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Optimizing Assessment of Risk and Protection for Diverse Adolescent Outcomes: Do Risk and Protective Factors for Delinquency and Substance Use Also Predict Risky Sexual Behavior?

Abstract

Assessments of youth risk and protective factors (RPFs) for substance use, delinquency, and violence have been used by communities to identify priorities and target them with prevention interventions. These same RPFs may also predict other youth problems. This study examined the strength and consistency of relationships of 41 ecological RPFs that predict antisocial behavior and substance use with sexual behavior outcomes in a sample of 2150 urban youth in 10th and 12th grade. After adjusting for controls, findings identify significant associations among the majority of community, school, family, peer, and individual risk factors, and family, peer, and individual protective factors, with sexual behavior outcomes, specifying unique associations among multiple factors with risky sex relative to both safe sex and not being sexually active. Prevention programming that targets common predictors for multiple problems may address a broad array of outcomes, including sexual health risk behaviors.

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References

  • Arthur, M. W., Hawkins, J. D., Pollard, J. A., Catalano, R. F., & Baglioni, A. J., Jr. (2002). Measuring risk and protective factors for substance use, delinquency, and other adolescent problem behaviors: The Communities That Care Youth Survey. Evaluation Review, 26, 575–601.

    PubMed  Google Scholar 

  • Bailey, J. A. (2009). Editorial: Addressing common risk and protective factors can prevent a wide range of adolescent risk behaviors. Journal of Adolescent Health, 45, 107–108.

    Article  Google Scholar 

  • Bailey, J. A., Hill, K. G., Meacham, M. C., Young, S. E., & Hawkins, J. D. (2011). Strategies for characterizing complex phenotypes and environments: General and specific family environmental predictors of young adult tobacco dependence, alcohol use disorder, and co-occurring problems. Drug and Alcohol Dependence, 118, 444–451.

    Article  PubMed  PubMed Central  Google Scholar 

  • Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate—A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B (Methodological), 57, 289–300.

    Article  Google Scholar 

  • Biello, K. B., Sipsma, H. L., & Kershaw, T. (2010). Effect of teenage parenthood on mental health trajectories: Does sex matter? American Journal of Epidemiology, 172, 279–287.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bond, L., Toumbourou, J. W., Thomas, L., Catalano, R. F., & Patton, G. (2005). Individual, family, school, and community risk and protective factors for depressive symptoms in adolescents: A comparison of risk profiles for substance use and depressive symptoms. Prevention Science, 6, 73–88.

    Article  PubMed  Google Scholar 

  • Botvin, G. J., & Griffin, K. W. (2014). Toward the development of preventive interventions to reduce HRSB, HIV/AIDS, and multiple problem behaviors. Prevention Science, 15, S81–S83.

    Article  PubMed  Google Scholar 

  • Capaldi, D. M. (2014). Prevention science supplemental issue commentary promoting healthy sexual practices: What we have learned from 100 years of work. Prevention Science, 15(Suppl. 1), S78–S80.

    Article  PubMed  Google Scholar 

  • Catalano, R. F., Fagan, A. A., Gavin, L. E., Greenberg, M. T., Irwin, C. E., Ross, D. A., & Shek, D. T. L. (2012). Worldwide application of the prevention science research base in adolescent health. The Lancet, 379, 1653–1664.

    Article  Google Scholar 

  • Cocchio, S., Bertoncello, C., Baldovin, T., Buja, A., Majori, S., & Blado, V. (2018). Self-reported genital warts among sexually-active university students: A cross-sectional study. BMC Infectious Diseases, 18, 1–8.

    Article  Google Scholar 

  • Dariotis, J. K., Pleck, J. H., Sonenstein, F. L., Astone, N. M., & Sifakis, F. (2009). What are the consequences of relying upon self-reports of sexually transmitted diseases? Lessons learned about recanting in a longitudinal study. Journal of Adolescent Health, 45, 187–192.

    Article  Google Scholar 

  • DiClemente, R. J., Salazar, L. F., & Crosby, R. A. (2007). A review of STD/HIV preventive interventions for adolescents: Sustaining effects using an ecological approach. Journal of Pediatric Psychology, 32, 888–906.

    Article  PubMed  Google Scholar 

  • Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Flint, K. H., Hawkins, J., et al. (2012). Youth risk behavior surveillance—United States, 2011. MMWR Surveillance Summaries, 61, 1–162.

    Google Scholar 

  • Ellickson, P. L., McCaffrey, D. F., & Klein, D. J. (2009). Long-term effects of drug prevention on risky sexual behavior among young adults. Journal of Adolescent Health, 45, 111–117.

    Article  Google Scholar 

  • Erbelding, E. J., Hummel, B., Hogan, T., & Zenilman, J. (2001). High rates of depressive symptoms in STD clinic patients. Sexually Transmitted Diseases, 28, 281–284.

    Article  CAS  PubMed  Google Scholar 

  • Fagan, A. A., & Catalano, R. F. (2013). What works in youth violence prevention: A review of the literature. Research on Social Work Practice, 23, 141–156.

    Article  Google Scholar 

  • Fagan, A. A., & Eisenberg, N. (2012). Latest developments in the prevention of crime and anti-social behaviour: An American perspective. Journal of Children’s Services, 7, 64–72.

    Article  Google Scholar 

  • Fletcher, J. M., & Wolfe, B. L. (2009). Education and labor market consequences of teenage childbearing. Journal of Human Resources, 44, 303–325.

    Article  Google Scholar 

  • Fortenberry, D. J., Brizendine, E. J., Katz, B. P., Wools, K. K., Blythe, M. J., & Orr, D. P. (1999). Subsequent sexually transmitted infections among adolescent women with genital infection due to chlamydia trachomatis, neisseria gonorrhoeae, or trichomonas vaginalis. Sexually Transmitted Diseases, 26, 26–32.

    Article  CAS  PubMed  Google Scholar 

  • Glaser, R. R., Van Horn, M. L., Arthur, M. W., Hawkins, J. D., & Catalano, R. F. (2005). Measurement properties of the Communities That Care® Youth Survey across demographic groups. Journal of Quantitative Criminology, 21, 73–102.

    Article  Google Scholar 

  • Griffin, K., Botvin, G., & Nichols, T. (2006). Effects of a school-based drug abuse prevention program for adolescents on HIV risk behavior in young adulthood. Prevention Science, 7, 103–112.

    Article  PubMed  Google Scholar 

  • Guo, J., Chung, I.-J., Hill, K. G., Hawkins, J. D., Catalano, R. F., & Abbott, R. D. (2002). Developmental relationships between adolescent substance use and risky sexual behavior in young adulthood. Journal of Adolescent Health, 31, 354–362.

    Article  Google Scholar 

  • Hamilton, B. E., Martin, J. A., Osterman, M. J. K., & Curtin, S. C. (2015). Births: Final data for 2014. Retrieved from http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_12.pdf

  • Hawkins, J. D. (1999). Preventing crime and violence through Communities That Care. European Journal on Criminal Policy and Research, 7, 443–458.

    Article  Google Scholar 

  • Hawkins, J. D., Catalano, R. F., Morrison, D. M., O'Donnell, J., Abbott, R. D., & Day, L. E. (1992). The Seattle Social Development Project: Effects of the first four years on protective factors and problem behaviors. In J. McCord & R. E. Tremblay (Eds.), Preventing antisocial behavior: Interventions from birth through adolescence (pp. 139–161). New York: Guilford Press.

    Google Scholar 

  • Hemphill, S. A., Heerde, J. A., Herrenkohl, T. I., Patton, G. C., Toumbourou, J. W., & Catalano, R. F. (2011). Risk and protective factors for adolescent substance use in the United States and Australia: A longitudinal study. Journal of Adolescent Health, 49, 312–320.

    Article  Google Scholar 

  • Herrenkohl, T. I., Aisenberg, E., Williams, J. H., & Jenson, J. M. (2011). Violence in context: Current evidence on risk, protection, and prevention. New York: Oxford University Press.

    Google Scholar 

  • Hill, K. G., Bailey, J. A., Hawkins, J. D., Catalano, R. F., Kosterman, R., Oesterle, S., & Abbott, R. D. (2014). The onset of STI diagnosis through age 30: Results from the Seattle Social Development Project Intervention. Prevention Science, 15(Suppl. 1), S19–S32.

    Article  PubMed  Google Scholar 

  • Jessor, R. (1991). Risk behavior in adolescence: A psychosocial framework for understanding and action. Journal of Adolescent Health, 12, 597–605.

    Article  CAS  Google Scholar 

  • Jessor, R. (2014). Problem behavior theory: A half-century of research on adolescent behavior and development. In R. M. Lerner, A. C. Petersen, R. K. Silbereisen, & J. Brooks-Gunn (Eds.), The developmental science of adolescence: History through autobiography (pp. 239–256). New York: Psychology Press.

    Google Scholar 

  • Kann, L. (2001). The Youth Risk Behavior Surveillance System: Measuring health-risk behaviors. American Journal of Health Behavior, 25, 272–277.

    Article  CAS  PubMed  Google Scholar 

  • Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Hawkins, J., & Zaza, S. (2016). Youth Risk Behavior Surveillance—United States, 2015. Morbidity and Mortality Weekly Report. Surveillance Summaries, 65, 1–174.

    PubMed  Google Scholar 

  • Kerr, D. C. R., Leve, L. D., & Chamberlain, P. (2009). Pregnancy rates among juvenile justice girls in two randomized controlled trials of multidimensional treatment foster care. Journal of Consulting and Clinical Psychology, 77, 588–593.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kim, B. K. E., Gilman, A. B., Hill, K. G., & Hawkins, J. D. (2016). Examining protective factors against violence among high-risk youth: Findings from the Seattle Social Development Project. Journal of Criminal Justice, 45, 19–25.

    Article  Google Scholar 

  • Lansford, J. E., Dodge, K. A., Fontaine, R. G., Bates, J. E., & Pettit, G. S. (2014). Peer rejection, affiliation with deviant peers, delinquency, and risky sexual behavior. Journal of Youth and Adolescence, 43, 1742–1751.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lipman, E. L., Georgiades, K., & Boyle, M. H. (2011). Young adult outcomes of children born to teen mothers: Effects of being born during their teen or later years. Journal of the American Academy of Child & Adolescent Psychiatry, 50, 232–241.

    Article  Google Scholar 

  • Lonczak, H. S., Abbott, R. D., Hawkins, J. D., Kosterman, R., & Catalano, R. F. (2002). Effects of the Seattle Social Development Project on sexual behavior, pregnancy, birth, and sexually transmitted disease outcomes by age 21 years. Archives of Pediatrics and Adolescent Medicine, 156, 438–447.

    Article  PubMed  Google Scholar 

  • Lösel, F., & Farrington, D. P. (2012). Direct protective and buffering protective factors in the development of youth violence. American Journal of Preventive Medicine, 43(2 Suppl. 1), S8-S23.

  • Low, S. M., Smith, B. H., Brown, E. C., Fernandez, K., Hanson, K., & Haggerty, K. P. (2011). Design and analysis of a randomized controlled trial of Steps to Respect: A School-Based Bullying Prevention Program. In E. L. Espelage & S. M. Swearer (Eds.), Bullying in North American schools (pp. 278–290). New York: Routledge.

    Google Scholar 

  • Ludwig, K. B., & Pittman, J. F. (1999). Adolescent prosocial values and self-efficacy in relation to delinquency, risky sexual behavior, and drug use. Youth & Society, 30, 461–482.

    Article  Google Scholar 

  • Midgley, C., Maehr, M. L., Hruda, L. Z., Anderman, E., Anderman, L., Freeman, K. E., et al. (2000). Manual for the Patterns of Adaptive Learning Scales. Ann Arbor: University of Michigan.

    Google Scholar 

  • Monahan, K. C., Oesterle, S., Rhew, I., & Hawkins, J. D. (2014). The relation between risk and protective factors for problem behaviors and depressive symptoms, antisocial behavior, and alcohol use in adolescence. Journal of Community Psychology, 42, 621–638.

    Article  PubMed  PubMed Central  Google Scholar 

  • Muthén, L. K., & Muthén, B. O. (2012). Mplus user’s guide (7th ed.). Los Angeles: Muthén & Muthén.

    Google Scholar 

  • O’Connell, M. E., Boat , T., & Warner, K. E. (Eds.). (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities. Washington, DC: National Academies Press.

  • Oesterle, S., Hawkins, J. D., Steketee, M., Jonkman, H., Brown, E. C., Moll, M., & Haggerty, K. P. (2012). A cross-national comparison of risk and protective factors for adolescent drug use and delinquency in the United States and the Netherlands. Journal of Drug Issues, 42, 337–357.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pogarsky, G., Thornberry, T. P., & Lizotte, A. J. (2006). Developmental outcomes for children of young mothers. Journal of Marriage and Family, 68, 332–344.

    Article  Google Scholar 

  • Pollard, J. A., Hawkins, J. D., & Arthur, M. W. (1999). Risk and protection: Are both necessary to understand diverse behavioral outcomes in adolescence? Social Work Research, 23, 145–158.

    Article  Google Scholar 

  • Rodgers, K. B., & McGuire, J. K. (2012). Adolescent sexual risk and multiple contexts: Interpersonal violence, parenting, and poverty. Journal of Interpersonal Violence, 27, 2091–2107.

    Article  PubMed  Google Scholar 

  • Sampson, R. J., Raudenbush, S. W., & Earls, F. (1997). Neighborhoods and violent crime: A multilevel study of collective efficacy. Science, 277, 918–924.

    Article  CAS  PubMed  Google Scholar 

  • Schuster, R. M., Mermelstein, R., & Wakschlag, L. (2013). Gender-specific relationships between depressive symptoms, marijuana use, parental communication and risky sexual behavior in adolescence. Journal of Youth and Adolescence, 42, 1194–1209.

    Article  PubMed  Google Scholar 

  • Staton, M., Leukefeld, C., Logan, T. K., Zimmerman, R., Lynam, D., Milich, R., et al. (1999). Risky sex behavior and substance use among young adults. Health and Social Work, 24, 147–154.

    Article  CAS  PubMed  Google Scholar 

  • Steinberg, L., Lamborn, S. D., Dornbusch, S. M., & Darling, N. (1992). Impact of parenting practices on adolescent achievement: Authoritative parenting, school involvement, and encouragement to succeed. Child Development, 63, 1266–1281.

    Article  CAS  PubMed  Google Scholar 

  • Thurstone, C., Salomonsen-Sautel, S., Mikulich-Gilbertson, S. K., Hartman, C. A., Sakai, J. T., Hoffenberg, A. S., et al. (2013). Prevalence and predictors of injection drug use and risky sexual behaviors among adolescents in substance treatment. The American Journal on Addictions, 22, 558–565.

    Article  PubMed  PubMed Central  Google Scholar 

  • Valois, R. F., Oeltmann, J. E., Waller, J., & Hussey, J. R. (1999). Relationship between number of sexual intercourse partners and selected health risk behaviors among public high school students. Journal of Adolescent Health, 25, 328–335.

    Article  CAS  Google Scholar 

  • Williams, J. W., Canterford, L., Toumbourou, J. W., Patton, G. C., & Catalano, R. F. (2015). Social development measures associated with problem behaviours and weight status in Australian adolescents. Prevention Science, 16, 822–831.

    Article  PubMed  Google Scholar 

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Correspondence to Christopher M. Fleming.

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This work was supported by a grant from the Annie E. Casey Foundation (award number GA-2018-B0289 209.0428).

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Survey administration procedures and study protocols were approved by the University of Washington Institutional Review Board and the local public school district.

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Fleming, C.M., Eisenberg, N., Catalano, R.F. et al. Optimizing Assessment of Risk and Protection for Diverse Adolescent Outcomes: Do Risk and Protective Factors for Delinquency and Substance Use Also Predict Risky Sexual Behavior?. Prev Sci 20, 788–799 (2019). https://doi.org/10.1007/s11121-019-0987-9

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  • DOI: https://doi.org/10.1007/s11121-019-0987-9

Keywords

  • Risk factors
  • Protective factors
  • High-risk sexual behavior
  • Adolescents