Background:Hispanic/Latinx people comprise 19% of the total United States population and are one of the fastest growing groups in the country. This growth has been particularly notable among youth from rural and small-town communities. Understanding mental health during adolescence in this population can have a significant impact on public health.

Objective: To compare depressive symptoms during adolescence among Latinx Children of Immigrants (COI), Latinx Children of Non-Immigrants (CONI), and non-Latinx White CONI from small towns in the United States.

Methods: We used longitudinal data from Grades 6–12 from 1520 youth from 12 rural and small-town communities in seven states. The three study groups were defined by Latinx ethnicity, race, and immigrant generational status based on the child’s and their parents’ country of birth. Using a negative binomial form of the generalized linear mixed model, we evaluated differences in depressive symptoms among the groups and group-by-time interactions to assess whether differences varied across developmental age. Additional models were estimated stratified by sex.

Results: There were no statistically significant differences in depressive symptoms comparing adolescent Latinx CONI and non-Latinx White CONI to Latinx COI. However, Latinx CONI had significantly elevated depressive symptoms and a steeper decline in symptoms compared to White CONI. Among males, Latino CONI had higher symptom scores than Latino COI and White CONI; however, there were no notable differences among groups in female youth.

Conclusions: Findings from this study highlight the importance of immigrant generational status when assessing rural and small-town U.S. Latinx youth’s mental health.

Intergenerational studies have identified relations between adolescents? and their future offspring?s cannabis and alcohol use, but rarely have examined the association for other illicit drug use. Given the low prevalence of such use in community populations, we pooled data from three prospective intergenerational studies to test this link. Participants were 1,060 children of 937 parents who had been repeatedly assessed since early adolescence. Children and parents reported on their use of cocaine, stimulants, hallucinogens, sedatives/tranquilizers, and opiates/narcotics from ages 10 to 18?years. Intergenerational similarities in any versus no use of these drugs were formally modeled using logistic regression. Patterns also were descriptively analyzed. Parent illicit substance use was associated with significantly higher odds of child use (adjusted odds ratio [95% confidence interval]?=?2.682 [1.328?5.416], p?=?0.006). However, intergenerational continuity was modest; 87% of children whose parent used illicit drugs in adolescence did not use such drugs, and 77% of parents of children who used illicit drugs had not themselves used these drugs during adolescence. The use of illicit substances by parents during their teenage years poses a risk for their offspring?s similar behaviors. However, the discontinuity of these behaviors across generations implies children are largely resilient to or protected from this risk, and conversely that other aspects of parents? and children?s experiences or characteristics may be more powerful risks for children?s illicit drug use than this transgenerational influence. (a) Parents? use of illicit drugs during adolescence significantly increased risk that their adolescent children would use such drugs. (b) However, most parents who used illicit drugs did not have children who used illicit drugs, and conversely, the majority of adolescents who used illicit drugs did not have parents who had used such drugs in their adolescence. (c) Distinct prevention strategies may be needed to disrupt intergenerational continuities in illicit drug use via selective prevention, and also to avert drug use by offspring of parents who abstained in adolescence through universal approaches.

Objective: Youth in the legal system are vulnerable to initiation and escalation of opioid use. The transition period during which a young person is released from the institutional setting to the community is a critical window of opportunity for preventive intervention targeting the uptake and intensification of opioid and other drug use. Adaptive preventive interventions are a promising approach to systematically varying the timing and intensity of substance use preventive interventions for these youth.

Method: This pilot study of 30 youth (97% young men; 37% White; Mage = 18.34, SD = 1.84) examined the feasibility and acceptability of adaptive and nonadaptive preventive interventions that incorporate components of the Adolescent Community Reinforcement Approach with Assertive Continuing Care, Trauma Affect Regulation: Guide for Education and Treatment, and Motivational Interviewing using the Sequential Multiple Assignment Randomized Trial study design. Participants completed assessments at baseline, 1-month postrelease, and 2-months postrelease.

Results: Enrollment rate was 65%. Nearly three-quarters (73%) of enrolled youth had substance use disorder at intake. Moreover, 60% of enrolled participants completed the 2-month postrelease follow-up assessment. Participants reported high satisfaction with the interventionist interactions, and 95% indicated they would recommend the program to other youth. The pilot study revealed the need for several adaptations to study and intervention protocols.

Conclusions: This pilot study provides evidence of the feasibility of a research–practice partnership with state juvenile rehabilitation facilities, successful recruitment of youth involved in the legal system, and feasibility and acceptability of adaptive preventive interventions spanning pre- and post-release for legal system-involved youth.

OBJECTIVE: The purpose of this study was to examine how alcohol availability, overserving, and enforcement in recreational and social settings are related to alcohol misuse and alcohol-impaired driving among young adults in Victoria, Australia, and Washington State, United States.

METHOD: Longitudinal data came from 1,430 participants in Victoria (n = 757; 52% female) and Washington (n = 673; 53% female), surveyed in 2014 (age 25 years) and 2018 (age 29 years) from the International Youth Development Study, a population-based, cross-national study to examine factors influencing substance use. Path modeling tested associations between age 25 perceptions of the alcohol environment, age 25 social alcohol consumption, and age 29 alcohol-related harms. Multiple-group modeling examined differences in parameter estimates across both states.

RESULTS: Age 25 perceptions of the alcohol environment (alcohol availability, overservice in evening social venues, legal enforcement) and alcohol consumption in evening social settings were similar between the two states. Higher alcohol availability and perceived tendency of evening social venues to overserve were associated with higher alcohol consumption in these contexts. In turn, higher alcohol consumption in these settings was associated with more problematic alcohol use and an increased likelihood of alcohol-impaired driving 4 years later. The perceived likelihood of legal enforcement in evening social settings was not related to alcohol consumption in these contexts.

CONCLUSIONS: The recreational and social settings commonly frequented by young adults can influence drinking behaviors and alcohol-related harms. Reducing alcohol availability and overservicing in settings where young adults often congregate and socialize could reduce problematic alcohol use and alcohol-impaired driving.

INTRODUCTION: Use of electronic nicotine delivery systems (ENDS) may contribute to cigarette use and nicotine addiction by shifting perceptions and norms around tobacco, but little is known about whether or how ENDS use and norms are related to cigarette use and norms, particularly among young adults. This study tested two potential mechanisms by which END use may facilitate cigarette use: decreasing tobacco harm perceptions (desensitization) and increasing favorability of tobacco use (renormalization).

METHOD: Analyses included data from 2187 young adults in a longitudinal panel who reported any ENDS or combustible cigarette use at ages 21, 23, or 26. The sample was 53.6% male, 19.3% Hispanic, and 68.0% white. Parallel process latent growth models were fitted to test how change in ENDS use and harm perceptions about ENDS use co-occurred with change in cigarette use and harm perceptions about cigarette use across a 6-year period from ages 21, 23, and 26 (years 2014-2019).

RESULTS: When ENDS harm perceptions decreased and ENDS use increased, cigarette harm perceptions decreased and favorability of cigarettes increased. Decreases in ENDS harm perception were differentially associated with likelihood of transition to cigarette use (an increase) and frequency of use when it occurred (a decrease). CONCLUSIONS: Changing tobacco harm perceptions and favorability are two processes by which ENDS use may underlie transitions to cigarette use. Tobacco prevention messaging should emphasize the potential harms of ENDS use that could occur through shifting tobacco perceptions, especially among young adults who are not already frequent cigarette smokers.

IMPLICATIONS: Increasing favorability of ENDS (and increased ENDS use) may generalize to combustible cigarettes. Continued use of ENDS can increase risk of cigarette use when this exposure desensitizes nonsmoking young adults from the dangers of smoking and renormalizes pro-tobacco attitudes. Findings suggest that prevention messaging around tobacco products should emphasize the potential harms of ENDS use (including the increased likelihood of cigarette use after initiating ENDS), especially among young adults who are not already frequent cigarette smokers.

AIMS: Reducing combustible cigarette smoking is a major public health concern. Research identifies both electronic nicotine delivery systems (ENDS) and cannabis use as factors that are related to combustible cigarette cessation. The current study examined whether using substances in similar ways (e.g., inhaling them) triggers the urge to smoke, thereby undermining attempts to quit. DESIGN: Analyses examined how using ENDS and smoking or vaping cannabis, both separately and together, were associated with reductions in daily combustible cigarette smoking among young adult smokers.

PARTICIPANTS: Three waves of data from the Community Youth Development Study, including 909 participants who reported daily cigarette smoking at age 23, 26, and/or 28, were included in analyses.

SETTING: Participants were dispersed throughout 48 US states.

MEASUREMENTS: Latent growth modeling was used to model daily cigarette smoking over time. Models using past-month ENDS use, past-month smoking/vaping cannabis, and past-month co-use of ENDS and cannabis (using ENDS and smoking/vaping cannabis within the past month) as time-varying covariates were tested.

FINDINGS: Over time, there was a tendency towards cessation of daily combustible cigarette use among this smoking sample. Smoking/vaping cannabis was associated with a decreased rate of daily combustible cigarette cessation among the sample, whereas ENDS use was associated with an increased rate of daily smoking cessation. The predicted additive effect of using ENDS and smoking/vaping cannabis was not significant.

CONCLUSIONS: Among young adult daily cigarette smokers, smoking cannabis, on its own, poses a risk to quitting combustible cigarettes, while using ENDS may promote cigarette cessation, possibly through substitution.

Investing in and promoting educators’ own SEL can improve student outcomes. However, few teacher preparation programs include opportunities for building Adult SEL capacity in their curricula (Schonert-Reichl, 2017), leaving gaps in educators’ knowledge and skills related to SEL implementation. Therefore, in-service education is needed. In this paper, we explore changes in perceptions of support and SEL capacities among PK-12 educators who completed a credit-bearing university extension course focused on SEL. We used mixed effects models to assess changes in scale means between pre-course and post-course survey responses. There was strong improvement from pre- to post-course (p < .001) in support received and SEL capacities, posited requisites for successful SEL implementation. Exploratory analyses illustrate the possibility that university extension courses focused on Adult SEL could have a role in improving teacher well-being. Overall, results point to the potential of universities as partners in advancing social and emotional learning to improve adult– and student– well-being, engagement, and performance. Impact Statement This paper contributes to the burgeoning literature of Adult SEL by exploring a university extension course and it’s impacts on SEL support and teacher capacity. Findings illuminate significant improvement in course participant scores from pre- to post-course. Policymakers should consider the benefits of funding and expanding continuing education courses on SEL for in-service educators. Current educators who are also looking for support to expand their capacity to implement SEL may consider participating in an in-depth learning experience with a focus on Adult SEL.

School suspension in adolescence has been shown to predict homelessness in young adulthood, suggesting that it may be a point of intervention to reduce young adult homelessness. Under zero tolerance policies, school suspension is more common in the United States relative to Australia. Multilevel modeling of cross-national longitudinal data from the International Youth Development Study tested prospective associations between adolescent problem behaviors, student-perceived likelihood of suspension/expulsion, school-level behavior management policy, and young adult homelessness. Population-based samples of participants from Washington State (United States) and Victoria (Australia) were surveyed at ages 13, 14, 15 (2002-2004), and 25 years (2014-15; n = 1945; 51% female). Over half of the young adults who reported homelessness within the previous year at age 25 had experienced school suspension. Individual-level school suspension in middle school predicted young adult homelessness. Higher levels of adolescent rebelliousness, non-violent and violent antisocial behavior, and substance use predicted a higher likelihood of school suspension at the person-level and were indirectly related to increased risk for homelessness at age 25. School behavior management policy was not related to a history of school suspension at either the person- or school-level once individual factors were controlled. Findings demonstrate the importance of school suspension as a risk factor for future homelessness and suggest that prevention programming that aims to mitigate substance use, antisocial behaviors, and school suspension may help to reduce young adult homelessness.

OBJECTIVE: This study examined whether the cumulative experience of elevated depressive symptoms from age 19 to 23 was associated with cannabis use disorder (CUD) at age 26, and whether the association varied by perceived ease of access to cannabis and perceived risk for harms from cannabis use.

METHOD: Data were from 4407 young adults participating in the Community Youth Development Study. Cumulative experience of elevated depressive symptoms was calculated by summing the number of times a participant scored 10+ on the 9-item Patient Health Questionnaire across three biennial survey waves (age 19 to 23). To assess CUD, the Diagnostic Interview Schedule was used. Participants also self-reported their ease of access to cannabis and the perceived harm of regular cannabis use at the age 19, 21, and 23 waves. Marginal structural modeling was used to account for multiple time-varying and time-fixed covariates through use of inverse probability weights.

RESULTS: In final weighted models, a greater number of time points (i.e., study waves) showing elevated depressive symptoms was associated with an increased likelihood of CUD at age 26 (Prevalence Ratio = 1.46; 95% CI: 1.20, 1.77). There was no strong evidence for moderation of this association by perceived ease of access or perceived risk for harms due to regular cannabis use.

CONCLUSIONS: Persistent experience of elevated depressive symptoms may place young adults at risk for cannabis use disorder. Strategies to reduce the burden of depressive symptoms among young adults may lead to downstream effects such as reducing the prevalence of cannabis-related problems.

This cohort study evaluates changes in characteristics of young adults who carried handguns from 2019 to 2021.