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Biomedical subjects

B R Flay

Publications and source records attributed to B R Flay.

98 records · Page 6Linked to original sources

Demographic, psychosocial and behavioral differences in samples of actively and passively consented adolescents.

Requiring active consent from parents leads to different self-reports by adolescents than when it is not required. The present study compares self-reported demographic, psychosocial, and behavior variables between those students from whom active consent was and was not obtained. As found in previous studies, fewer minorities, fewer persons who were dissatisfied with school, fewer persons whose parents were of lower educational levels, and fewer cigarette smokers were represented in the sample recruited by active parental consent. Extending on previous work, we found those students whose parents failed to respond to the consent procedure were less likely to live with both parents, were more likely to be latch-key children, placed a lower priority on health, and were higher in risk-taking, lower in self-esteem, and lower in assertiveness than those whose parents had responded. These data further support the suggestion that those children who are omitted from a research study because of lack of action on the part of the parent are at higher risk for a number of health and social problems. These children need to be included in evaluation samples in order to accurately assess the effectiveness of prevention programming. Future studies should employ a passive consent procedure as a means of recruiting a representative subject pool in school-based prevention research.

Adolescent↗

Correlates of exclusive or combined use of cigarettes and smokeless tobacco among male adolescents.

Past studies which examined correlates of smokeless tobacco or cigarette use have investigated use of one tobacco product regardless of use of the other product. Thus, the etiology of exclusive use of the two tobacco products is not clear. The present study investigated the relationship of problem-prone-related variables to exclusive versus overlapping use of smokeless tobacco and cigarettes. Two samples of southern California male students (eighth-grade and high school) were divided into groups according to their tobacco use status: neither product, cigarettes only, smokeless tobacco only, or both tobacco products. Generally, triers and monthly users of both tobacco products reported a higher risk-taking preference, greater susceptibility to peer social influence to use tobacco products, and greater likelihood to have tried marijuana and alcohol than did subjects who were not users of either tobacco product. Adolescents who used either product, but not both, reported similar scores on most of the variables examined, which fell in between combined or nonuse categories. These results suggest that the number of tobacco products used, not the specific product, is associated with problem-prone attributes.

Adolescent↗

The effects and use of maintenance newsletters in a smoking cessation intervention.

This article evaluates the effects and use of adjuncts to a televised smoking cessation program, based on the American Lung Association's "Freedom From Smoking in 20 Days." Subjects were randomized to maintenance and control conditions. The maintenance condition received newsletters with information and support addressing different stages in the cessation process and information about a telephone hotline. The maintenance condition did not increase cessation at any wave of interviewing, assessed by multiple point or point prevalence of abstinence. Those abstinent at 6 months and those who had made an attempt to stop smoking by that time were more likely to have used the newsletters and were more likely to have used the sections relevant to their cessation stage. Rates of use of the telephone hotline were low. The newsletters appear to be useful to smokers who are predisposed to use written materials.

Adolescent↗

Prospective correlates of exclusive or combined adolescent use of cigarettes and smokeless tobacco: a replication-extension.

This one-year prospective study provides an extension of a previous cross-sectional investigation. The previous study found that the number of tobacco products used (i.e., smokeless tobacco, cigarettes), not type of tobacco product, was associated with higher scores on problem-prone variables. In the present study, a sample of 842 southern California seventh-grade adolescents who had not tried either cigarettes or smokeless tobacco were identified and surveyed one year later. Onset of tobacco use was examined as an outcome variable predicted by scores on four psychosocial and two alcohol use variables in seventh grade. Unlike the previous study, females were included in the current study, and the potential moderating effect of gender on the pattern of predictors was examined. Overall, these findings indicate that onset of cigarette smoking or use of both tobacco products is associated with alcohol use, risk taking, and low self-esteem. This study provides modest support for the previous investigation. In addition, two of the predictor variables were found to interact with gender. Risk-taking was found to have a stronger association with initiation of tobacco use for females than males. Susceptibility to social influence to use tobacco was found to be associated with initiation of tobacco use for males only.

Adolescent↗

Approaches to substance use prevention utilizing school curriculum plus social environment change.

Hundreds of studies have tested the efficacy or effectiveness of school curriculum-based (CB) substance use prevention programs. Over the years, various researchers have also tested programs that included school curricula, but with the addition of school environment, family, mass media, or community components. The purpose of this review is to determine the extent to which adding any of these components to CB programs improves overall program effectiveness in the prevention of substance use (SU).

Adolescent↗

Patterns of use of smokeless tobacco and the unidimensional model of drug involvement.

The present study tested whether smokeless tobacco (ST) fits a unidimensional model of drug involvement and tried to locate ST along the dimension that underlies drug use. The latent trait analysis was employed to quantify drug involvement in a sample of high school students. Analyses showed that although ST use fits the unidimensional model of drug involvement, the place of ST use along the continuum of drug involvement is not stable and differs by gender and ethnicity. Particularly for males, ST use is likely to be preceded by soft drug use and followed by hard drug use; for females, however, ST use is closely associated with hard drug use. The analyses also revealed that the fit of the unidimensional model and the location of ST use along the dimension vary with different ethnic groups.

Adolescent↗

A longitudinal comparison of the AIDS-related attitudes and knowledge of parents and their children.

As part of an evaluation of an experimental school-based AIDS risk-reduction program, data from 2,392 middle-school students in 15 high-risk school districts and from 1,627 of their parents were compared to examine how young adolescents and their parents differ with respect to AIDs-related knowledge and attitudes. At the time of the seventh-grade pretest, parents knew significantly more about AIDS than their children did. At the eighth-grade posttest, students who participated in the program knew either more than or at least as much as their parents in several subject areas, while among those not exposed to the program, parents still knew more than their children in most areas. The intervention had a positive impact on students' attitudes toward people with AIDS and on their degree of comfort about discussing with their parents such issues as drug use and sexuality.

Acquired Immunodeficiency Syndrome↗

The patterns and predictors of smokeless tobacco onset among urban public school teenagers.

This study describes the patterns and predictors of smokeless tobacco (ST) use in a large sample of urban public school students in Los Angeles and San Diego. The use of ST is more common among men than women and among Caucasians than African Americans, Hispanics, and others. Approximately 20% of the male respondents and 5% of the female respondents reported use of ST at least once, and 10.1% of male students and 3.1% of female students who had never tried ST by seventh grade started to use it by eighth grade. Among Caucasians, about 30% of boys reported trying ST at least once and 13.7% of those who had never used ST by seventh grade initiated experimentation by eighth grade. These data are used to examine the family, peer, and intrapersonal predictors of ST onset. The family risk factors for ST onset include living with a single parent, parent-child conflicts, and parental alcohol use. The peer risk factors for ST use include peer drug use and activities with friends, such as parties and participation in sports. The intrapersonal risk factors include poor grades in school, risk taking, and stress. The study also shows that those who use cigarettes, alcohol, or marijuana are at higher risk of using ST and vice versa. This study supports a problem-prone behavior perspective of ST use and cigarette smoking. We suggest that both products be targeted because the same programs are likely to apply to both products to counteract problem-prone type variables. Medical Subject Headings (MeSH): tobacco, smokeless chewing tobacco, adolescent behavior.

Adolescent↗