Reducing Adolescent Risk: Toward an Integrated Approach

Front Cover
Daniel Romer
SAGE Publications, Apr 1, 2003 - Psychology - 536 pages

"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.

 

Contents

1 Prospects for an Integrated Approach to Adolescent Risk Reduction
1
ADOLESCENTS AS DECISION MAKERS Section A Differing Views of Adolescent Decision Making
9
2 Changing Views on the Nature and Prevention of Adolescent Risk Taking
11
3 Is Decision Making the Right Framework for Research on Adolescent Risk Taking?
18
4 The Two Faces of Adolescent Invulnerability
25
Section B Affect Risk Perception and Behavior
33
Construct Development Links to Theory Correlates and Manifestations
35
6 Affect Analysis Adolescence and Risk
44
24 Using Beliefs About Positive and Negative Consequences as the Basis for Designing Message Interventions for Lowering Risky Behavior
210
Section A Gambling
221
Risk Factors and Implications for Prevention Intervention and Treatment
223
A Conceptual Framework
239
Relationship to Other Risk Behaviors and Implications for Prevention Strategies
247
28 Why Pay Attention to Adolescent Gambling?
256
Section B Sexual Behavior
263
29 Risk and Protective Factors Affecting Teen Pregnancy and the Effectiveness of Programs Designed to Address Them
265

7 Toward an Understanding of the Role of Perceived Risk in HIV Prevention Research
49
The Role of Risk Perceptions
56
Implications for Intervention
75
Section C ProblemSolving Approaches
83
10 A ProblemSolving Approach to Preventing Early HighRisk Behaviors in Children and Preteens
85
11 Contemporary SchoolBased Prevention Approaches and the Perceived Risks and Benefits of Substance Use
93
12 DecisionMaking Competence and Risk Behavior
99
A Potentially Important Construct for Decreasing Health Risk Behaviors Among Adolescents
106
Cynicism Versus Skepticism
113
COMMON PATHWAYS AND INFLUENCES ON ADOLESCENT RISK BEHAVIOR Section A MultipleProblem Youth
123
15 Preventing Multiple Problem Behaviors in Adolescence
125
16 Screening and Early Intervention for Antisocial Youth Within School Settings as a Strategy for Reducing Substance Use
132
17 Preventive Interventions for Externalizing Disorders in Adolescents
139
Section B Personality and Other Predispositions
147
Implications for Prevention in HighRisk Youth
149
19 Health Risk Takers and Prevention
165
Implications for Adolescent Risk Behavior in General
171
Section C Peers and Parents
183
Policy and Program Implications
185
Social Norms Core Values and Parents
193
Section D Media Interventions
201
23 Adolescent Risk Behavior Research and MediaBased Health Messages
203
Notes on Programs That Reduce the Risk of Early Sexual Initiation and Adolescent Pregnancy
284
31 Adolescent Sex and the Rhetoric of Risk
293
Section C Suicide
301
32 Suicide Risk Among Adolescents
303
33 Some Strategies to Prevent Youth Suicide
321
34 Implications of Focusing on Black Youth SelfDestructive Behaviors Instead of Suicide When Designing Preventive Interventions
325
Section D Alcohol Tobacco and Drugs
333
SameTime and Lagged and SimultaneousChange Associations in a Nationally Representative Sample of 9 to 18YearOlds
335
OVERARCHING APPROACHES AND RECOMMENDATIONS FOR FUTURE RESEARCH
345
36 Positive Youth Development Is Necessary and Possible
347
A Review and Next Steps
355
38 A Contextual Perspective for Understanding and Preventing STDHIV Among Adolescents
366
39 Findings and Future Directions
374
Conference Schedule June 2730 2002
379
Appendix B Conference Attendees June 27 June 30 2002
382
References
385
Name Index
459
Subject Index
485
About the Editor
499
About the Contributors
501
Copyright

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About the author (2003)

Daniel Romer received a Ph.D. in Social Psychology from the University of Illinois at Chicago in 1974. He is currently Research Director at the Institute for Adolescent Risk Communication at the Annenberg Public Policy Center, University of Pennsylvania.

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