Full Citation

Title: 110. Move and Thrive: Development of a New Online Resource to Support Adolescent Physical Activity

Citation Type: Journal Article

Publication Year: 2024

ISBN:

ISSN: 1054-139X

DOI: 10.1016/J.JADOHEALTH.2023.11.308

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Abstract: for psychopathology, including evidence suggesting that lower latent trait cortisol (LTC), a stable person-level indicator of the HPA axis, can pose risk for greater internalizing symptoms among youth (Stroud et al., 2018). However, scant research has examined psychosocial mechanisms of such biocontextual risk that perpetuate psychopa-thology among Latino youth. This is problematic because Latino youth are increasingly represented in higher education (de Brey et al., 2019), but report high rates of polyvictimization and mood disorders (Merikangas et al., 2010; López et al., 2016), both of which are linked with lower LTC (Gusman et al., 2023; Stroud et al., 2018). Using a biopsychosocial framework, the present study examined whether psychosocial factors (acculturative stress, coping efficacy) during college mediate effects of early-life polyvictimization and LTC on internalizing symptoms at the end-of-college. Methods: A longitudinal sample of self-identified Latino/Hispanic adolescents (N¼206; Mage¼18.1; 85% Mexican descent; 64% female) completed questionnaires during the summer/spring of their high school senior year (T1), second college semester (T3), and eighth college semester (T8). Salivary cortisol (T1) was collected over three consecutive weekdays at waking and 30 minutes after waking via passive drool (Stalder et al., 2015; 1,210 samples). Confirmatory factor analyses modeled LTC (Doane et al., 2015). Presence of poly-victimization (T1), defined as two or more types of abuse or domestic violence exposures, was measured using items from the Adverse Childhood Experiences survey (retrospective report of ages 0-16; Felitti et al., 1998; Finkelhor et al., 2007). The Depression Anxiety Stress Scale (T1a¼.96; T8a¼.98; Lovibond & Lovibond, 1995) measured internalizing symptoms. Questions assessed T3 coping efficacy (Sandler et al., 2000; a¼.92) and acculturative stress (stressor count 1-25; Rodriguez et al., 2002). Birth control, medication, de-mographics, and T1 covariates for each key variable were included in mediation analyses. Results: There were no significant direct or indirect effects of LTC or polyvictimization on T8 internalizing symptoms. Greater LTC was associated with lower acculturative stress (b¼-.197, SE¼.079, p¼.013). Greater coping efficacy in college predicted lower T8 inter-nalizing symptoms (b¼-.277, SE¼.080, p¼.001). Conclusions: We did not find that biocontextual risks prior to college precipitated greater internalizing symptoms at the end of college for Latino youth. However, lower LTC introduced risk for greater accul-turative stress during college. Further, cultivating greater coping efficacy (i.e., one's beliefs in their coping ability) may represent a key asset for reducing internalizing symptoms later in young adulthood. Interventions should leverage such psychological adaptations while supporting acculturative stress management for Latino youth. Purpose: Longstanding and robust evidence highlights poor mental health outcomes and suicide-related behaviors among U.S. adolescents in the years leading up to and through the COVID-19 pandemic. Current data primarily focus on health outcomes among high school-aged adolescents and point to gaps in understanding mental health, suicidal thoughts and behaviors among younger adolescents. In order to understand the impact of COVID-19 on the mental health of pre-adolescents, data on their mental health prior to the COVID-19 pandemic is essential. Methods: This study used pooled data from Centers for Disease Control and Prevention's Youth Risk Behavior Survey of middle school students (n¼127,912) between 2015-2019. Three dichoto-mized measures of lifetime suicide-related behaviors were assessed: suicidal thoughts, suicide planning, and suicide attempts. Weighted prevalence estimates with 95% confidence intervals were calculated to provide prevalence estimates for each survey year. Linear trends examined disparities in the prevalence of suicidal thoughts and behaviors , overall and by student demographic characteristics (i.e., sex, race/ethnicity, and grade). Main effects odds ratios compared estimates among racial and ethnic minority adolescents (Hispanic/ Latino; non-Hispanic Black or African American; Non-Hispanic Asian; Non-Hispanic Multiple races; Non-Hispanic American Indian/Alaska Native; Non-Hispanic Native Hawaiian/Other Pacific Islander) with non-Hispanic White students, controlling for sex and grade. Results: Overall, significant linear increases were observed between 2015-2019 for the percentage of middle school students who reported seriously thinking about suicide (18.2% to 22.3%), ever making a suicide plan (11.8% to 14.7%), and ever attempting suicide (6.9% to 9.3%). Racial and ethnic minority students, other than non-Hispanic Asian, showed overall higher odds of suicidal thoughts and behaviors compared with non-Hispanic White students. Conclusions: Findings highlight a concerning trajectory of trends in the years leading up to the pandemic's onset, offering a proximate context for understanding and evaluating middle school-aged ado-lescents' suicide thoughts and related behaviors during the pandemic. Needs for comprehensive and culturally responsive mental health and suicide prevention education and services remain for addressing health equity and disparities in adolescents' suicide-related behaviors during pandemic recovery.

Url: http://www.jahonline.org/article/S1054139X23008893/fulltext

Url: http://www.jahonline.org/article/S1054139X23008893/abstract

Url: https://www.jahonline.org/article/S1054-139X(23)00889-3/abstract

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Authors: Miller, Kathleen K.; Espinoza, Sarah; Hooper, Laura

Periodical (Full): Journal of Adolescent Health

Issue: 3

Volume: 74

Pages: S58-S59

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