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Author: Brady, James

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1.	Agre, Lynn A. Peterson, N. Andrew Brady, James
1.	Mediational Effects of Sensation Seeking on Adolescent Health Risk Behaviors by Mother's Educational Attainment Presented: Philadelphia, PA, American Public Health Association (APHA) 137th Annual Meeting and Exposition, November 2009 Cohort(s): NLSY79 Young Adult Publisher: American Public Health Association Keyword(s): Adolescent Behavior; Adolescent Sexual Activity; Alcohol Use; CESD (Depression Scale); Family Structure; Health, Mental/Psychological; Mothers, Education; Neighborhood Effects; Risk-Taking Permission to reprint the abstract has not been received from the publisher. This study examines if self-rated risk perception (risk proneness) mediates the effects of health behavior determinants, which include depression, parenting and neighborhood quality on health behaviors. While peer pressure could be a measure of influence, little research has explored the effect of parental education, especially maternal education as a protective factor/social support mechanism in predicting health behavior outcomes. This research utilizes a national representative sample, the NLSY 1998 Young Adult cohort, to demonstrate the mediational role of risk proneness – how environment influences cognition – in safeguarding against adolescent deleterious health choices. Self-rated risk proneness, in conjunction with the psychosocial and environmental factors, is evaluated in path analysis (n=1786) as a mediating step to engaging in alcohol and tobacco use and sexual behavior. Results reveal that depressive symptoms are an underlying factor in risk proneness (higher sensation seeking likelihood) among white adolescents whose mothers have lower educational attainment, particularly females engaging in concomitant alcohol use and sexual risk taking. However, depression has no association with risk proneness among African American adolescents whose mothers have higher educational attainment or lower educational attainment. Yet, path analysis does demonstrate, through temporal ordering, that risk proneness (sensation seeking) is a mediator in the sequence to alcohol use and sexual risk taking among white adolescents of mothers with both higher and lower educational attainment, and among African American adolescents of mothers with lower educational attainment. These group differences in mother's educational attainment contribute to the development of targeted community interventions among adolescents in varied neighborhood contexts.
	Bibliography Citation Agre, Lynn A., N. Andrew Peterson and James Brady. "Mediational Effects of Sensation Seeking on Adolescent Health Risk Behaviors by Mother's Educational Attainment." Presented: Philadelphia, PA, American Public Health Association (APHA) 137th Annual Meeting and Exposition, November 2009.

2.	Agre, Lynn A. Peterson, N. Andrew Brady, James
2.	Sensation Seeking Risk Profiles of Adolescent Alcohol Use and Sexual Behavior Presented: Philadelphia, PA, American Public Health Association (APHA) 137th Annual Meeting and Exposition, November 2009 Cohort(s): NLSY79 Young Adult Publisher: American Public Health Association Keyword(s): Adolescent Behavior; Adolescent Sexual Activity; Alcohol Use; CESD (Depression Scale); Family Structure; Health, Mental/Psychological; Neighborhood Effects; Risk-Taking Permission to reprint the abstract has not been received from the publisher. Based on the Bronfenbrenner Ecological framework and using the 1998 National Longitudinal on Youth Young Adult Survey, this study examines psychosocial and environmental factors among youth ages 14 to 21 years at the individual and familial level that predispose teens to self-identify as high versus low risk. Multivariate analysis of covariance (MANCOVA) is used to investigate the mean differences of low and high risk proneness scores among adolescents on multiple outcomes or dependent variables i.e. alcohol use and sexual activity based on the covariates of neighborhood quality, perceived closeness between parents and depressive illness symptoms. MANCOVA results(n=1379)show significant differences between those teens with high alcohol severity use in past 30 days versus sexual risk taking on all factors except for perceived parental closeness, gender and race. Discriminant analysis was also performed to determine risk group profiles. Findings reveal that those adolescents who perceive themselves as risk prone (high likelihood to engage in sensation) are younger, white males, who report worse perceived parental closeness (low agreement on rules), and rate their neighborhood quality as low. In contrast, those adolescents who view themselves as risk adverse (lower likelihood to engage in sensation seeking) are older African American females, with less depressive symptoms, higher perceived parental closeness, but lower quality neighborhoods. Assessment of risk profiles are discussed in the context of developing targeted interventions and evaluation effectiveness of such program strategies.
	Bibliography Citation Agre, Lynn A., N. Andrew Peterson and James Brady. "Sensation Seeking Risk Profiles of Adolescent Alcohol Use and Sexual Behavior." Presented: Philadelphia, PA, American Public Health Association (APHA) 137th Annual Meeting and Exposition, November 2009.

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