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Reducing Adolescent Risk
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Reducing Adolescent Risk
Toward an Integrated Approach

Edited by:

April 2003 | 536 pages | SAGE Publications, Inc

Published in Association with American Academy of Political and Social Science

"What an extraordinary volume! This book brings together current research integrating adolescent risk and protection across a wide range of topics and disciplines. It is a major contribution to the field."

— Robert Wm. Blum, MD, MPH, PhD, Professor and Director, Center for Adolescent Health and Development, University of Minnesota

"This book is clearly the best source now available on the topic of adolescent risk taking and its prevention. With chapters written by the very best people in the field, describing the latest thinking and findings, it is an essential guide and resource for prevention researchers and program developers."

— Bruce Simons-Morton, EdD, MPH, Chief, Prevention Research Branch Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development

 

"This report shines a bright light on the road our nation has taken to improve adolescent health, the approaching fork, and the path most likely to attain our destination."

Lloyd J. Kolbe, PhD, Director, Division of Adolescent and School Health, U.S. Centers for Disease Control And Prevention

 

"Reducing Adolescent Risk: Toward an Integrated Approach weaves together current research findings with prevailing prevention strategies to shed further light on the developmental pathways leading to a variety of interrelated adolescent risk behaviors. In doing so, the authors skillfully make the case for more integrated policy approaches and for comprehensive programming at the community level that both recognizes the connections between risk behaviors and maximizes young people's positive potential."

— Karen Pittman, Executive Director, The Forum for Youth Investment & President, Impact Strategies, Inc.

Many risk behaviors have common developmental pathways. However, most prevention strategies approach adolescent risk behaviors as individual problems requiring separate solutions. This policy of treating one behavior at a time encourages a fractured approach to adolescent health.

Reducing Adolescent Risk: Toward an Integrated Approach focuses on common influences that result in a number of interrelated risk behaviors in order to design more unified, comprehensive prevention strategies. Edited by Daniel Romer, this book summarizes presentations and discussions held at the Adolescent Risk Communication Institute of the University of Pennsylvania Annenberg Public Policy Center. Concentrating on common causes for varied risk behaviors, a group of leading researchers and intervention specialists from different health traditions synthesize current knowledge about risks to adolescent health in several areas, including drugs and alcohol, tobacco, unprotected sex, suicide and depression, and gambling.

Promoting healthy adolescent development, this innovative volume includes

    • Results of the National Risk Survey
    • Contributions from experts on adolescent decision making and problem solving
    • Research agendas for programs that reduce multiple risks
    • Potential intervention strategies to reduce more than one risk at a time
    • Major findings from the conference that should be pursued in future research

Primarily intended for graduate students, scholars, and researchers in psychology, sociology, social work, and public health, Reducing Adolescent Risk is also an extraordinary resource for policy makers in government organizations and foundations.

 

 

Daniel Romer
Preface
 
1. Prospects for an Integrated Approach to Adolescent Risk Reduction
 
PART I. ADOLESCENTS AS DECISION MAKERS
 
Section A. Differing Views of Adolescent Decision Making
James Byrnes
2. Changing Views on the Nature and Prevention of Adolescent Risk Taking
Laurence Steinberg
3. Is Decision Making the Right Framework for Research on Adolescent Risk Taking?
Daniel Lapsley
4. The Two Faces of Adolescent Invulnerability
 
Section B. Affect, Risk Perception, and Behavior
Susan Millstein
5. Risk Perception: Construct Development, Links to Theory, Correlates, and Manifestations
Paul Slovic
6. Affect, Analysis, Adolescence, and Risk
Martin Fishbein
7. Toward an Understanding of the Role of Perceived Risk in HIV Prevention Research
Lloyd Johnston
8. Alcohol and Illicit Drugs: The Role of Risk Perceptions
Meg Gerrard, Frederick X. Gibbons, & Michelle L. Gano
9. Adolescents' Risk Perceptions and Behavioral Willingness: Implications for Intervention
 
Section C. Problem-Solving Approaches
Myrna Shure
10. A Problem Solving Approach to Preventing Early High-Risk Behaviors in Children and Preteens
Kenneth Griffin
11. Contemporary School-Based Prevention Approaches and the Perceived Risks & Benefits of Substance Use
Andrew Parker & Baruch Fischhoff
12. Decision-Making Competence & Risk Behavior
Geoffrey T. Fong & Peter A. Hall
13. Time Perspective: A Potentially Important Construct for Decreasing Health Risk Behaviors Among Adolescents
Maria D. LaRusso & Robert L. Selman
14. The Influence of School Atmosphere and Development on Adolescents' Perceptions of Risks and Prevention: Cynicism Versus Skepticism
 
PART II. COMMON PATHWAYS & INFLUENCES ON ADOLESCENT RISK BEHAVIOR
 
Section A. Multiple-Problem Youth
Anthony Biglan & Christine Cody
15. Preventing Multiple Problem Behaviors in Adolescence
Herbert Severson, Judy Andrews, & Hill M. Walker
16. Screening & Early Intervention for Antisocial Youth Within School Settings as a Strategy for Reducing Substance Use
Ken C. Winters, Gerald August, & Willa Leitten
17. Preventive Interventions for Externalizing Disorders in Adolescents
 
Section B. Personality and Other Dispositions
Caryn Lerman, Freda Patterson, & Alexandra Shields
18. Genetic Basis of Substance Use and Dependence: Implications for Prevention in High-Risk Youth
Lewis Donohew, Philip Palmgreen, Rick Zimmerman, Nancy Harrington, & Derek Lane
19. Health Risk Takers and Prevention
Lauren B. Alloy, Lin Zhu, & Lyn Abramson
20. Cognitive Vulnerability to Depression: Implications for Adolescent Risk Behavior in General
 
Section C. Peers and Parents
Joseph Rodgers
21. EMOSA Sexuality Models, Memes, and the Tipping Point: Policy & Program Implications
Bonita Stanton & James Burns
22. Sustaining and Broadening Intervention Effect: Social Norms, Core Values, and Parents
 
Section D. Media Interventions
Barbara Delaney
23. Adolescent Risk Behavior Research and Media-Based Health Messages
Joseph Cappella, Marco Yzer, & Martin Fishbein
24. Using Beliefs About Positive and Negative Consequences as the Basis for Designing Message Interventions for Lowering Risky Behavior
 
PART III. PERSPECTIVES FROM DIFFERENT RISK-RESEARCH TRADITIONS
 
Section A. Gambling
Mark Griffiths
25. Adolescent Gambling: Risk Factors and Implications for Prevention, Intervention, and Treatment
Jeffrey Derevensky, Rina Gupta, Laurie Dickson, Karen Hardoon, & Anne-Elyse Deguire
26. Understanding Youth Gambling Problems: A Conceptual Framework
Marc Potenza
27. A Perspective on Adolescent Gambling: Relationship to Other Risk Behaviors and Implications for Prevention Strategies
Rachel Volberg
28. Why Pay Attention to Adolescent Gambling
 
Section B. Sexual Behavior
Douglas Kirby
29. Risk and Protective Factors Affecting Teen Pregnancy and the Effectiveness of Programs Designed to Address Them
Mignon Moore & Jeanne Brooks-Gunn
30. Healthy Sexual Development: Notes on Programs that Reduce the Risk of Early Sexual Initiation and Adolescent Pregnancy
J. Dennis Fortenberry
31. Adolescent Sex and the Rhetoric of Risk
 
Section C. Suicide
Madelyn Gould
32. Suicide Risk Among Adolescents
David Brent
33. Some Strategies to Prevent Youth Suicide
Sean Joe
34. Implications of Focusing on Black Youth Self-Destructive Behaviors Instead of Suicide When Designing Preventative Interventions
 
Section D. Alcohol and Drugs
Robert Hornik
35. Alcohol, Tobacco, and Marijuana Use Among Youth: Same-Time and Lagged and Simultaneous-Change Associations in a Sample of 9- to 18-Year-Olds
 
PART IV. OVERARCHING APPROACHES & RECOMMENDATIONS FOR FUTURE RESEARCH
Brian Flay
36. Positive Youth Is Necessary and Possible
Jodie Roth & Jeanne Brooks-Gunn
37. Youth Development Programs and Healthy Development: A Review and Next Steps
Ralph DiClemente, Gina Wingood, & Richard A. Crosby
38. A Contextual Perspective for Understanding and Preventing STD/HIV Among Adolescents
Kathleen Jamieson & Daniel Romer
39. Findings & Future Directions
 
Appendix A
 
Appendix B
 
References
 
Index
 
About the Editor
 
About the Contributors

"What an extraordinary volume! This book brings together current research integrating adolescent risk and protection across a wide range of topics and disciplines. It is a major contribution to the field."

Robert Wm. Blum, MD, MPH, PhD, Professor and Director
Center for Adolescent Health and Development, University of Minnesota

"This book is clearly the best source now available on the topic of adolescent risk taking and its prevention. With chapters written by the very best people in the field, describing the latest thinking and findings, it is an essential guide and resource for prevention researchers and program developers."

Bruce Simons-Morton, EdD, MPH, Chief
Prevention Research Branch Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development

"This report shines a bright light on the road our nation has taken to improve adolescent health, the approaching fork, and the path most likely to attain our destination."

Lloyd J. Kolbe, PhD, Director
Division of Adolescent and School Health, U.S. Centers for Disease Control And Prevention

"Reducing Adolescent Risk: Toward an Integrated Approach weaves together current research findings with prevailing prevention strategies to shed further light on the developmental pathways leading to a variety of interrelated adolescent risk behaviors. In doing so, the authors skillfully make the case for more integrated policy approaches and for comprehensive programming at the community level that both recognizes the connections between risk behaviors and maximizes young people's positive potential."

Karen Pittman, Executive Director
The Forum for Youth Investment & President, Impact Strategies, Inc.
Key features
  • Papers and findings, initially presented in a conference setting, have been rewritten, edited, and organized into sections that highlight important themes in developing a comprehensive approach to adolescent risk behavior.
  • An introductory chapter includes results of the National Risk Survey, a nation-wide telephone survey of 900 young people ages 14 to 22, which also served as a focal point during conference presentations.
  • Includes perspectives of researchers recognized as leaders in different adolescent risk traditions: suicide, tobacco use, alcohol and illegal drugs, pregnancy, HIV and sexually transmitted disease, etc.
  • Includes problem gambling, a topic not often addressed in adolescence books yet one of increasing concern as legalized gambling spreads via casinos, state-sponsored lotteries, etc. This problem is used as an example of a behavior that may have considerable overlap with other risk behaviors and that may be effectively approached using strategies from other risk domains.
  • Addresses several controversial questions: Can young people, who are naturally impulsive and sensation seekers, be taught rational, problem-solving skills? Does knowledge of the effects of risky behavior actually have any effect on risk taking? Are positive youth development programs truly efficacious and is there a useful theory that can inform research about this approach? Does screening for emotional disorders and problem behavior stigmatize children and their parents?

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