%0 Journal Article %J Prev Sci %D 2014 %T The onset of STI diagnosis through age 30: results from the Seattle Social Development Project Intervention. %A Hill, Karl G %A Bailey, Jennifer A %A Hawkins, J D %A Catalano, Richard F %A Kosterman, Rick %A Oesterle, Sabrina %A Abbott, Robert D %K Adolescent %K Adult %K Child %K Female %K Health Promotion %K Humans %K Interviews as Topic %K Longitudinal Studies %K Male %K Outcome Assessment (Health Care) %K Parent-Child Relations %K Risk-Taking %K Sexually Transmitted Diseases %K Social Adjustment %K Unsafe Sex %K Urban Population %K Washington %X

The objectives of this study were to examine (1) whether the onset of sexually transmitted infections (STI) through age 30 differed for youths who received a social developmental intervention during elementary grades compared to those in the control condition; (2) potential social-developmental mediators of this intervention; and (3) the extent to which these results differed by ethnicity. A nonrandomized controlled trial followed participants to age 30, 18 years after the intervention ended. Three intervention conditions were compared: a full-intervention group, assigned to intervention in grades 1 through 6; a late intervention group, assigned to intervention in grades 5 and 6 only; and a no-treatment control group. Eighteen public elementary schools serving diverse neighborhoods including high-crime neighborhoods of Seattle are the setting of the study. Six hundred eight participants in three intervention conditions were interviewed from age 10 through 30. Interventions include teacher training in classroom instruction and management, child social and emotional skill development, and parent workshops. Outcome is the cumulative onset of participant report of STI diagnosis. Adolescent family environment, bonding to school, antisocial peer affiliation, early sex initiation, alcohol use, cigarette use, and marijuana use were tested as potential intervention mechanisms. Complementary log-log survival analysis found significantly lower odds of STI onset for the full-intervention compared to the control condition. The lowering of STI onset risk was significantly greater for African Americans and Asian Americans compared to European Americans. Family environment, school bonding, and delayed initiation of sexual behavior mediated the relationship between treatment and STI hazard. A universal intervention for urban elementary school children, focused on classroom management and instruction, children's social competence, and parenting practices may reduce the onset of STI through age 30, especially for African Americans.

%B Prev Sci %V 15 Suppl 1 %P S19-32 %8 2014 Feb %G eng %R 10.1007/s11121-013-0382-x %0 Journal Article %J Compr Psychiatry %D 2012 %T Can patterns of alcohol use disorder in young adulthood help explain gender differences in depression? %A Lee, Jungeun O %A Kosterman, Rick %A McCarty, Carolyn A %A Hill, Karl G %A Hawkins, J D %K Adult %K Age Factors %K Alcohol-Related Disorders %K Cohort Studies %K Comorbidity %K Cross-Sectional Studies %K Depressive Disorder, Major %K Female %K Humans %K Longitudinal Studies %K Male %K Risk Factors %K Sex Factors %K Washington %K Young Adult %X

OBJECTIVE: To test whether gender differences in the prevalence of major depressive disorder differ by longitudinal patterns of alcohol use disorder symptoms.

METHOD: Data are from a prospective longitudinal study examining a broad range of mental health and substance use problems. A gender-balanced sample of 808 participants was interviewed at ages 21, 24, 27, and 30. The sample was divided into subgroups corresponding to longitudinal patterns of alcohol use disorder derived from latent class growth analysis.

RESULTS: Four patterns of alcohol use disorder symptoms were identified: A "low disorder symptom" group, a "decreaser" group, an "increaser" group, and a "chronic disorder symptom" group. Rates of depression were significantly higher for females only among those with a pattern of chronic or decreasing alcohol disorder symptoms.

CONCLUSIONS: Elevated rates of depression among females in young adulthood may depend on patterns of co-occurring alcohol disorder symptoms. Practitioners should pay particular attention to signs of chronic alcohol use disorders and associated risks for depression among young adult women.

%B Compr Psychiatry %V 53 %P 1071-7 %8 2012 Nov %G eng %N 8 %R 10.1016/j.comppsych.2012.03.012 %0 Journal Article %J Addiction %D 2012 %T Co-occurrence of sexual risk behaviors and substance use across emerging adulthood: evidence for state- and trait-level associations. %A King, Kevin M %A Nguyen, Hong V %A Kosterman, Rick %A Bailey, Jennifer A %A Hawkins, J D %K Adult %K Alcohol-Related Disorders %K Female %K Humans %K Male %K Risk-Taking %K Substance-Related Disorders %K Time Factors %K Unsafe Sex %K Young Adult %X

AIMS:   Prior research has suggested that problematic alcohol and drug use are related to risky sexual behaviors, either due to trait-level associations driven by shared risk factors such as sensation seeking or by state-specific effects, such as the direct effects of substance use on sexual behaviors. Although the prevalence of both high-risk sexual activity and alcohol problems decline with age, little is known about how the associations between substance use disorder symptoms and high-risk sexual behaviors change across young adulthood.

DESIGN, SETTING AND PARTICIPANTS:   Using a community sample (n = 790) interviewed every 3 years from age 21 to age 30 years, we tested trait- and state-level associations among symptoms of alcohol and drug abuse and dependence and high-risk sexual behaviors across young adulthood using latent growth curve models.

MEASUREMENTS:   We utilized diagnostic interviews to obtain self-report of past-year drug and alcohol abuse and dependence symptoms. High-risk sexual behaviors were assessed with a composite of four self-reported behaviors.

FINDINGS:   Results showed time-specific associations between alcohol disorder symptoms and risky sexual behaviors (r = 0.195, P < 0.001), but not associations between their trajectories of change. Conversely, risky sexual behaviors and drug disorder symptoms were associated only at the trait level, not the state level, such that the levels and rate of change over time of both were correlated (r = 0.35, P < 0.001).

CONCLUSIONS:   High-risk sexual behaviors during young adulthood seem to be driven both by trait and state factors, and intervention efforts may be successful if they are either aimed at high-risk individuals or if they work to disaggregate alcohol use from risky sexual activities.

%B Addiction %V 107 %P 1288-96 %8 2012 Jul %G eng %N 7 %R 10.1111/j.1360-0443.2012.03792.x %0 Journal Article %J J Adolesc Health %D 2012 %T Family influences related to adult substance use and mental health problems: A developmental analysis of child and adolescent predictors. %A Herrenkohl, Todd I %A Lee, Jungeun O %A Kosterman, Rick %A Hawkins, J D %K Adolescent %K Adolescent Development %K Adult %K Anxiety %K Child %K Child Development %K Conflict (Psychology) %K Depression %K Family Relations %K Female %K Forecasting %K Humans %K Longitudinal Studies %K Male %K Substance-Related Disorders %X

PURPOSE: This study investigated measures of family conflict, family management, and family involvement at ages 10-12, 13-14, and 15-18 years as predictors of adult depression, anxiety, and substance use disorder symptoms classes at age 27. The objective was to assess the relative influence on adult outcomes of each family predictor measured similarly at different points in adolescent development.

METHODS: Data were obtained from the Seattle Social Development Project, a theory-driven longitudinal study that began in 1985, with 808 fifth-grade students from 18 Seattle public elementary schools. A latent class analysis of adult outcomes was followed by bivariate and multivariate models for each family predictor. Of the original 808 participants, 747 (92% of the original sample) had available data at age 27 on the mental health and substance use latent class indicators. Missing data were handled using full-information maximum likelihood estimation.

RESULTS: Four latent classes were derived: a "low disorder symptoms" class, a "licit substance use disorder symptoms" class, a "mental health disorder symptoms" class, and a "comorbid" class. Multivariate results show that family conflict is the strongest and most consistent predictor of the adult mental health and substance use classes. Family management, but not family involvement, was also predictive of the adult outcome classes.

CONCLUSIONS: It is important to lessen family conflict and improve family management to prevent later mental health and substance use problems in adulthood.

%B J Adolesc Health %V 51 %P 129-35 %8 2012 Aug %G eng %N 2 %R 10.1016/j.jadohealth.2011.11.003 %0 Journal Article %J J Adolesc Health %D 2011 %T Positive childhood experiences and positive adult functioning: Prosocial continuity and the role of adolescent substance use. %A Kosterman, Rick %A Mason, W A %A Haggerty, Kevin P %A Hawkins, J D %A Spoth, Richard %A Redmond, Cleve %K Adolescent %K Adolescent Development %K Adult %K Child %K Efficiency %K Exercise %K Female %K Humans %K Interpersonal Relations %K Male %K Parent-Child Relations %K Parenting %K Rural Population %K Social Responsibility %K Substance-Related Disorders %K Young Adult %X

PURPOSE: To examine positive childhood experiences as predictors of positive adult functioning, including civic involvement, productivity and responsibility, interpersonal connection, and physical exercise; and to examine adolescent substance use as a mediator of prosocial continuity.

METHODS: A total of 429 rural participants were interviewed across seven waves from age 11 to 22 years. Structural equation models examined the relationship between positive childhood experiences and adult functioning, with adolescent substance use added to each model as a possible mediating mechanism.

RESULTS: Positive childhood experiences predicted significantly better adult functioning for each model, even after accounting for adolescent substance use. Positive childhood experiences also consistently predicted significantly less adolescent substance use. In turn, adolescent substance use predicted significantly less civic involvement and less productivity and responsibility, but was not associated with interpersonal connection or physical exercise when accounting for childhood experiences. Results were largely consistent across gender and levels of family income.

CONCLUSION: Findings show the enduring importance of positive childhood experiences in predicting positive functioning in early adulthood. Although adolescent substance use increased risk for poorer functioning in important domains of adult life, results suggest that positive experiences in late childhood continued to have a significant prosocial effect into young adulthood. The study also highlights the late elementary grades as a time when parents, teachers, and others can potentially have a large influence in proactively providing prosocial opportunities for children.

%B J Adolesc Health %V 49 %P 180-6 %8 2011 Aug %G eng %N 2 %R 10.1016/j.jadohealth.2010.11.244 %0 Journal Article %J Dev Psychopathol %D 2010 %T Effects of childhood conduct problems and family adversity on health, health behaviors, and service use in early adulthood: tests of developmental pathways involving adolescent risk taking and depression. %A Herrenkohl, Todd I %A Kosterman, Rick %A Mason, W A %A Hawkins, J D %A McCarty, Carolyn A %A McCauley, Elizabeth %K Adolescent %K Adolescent Development %K Adult %K Child %K Child Behavior Disorders %K Child Development %K Depression %K Female %K Health Behavior %K Health Services %K Health Status %K Humans %K Male %K Risk-Taking %X

This study examined a developmental, cascade model that includes childhood risks of conduct problems and family adversity at age 10-12; conduct problems, risk taking, and internalizing during adolescence; and adult outcomes of conduct problems, poor health, health risks, depression, and service use at ages 27 and 30. Analyses showed that childhood conduct problems predicted adolescent conduct problems and risk taking, which in turn, predicted adult conduct problems, health risks, depression, and service use. Childhood family adversity predicted adolescent internalizing, a predictor itself of poor health, depression, and service use at age 27. There was considerable continuity in the same adult outcomes measured over a 3-year period, as well as some cross-domain prediction from variables at age 27 to measures at age 30. Developmental patterns found in these data offer implications for future research and prevention.

%B Dev Psychopathol %V 22 %P 655-65 %8 2010 Aug %G eng %N 3 %R 10.1017/S0954579410000349 %0 Journal Article %J J Child Psychol Psychiatry %D 2010 %T Growth in adolescent delinquency and alcohol use in relation to young adult crime, alcohol use disorders, and risky sex: A comparison of youth from low- versus middle-income backgrounds. %A Mason, W A %A Hitch, Julia E %A Kosterman, Rick %A McCarty, Carolyn A %A Herrenkohl, Todd I %A Hawkins, J D %K Adolescent %K Age Factors %K Alcohol Drinking %K Alcohol-Related Disorders %K Child %K Female %K Follow-Up Studies %K Humans %K Juvenile Delinquency %K Male %K Risk Factors %K Risk-Taking %K Sampling Studies %K Social Class %K United States %K Unsafe Sex %K Violence %K Young Adult %X

BACKGROUND: This study examined adolescent delinquency and alcohol use in relation to young adult crime, alcohol use disorders (AUDs), and risky sex. Analyses further examined the influences of late childhood involvement in these problem behavior outcomes, with mediation through teen delinquency and alcohol use, and examined differences in the pathways for youth from low- compared to middle-income backgrounds.

METHOD: Multiple-group latent growth curve modeling was conducted using data collected from a sample of 808 youth followed from age 10 to age 24. Self-report assessments included delinquent involvement, alcohol use, and sexual activity in late childhood; delinquency and alcohol use in adolescence; and crime, AUDs, and risky sex in early adulthood.

RESULTS: Late childhood delinquent involvement was associated with young adult crime, AUDs, and risky sex indirectly through adolescent delinquency, and had a persistent direct effect on crime. Adolescent delinquency also mediated the relation between early sex onset and crime. Early alcohol use predicted a higher level of, and a faster rate of increase in, adolescent drinking, which predicted, in turn, young adult AUDs and risky sex. Significant group differences indicated stronger associations between adolescent delinquency and each young adult outcome for youth from low- compared to those from middle-income backgrounds.

CONCLUSIONS: Early intervention may help prevent the development of crime, AUDs, and risky sex behaviors, especially among disadvantaged youth.

%B J Child Psychol Psychiatry %V 51 %P 1377-85 %8 2010 Dec %G eng %N 12 %R 10.1111/j.1469-7610.2010.02292.x %0 Journal Article %J Adm Policy Ment Health %D 2010 %T The relationship between outpatient mental health treatment and subsequent mental health symptoms and disorders in young adults. %A Van Dorn, Richard A %A Kosterman, Rick %A Williams, James H %A Chandler, Kristen %A Young, M S %A Catalano, Richard F %A Hawkins, J D %K Adult %K Ambulatory Care %K Community Mental Health Services %K Female %K Humans %K Interviews as Topic %K Male %K Mental Disorders %K Young Adult %X

The objective of this study was to evaluate community-based outpatient mental health services for young adults. Participants were interviewed at ages 21, 24, 27, and 30. Outcomes included: (1) symptoms of depression, generalized anxiety, social phobia, dysthymia and post traumatic stress individually and as a global scale; and (2) a dichotomous diagnosis variable inclusive of all above disorders. Treatment was indicated by an outpatient visit to a psychiatrist or other professional. Treatment did not reduce mental disorder or symptoms. Substance use, violence, poverty, community disorganization, and family history of antisocial behavior increased risks for negative outcomes, while social support was protective. The absence of positive findings associated with outpatient treatment is troubling given the empirically supported interventions for the conditions examined. Practitioners, agencies, and managed care organizations share a responsibility to implement effective and comprehensive interventions.

%B Adm Policy Ment Health %V 37 %P 484-96 %8 2010 Nov %G eng %N 6 %R 10.1007/s10488-010-0291-2