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Journal of Youth and Adolescence

, Volume 35, Issue 5, pp 726–737 | Cite as

Alcohol Use, Outcome Expectancies, and HIV Risk Status among American Indian Youth: A Latent Growth Curve Model with Parallel Processes

  • Christina M. Mitchell
  • Janette Beals
  • Carol E. Kaufman
  • The Pathways of Choice and Healthy Ways Project Team
Original Paper

Abstract

Alcohol use is cited as a risk factor for exposure to HIV infection through risky sexual behavior, especially among adolescents. From Social Cognitive Theory, positive outcome expectancies about the use of alcohol have often been presented as a critical aspect of alcohol use. Yet little is known about how they might be related to different aspects of HIV risk. Using latent growth curve modeling with data from 292 American Indian youth across seven years, both alcohol use and positive expectancies increased significantly; a lower-risk group showed significantly slower increases in both. Changes in alcohol use and outcome expectancies were significantly interrelated, providing support for reciprocal influence between the two constructs. Positive alcohol outcome expectancies may provide a preventive intervention point worthy of further consideration as influencing alcohol use and lowering HIV sexual risk among adolescents.

Keywords

Alcohol use Outcome expectancies HIV risk American Indian Latent growth curve modeling 

Notes

Acknowledgements

The Pathways of Choice and Healthy Ways Projects would not have been possible without the significant contributions of many people. The following interviewers, computer/data management and administrative staff supplied energy and enthusiasm for an often difficult job: Phyllis Brewer, Anna Clifford, Laticia Decory, Marvine Douville, Karen DuBray, Danny Ecoffy, Mary I’Atala, Kim Jack, Alvin Johnson, Mary Little Bear, Mary Lame, Denise Lee, Anthony Long Soldier, Alberta McCrary, Frank Means, Lisa Merrival, Robert Moran, Sandra Pettigrew, Rhiannon Shangreau, Tina Standing Soldier, Michelle Spotted Elk, Herman Tall, Jessica Tobacco, Tricia Tyon, Helen Wilson, Intriga Wounded Head, Michelle Yankton, and Sheila Young. We would also like to acknowledge the contributions of the Healthy Ways National Advisory Committee: Sevgi O. Aral, Paul D. Bouey, Dedra Buchwald, Terry Friend, Pamina M. Gorbach, Randy Her Many Horses, King K. Holmes, Bonnie Holy Rock, Alberta Iron Cloud Miller, Andrew Catt-Iron Shell, Robert J. Magnani, Rachel Pacheco, John J. Potterat, Karen S. Red Star, Dorothy A. Rhoades, Marion Sorace, Tim Ryschon, Gayla J. Twiss, Nancy L. Vande Brake, Edith Welty, and Tom Welty. We would also like to acknowledge the contributions of the Voices of Indian Teens Scientific Advisory Group: Fred Beauvais, Robert Roberts, Joseph Trimble, and Jay Turner. Finally, we thank the participants who so generously answered all the questions asked of them.

The study was supported by the National Institute of Child Health and Human Development grant R01 HD33275 (Mitchell, PI), a supplement to HD33275 from the National Institute of General Medical Sciences, and the National Institute on Alcohol Abuse and Alcoholism grant R01 AA08474 (Manson, PI). Production of this manuscript was supported in part by the National Institute of Mental Health K02 MH02049 (Mitchell, PI).

References

  1. Aarons GA, Goldman MS, Greenbaum PE, Coovert MD (2003) Alcohol expectancies: integrating cognitive science and psychometric approaches. Addict Behav 28:947–961PubMedCrossRefGoogle Scholar
  2. Allison PD (2002) Missing data. Sage, Thousand Oaks, CAGoogle Scholar
  3. Bachanas PJ, Morris MK, Lewis-Gess JK, Sarett-Cuasay EJ, Flores AL, Sirl KS, et al. (2002) Psychological adjustment, substance use, HIV knowledge, and risky sexual behavior in at-risk minority females: developmental differences during adolescence. J Pediatr Psychol 27:373–384PubMedCrossRefGoogle Scholar
  4. Bandura A (1997) Self-efficacy: the exercise of control. W.H. Freeman and Company, New YorkGoogle Scholar
  5. Basen-Engquist K, Coyle KK, Parcel GS, Kirby D, Banspach SW, Carvajal SC, et al. (2001) Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students. Health Educ Behav 28:166–185PubMedGoogle Scholar
  6. Beauvais F (1998) American Indians and alcohol. Alcohol Health and Res World 22:253–259Google Scholar
  7. Beauvais F, Jumper-Thurman P, Plested B (2002) Prevention of alcohol and other drug abuse among Indian adolescents: an examination of current assumptions. In: Mail P, Heurtin-Roberts S, Martin SE, Howard J (eds) Alcohol use among American Indians and Alaska Natives: multiple perspectives on a complex problem. National Institutes of Health, Bethesda, MD, pp 187–209Google Scholar
  8. Bell RQ (1953) Convergence: an accelerated longitudinal approach. Child Dev 24:145–152PubMedCrossRefGoogle Scholar
  9. Bensen R (ed) (2001) Children of the dragonfly: native American voices on child custody and education. University of Arizona Press, TucsonGoogle Scholar
  10. Bertolli J, McNaghten AD, Campsmith M, Lee LM, Leman R, Bryan RT, Buehler JW (2004) Surveillance systems monitoring HIV/AIDS and HIV risk behaviors among American Indians and Alaska Natives. AIDS Educ Prev 16:218–237PubMedCrossRefGoogle Scholar
  11. Centers for Disease Control and Prevention (2000) Sexually transmitted disease surveillance 1999. Centers for Disease Control and Prevention, AtlantaGoogle Scholar
  12. Centers for Disease Control and Prevention (2002) HIV Surveillance Report. Department of Health and Human Services, AtlantaGoogle Scholar
  13. Centers for Disease Control and Prevention (2003) HIV surveillance report. Department of Health and Human Services, AtlantaGoogle Scholar
  14. Christiansen BA, Goldman MS (1983) Alcohol-related expectancies versus demographic/background variables in the prediction of adolescent drinking. J Consult Clin Psychol 51:249–257PubMedCrossRefGoogle Scholar
  15. Christiansen BA, Smith GT, Roehling PV, Goldman MS (1989) Using alcohol expectancies to predict adolescent drinking behavior after one year. J Consult Clin Psychol 57:93–99PubMedCrossRefGoogle Scholar
  16. Collins LM, Schafer JL, Kam C-M (2001) A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychol Methods 6:330–351PubMedCrossRefGoogle Scholar
  17. Curran PJ, Muthén B (1999) The application of latent curve analysis to testing developmental theories in intervention research. Am J Community Psychol 27:567–595PubMedCrossRefGoogle Scholar
  18. Darkes J, Goldman MS (1993) Expectancy challenge and drinking reduction: experimental evidence for a mediational process. J Consulting and Clin Psychol 61:44–353Google Scholar
  19. DiClemente RJ, Wingood GM, Harrington KF, Lang DL, Davies SL, Hook EW, et al. (2004) Efficacy of an HIV prevention intervention for African American adolescent girls: A randomized controlled trial. JAMA 292:171–179PubMedCrossRefGoogle Scholar
  20. Duncan SC, Duncan TE, Hops H (1996) Analysis of longitudinal data within accelerated longitudinal designs. Psychol Methods 1:236–248CrossRefGoogle Scholar
  21. Eng TR, Butler WT (1997) The hidden epidemic: confronting sexually transmitted diseases. National Academy Press, Washington, DCGoogle Scholar
  22. Everitt BS, Landau S, Leese M (2001) Cluster analysis, 4th edn. Oxford University Press, New YorkGoogle Scholar
  23. Fromme K, D’Amico EJ, Katz EC (1999) Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? J Stud Alcohol 60:54–63PubMedGoogle Scholar
  24. Jemmott JB, Jemmott LS, Spears H, Hewitt N, Cruz-Collins M (1992) Self-efficacy, hedonistic expectancies, and condom-use intentions among inner-city Black adolescent women: a social cognitive approach to AIDS risk behavior. J Adolesc Health 13:512–519PubMedCrossRefGoogle Scholar
  25. Maggs JL, Schulenberg J (1998) Reasons to drink and not to drink: altering trajectories of drinking through an alcohol misuse prevention program. Appl Dev Sci 2:48–60CrossRefGoogle Scholar
  26. Malotte CK, Jarvis B, Fishbein M, Kamb M, Iatesta M, Hoxworth T, et al. (2000) Stage of change versus an integrated psychosocial theory as a basis for developing effective behaviour change interventions. AIDS Care 12:357–364PubMedCrossRefGoogle Scholar
  27. May PA (1996) Overview of alcohol abuse epidemiology for American Indian populations. In: Sandefur GD, Rindfuss RR, Cohen B (eds) Changing numbers, changing needs: American Indian demography and health. National Academy Press, Washington, DC. pp 235–261Google Scholar
  28. Messiah A, Bloch J, Blin P (1998) Alcohol or drug use and compliance with safer sex guidelines for STD/HIV infection. Sex Transm Dis 25:19–24Google Scholar
  29. Mitchell CM, Beals J (1997) The structure of problem and positive behavior among American Indian adolescents: gender and community differences. Am J Community Psychol 25:237–288CrossRefGoogle Scholar
  30. Mitchell CM, Kaufman CE, Beals J (2005) Resistive efficacy and multiple partners among American Indian young adults: a parallel-process latent growth curve model. Appl Dev Sci 9:160–171CrossRefGoogle Scholar
  31. Mitchell CM, Kaufman CE, Beals J, The Pathways of Choice and Healthy Ways Project Teams (2004) Clusters of HIV risk and protective knowledge, attitudes, and behaviors among American Indian young adults. AIDS and Behav 8:263–275CrossRefGoogle Scholar
  32. Mitchell CM, Kaufman CE, The Pathways of Choice and Healthy Ways Project Teams (2002) Structure of HIV knowledge, attitudes, and behaviors among American Indian young adults. AIDS Educ Prev 14:381–398Google Scholar
  33. Mitchell CM, O’ Nell TD, Beals J, Dick RW, Keane E, Manson SM (1996) Dimensionality of alcohol use among American Indian adolescents: latent structure, construct validity, and implications for developmental research. J Res Adolesc 6:151–180Google Scholar
  34. Mitchell CM, Whitesell NR, Spicer P, Beals J, Kaufman CE (in press) Cumulative risk for early sexual initiation among American Indian youth: a discrete-time survival analysis. J Res AdolescGoogle Scholar
  35. Muthén B, Curran PJ (1997) General longitudinal modeling of individual differences in experimental designs: a latent variable framework for analysis and power estimation. Psychol Methods 2:371–402CrossRefGoogle Scholar
  36. Muthén BO (2002) Beyond SEM: general latent variable modeling. Behaviormetrika 29:81–117Google Scholar
  37. Muthén LK, Muthén BO (1998–2004) Mplus user’s guide, 3rd edn. Muthén and Muthén, Los AngelesGoogle Scholar
  38. Norton IM, Manson SM (1996) Research in American Indian and Alaska Native communities: Navigating the cultural universe of values and process. J Consulting and Clin Psychol 64:856–860CrossRefGoogle Scholar
  39. Parker-Langley L (2002) Alcohol prevention programs among American Indians: Research findings and issues. In: Mail P, Heurtin-Roberts S, Martin SE, Howard J (eds) Alcohol use among American Indians and Alaska Natives: multiple perspectives on a complex problem. National Institutes of Health, Bethesda, MD, pp 111–140Google Scholar
  40. Pastor AD, Evans SM (2003) Alcohol outcome expectancies and risk for alcohol use problems in women with and without a family history of alcoholism. Drug and Alcohol Depend 70:201–214CrossRefGoogle Scholar
  41. Pequegnat W, Stover E (2000) Behavioral prevention is today’s AIDS vaccine! AIDS Care 14(Suppl. 2):S1–S7Google Scholar
  42. Plunkett M, Mitchell CM (2000) Substance use rates among American Indian adolescents: regional comparisons with monitoring the Future high school seniors. J Drug Issues 30:593–620Google Scholar
  43. Preston-Whyte E (ed) (1999) Reproductive health and the condom dilemma in South Africa. Health Transition Center, National Center for Epidemiology and Population Health, Australia National University, CanberraGoogle Scholar
  44. Raudenbush SW, Chan WS (1993) Application of a hierarchical linear model to the study of adolescent deviance in an overlapping cohort design. J Consulting and Clin Psychol 61:941–951CrossRefGoogle Scholar
  45. Reese FL, Chassin L, Molina BSG (1994) Alcohol expectancies in early adolescents: predicting drinking behavior from alcohol expectancies and parental alcoholism. J Stud Alcohol 55:276–284PubMedGoogle Scholar
  46. SAS Institute Inc. (2001) SAS Language (Version 8.2). SAS Institute, Cary, NCGoogle Scholar
  47. Schulenberg J, Maggs JL (2001) Moving targets: modeling developmental trajectories of adolescent alcohol misuse, individual and peer risk factors, and intervention effects. Appl Dev Sci 5:237–253CrossRefGoogle Scholar
  48. Schulenberg J, Wadsworth KN, O’Malley PM, Bachman JG, Johnston LD (1996) Adolescent risk factors for binge drinking during the transition to young adulthood: variable- and pattern-centered approaches to change. Dev Psychol 32:659–673CrossRefGoogle Scholar
  49. Sher KJ, Wood MD, Wood PK, Raskin G (1996) Alcohol outcome expectancies and alcohol use: a latent variable cross-lagged panel study. J Abnorm Psychol 105:561–574PubMedCrossRefGoogle Scholar
  50. Shrier LA, Harris SK, Beardslee WR (2002) Temporal associations between depressive symptoms and self-reported sexually transmitted disease among adolescents. Arch Pediatr Adolesc Med 156:599–606PubMedGoogle Scholar
  51. Shrier LA, Harris SK, Sternberg M, Beardslee WR (2001) Associations of depression, self-esteem, and substance use with sexual risk among adolescents. Prev Med 33:179–189PubMedCrossRefGoogle Scholar
  52. Smith GT, Goldman MS, Greenbaum PE, Christiansen BA (1995) Expectancy for social facilitation from drinking: the divergent paths of high-expectancy and low-expectancy adolescents. J Abnorm Psychol 104:32–40PubMedCrossRefGoogle Scholar
  53. St. Lawrence JS (1993) African-American adolescents’ knowledge, health-related attitudes, sexual behavior, and contraceptive decisions: Implications for the prevention of adolescent HIV prevention. J Consulting and Clin Psychol 61:104–112CrossRefGoogle Scholar
  54. Thoroughman DA, Frederickson D, Cameron D, Shelby LK, Cheek JE (2002) Racial misclassification of American Indians in Oklahoma state surveillance data for sexually transmitted diseases. Am J Epidemiol 155:1137–1141PubMedCrossRefGoogle Scholar
  55. Walters KL, Simoni JM, Harris C (2000) Patterns and predictors of HIV risk among urban American Indians. Am Indian and Alaska Native Mental Health Res 9:1–21Google Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Christina M. Mitchell
    • 1
  • Janette Beals
    • 1
  • Carol E. Kaufman
    • 1
  • The Pathways of Choice and Healthy Ways Project Team
  1. 1.University of Colorado at Denver and Health Sciences CenterAuroraUSA

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