coping, spirituality, social developmental factors, and delinquency. Results suggest that spirituality and, to a lesser extent, religious coping, protect Salvadoran youth at risk for involvement in delinquent behavior. The relationship between spirituality and delinquency was completely mediated by social developmental factors as no direct association was identified between spirituality and delinquency. Spirituality and religious coping are both relevant protective factors among Salvadoran youth; however, spirituality is more consistently protective against delinquency in terms of its relationship to social developmental mediating factors and its direct associations to particular delinquent behaviors.

Adaptation of the Basic Empathy Scale among a Portuguese sample of incarcerated juvenile offenders

The main aim of the present study was to examine the psychometric properties of the Basic Empathy Scale (BES) and of its adapted short version among a forensic sample of incarcerated male juvenile offenders (N = 221). The Portuguese validations of the BES and its adapted short version demonstrated good psychometric properties, namely in terms of the two-factor structure, internal consistency, convergent validity, discriminant validity, and concurrent validity that generally justifies its use among this population. Statistically significant associations were found with callous–unemotional traits and social anxiety. Findings are discussed in terms of the use of the BES and its adapted short version with juvenile offenders.

Everyday discrimination and mood and substance use disorders: A latent profile analysis with African Americans and Caribbean Blacks

BACKGROUND Perceived discrimination is a major source of health-related stress. The purpose of this study was to model the heterogeneity of everyday-discrimination experiences among African American and Caribbean Blacks and to identify differences in the prevalence of mood and substance use outcomes, including generalized anxiety disorder, major depressive disorder, alcohol-use disorder, and illicit drug-use disorder among the identified subgroups. METHOD The study uses data from the National Survey of American Life obtained from a sample of African American and Caribbean Black respondents (N=4,462) between 18 and 65 years. RESULTS We used latent profile analysis and multinomial regression analyses to identify and validate latent subgroups and test hypotheses, yielding 4 classes of perceived everyday discrimination: Low Discrimination, Disrespect and Condescension, General Discrimination, and Chronic Discrimination. Findings show significant differences exist between the Low Discrimination and General Discrimination classes for major depressive disorder, alcohol-use disorder, and illicit drug-use disorder. Moreover, we find significant differences exist between the Low Discrimination and Chronic Discrimination classes for the four disorders examined. Compared with the Chronic Discrimination class, members of the other classes were significantly less likely to meet criteria for generalized anxiety disorder, major depressive disorder, alcohol-use disorder, and illicit drug-use disorder. CONCLUSIONS Findings suggest elevated levels of discrimination increase risk for mood and substance-use disorders. Importantly, results suggest the prevalence of mood and substance-use disorders is a function of the type and frequency of discrimination that individuals experience.

Drugged and Dangerous: Prevalence and Variants of Substance Use Comorbidity among Seriously Violent Offenders in the United States

The evidence is clear that substance use and drug problems often accompany other antisocial behavior generally and violent behavior specifically; however, the specificity of the drug/violence nexus is less clear. Using data from the National Survey on Drug Use and Health (NSDUH) between 2008 and 2012, the current study examined the prevalence and possible heterogeneity of substance use among serious violent offenders in the United States. Three latent classes were discovered: Class 1 (61.18% of sample) who displayed limited substance use morbidity, Class 2 (28.17% of sample) who displayed comorbid alcohol and marijuana use disorders, and Class 3 (10.65% of sample) who displayed polydrug abuse/dependence and severe criminal careers. Additional results indicated that the most serious violent offenders have substance use problems that appear amenable to treatment; however, the most antisocial violent offenders also have the most severe drug problems. Implications of study findings for the epidemiology of antisocial behavior and correctional interventions are discussed.

Religiosity and Violence Among Adolescents in the United States: Findings From the National Survey on Drug Use and Health 2006-2010

There is a pressing need to develop a more nuanced understanding of the relationships between particular expressions of religiosity and the various manifestations of violence among youth. This study examines these relationships among adolescents in the general population as well as across racial/ethnic, gender, and family income differences. Using a nationally representative sample of adolescents (N = 90,202) from the National Survey on Drug Use and Health (2006-2010), logistic regression is used to examine the relationships between religiosity and violence. Results indicate that multiple components of adolescent religiosity are associated with the decreased likelihood of fighting, group fighting, and, to a lesser extent, violent attacks. A number of noteworthy differences were identified across race/ethnicity, gender, and family income. Findings from this investigation shed light on the relationship between particular facets of religiosity and violence that may be useful for violence prevention organizations seeking to integrate religious components into intervention efforts.

Health Associations of Drug-Involved and Criminal Justice Involved Adults in the United States

A burgeoning criminological literature has identified important intersections between public health, crime, and antisocial behavior. This study is based on public-use data collected between 2006 and 2010 as part of the National Survey on Drug Use and Health (NSDUH) and an analytical sample of men (N = 84,054) and women (N = 95,308) between the ages of 18 and 64. Latent class analysis (LCA) identified three classes: a large normative group, a small drug-involved group, and a criminal-justice-involved group. Chronic health conditions that are more closely associated with longer term medical problems and perhaps cumulative stress such as heart disease and diabetes are not linked to criminal-justice-system-involved or drug-involved offenders. Medical problems that are more closely related to an antisocial lifestyle such as sexually transmitted diseases, pancreatitis, and hepatitis were found to be more prevalent among antisocial subgroups in this sample.