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Erschienen in: Prevention Science 1/2014

01.02.2014

Preventing High-Risk Sexual Behavior in Early Adulthood with Family Interventions in Adolescence: Outcomes and Developmental Processes

verfasst von: Allison S. Caruthers, Mark J. Van Ryzin, Thomas J. Dishion

Erschienen in: Prevention Science | Sonderheft 1/2014

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Abstract

Adolescent study participants who engaged in a brief, family-centered intervention (the Family Check-Up, FCU) were later assessed for the intervention’s effects on high-risk sexual behavior (HRSB) in early adulthood (age 22). Participants (N = 998 adolescents and their families) were randomly assigned to a family-centered intervention in sixth grade and were offered a gated, multilevel intervention that included (a) a school-based family resource center, (b) the FCU, and (c) more intensive, family-based treatment. All services were voluntary, but high-risk families were actively recruited into the FCU. Approximately 23 % of the intervention families engaged in the FCU and approximately 18 % engaged in more intensive treatment. Using an intent-to-treat design, we found that the direct effect of the FCU on HRSB was not significant; however, an analysis of the developmental processes indicated that intervention families demonstrated improved family relationship quality when compared to control families, which in turn resulted in lower levels of HRSB in early adulthood. Furthermore, the significant effect of family relationship quality on HRSB was mediated by differences in parental monitoring and early sexual activity, and these effects varied as a function of gender and ethnicity. Indirect effects of the FCU on HRSB were significant via multiple different pathways. The implications of these findings for enhancing the impact of family-centered interventions are discussed.
Literatur
Zurück zum Zitat Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington, VT: Department of Psychiatry, University of Vermont. Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington, VT: Department of Psychiatry, University of Vermont.
Zurück zum Zitat Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.​1037/​0022-3514.​51.​6.​1173.PubMedCrossRef
Zurück zum Zitat Bogart, L. M., Collins, R. L., Ellickson, P. L., & Klein, D. J. (2006). Adolescent predictors of generalized health risk in young adulthood: A 10-year longitudinal assessment. Journal of Drug Issues, 36, 571–596.CrossRef Bogart, L. M., Collins, R. L., Ellickson, P. L., & Klein, D. J. (2006). Adolescent predictors of generalized health risk in young adulthood: A 10-year longitudinal assessment. Journal of Drug Issues, 36, 571–596.CrossRef
Zurück zum Zitat Brady, S. S., Dolcini, M. M., Harper, G. W., & Pollack, L. M. (2009). Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychology, 28, 238–248. doi:10.1037/a0013240.PubMedCentralPubMedCrossRef Brady, S. S., Dolcini, M. M., Harper, G. W., & Pollack, L. M. (2009). Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychology, 28, 238–248. doi:10.​1037/​a0013240.PubMedCentralPubMedCrossRef
Zurück zum Zitat Brooks-Gunn, J., Duncan, G. J., Klebanov, P. K., & Sealand, N. (1993). Do neighborhoods influence child and adolescent development? The American Journal of Sociology, 9, 353–395. doi:10.1086/230268.CrossRef Brooks-Gunn, J., Duncan, G. J., Klebanov, P. K., & Sealand, N. (1993). Do neighborhoods influence child and adolescent development? The American Journal of Sociology, 9, 353–395. doi:10.​1086/​230268.CrossRef
Zurück zum Zitat Capaldi, D. M., Crosby, L., & Stoolmiller, M. (1996). Predicting the timing of first sexual intercourse for at-risk adolescent males. Child Development, 67, 344–359. doi:10.2307/1131818.PubMedCrossRef Capaldi, D. M., Crosby, L., & Stoolmiller, M. (1996). Predicting the timing of first sexual intercourse for at-risk adolescent males. Child Development, 67, 344–359. doi:10.​2307/​1131818.PubMedCrossRef
Zurück zum Zitat Capaldi, D. M., Stoolmiller, M., Clark, S., & Owen, L. D. (2002). Heterosexual risk behaviors in at-risk young men from early adolescence to young adulthood: Prevalence, prediction, and association with STD contraction. Developmental Psychology, 38, 394–406. doi:10.1037/0012-1649.38.3.394.PubMedCrossRef Capaldi, D. M., Stoolmiller, M., Clark, S., & Owen, L. D. (2002). Heterosexual risk behaviors in at-risk young men from early adolescence to young adulthood: Prevalence, prediction, and association with STD contraction. Developmental Psychology, 38, 394–406. doi:10.​1037/​0012-1649.​38.​3.​394.PubMedCrossRef
Zurück zum Zitat Chung, G. H., Flook, L., & Fuligni, A. J. (2009). Daily family conflict and emotional distress among adolescents from Latin American, Asian, and European backgrounds. Developmental Psychology, 45, 1406–1415. doi:10.1037/a0014163.PubMedCrossRef Chung, G. H., Flook, L., & Fuligni, A. J. (2009). Daily family conflict and emotional distress among adolescents from Latin American, Asian, and European backgrounds. Developmental Psychology, 45, 1406–1415. doi:10.​1037/​a0014163.PubMedCrossRef
Zurück zum Zitat Connell, A. M., Dishion, T. J., Yasui, M., & Kavanagh, K. (2007). An adaptive approach to family intervention: Linking engagement in family-centered intervention to reductions in adolescent problem behavior. Journal of Consulting and Clinical Psychology, 75, 568–579. doi:10.1037/0022-006X.75.4.568.PubMedCrossRef Connell, A. M., Dishion, T. J., Yasui, M., & Kavanagh, K. (2007). An adaptive approach to family intervention: Linking engagement in family-centered intervention to reductions in adolescent problem behavior. Journal of Consulting and Clinical Psychology, 75, 568–579. doi:10.​1037/​0022-006X.​75.​4.​568.PubMedCrossRef
Zurück zum Zitat Dilorio, C., Pluhar, E., & Belcher, L. (2003). Parent–child communication about sexuality: A review of the literature from 1980–2002. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 5, 7–32. doi:10.1300/J129v05n03_02.CrossRef Dilorio, C., Pluhar, E., & Belcher, L. (2003). Parent–child communication about sexuality: A review of the literature from 1980–2002. Journal of HIV/AIDS Prevention and Education for Adolescents and Children, 5, 7–32. doi:10.​1300/​J129v05n03_​02.CrossRef
Zurück zum Zitat Dishion, T. J., & Kavanagh, K. (2003). Intervening in adolescent problem behavior: A family-centered approach. New York, NY: Guilford. Dishion, T. J., & Kavanagh, K. (2003). Intervening in adolescent problem behavior: A family-centered approach. New York, NY: Guilford.
Zurück zum Zitat Dishion, T. J., & Stormshak, E. A. (2007). Intervening in children’s lives: An ecological, family-centered approach to mental health care. Washington, DC: American Psychological Association.CrossRef Dishion, T. J., & Stormshak, E. A. (2007). Intervening in children’s lives: An ecological, family-centered approach to mental health care. Washington, DC: American Psychological Association.CrossRef
Zurück zum Zitat Dishion, T. J., Patterson, G. R., & Reid, J. (1988). Parent and peer factors associated with early adolescent drug use: Implications for treatment. In E. Rahdert & J. Grabowski (Eds.), Adolescent drug abuse: Analyses of treatment research, NIDA research Monograph 77 (pp. 69–93). Washington, DC: Government Printing Office. Dishion, T. J., Patterson, G. R., & Reid, J. (1988). Parent and peer factors associated with early adolescent drug use: Implications for treatment. In E. Rahdert & J. Grabowski (Eds.), Adolescent drug abuse: Analyses of treatment research, NIDA research Monograph 77 (pp. 69–93). Washington, DC: Government Printing Office.
Zurück zum Zitat Dishion, T. J., Patterson, G. R., & Kavanagh, K. (1992). An experimental test of the coercion model: Linking theory, measurement, and intervention. In J. McCord & R. Tremblay (Eds.), The interaction of theory and practice: Experimental studies of intervention (pp. 253–282). New York, NY: Guilford. Dishion, T. J., Patterson, G. R., & Kavanagh, K. (1992). An experimental test of the coercion model: Linking theory, measurement, and intervention. In J. McCord & R. Tremblay (Eds.), The interaction of theory and practice: Experimental studies of intervention (pp. 253–282). New York, NY: Guilford.
Zurück zum Zitat Dishion, T. J., Hogansen, J., & Winter, C. (2000). Macro ratings of family management and process in adolescence. Unpublished manuscript, University of Oregon, Child and Family Center. Dishion, T. J., Hogansen, J., & Winter, C. (2000). Macro ratings of family management and process in adolescence. Unpublished manuscript, University of Oregon, Child and Family Center.
Zurück zum Zitat Dishion, T. J., Kavanagh, K., Schneiger, A., Nelson, S., & Kaufman, N. (2002). Preventing early adolescent substance use: A family-centered strategy for public middle school. In R. L. Spoth, K. Kavanagh., & T. J. Dishion (Eds.), Universal family-centered prevention strategies: Current findings and critical issues for public health impact [Special Issue]. Prevention Science, 3, 191–201. doi:10.1023/A:1019994500301 Dishion, T. J., Kavanagh, K., Schneiger, A., Nelson, S., & Kaufman, N. (2002). Preventing early adolescent substance use: A family-centered strategy for public middle school. In R. L. Spoth, K. Kavanagh., & T. J. Dishion (Eds.), Universal family-centered prevention strategies: Current findings and critical issues for public health impact [Special Issue]. Prevention Science, 3, 191–201. doi:10.​1023/​A:​1019994500301
Zurück zum Zitat Dishion, T. J., Stormshak, E. A., & Kavanagh, K. (2011). Everyday parenting: A professional’s guide to building family management skills. Champaign, IL: Research Press. Dishion, T. J., Stormshak, E. A., & Kavanagh, K. (2011). Everyday parenting: A professional’s guide to building family management skills. Champaign, IL: Research Press.
Zurück zum Zitat Epstein, M., & Ward, L. M. (2008). “Always use protection”: Communication boys receive about sex from parents, peers, and the media. Journal of Youth and Adolescence, 37, 113–126. doi:10.1007/s10964-007-9187-1.CrossRef Epstein, M., & Ward, L. M. (2008). “Always use protection”: Communication boys receive about sex from parents, peers, and the media. Journal of Youth and Adolescence, 37, 113–126. doi:10.​1007/​s10964-007-9187-1.CrossRef
Zurück zum Zitat Grusec, J. E., & Davidov, M. (2007). Socialization in the family: The roles of parents. In J. E. Grusec & P. D. Hastings (Eds.), Handbook of socialization: Theory and research (pp. 284–308). New York, NY: Guilford. Grusec, J. E., & Davidov, M. (2007). Socialization in the family: The roles of parents. In J. E. Grusec & P. D. Hastings (Eds.), Handbook of socialization: Theory and research (pp. 284–308). New York, NY: Guilford.
Zurück zum Zitat Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.1080/10705519909540118.CrossRef Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. doi:10.​1080/​1070551990954011​8.CrossRef
Zurück zum Zitat Huebner, A. J., & Howell, L. M. (2003). Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles. Journal of Adolescent Health, 33, 71–78. doi:10.1016/S1054-139X(03)00141-1.PubMedCrossRef Huebner, A. J., & Howell, L. M. (2003). Examining the relationship between adolescent sexual risk-taking and perceptions of monitoring, communication, and parenting styles. Journal of Adolescent Health, 33, 71–78. doi:10.​1016/​S1054-139X(03)00141-1.PubMedCrossRef
Zurück zum Zitat Jaccard, J., Dittus, P., & Gordon, V. V. (1996). Maternal correlates of adolescent sexual and contraceptive behavior. Family Planning Perspectives, 28, 159–165. 185.PubMedCrossRef Jaccard, J., Dittus, P., & Gordon, V. V. (1996). Maternal correlates of adolescent sexual and contraceptive behavior. Family Planning Perspectives, 28, 159–165. 185.PubMedCrossRef
Zurück zum Zitat Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York, NY: Academic. Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York, NY: Academic.
Zurück zum Zitat Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the future: National survey results on drug use, 1975–2010: volume II, College students and adults ages 19–50. Ann Arbor, MI: Institute for Social Research, University of Michigan. Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the future: National survey results on drug use, 1975–2010: volume II, College students and adults ages 19–50. Ann Arbor, MI: Institute for Social Research, University of Michigan.
Zurück zum Zitat Kogan, S. M., Brody, G. H., Chen, Y., & DiClemente, R. J. (2011). Self-regulatory problems mediate the association of contextual stressors and unprotected intercourse among rural, African American, young adult men. Journal of Health Psychology, 16, 50–57. doi:10.1177/1359105310367831.PubMedCrossRef Kogan, S. M., Brody, G. H., Chen, Y., & DiClemente, R. J. (2011). Self-regulatory problems mediate the association of contextual stressors and unprotected intercourse among rural, African American, young adult men. Journal of Health Psychology, 16, 50–57. doi:10.​1177/​1359105310367831​.PubMedCrossRef
Zurück zum Zitat Luster, T., & Small, S. A. (1994). Factors associated with sexual risk-taking behaviors among adolescents. Journal of Marriage and Family, 56, 622–632. doi:10.2307/352873.CrossRef Luster, T., & Small, S. A. (1994). Factors associated with sexual risk-taking behaviors among adolescents. Journal of Marriage and Family, 56, 622–632. doi:10.​2307/​352873.CrossRef
Zurück zum Zitat MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah, NJ: Lawrence Erlbaum. MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. Mahwah, NJ: Lawrence Erlbaum.
Zurück zum Zitat Metzler, C. W., Biglan, A., Ary, D., Noell, J., & Smolkowski, K. (1993). The relationships among high-risk sexual behavior and other adolescent problem behaviors. Journal of Behavioral Medicine, 17, 419–438.CrossRef Metzler, C. W., Biglan, A., Ary, D., Noell, J., & Smolkowski, K. (1993). The relationships among high-risk sexual behavior and other adolescent problem behaviors. Journal of Behavioral Medicine, 17, 419–438.CrossRef
Zurück zum Zitat Metzler, C. W., Noell, J., Biglan, A., Ary, D., & Smolkowski, K. (1994). The social context for risky sexual behavior among adolescents. Journal of Behavioral Medicine, 17, 419–438. doi:10.1007/BF01858012.PubMedCrossRef Metzler, C. W., Noell, J., Biglan, A., Ary, D., & Smolkowski, K. (1994). The social context for risky sexual behavior among adolescents. Journal of Behavioral Medicine, 17, 419–438. doi:10.​1007/​BF01858012.PubMedCrossRef
Zurück zum Zitat Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York, NY: Guilford. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York, NY: Guilford.
Zurück zum Zitat Miller, K. S., Forehand, R., & Kotchick, B. (1999). Adolescent sexual behavior in two ethnic minority samples: The role of family variables. Journal of Marriage and Family, 61, 85–98. doi:10.2307/353885.CrossRef Miller, K. S., Forehand, R., & Kotchick, B. (1999). Adolescent sexual behavior in two ethnic minority samples: The role of family variables. Journal of Marriage and Family, 61, 85–98. doi:10.​2307/​353885.CrossRef
Zurück zum Zitat Moore, M. R., & Chase-Lansdale, P. L. (2001). Sexual intercourse and pregnancy among African American girls in high poverty neighborhoods: The role of family and perceived community environment. Journal of Marriage and the Family, 63, 1146–1157. doi:10.1111/j.1741-3737.2001.01146.x.CrossRef Moore, M. R., & Chase-Lansdale, P. L. (2001). Sexual intercourse and pregnancy among African American girls in high poverty neighborhoods: The role of family and perceived community environment. Journal of Marriage and the Family, 63, 1146–1157. doi:10.​1111/​j.​1741-3737.​2001.​01146.​x.CrossRef
Zurück zum Zitat Mosher, W. D., Chandra, A., & Jones, J. (2005). Sexual behavior and selected health measures: Men and women 15–44 years of age, United States, 2002. Advance data from vital and health statistics, No. 362. Hyattsville, MD: National Center for Health Statistics. Mosher, W. D., Chandra, A., & Jones, J. (2005). Sexual behavior and selected health measures: Men and women 15–44 years of age, United States, 2002. Advance data from vital and health statistics, No. 362. Hyattsville, MD: National Center for Health Statistics.
Zurück zum Zitat Muthén, L. K., & Muthén, B. O. (2008). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2008). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.
Zurück zum Zitat Rodgers, K. B. (1999). Parenting processes related to sexual risk-taking behaviors of adolescent males and females. Journal of Marriage and Family, 61, 99–109. doi:10.2307/353886.CrossRef Rodgers, K. B. (1999). Parenting processes related to sexual risk-taking behaviors of adolescent males and females. Journal of Marriage and Family, 61, 99–109. doi:10.​2307/​353886.CrossRef
Zurück zum Zitat Sieving, R. E., McNeely, C. S., & Blum, R. W. (2000). Maternal expectations, mother–child connectedness, and adolescent sexual debut. Archives of Pediatrics & Adolescent Medicine, 154, 809–816.CrossRef Sieving, R. E., McNeely, C. S., & Blum, R. W. (2000). Maternal expectations, mother–child connectedness, and adolescent sexual debut. Archives of Pediatrics & Adolescent Medicine, 154, 809–816.CrossRef
Zurück zum Zitat Stormshak, E., Dishion, T. J., Light, J., & Yasui, M. (2005). Implementing family-centered interventions within the public middle school: Linking service delivery to change in problem behavior. Journal of Abnormal Child Psychology, 33, 723–733. doi:10.1007/s10802-005-7650-6.PubMedCrossRef Stormshak, E., Dishion, T. J., Light, J., & Yasui, M. (2005). Implementing family-centered interventions within the public middle school: Linking service delivery to change in problem behavior. Journal of Abnormal Child Psychology, 33, 723–733. doi:10.​1007/​s10802-005-7650-6.PubMedCrossRef
Zurück zum Zitat Upchurch, D. M., Levy-Storms, L., Sucoff, C. A., & Aneshensel, C. S. (1998). Gender and ethnic differences in the timing of first sexual intercourse. Family Planning Perspectives, 30, 121–127.PubMedCrossRef Upchurch, D. M., Levy-Storms, L., Sucoff, C. A., & Aneshensel, C. S. (1998). Gender and ethnic differences in the timing of first sexual intercourse. Family Planning Perspectives, 30, 121–127.PubMedCrossRef
Zurück zum Zitat Upchurch, D. M., Aneshensel, C. S., Sucoff, C. A., & Levy-Storms, L. (1999). Neighborhood and family contexts of adolescent sexual activity. Journal of Marriage and Family, 61, 920–933. doi:10.2307/354013.CrossRef Upchurch, D. M., Aneshensel, C. S., Sucoff, C. A., & Levy-Storms, L. (1999). Neighborhood and family contexts of adolescent sexual activity. Journal of Marriage and Family, 61, 920–933. doi:10.​2307/​354013.CrossRef
Zurück zum Zitat Van Ryzin, M. J., & Dishion, T. J. (2012). The impact of a family-centered intervention on the ecology of adolescent antisocial behavior: Modeling developmental sequelae and trajectories during adolescence. Development and Psychopathology, 24, 1139–1155. doi:10.1017/S0954579412000582.PubMedCrossRef Van Ryzin, M. J., & Dishion, T. J. (2012). The impact of a family-centered intervention on the ecology of adolescent antisocial behavior: Modeling developmental sequelae and trajectories during adolescence. Development and Psychopathology, 24, 1139–1155. doi:10.​1017/​S095457941200058​2.PubMedCrossRef
Zurück zum Zitat Van Ryzin, M. J., Johnson, A. B., Leve, L. D., & Kim, H. K. (2011). The number of sexual partners and health-risking sexual behavior: Prediction from high school entry to high school exit. Archives of Sexual Behavior, 40, 939–949. doi:10.1007/s10508-010-9649-5.PubMedCrossRef Van Ryzin, M. J., Johnson, A. B., Leve, L. D., & Kim, H. K. (2011). The number of sexual partners and health-risking sexual behavior: Prediction from high school entry to high school exit. Archives of Sexual Behavior, 40, 939–949. doi:10.​1007/​s10508-010-9649-5.PubMedCrossRef
Zurück zum Zitat Weinstock, H., Berman, S., & Cates, W. (2004). Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health, 36, 6–10.PubMedCrossRef Weinstock, H., Berman, S., & Cates, W. (2004). Sexually transmitted diseases among American youth: Incidence and prevalence estimates, 2000. Perspectives on Sexual and Reproductive Health, 36, 6–10.PubMedCrossRef
Metadaten
Titel
Preventing High-Risk Sexual Behavior in Early Adulthood with Family Interventions in Adolescence: Outcomes and Developmental Processes
verfasst von
Allison S. Caruthers
Mark J. Van Ryzin
Thomas J. Dishion
Publikationsdatum
01.02.2014
Verlag
Springer US
Erschienen in
Prevention Science / Ausgabe Sonderheft 1/2014
Print ISSN: 1389-4986
Elektronische ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-013-0383-9

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