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Mexican American and white American school dropouts' drug use, health status, and involvement in violence.

A group of Mexican American and white American school dropouts were compared with a control group and a group of academically at-risk students in three locations in the Southwest. The sample group consisted of school dropouts and comparison subjects in grades 6 through 12. Both comparison groups were matched with the dropouts by sex, ethnicity, and school grade. At risk students also were matched by age and grade point average. Dropout subjects were found to have the highest rates of alcohol and drug use, followed by at risk student subjects. The relative rates of use were about the same for nearly all drugs, with the largest differences found for drinking to intoxication and use of marijuana, uppers, and cocaine. Among the dropouts, 75 percent of Mexican American males and 90 percent of white American males had tried marijuana. More than a third of the dropouts had tried cocaine. One-third of the Mexican American males and more than half of the females in both the Mexican American and the white American group had tried uppers. Females, especially dropouts, had higher rates of tobacco smoking than males. The rates of cigarette smoking among dropouts were significantly greater than among the control group only for males. Health problems of parents were not related to dropping out of school for any of the ethnic or sex groups. However, dropouts were more likely to have had serious illness within the preceding year than members of the control group. Many dropouts live in a violent and dangerous world. As an example, about one in five dropouts had held a gun on someone in a confrontation, and 20 percent had cut someone with a knife. Nearly half had been badly beaten. Females were rarely perpetrators of crimes or misdemeanors, but were often victims. Forty-two percent of the white American female dropouts had been either raped or sexually assaulted. Mexican American females were found less likely to be victims of violence, which perhaps reflects cultural values of marianisma and machismo, involving protectiveness toward females.

Achievement↗

Meaningful involvement in instrumental activity and well-being: studies of older adolescents and at risk urban teen-agers.

Meaningful involvement in instrumental activity, social support, and well-being were assessed in two studies. The first study focused on older adolescents enrolled in college (mean age, 18.8; N = 152), and the second on urban black male, and pregnant female, teen-agers (mean age, 17.1; N = 92), half of whom (N = 46) were school dropouts. In both studies, regression analyses indicated that meaningful instrumental activity was positively related to life satisfaction, independent of social support from friends and from parents. In addition, meaningful instrumental activity was positively related to self-esteem to a greater extent (a) for male than for female college students (Study 1); and (b) for school-attending than for school-dropout urban black males (Study 2). In Study 2, higher mean levels of meaningful instrumental activity were reported (a) by school-attending than by school-dropout urban adolescents; and (b) by black male teens than by pregnant female teens. The implications for future research and intervention are discussed.

Adolescent↗

Identifying potential dropouts through school health records.

This study of the records of 255 ninth grade, inner-city Midwestern high school students shows that students who drop out of school are several times as likely to have incomplete health information in the school health record as students who stay in school. A cluster of five variables--vision screening, scoliosis screening, visits to the health office, age and attendance--were found to provide 85% or better accuracy in estimating actual drop-out rates. Missing or incomplete data in combination with attendance data thus become powerful predictors of potential dropouts.

Adolescent↗

[Admission to medical education at the School of Medical Sciences of the National University of La Plata: its effectiveness].

BACKGROUND: The present paper, based on studies carried out as from the year 1972 at the Department of Anatomy "C" of the Medical Sciences School of the National University of La Plata, analyzes the performance of students who entered the aforementioned School with and without entrance examination. OBJECTIVES: To evaluate the performance achieved by the students, considering for the analysis a cross section of two groups, those who entered the School between the years 1985 and 1988 and those who did it between 1992 and 1999, without and with entrance examination respectively. MATERIALS AND METHODS: The following variables were evaluated: Dropout average percentage. Average percentage of students who passed in November, December and March. Average percentage of students who passed the mid-term tests. Mid-term tests average mark. The performance records of each student in the department were audited: personal information, assistance, mid-term tests marks, homework, familiarity with topic of the day, interest in the practical activity and student overall impression. The statistical analysis evaluated whether there were any particular differences between the groups compared. RESULTS: Dropout average percentage: without admissibility*: 27,15%, with admissibility: 7,91% Average percentage of students who passed in November, December and March: without admissibility: 50,75%, with admissibility: 90,43% Average percentage of students who passed the mid-term tests: without admissibility: 68,75%, with admissibility: 93,29% Mid-term tests average mark: without admissibility: 6,63%, with admissibility: 6,86% *Admissibility = entrance examination CONCLUSIONS: The overall performance of the students with entrance selection surpasses the one of those who entered directly.

Argentina↗

A weight control program for students using diet and behavior therapy.

A twelve-week weight-reducing program for students was conducted at the University of Kentucky. The program, which was developed and directed by graduate students in nutrition, utilized a combination of behavior therapy and diet therapy. Initiated in the spring of 1975, the program has been continued in the 1975-76 year. All students completing the program achieved weight reduction. Their weight losses averaged 2/3 lb. a week. The dropout rate for the program was 40 per cent. One-third of the participants completing the program reached their weight-reduction goals. These results suggest that further attempts should be made to improve weight-reducing suitable for college students.

Adult↗

Re-examining the role of interscholastic sport participation in education.

The purpose of the present study was to examine the relationships of interscholastic sports participation with locus of control, self-concept, cognitive test scores, and school dropout in adolescents via a secondary analysis of National Educational Longitudinal Study 1988 (NELS:88). Subjects were 1,883 students who completed all measurements in 8th grade (1988), at Follow-up 1 (10th, 1990), and Follow-up 2 (12th, 1992). Scales utilized to measure locus of control, self-concept, and cognitive ability were developed by the National Center for Educational Statistics. Dropout was assessed through school records and contact with participants. At baseline and Follow-up 1, students self-reporting sport participation displayed higher self-concept and locus of control; however, these differences were no longer observed at Follow-up 2. Drop-out rate for boys at Follow-up 2 was significantly lower for students reporting interscholastic sport participation at baseline or at Follow-up 1. Similarly, drop-out rate for girls at Follow-up 2 was significantly lower for students reporting interscholastic sport participation at baseline or at Follow-up 1. These findings support the presumed positive role of sport participation for adolescents in American schools.

Adolescent↗

Mentors: beacons of hope.

Mentoring is an old idea that works. Research has shown that mentoring is one of the five short-term imperatives for reversing the high dropout rate of high school students. Mentoring is a powerful way to provide adult contacts for youths who receive little guidance in their schools, homes, communities, and workplaces. Supportive one-on-one relationships provide youths with the opportunity to explore career paths and broaden their horizons. Adult mentors serve as beacons of hope for young people adrift in an uncertain world.

Adolescent↗

Effects of a school-based prevention program for potential high school dropouts and drug abusers.

This study tested the effects of a prevention program based on an integrated social support and psychoeducational model. A semester-long Interpersonal Relations (IPR) class was predicted to deter school drop-out problems and drug abuse among adolescents. Quasi-experimental designs were used to field test the IPR program with 264 high-risk students in one of two conditions: (1) pretest, treatment, and posttest; (2) pretest and posttest. All hypotheses were supported. Significantly more potential dropouts were retained in the treated (74%) versus the comparison group (61%); differences in daily attendance (F = 12.88) and GPA, school achievement (F = 16.89), were significantly better in the treatment group (p less than .0001); drug involvement declined significantly from pre- to posttreatment for IPR program participants (t = 4.61, p less than .0001). Implications for treatment and recommendations for future research are discussed.

Absenteeism↗

The identification of high-school dropouts identified as learning disabled: evaluating the utility of a discriminant analysis function.

This study examined the utility of a linear discriminant function to distinguish between students identified as learning disabled (LD) who had either been released from high school under codes suggestive of school dropout (n = 213) or graduation (n = 92). The discriminant function was comprised of six variables--student ethnicity, reading ability, family intactness, family socioeconomic status, school transfers, and school-initiated interruptions. The analysis determined that differences between the LD dropout sample and LD graduate sample were sufficient to allow for a discrimination between the groups. On the basis of group differences the discriminant function that was constructed correctly classified 83% of the school dropouts and 46% of the school graduates, for an overall 73% accuracy rate. Those factors contributing most to the function were the number of district-initiated interruptions, school transfers, and family intactness. Based on the findings, implications for school districts and future research are noted.

Achievement↗

Self-evaluation processes of African American youth in a high school completion program.

In the present study, regression analyses were used to determine whether particular domains of perceived competence, alienation from school, and cultural mistrust of society in general predicted judgments of global self-worth and global self-discrepancy in a group of African American high school dropouts in a compensatory program. The participants were 31 African American high school dropouts between 16 and 24 years of age (M = 17.7 years, SD = 1.81) who were enrolled in a state-sponsored high school completion program. Perceived job competence and peer-related social competence were the most significant predictors of self-evaluations. Cultural mistrust of society was associated with students' self-evaluation and overshadowed alienation from school in the prediction of global self-worth. The implications of these results for interventions with African American high school dropouts in this type of program are discussed.

Achievement↗

Facilitating and debilitating test anxiety among college students and volunteers for desensitization workshops.

Administered the Alpert-Haber Achievement Anxiety Test (AAT) to 54 students who expressed interest in participating in a test anxiety desensitization workshop. In addition, 182 students from the general college population were tested. Results indicated that both the debilitating and facilitating (AAT) scales were higher for the self-referred volunteer group. These data indicate that these scales are useful in distinguishing self-referred volunteers for behavior modification workshops from a general college population. In addition, the scales of the AAT were correlated with the number of sessions attended by those students who enrolled in the desensitization groups. Results indicated no relationship between attrition and debilitating anxiety. There was a correlation of r = .318 p less than .15 between facilitating anxiety scores and number of sessions attended. It is suggested that facilitating anxiety can function as a measure of S's ego strength in predicting workshop attendance.

Anxiety↗

Predicting the academic performance of Asian, black, and Hispanic optometry students.

As optometry schools receive increasing numbers of Asian, Black, and Hispanic applications, it is appropriate for us to ask whether minority students differ in meaningful ways from nonminority students in measures used in admissions, and whether these variables have differential validity in predicting their achievement in optometry school. This study compares Asian, Black, Hispanic, and nonminority students at entry to the University of Houston College of Optometry (UHCO) from 1981 through 1986 and tests the validity of admissions indices to predict optometry grades, academic dropout, and high-level achievement for these ethnic groups. Although preoptometry grade point average (GPA) was the best predictor of optometry grades for all students, measures of verbal ability were additional predictors for Asian students and, for Black and Hispanic students, ability in study/reading and math were predictors. In addition, personality inventory measures and ratings of the competitiveness of the undergraduate institution were important in differentiating minority academic dropouts from retained students. Suggestions are made for optometry college programs which will enhance the probability of success for minority students.

Achievement↗

An epidemiological comparison of Mexican-American and white non-Hispanic 8th- and 12th-grade students' substance use.

Surveys of drug and alcohol use were conducted with a national probability sample of 8th- and 12th-grade Mexican-American and White non-Hispanic youth. The drug and alcohol epidemiology is representative of US Mexican-American youth residing in communities with populations of 2500 or more, at least 10% of whom are Mexican Americans. Mexican-American 8th graders reported generally higher rates of use than White non-Hispanics based on life-time prevalence and use in last month. They also reported higher frequency of high-risk drug behaviors. The pattern was reversed among 12th-grade students. The impact of differential school dropout rates is discussed as a probable cause for this reversal.

Adolescent↗

Non-health professionals and the school-age child: early intervention for behavioral problems.

A methodology is described to utilize dormitory parents in direct care activities for the early intervention of behavioral problems of the school-age child. Specific information gathering, assessment, treatment, referral and follow-up tasks were defined and incorporated into a problem-solving protocol which served to guide the dormitory parents through the defined problem-solving process, to promote early identification of students with a behavioral problem, and to expedite referral to a professional for students with more severe problems. The methodology was pilot-tested in a large American Indian boarding school and demonstrated the feasibility and efficacy of dormitory parents in a therapeutic role as one component of a team approach to the management of behavioral problems. The pilot study resulted in a significant reduction in the rates of alcohol abuse and school dropouts and deserves application in a variety of settings.

Adolescent↗

Attrition from after school programs: characteristics of students who drop out.

A goal of many after-school programs is to provide supervision to youths who might potentially engage in delinquent activities during the afternoon hours. By comparing students who remained in a sample of Maryland after-school programs to students who withdrew prior to the end of the school year, this study provides evidence that after-school programs are serving a lower-risk population than intended. Findings indicate that prior to dropping out of the programs, dropouts scored in the more at-risk direction on 11 out of 12 indicators examined in this study and had significantly more peer drug models and days absent from school than students who stayed in the programs. Census data indicate that dropouts came from neighborhoods characterized by higher levels of social disorganization than students who stayed in the programs. Program attendance is also related to several of the risk-factors examined. The results suggest the need for improved communication with parents and further creativity in program planning as a means of retaining high-risk students.

Adolescent↗

Age-within-school-class and adolescent gun-carrying.

BACKGROUND: Intentional injuries (suicide and homicide) are a leading causes of morbidity and mortality in the United States. Firearms cause approximately 70% of these fatal intentional injuries. Risk factors associated with gun-carrying in adolescent populations include male gender, smoking, alcohol use, drug use, and number of sexual partners. Current knowledge of these and other risk factors has provided limited benefit because many are no more obvious to the clinician a priori than is the tendency to carry guns. Increasing relative age of a student within school class is an easily measured parameter that has been associated with behavioral problems, absenteeism, negative self-image, and high dropout rates. OBJECTIVE: To characterize the association between relative student age-within-class and tendency to carry firearms. DESIGN: The Massachusetts Youth Risk Behavior Survey, which collects data on demographic characteristics, risk behaviors, and health outcomes. PARTICIPANTS: A randomly selected group of 3153 Massachusetts students in grades 9 through 11. PRIMARY OUTCOME MEASURE: The odds of firearms-carrying comparing older to average-age and younger students. RESULTS: Using multivariate logistic regression, seven risk factors predicted gun-carrying with statistically significant results: older age-within-class (OR: 2.12; 95% CI: 1.09-4.12), male gender (OR: 4.95; 95% CI: 3.01-8.15), black race (OR: 2.49; 95% CI: 1.20-5.14), gang membership (OR: 7.22; 95% CI: 4.51-11.56), missing school out of concern for safety (OR: 2.50; 95% CI: 1.30-4.80), seeking medical treatment after a fight (OR: 4.47; 95% CI: 2.56-7. 78), and fighting without seeking medical treatment (OR: 5.73; 95% CI: 3.09-10.60). CONCLUSION: Older 9th-, 10th-, and 11th-grade students are more likely than their classmates to carry firearms. This information may prove helpful in identifying high-risk students and targeting prevention strategies.

Adolescent↗

Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students.

PURPOSE: To systematically review articles reporting on depression, anxiety, and burnout among U.S. and Canadian medical students. METHOD: Medline and PubMed were searched to identify peer-reviewed English-language studies published between January 1980 and May 2005 reporting on depression, anxiety, and burnout among U.S. and Canadian medical students. Searches used combinations of the Medical Subject Heading terms medical student and depression, depressive disorder major, depressive disorder, professional burnout, mental health, depersonalization, distress, anxiety, or emotional exhaustion. Reference lists of retrieved articles were inspected to identify relevant additional articles. Demographic information, instruments used, prevalence data on student distress, and statistically significant associations were abstracted. RESULTS: The search identified 40 articles on medical student psychological distress (i.e., depression, anxiety, burnout, and related mental health problems) that met the authors' criteria. No studies of burnout among medical students were identified. The studies suggest a high prevalence of depression and anxiety among medical students, with levels of overall psychological distress consistently higher than in the general population and age-matched peers by the later years of training. Overall, the studies suggest psychological distress may be higher among female students. Limited data were available regarding the causes of student distress and its impact on academic performance, dropout rates, and professional development. CONCLUSIONS: Medical school is a time of significant psychological distress for physicians-in-training. Currently available information is insufficient to draw firm conclusions on the causes and consequences of student distress. Large, prospective, multicenter studies are needed to identify personal and training-related features that influence depression, anxiety, and burnout among students and explore relationships between distress and competency.

Anxiety Disorders↗