Association between School Achievement and Tobacco Susceptibility among US Adolescents: Ethnic Differences

BACKGROUND

Although risky behaviors such as educational problems and tobacco use tend to co-occur, these associations may vary across diverse ethnic groups, in part because ethnic minorities tend to reside in worse neighborhoods and tend to attend worse schools than Non-Latino White adolescents.

AIM

To compare the association between baseline school achievement (student grades) and subsequent tobacco use susceptibility (openness to smoke in future) by ethnicity, we compared African American, Latino, and Non-Latino White adolescents in the US over a four-year period.

METHODS

This longitudinal study followed 3636 adolescents who were never smokers at baseline for a period of four years. Baseline and four-year data of the Population Assessment of Tobacco and Health (PATH) study were used for this analysis. All participants were 12 to 17 years old at baseline and were either Non-Latino White (Majority), African American (Minority), or Latino (Minority). The outcome was a tobacco use susceptibility score at wave 4 which was defined as openness to use tobacco in the future, measured at year four. The predictor was school achievement at wave 1, measured as grades from F to A+. The moderator was ethnicity (African American, Latino, Non-Latino White), and covariates were age, gender, parental education, and family structure.

RESULTS

Our linear regressions in the pooled sample showed an inverse association between baseline school achievement and subsequent tobacco use susceptibility four years later. However, this inverse association was weaker for ethnic minorities than for Non-Latino White adolescents, as documented by interaction effects between ethnic minority status and baseline school grades.

CONCLUSION

Higher educational success better correlates with lower tobacco use susceptibility of non-Latino White than African American and Latino adolescents, which may reflect some tobacco use susceptibility of Latino and African American adolescents with highly educated parents. Future research should investigate how social context such as high-risk school environment, neighborhood risk, peer risk, and other mechanisms increase behavioral risk of educationally successful African American and Latino adolescents.

Understanding the association between adverse childhood experiences and subsequent attention deficit hyperactivity disorder: A systematic review and meta-analysis of observational studies

OBJECTIVES

Attention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in childhood, which may be related to adverse childhood experiences (ACEs). Our study aims to explore the association between ACEs and subsequent ADHD, and analyze the potential moderators.

METHODS

Literature search was conducted by a combined computer-assisted and manual method. Studies were included if they had reported the association between ACEs and subsequent ADHD. Overall estimates of odds ratios (ORs) were obtained using random-effects meta-analyses, meta-regressions and further stratified analyses were conducted to examine potential moderator variables.

RESULTS

Totals of 70 studies involving nearly 4 million participants from among 6,452 unique articles were included. In the primary analyses, ACEs were found to be associated with subsequent ADHD (OR = 1.68, 95% CI: 1.54-1.83), and the negative effects of different forms of ACEs for ADHD were nonequivalent. Such as lived in the stepfamily, been adopted or fostered, and experienced sexual abuse were more deleterious than others. It was found that individuals who had experienced multiple ACEs or who are female were more vulnerable to ADHD.

CONCLUSIONS

The findings provide critical evidence for understanding the association between ACEs and ADHD. ACEs could increase the susceptibility of ADHD, especially for individuals who ever experienced multiple ACEs and females.

Bullying in clinical high risk for psychosis participants from the NAPLS-3 cohort

PURPOSE

Bullying is associated with a heightened risk for poor outcomes, including psychosis. This study aimed to replicate previous findings on bullying prevalence in clinical high-risk (CHR) individuals, to assess the longitudinal course of clinical and functional variables between bullied and non-bullied CHR and the association of bullying with premorbid functioning, clinical outcome, transition to psychosis and risk of violence.

METHODS

The sample consisted of 691 CHR participants and 96 healthy controls. Participants reported whether they had experienced bullying and how long it had lasted. Assessments included DSM-5 diagnoses, attenuated psychotic symptoms, negative symptoms, social and role functioning, depression, stress, premorbid functioning, and risk of violence. The bullied and non-bullied CHR groups were compared at baseline and further longitudinally on clinical and functioning variables and transition to psychosis.

RESULTS

Bullying was more prevalent among CHR individuals than healthy controls. Bullied CHR had a higher prevalence of PTSD and more severe depression and stress at baseline than non-bullied CHR. There was no impact of bullying on clinical and functional variables over time. Bullying was not related to final clinical status or transition to psychosis. However, bullied participants had poorer premorbid functioning and a greater risk of violence.

CONCLUSION

While bullying may not impact the likelihood of CHR individuals to transition to psychosis, it may be a risk factor for development of the at-risk state and may be related to a greater risk of violence. Future studies should consider bullying perpetration among CHR individuals.

Victimization in traditional and cyberbullying as risk factors for substance use, self-harm and suicide attempts in high school students

Background:

Traditional bullying (or peer bullying) is considered a common and unpleasant experience among students and has serious consequences such as mental health problems and unhealthy behavior. In recent years, another type of bullying named cyberbullying has emerged as a growing problem with negative effects on school achievement, physiology, and mental health of its victims.

Objective:

The purpose of this research is to examine and compare the roles of traditional and cyberbullying victimization in substance use, self-harm and suicide attempts.

Methods:

This was a cross-sectional study and conducted in 2019. A total of 425 high school students were selected for the study in Kermanshah, Iran. For conducting the survey, a multi-stage cluster randomized procedure was used and 18 classes in six different high schools in three urban areas were selected. A total of 400 students (mean age 16.61 years, 53.2% girls) responded to the survey, and it provided usable information for the research. Data were analyzed through binary logistic regression analyses.

Results:

The analysis results revealed that 54.2% of students (n = 217) have experienced traditional or cyber victimization. Any kind of victimization was associated with self-harm. Cyber victimization alone and the combination of cyber plus traditional victimization showed significant association with suicide and substance use. Risk of substance use, self-harm, and suicide was higher when students experienced both types of bullying than when they experienced just one kind of bullying alone.

Conclusions:

The results of this study suggest that traditional and cyber victims may require immediate intervention to reduce the negative effects of victimization. Also, prevention programs should consider the possible relationship between traditional and cyber victimization and substance use, self-harm, and suicide.

Investigating Mechanisms for Maternal Education Disparities in Enacting Health-Promoting Infant Care Practices

BACKGROUND

Although higher education and healthier practices are positively associated, the explanatory mechanisms for this association remain unclear. The purpose of this study was to better understand mechanisms underlying this association by examining maternal adherence to 2 health-promoting infant care practices: supine placement and breastfeeding.

METHODS

We analyzed nationally representative data from the Study of Attitudes and Factors Effecting Infant Care, which surveyed US mothers after infant birth and 2 months thereafter. Using the Theory of Planned Behavior as a framework, we used structural equation models to elucidate mediational pathways from maternal education to supine infant placement or any breastfeeding.

RESULTS

Data from 3297 mothers demonstrated 77.0% of infants usually were placed supine, and 57.8% received any breastfeeding. The overall direct effect of maternal educational level on supine placement and any breastfeeding was odds ratio (OR) 1.31 (95% confidence interval [CI] 1.11-1.54) and OR 2.82 (95% CI 2.35-3.37), respectively. In pathway analyses, the strongest associations with both supine position and breastfeeding were seen with positive attitudes (supine: aOR 18.96, 95% CI 9.00-39.92; breastfeeding: aOR 3.86, 95% CI 2.19-6.82) and positive social norms (supine: aOR 6.69, 95% CI 4.52-9.89; breastfeeding: aOR 5.17, 95% CI 4.28-6.23). Mothers with more education had higher odds of both positive attitudes and positive norms for the 2 practices.

CONCLUSIONS

The associations linking educational attainment with health practices are intricate, with multiple mediating pathways. Attitudes and social norms are powerful forces that mediate the association between maternal educational attainment and both infant supine positioning and breastfeeding, and may be important mediators for other health behaviors.

Associations of health behaviors, school performance and psychosocial problems in adolescents in The Netherlands

School-based health-promoting interventions show promising results in improving various health outcomes of adolescents. Unfortunately, much is still unknown about the relations between health behaviors and school performances, while improving these would give schools a stronger incentive to invest in health promotion. This paper presents the associations of several health behaviors with school performances and studies the mediating effects of psychosocial problems. Health behavior and socio-demographic data were gathered from 905 Dutch high school students via an online survey, completed in-class. These data were matched with school records of the students' overall grade average (GA) on the three core subjects in Dutch high schools (Dutch, English and Math). The associations between health behaviors and school performances, and the potentially mediating effects of psychosocial problems, were studied via mixed-effects regression models. Smoking, being bullied, compulsive and excessive internet use and low physical activity were directly associated with lower school grades. Additionally, being bullied, bullying, smoking, excessive and compulsive internet use were associated with students' grades via mediation of psychosocial problems. This means that lower school grades were (also) associated with those behaviors through the effects of psychosocial problems in those students. This study showed the strong links between health behaviors and academic achievements among adolescents. Schools and health promoters should be educated more on these relations, so that they are aware of this common interest to get more support for health-promoting interventions. Additionally, the role of psychosocial problems in the relations between behaviors and school performances should be studied further in future research.

Individual Correlates of Bullying Behaviour in Turkish Middle Schools

This study investigated the relationship between bullying involvement (bully, victim, bully/victim, and not involved) and gender, academic achievement, self-efficacies (academic, social, and emotional self-efficacies). Data were collected by administering the Revised Olweus Bully/Victim Questionnaire (Olweus, 1996), the Self-Efficacy Questionnaire for Children (Murris, 2001), and a demographic information form to 721 middle school students (50.3% female, 49.7% male). The associations between bullying involvement and the independent variables were evaluated using a multiple correspondence analysis. Results showed that females tended to be not involved or victims, whereas males tended to be bullies or both bullies and victims. There were moderate associations between all self-efficacies, academic achievement, and bullying involvement. In particular, high self-efficacies and high academic achievement were related to being not involved in bullying, while low self-efficacies and low academic achievement were associated with either being a victim or both bully and victim.

Clustering of health-related behaviors, health outcomes and demographics in Dutch adolescents: a cross-sectional study

Background

Recent studies show several health-related behaviors to cluster in adolescents. This has important implications for public health. Interrelated behaviors have been shown to be most effectively targeted by multimodal interventions addressing wider-ranging improvements in lifestyle instead of via separate interventions targeting individual behaviors. However, few previous studies have taken into account a broad, multi-disciplinary range of health-related behaviors and connected these behavioral patterns to health-related outcomes. This paper presents an analysis of the clustering of a broad range of health-related behaviors with relevant demographic factors and several health-related outcomes in adolescents.

Methods

Self-report questionnaire data were collected from a sample of 2,690 Dutch high school adolescents. Behavioral patterns were deducted via Principal Components Analysis. Subsequently a Two-Step Cluster Analysis was used to identify groups of adolescents with similar behavioral patterns and health-related outcomes.

Results

Four distinct behavioral patterns describe the analyzed individual behaviors: 1- risk-prone behavior, 2- bully behavior, 3- problematic screen time use, and 4- sedentary behavior. Subsequent cluster analysis identified four clusters of adolescents. Multi-problem behavior was associated with problematic physical and psychosocial health outcomes, as opposed to those exerting relatively few unhealthy behaviors. These associations were relatively independent of demographics such as ethnicity, gender and socio-economic status.

Conclusions

The results show that health-related behaviors tend to cluster, indicating that specific behavioral patterns underlie individual health behaviors. In addition, specific patterns of health-related behaviors were associated with specific health outcomes and demographic factors. In general, unhealthy behavior on account of multiple health-related behaviors was associated with both poor psychosocial and physical health. These findings have significant meaning for future public health programs, which should be more tailored with use of such knowledge on behavioral clustering via e.g. Transfer Learning.

Bullying and victimization: Predictive role of individual, parental, and academic factors

This study explored the roles of individual factors (age, gender, locus of control, self-esteem, and loneliness), parenting style, and academic achievement in discriminating students involved in bullying (as bullies, victims, and bully/victims) from those not involved. Participants comprised 742 middle school students (393 females, 349 males). The results of multinomial logistic regression analysis indicated that a higher locus of control, lower strictness/supervision scores, increased age, and being male increased the likelihood of being a bully; a higher locus of control, higher loneliness score, and a lower acceptance/involvement score increased the likelihood of being a victim; and higher loneliness and psychological autonomy scores and lower acceptance/involvement, strictness/supervision, and academic achievement scores increased the likelihood of being a bully/victim. Although parental style variables play an important role in involvement in bullying, the individual factor loneliness is a more powerful predictor than other predictors in discriminating victims and bully/victims from uninvolved students. Age and gender are stronger predictors than other predictors in discriminating bullies from uninvolved students.

Bullying and victimization experiences in elementary school students nominated by their teachers for Specific Learning Disabilities

This study sought to investigate self-reported bullying and victimization experiences among students nominated by their teachers as meeting the criteria for Specific Learning Disabilities (SLD). A total of 346 students attending the upper three grade-levels of Greek primary schools participated in the study. Fifty of them were identified by their teachers as meeting the SLD criteria. All participants completed self-report measures of bullying and victimization and also provided their demographic data. Results showed that SLD students were more likely to act as bully/victims in bullying episodes, by using more direct verbal aggression; whereas the frequency of exhibiting aggressive behaviours, either as passive victims or aggressive bullies, did not differ from that of their non-SLD counterparts. These findings contradict existing research indicating that SLD students are subject to victimization more frequently than their regular peers.

Evidence for the need to support adolescents dealing with harassment and cyber-harassment: Prevalence, progression, and impact

The aim of this study was to determine the prevalence of harassment in high school and into university, and the impact of one particular form of harassment: cyber-harassment. Participants were 1,368 students at one US and two Canadian universities (mean age = 21.1 years, 676 female students). They responded on five-point scales to questions about the frequency and impact of harassment. A total of 33.6% of students stated they had been cyber-harassed and 28.4% had been harassed off-line when in high school. Also, 8.6% were cyber-harassed and 6.4% were harassed off-line while in university. Hierarchical logistic regression analyses show that the type of harassment experienced in high school is associated with the type of harassment experienced in university. Various negative outcomes of cyber-harassment were also identified.

Mediation of school bonding and peer norms on the reciprocal effects of friend victimization and problem behavior

Peer victimization is a pervasive problem among children and associated with numerous psychological and behavioural problems for all participants. Research is needed to understand the complex relations between factors that increase risk of victimization and its consequences. We used autoregressive cross-lagged modelling with self-report data to examine the longitudinal reciprocal effects of victimization by friends with problem behaviour, as well as the mediating effects of school bonding and peer norms. Participants were 316 4th grade students in socioeconomically disadvantaged elementary schools in California, USA, most of whom were Latino/a American (89.9%). Results indicated a causal path from peer victimization by friends in 4th grade to problem behaviour in 5th grade, which was fully mediated by school bonding and peer norms for academics in 5th grade. These results confirm the need to monitor and respond to peer victimization by friends in any setting. Moreover, results demonstrate the importance of creating opportunities to positively engage students in school activities that teach or ensure positive social interactions and exposure to peers that are engaged in normative social and academic behaviours.

A cognitive behavioural group approach for adolescents with disruptive behaviour in schools

Cognitive behavioural approaches emphasize the links between thoughts, feelings and behaviour ( Greig, 2007 ). Previous research has indicated that these approaches are efficacious in reducing disruptive behaviour in adolescents. The aim of the current study was to provide further evaluation of cognitive behavioural group work to reduce disruptive behaviour with this population and to determine if improvements made were maintained in the longer term. The sample comprised 22 adolescents aged 13- to 14-years-old identified by school staff as displaying disruptive behaviour ( Cameron, 1998 ). A curriculum based on Squires (2001) , using key cognitive behavioural approaches, was delivered over a seven-week period to the participants. Participant, parent, and teacher ratings on the Strengths and Difficulties Questionnaire (SDQ) immediately after the intervention all indicated significant reductions in disruptive behaviour. Other positive effects included enhanced ratings of self-concept on the Beck Youth Inventories, 2nd Edition and trait emotional intelligence on the Trait Emotional Intelligence Questionnaire–Adolescent Short Form (TEIQue-ASF). Improvements in behaviour and self-concept were maintained at six-month follow-up according to participant and teacher ratings. However, parent ratings of behaviour had returned to pre-intervention levels. Further research, with different age groups and demographic populations along with concurrent parent programmes is recommended.

Motivation und Selbstreguliertes Lernen in SchülerInnengruppen mit unterschiedlicher Aggressionserfahrung

Zusammenfassung. Die vorliegende Studie beschäftigte sich in einem personenzentrierten Ansatz mit der Beziehung zwischen Täter-Opfer-Verhalten und Lernvariablen. Untersucht wurden Jugendliche, die stabil (über zwei Messzeitpunkte hinweg) als Täterinnen bzw. Täter, Opfer, Täter-Opfer und Unbeteiligte identifiziert werden konnten. Diese vier stabilen Gruppen wurden in der Geschlechterverteilung sowie in schulischer Motivation (Interesse und Selbstwirksamkeit) und im Selbstregulierten Lernen verglichen. Die Ausgangsstichprobe bestand aus 956 Schülerinnen und Schülern der sechsten und siebten Schulstufe, die zu zwei Messzeitpunkten einen Fragebogen zum Thema Aggression in der Schule beantworteten. 478 Jugendliche blieben in ihrer Gruppenzugehörigkeit stabil und wurden daher in die Studie aufgenommen. Zur Prüfung der Geschlechterverteilung wurde eine Konfigurationsfrequenzanalyse durchgeführt, die zeigte, dass sich unter den stabilen Unbeteiligten signifikant mehr Mädchen und unter den stabilen Täter-Opfern signifikant mehr Buben befinden. Der Gruppenvergleich bzgl. schulischer Motivation und Selbstreguliertem Lernen zeigte, dass insbesondere stabile Täterinnen Risikogruppen bezogen auf die untersuchten Lernvariablen darstellen, nicht jedoch stabile Opfer.

Structural equation modeling in medical research: a primer

Background

Structural equation modeling (SEM) is a set of statistical techniques used to measure and analyze the relationships of observed and latent variables. Similar but more powerful than regression analyses, it examines linear causal relationships among variables, while simultaneously accounting for measurement error. The purpose of the present paper is to explicate SEM to medical and health sciences researchers and exemplify their application.

Findings

To facilitate its use we provide a series of steps for applying SEM to research problems. We then present three examples of how SEM has been utilized in medical and health sciences research.

Conclusion

When many considerations are given to research planning, SEM can provide a new perspective on analyzing data and potential for advancing research in medical and health sciences.

Attachment Quality and Bullying Behavior in School-Aged Youth

The purpose of this study was to determine the relationship between students’ quality of attachment to their primary caregivers and the frequency with which they bully others and are the victims of bullying. One hundred and five students in Grades 4, 6, and 8 (46 girls, 59 boys; M = 10.5 years) completed paper and pencil surveys. Results indicated that students with lower quality attachment relationships are more likely to bully others and be the victims of bullying than their peers with higher quality attachment relationships. No significant grade or sex differences were found for the attachment, bullying, or victimization variables. Implications and directions for future research are discussed.