Mentor’s Self-Efficacy Trajectories During a Mentoring Program for At-Risk Adolescents Abstract The concept of self-efficacy is dynamic and may change over time. Mentors of youth exposed to risk factors are likely to experience shifts in the degree to which they feel confident in their ability to form a positive mentoring bond with their mentee, potentially affecting the quality of the relationship. Based on previous literature, mentors’ personality traits, their perceptions of positive mentee behaviors, and youth risk may influence changes in mentor self-efficacy over time. Our study includes 238 adolescents aged 11–18 years and their mentors who were recruited for a randomized controlled trial of a mentoring-based intervention for at-risk adolescents, known as Campus Connections. We used latent class growth analysis to identify mentor subgroups with different self-efficacy trajectories. Three subgroups emerged: mentors relatively high in self-efficacy throughout the mentoring relationship, the stable group; those high in self-efficacy at the beginning of the relationship and increasingly so, the increasing group; and those moderately high in self-efficacy and decreasingly so, the decreasing group. Greater mentor conscientiousness, extraversion, and agreeableness were associated with greater likelihood of belonging to the increasing group relative to the decreasing group. Greater mentor emotionality was associated with greater likelihood of belonging to the decreasing relative to the increasing group. Mentors and mentees were also more likely to report having a positive mentoring alliance in the increasing relative to the decreasing group. We found that mentor personality traits play an important role in how mentors perceive their ability to serve as a mentor, which may have implications for mentor recruitment and training in programs designed for at-risk youth.

Risk of Atherosclerotic Cardiovascular Disease Among US Adults: Use of 1999–2014 NHANES Data Abstract One in four deaths in the US is caused by cardiovascular disease (CVD), and early detection may be a key aspect of prevention. We assessed the probability of a first hard atherosclerotic cardiovascular disease (ASCVD) event within 10 years in US Non-Hispanic White and African American population aged 40–79 years. With data from 16 years of the National Health and Nutrition Examination Survey (NHANES), we utilized the 2013 Pooled Cohort Equations developed by the American College of Cardiology and the American Heart Association to calculate risk scores for a representative sample. NHANES is a repeated, cross-sectional survey aimed at assessing the health and nutritional status of the country. Out of 17,087 eligible participants, a sample of 1876 (11%) remained for the analysis after excluding participants missing data required to compute the scores. Our results showed that 25.2% of the sample had a greater than 10% risk of contracting ASCVD within 10 years, and we also found sex-, race-, and age-based disparities. The ASCVD risk scores can thus be used to evaluate the general cardiac health of the population. Results showed that a quarter of the US adult population was at risk to contract ASCVD in the next 10 years, indicating the need for targeted preventative measures. With the aging population and rise in obesity rates, these results may also indicate trend continuation of high CVD-related morbidity and mortality.

Parenting Practices and Emerging Adult Sexual Health: The Role of Residential Fathers Abstract Emerging adulthood is a developmental period with high rates of sexual risk behavior. Effective parenting practices can reduce the likelihood of this behavior, but most research on the protective effects of parenting focuses on mothers. Research is needed to assess the role of paternal parenting in regards to their children’s sexual risk behavior, particularly for children of teen mothers, who show a greater likelihood of risky sexual behaviors than those with older mothers. We investigated associations between residential fathers’ parenting processes—communication, disapproval of teen sexual behavior, parental presence, and closeness—during adolescence and sexual risk behaviors reported by their children in emerging adulthood. Using multiple group structural equation modeling with data from 7399 participants at Wave I and Wave III of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we examined whether and how residential fathers’ parenting relates to their children’s sexual risk behavior independent of mothers’ parenting processes, and whether these associations differ across children’s sex and for children of teen and older mothers. We found that adolescents’ perceptions of higher father disapproval of teen sexual behavior predicted lower levels of sexual risk behavior during emerging adulthood with no significant differences across emerging adults’ sex or for children of teen relative to older mothers. Our findings suggest that teens’ relationships with their fathers during adolescence are important for their future sexual health, despite a general understanding of emerging adulthood as a period characterized by independence and separation from parents. Additionally, our results suggest that even though children of teen mothers show greater likelihood of risky sexual behaviors than those of older parents, the processes through which fathers can support teens’ sexual health may be similar.

Mindful Awareness: Can a Neuro-Developmentally Timed Approach Prevent Youth Substance Misuse Abstract Youth substance use remains a significant public health issue. Although there are numerous evidence-based substance use preventive interventions, room for program improvement remains. Mindfulness practice, due to its feasibility of implementation, capacity to promote neuro-networks associated with delayed substance use initiation and progression to substance use disorders, and efficacy in promoting protective and reducing risk factors associated with substance use, may constitute one strategy for increasing the effectiveness of substance use preventive interventions. However, mindfulness-based approaches to substance use prevention have yet to be systematically tested with youth. In this conceptual paper, we first define mindfulness and its potential, through practice, to strengthen neuro-circuitry associated with substance use disorders. We then review evidence supporting the effectiveness of mindfulness-based preventive interventions to promote protective factors and reduce risk factors known to predict youth substance use. Thus, a case is made for neuro-developmentally timed, mindfulness-based substance use preventive interventions, with the ultimate goal of preventing future substance misuse and associated health consequences.

Exchange and Survival Sex, Dating Apps, Gender Identity, and Sexual Orientation Among Homeless Youth in Los Angeles Abstract We estimated the association between gender and sexual identities, and engagement in exchange and survival sex and seeking these partners via dating apps or websites, within a sample of homeless youth. In 2017, 253 homeless youth were interviewed from three different drop-in centers in Los Angeles. Multivariable regression analyses assessed associations between gender/sexual identity, and exchange and survival sex, adjusting for demographic characteristics. Sexual minority (43.6%) and gender minority (12.1%) youth reported elevated rates of exchange sex compared to cisgender heterosexual youth. Twenty-three percent of youth who engaged in survival or exchange sex used dating apps or websites to find partners. Exchange sex was associated with having recent HIV positive sex partners. Reporting an HIV positive partner and a relatively high number of sexual partners were significant predictors of engaging in survival sex. Programs and interventions for homeless youth should address engagement with technology and exchange and survival sex, and should respond to the unique needs of sexual and gender minority homeless youth.

Understanding Wait Times in Rapid Re-Housing Among Homeless Youth: A Competing Risk Survival Analysis Abstract Approximately 3.5 million youth experience homelessness in the United States. Assisting youth to exit homelessness as quickly as possible through various housing venues aims to prevent adverse health impacts that prolonged homeless experiences may have on youth. Rapid re-housing (RRH) is a recent, short-term, less costly housing option than permanent supportive housing that provides temporary housing supports and services to counter homelessness. Although previous literature indicates that youth are likely to achieve stable homelessness exits via RRH, the duration of wait times for youth and potential disparities in RRH waiting periods remain unclear. We used administrative data from 16 communities across the United States (N = 10,920) to gain a greater understanding about RRH wait times among homeless youth. In addition, we adopted a competing risk survival analysis to investigate potential disparities (i.e., race and ethnicity, gender, rurality, sexual orientation, and previous homelessness condition) in RRH wait times while taking into consideration the presence of other homelessness exit options (e.g., permanent supportive housing). Study results indicate that RRH is a common homelessness exit for homeless youth and is prioritized for youth assessed as mid-vulnerability, per commonly accepted assessment measures of youth vulnerability. However, youth who received RRH waited, on average, 131 days following their housing eligibility assessment. Furthermore, being a minor (i.e., 17 years old or younger), experiencing homelessness in rural communities, and lower engagement in homeless services (e.g., emergency shelters and transitional living programs) were all associated with lower probability of exiting into RRH over time, taking into account the possibility of other competing homelessness exits. Expansion of the short-term housing supports offered through RRH may be a promising strategy to counter homelessness among youth in a timely manner. However, such an expansion should also address the potential disparities underlying youths’ wait time to receive RRH in order to reduce prolonged homelessness experiences within this vulnerable population.

“I feel like… their relationship is based on the media”: Relationship Between Media Representation and Adolescents’ Relationship Knowledge and Expectations Abstract Teen dating violence (TDV) is a serious public health issue associated with negative physical and behavior outcomes that disproportionately impact African-American adolescents. Despite the emergence of effective TDV prevention strategies, more knowledge is needed about how African American adolescents understand healthy and unhealthy relationships. Adolescents’ analysis of media representations can provide important insight into social norms around adolescent romantic relationships, which can inform the development of TDV prevention strategies. We conducted nine focus groups (n = 86) to explore perceptions of healthy and unhealthy relationships and the influence of media representations on romantic relationships. We transcribed focus group interviews verbatim and coded them line by line. Participants were primarily African American (90%), female (67%), and high school aged (13–17 years). Consistent with other studies, participants reported significant engagement across traditional and social media platforms that exposed them to a wide variety of fictional, celebrity, and peer relationships. A modified constructivist grounded theory analytic approach produced four major relationship themes: commitment, authenticity, privacy, and maturity. These themes captured participants’ reflections about romantic relationships and how the media interact with relationship processes and perceptions. Results show that adolescents are using media representations of romantic couples to clarify their own romantic relationship expectations and desires. Future prevention strategies should support youths’ use of critical thinking, perspective taking, and analysis to help align their relationship choices and expectations with their own values and preferences.

Correction to: Meta-Review on the Effectiveness of Classroom-Based Psychological Interventions Aimed at Improving Student Mental Health and Well-Being, and Preventing Mental Illness The original version of the article, unfortunately, missing the funding information. Funding note is given below.

An Applied Contextual Model for Promoting Self-Regulation Enactment Across Development: Implications for Prevention, Public Health and Future Research Abstract This theoretical paper presents a public health approach for promoting self-regulation across development that is based in cross-disciplinary theory and research. The self-regulation promotion model includes three key approaches that are each dependent on the relationship that children and youth have with caregivers: teaching self-regulation skills, building supportive environments, and providing co-regulation. This model extends the science of self-regulation insofar as it: (1) focuses on promoting wellbeing (not only reducing risks) across domains of functioning, (2) addresses self-regulation intervention across childhood and through young adulthood, (3) integrates multiple theories and applies them to intervention in meaningful ways, and (4) identifies specific strategies that can be used in natural developmental contexts and that address the social ecological environment as well as the individual child. We describe seven key principles that support the model including a description of self-regulation processes and implications for promoting self-regulation at each developmental stage. We end with broad implications for intervention, highlighting the relevance of the self-regulation promotion model for practitioners, policy makers, and prevention researchers.

Lowering Risk for Significant Behavior Problems Through Cognitive-Behavioral Intervention: Effects of the Tools for Getting Along Curriculum 2 Years Following Implementation Abstract To address the needs of students at risk for significant behavior problems, educators need efficient, effective, and feasible preventive classroom interventions that increase students’ ability to regulate their own behavior. Tools for Getting Along is a universally delivered cognitive-behavioral curriculum designed to address early emotional and behavioral risk among fourth and fifth grade students within the general classroom setting. We used latent growth model statistical methodology to investigate the effects of Tools for Getting Along 2 years following treatment cessation on students who evidenced baseline risk relative to peers. We followed an average of 455 students across measure-specific baseline risk groups at pretest, posttest, 1-year post-treatment, and 2-years post-treatment. Growth models fit data for four (behavior regulation, metacognition, aggression, and behavioral adjustment) of the eight factors used to assess emotional and behavioral outcomes. Findings indicated a long-term positive treatment effect for students at baseline risk on behavior regulation and general behavioral adjustment. We discuss how findings related to long-term treatment benefits add to prior research on Tools for Getting Along and to the evaluation of preventive treatment effects on emotional and behavioral risk over time.