Jessica Duncan Cance

Assessing the Effects of Families for Safe Dates, a Family-Based Teen Dating Abuse Prevention Program

PURPOSE To examine the effects of a family-based teen dating abuse prevention program, Families for Safe Dates, primarily on outcomes related to testing the conceptual underpinnings of the program including (1) factors motivating and facilitating caregiver engagement in teen dating abuse prevention activities, and 2) risk factors for teen dating abuse, and secondarily on dating abuse behaviors. METHODS Families were recruited nationwide using listed telephone numbers. Caregivers and teens completed baseline and 3-month follow-up telephone interviews (n = 324). Families randomly allocated to treatment condition received the Families for Safe Dates program including six mailed activity booklets followed-up by health educator telephone calls. RESULTS There were significant (<.05) treatment effects in hypothesized directions on most of the factors motivating and facilitating caregiver engagement in teen dating abuse prevention activities including caregiver perceived severity of dating abuse, response efficacy for preventing dating abuse, self-efficacy for talking about dating abuse, knowledge of dating abuse, acceptance of dating abuse, communication skills with the teen, and belief in the importance of involvement in their male (but not female) teens dating. The latter effect was the only one moderated by sex of the teen. The targeted risk factor affected by the program was teen acceptance of dating abuse. Treatment was also significantly associated with less physical dating abuse victimization. CONCLUSIONS Modifications to the program are warranted, but overall, the findings are very favorable for the first family-based teen dating abuse prevention program to be evaluated.

Perceived pubertal timing and recent substance use among adolescents: a longitudinal perspective

AIMS To determine the longitudinal associations between perceived pubertal timing and recent substance use between the ages of 11 and 17 years. DESIGN, SETTING AND PARTICIPANTS A school-based cohort sequential study of adolescents in rural North Carolina, USA (n = 6892, 50% female) in the 6-8th grades at baseline and interviewed across five consecutive semesters. MEASUREMENTS Self-administered questionnaires in a group setting measured perceived pubertal development using the Pubertal Development Scale and adolescents reported past 3-month use of cigarettes, alcohol and marijuana. Latent class growth analysis determined the longitudinal relationships between perceived pubertal timing (early, on-time and late) and use of the three substances. FINDINGS A negative quadratic model was the best-fitting model for all three substances. Higher proportions of early developers had used cigarettes and marijuana within the past 3 months at age 11 compared with on-time (P < 0.001 and P = 0.013) and late developers (P = 0.010 and P = 0.014) and a higher proportion of early developers had recently used alcohol at age 11 compared with on-time adolescents (P < 0.001). However, the proportion of recent cigarette and marijuana users increased more across adolescence for on-time adolescents compared with early developers (P = 0.020 and P = 0.037). Desistance in the proportion of substance users was similar for all adolescents (all P > 0.050). CONCLUSIONS Adolescents who believe they are more advanced in puberty than their peers are more likely to have used cigarettes, alcohol and marijuana recently compared with adolescents who believe they are on-time or late developing; these findings are mainly due to differences in use at age 11.

What's the 411? Assessing the Feasibility of Providing African American Adolescents with HIV/AIDS Prevention Education in a Faith-Based Setting

This study examines African American faith based leaders’ attitudes and beliefs about providing HIV prevention education and services to adolescents. Using a convenience sample, we identified priority adolescent health issues, attitudes about abstinence messages, and willingness to provide and participate in HIV prevention. Leaders identified drugs, gangs, alcohol, sex, and pregnancy as priority health issues affecting youth in their institutions. Leaders’ strongly preferred to emphasize abstinence messages. Although leaders were willing to provide youth with health education, they were not willing to discuss specific behaviors associated with HIV transmission. African American churches provide a venue to reach African American youth; however, there are limitations to relying on faith-based HIV prevention services. HIV prevention education should continue to be supplemented via parents, schools, and public health agencies.

Trajectories of School Connectedness across the Middle School Years: Examining the Roles of Adolescents' Internalizing and Externalizing Problems.

Students become increasingly disconnected from their schools across the middle school years, but little is known about the factors contributing to changes in school connectedness. This study examined the time-invariant and time-varying roles of depressive symptoms and externalizing problems in trajectories of student-perceived school connectedness across the middle school years. Three yearly waves of data were collected from 296 students beginning in the sixth grade. Hierarchical linear modeling results indicated that school connectedness declined across time. Initial levels of adjustment problems at school entry were concurrently associated with lower levels of connectedness. Initial levels of externalizing problems did not account for rate of decline, but elevated levels of externalizing problems across the middle school years were associated with lower concurrent levels of connectedness. Surprisingly, initial levels of depressive symptoms predicted a slower rate of decline in connectedness for boys. Findings highlight the detrimental associations between adjustment problems and school connectedness.

Depressive Symptoms among US Military Spouses during Deployment The Protective Effect of Positive Emotions

Using the Broaden-and-Build Theory of Positive Emotions, the relationships among stress, positivity, and depressive symptoms were examined in a sample of military spouses during deployment (N = 367). Over one-third of the spouses reported moderately severe levels of depressive symptoms. After controlling for demographic and deployment variables, stress had a positive association with depressive symptoms (β = .59, p < .001), while positivity had a negative association (β = −.39, p < .001). Positivity was also found to play a moderating role on the relationship between stress and depressive symptoms (β = −.29, p < .001). Spouses with lower positivity reported more depressive symptoms at both low and high levels of stress compared to those with higher positivity. The final model, including both direct and moderating variables, accounted for 69 percent of the total variance in depressive symptoms. Practical implications are discussed in terms of the importance of developing positivity in military spouses.

Longitudinal Conjoint Patterns of Alcohol and Tobacco Use Throughout Emerging Adulthood

ABSTRACT Background: The concurrent use of alcohol and tobacco has a multiplicative effect on both social and physical consequences. While it is known that alcohol and tobacco use are strongly correlated in emerging adulthood, there is significant individual variability in use. However, little research has examined how patterns of concurrent use are related over time. Objectives: The current study explores these longitudinal conjoint trajectories, as well as the associated sociodemographic factors. Methods: We used sequential latent class growth analysis to explore the co-occurring longitudinal patterns of recent alcohol and tobacco use across emerging adulthood (10 data collection periods, 2004-2009) with a diverse sample of 2,244 college students (60% female; 54% White). Results: Twenty distinct patterns of conjoint alcohol and tobacco use were found. There was more variation in tobacco use trajectories among alcohol users than variation in alcohol trajectories among tobacco users. Using multinomial logistic regression models we determined the impact of sociodemographic characteristics on classification into each conjoint pattern versus the normative trajectory (Abstaining tobacco/Low alcohol). Male gender, White race, fraternity/sorority affiliation, and higher family income were significantly associated with riskier conjoint trajectory patterns. Conclusions/Importance: Findings highlight the diversity of alcohol and tobacco use behaviors across emerging adulthood. The low variation in alcohol use among tobacco users indicates that tobacco use is a significant risk factor for heavier drinking. A better understanding of the covarying use of these two ubiquitous substances may provide new avenues for preventing and reducing the use of both.

The Role of Positive Emotions in Reducing Depressive Symptoms Among Army Wives

The homecoming period following combat deployment can be as stressful to military spouses as the deployment itself. This study used the broaden-and-build theory of positive emotions to examine whether personal resources (adaptive coping, maladaptive coping, and resilience) mediate the relationship between positive emotions and depressive symptoms in Army wives (N = 252) following the homecoming of a deployed active-duty service member. Using path analysis, after controlling for demographic variables and marital satisfaction, positive emotions were related to all 3 personal resources (positively to adaptive coping and resilience, negatively to maladaptive coping). In turn, adaptive coping and resilience were related to fewer depressive symptoms and maladaptive coping to greater depressive symptoms. The direct path between positive emotions and depressive symptoms was nonsignificant, suggesting complete mediation. The final model accounted for 54% of the total variance in depressive symptoms. Results support the important role that positive emotions play in decreasing depressive symptoms in this high-risk population.

The differential associations of internalizing symptoms and family and school relationships with disordered eating attitudes among early adolescents

Driven by the social development model, this study examines the associations of family functioning, school climate, and internalizing symptoms with disordered eating attitudes in early adolescence. Results from a representative sample of 848 sixth- and seventh-grade students indicate that disordered eating attitudes are positively correlated with family conflict and maternal psychological control and perceived friction and competition among classmates, in addition to female gender, depressive symptoms and social anxiety. Contrary to our hypotheses, perceived cohesion among classmates is positively associated with disordered eating attitudes. These findings highlight the importance of interpersonal relationships at the school and family level, as well as internalizing symptoms, in shaping disordered eating attitudes during adolescence.

Demographic differences in self-report pubertal status among rural adolescents in the US.

Background: While sex and racial/ethnic differences in pubertal development have been noted, most of this research has been in urban areas. Aim: The purpose of this study is to examine demographic differences in pubertal status among a school-based sample of US rural adolescents aged 11–17 (n = 6425). Methods: Pubertal status was measured using the Pubertal Development Scale (PDS), a self-report scale of secondary sexual characteristics. This study compared pubertal status means by age, sex and race/ethnicity. Results: At all ages, females had a higher mean pubertal status than males. Most racial/ethnic differences were between White and Black youth. Between the ages of 11 and 13, Black youth reported more advanced development than White youth. However, contrary to research with urban samples, this pattern of development reversed in later adolescence and the reversal was more prominent among males than females. Although there were no differences in pubertal status between White and Latino males, White females had higher mean levels of development than Latino females. Conclusion: Demographic patterns were both consistent with and different from previous research with urban adolescents, suggesting the need for comparison of demographic patterns of pubertal development in samples that include youth from urban and rural areas.

Mentoring Early-Career Preventionists: Current Views from Mentors and Protégés

In prevention science, much of the training occurs outside of a formal graduate program and mentorship is invaluable to early-career individuals. A sample of the Society for Prevention Research (SPR) membership (N = 97) from a wide range of career levels completed an online questionnaire in spring 2010. Almost 20% identified as mentors, 32% as protégés, and 49% as both a mentor and a protégé. Most mentoring relationships were established in graduate school, but professional organizations such as SPR facilitated nearly one in five mentoring relationships. Qualitative results suggested that participants value their professional organization’s support of mentoring and would support initiatives to increase mentoring relationships specifically among SPR members. Although all mentor functions and protégé responsibilities were rated as important, professional support was the highest ranked mentor function and taking initiative the highest ranked protégé responsibility. Additionally, the qualitative results revealed that interpersonal skills and commitment to the mentoring process were seen as key to positive mentoring relationships. We also found that formal documentation of mentoring agreements was rare and a slight preference for a match on gender or ethnicity was observed for protégés from nondominant groups. The discussion includes implications for individuals and implications for promoting high-quality mentoring within professional organizations.