Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Paper
  • Published:
Journal of Youth and Adolescence Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Aarons GA, Goldman MS, Greenbaum PE, Coovert MD (2003) Alcohol expectancies: integrating cognitive science and psychometric approaches. Addict Behav 28:947–961

    Article  PubMed  Google Scholar 

  • Allison PD (2002) Missing data. Sage, Thousand Oaks, CA

    Google Scholar 

  • 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 27:373–384

    Article  PubMed  Google Scholar 

  • Bandura A (1997) Self-efficacy: the exercise of control. W.H. Freeman and Company, New York

    Google Scholar 

  • 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 28:166–185

    PubMed  Google Scholar 

  • Beauvais F (1998) American Indians and alcohol. Alcohol Health and Res World 22:253–259

    Google Scholar 

  • 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 187–209

    Google Scholar 

  • Bell RQ (1953) Convergence: an accelerated longitudinal approach. Child Dev 24:145–152

    Article  PubMed  Google Scholar 

  • Bensen R (ed) (2001) Children of the dragonfly: native American voices on child custody and education. University of Arizona Press, Tucson

    Google Scholar 

  • 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 16:218–237

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (2000) Sexually transmitted disease surveillance 1999. Centers for Disease Control and Prevention, Atlanta

    Google Scholar 

  • Centers for Disease Control and Prevention (2002) HIV Surveillance Report. Department of Health and Human Services, Atlanta

    Google Scholar 

  • Centers for Disease Control and Prevention (2003) HIV surveillance report. Department of Health and Human Services, Atlanta

    Google Scholar 

  • Christiansen BA, Goldman MS (1983) Alcohol-related expectancies versus demographic/background variables in the prediction of adolescent drinking. J Consult Clin Psychol 51:249–257

    Article  PubMed  Google Scholar 

  • Christiansen BA, Smith GT, Roehling PV, Goldman MS (1989) Using alcohol expectancies to predict adolescent drinking behavior after one year. J Consult Clin Psychol 57:93–99

    Article  PubMed  Google Scholar 

  • Collins LM, Schafer JL, Kam C-M (2001) A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychol Methods 6:330–351

    Article  PubMed  Google Scholar 

  • Curran PJ, Muthén B (1999) The application of latent curve analysis to testing developmental theories in intervention research. Am J Community Psychol 27:567–595

    Article  PubMed  Google Scholar 

  • Darkes J, Goldman MS (1993) Expectancy challenge and drinking reduction: experimental evidence for a mediational process. J Consulting and Clin Psychol 61:44–353

    Google Scholar 

  • 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 292:171–179

    Article  PubMed  Google Scholar 

  • Duncan SC, Duncan TE, Hops H (1996) Analysis of longitudinal data within accelerated longitudinal designs. Psychol Methods 1:236–248

    Article  Google Scholar 

  • Eng TR, Butler WT (1997) The hidden epidemic: confronting sexually transmitted diseases. National Academy Press, Washington, DC

    Google Scholar 

  • Everitt BS, Landau S, Leese M (2001) Cluster analysis, 4th edn. Oxford University Press, New York

    Google Scholar 

  • Fromme K, D’Amico EJ, Katz EC (1999) Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? J Stud Alcohol 60:54–63

    PubMed  Google Scholar 

  • 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 13:512–519

    Article  PubMed  Google Scholar 

  • 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 2:48–60

    Article  Google Scholar 

  • 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 12:357–364

    Article  PubMed  Google Scholar 

  • 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 235–261

    Google Scholar 

  • Messiah A, Bloch J, Blin P (1998) Alcohol or drug use and compliance with safer sex guidelines for STD/HIV infection. Sex Transm Dis 25:19–24

    Google Scholar 

  • Mitchell CM, Beals J (1997) The structure of problem and positive behavior among American Indian adolescents: gender and community differences. Am J Community Psychol 25:237–288

    Article  Google Scholar 

  • 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 9:160–171

    Article  Google Scholar 

  • 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 8:263–275

    Article  Google Scholar 

  • 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 14:381–398

    Google Scholar 

  • 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 6:151–180

    Google Scholar 

  • 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 Adolesc

  • 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 2:371–402

    Article  Google Scholar 

  • Muthén BO (2002) Beyond SEM: general latent variable modeling. Behaviormetrika 29:81–117

    Google Scholar 

  • Muthén LK, Muthén BO (1998–2004) Mplus user’s guide, 3rd edn. Muthén and Muthén, Los Angeles

  • 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 64:856–860

    Article  Google Scholar 

  • 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 111–140

  • 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 70:201–214

    Article  Google Scholar 

  • Pequegnat W, Stover E (2000) Behavioral prevention is today’s AIDS vaccine! AIDS Care 14(Suppl. 2):S1–S7

    Google Scholar 

  • Plunkett M, Mitchell CM (2000) Substance use rates among American Indian adolescents: regional comparisons with monitoring the Future high school seniors. J Drug Issues 30:593–620

    Google Scholar 

  • 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, Canberra

    Google Scholar 

  • 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 61:941–951

    Article  Google Scholar 

  • Reese FL, Chassin L, Molina BSG (1994) Alcohol expectancies in early adolescents: predicting drinking behavior from alcohol expectancies and parental alcoholism. J Stud Alcohol 55:276–284

    PubMed  Google Scholar 

  • SAS Institute Inc. (2001) SAS Language (Version 8.2). SAS Institute, Cary, NC

    Google Scholar 

  • 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 5:237–253

    Article  Google Scholar 

  • 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 32:659–673

    Article  Google Scholar 

  • 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 105:561–574

    Article  PubMed  Google Scholar 

  • Shrier LA, Harris SK, Beardslee WR (2002) Temporal associations between depressive symptoms and self-reported sexually transmitted disease among adolescents. Arch Pediatr Adolesc Med 156:599–606

    PubMed  Google Scholar 

  • Shrier LA, Harris SK, Sternberg M, Beardslee WR (2001) Associations of depression, self-esteem, and substance use with sexual risk among adolescents. Prev Med 33:179–189

    Article  PubMed  Google Scholar 

  • 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 104:32–40

    Article  PubMed  Google Scholar 

  • 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 61:104–112

    Article  Google Scholar 

  • 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 155:1137–1141

    Article  PubMed  Google Scholar 

  • 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 9:1–21

    Google Scholar 

Download references

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).

Author information

Authors and Affiliations

  1. University of Colorado at Denver and Health Sciences Center, MS F800 P.O. Box 6508, 13055 E. 17th Ave., Aurora, CO, 80045, USA

    Christina M. Mitchell, Janette Beals & Carol E. Kaufman

Authors
  1. Christina M. Mitchell
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Janette Beals
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Carol E. Kaufman
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

The Pathways of Choice and Healthy Ways Project Team

Corresponding author

Correspondence to Christina M. Mitchell.

Additional information

Associate Professor at the University of Colorado at Denver and Health Sciences Center. She received her Ph.D. in Community Psychology from Michigan State University. Her major research interests are adolescent development among minority youth with an emphasis on positive and problem behaviors.

Associate Professor at the University of Colorado at Denver and Health Sciences Center. She received her Ph.D. in Social Psychology from the University of Michigan. Her major research interests are in areas of American Indian mental health and services research.

Assistant Professor at the University of Colorado at Denver and Health Sciences Center. She received her Ph.D. in Sociology from the University of Michigan. Her primary research interests are in demography and contextual effects of individual health behavior, with a special emphasis on adolescent development.

In addition to the above people, the Project Team included Sonia Bauduy, Cathy A.E. Bell, Cecelia K. Big Crow, Dedra Buchwald, Nichole Cottier, Amy D. Dethlefsen, Ann Wilson Frederick, Ellen M. Keane, Shelly Hubing, Natalie Murphy, Angela Sam, Jennifer Settlemire, Jennifer Truel, and Frankee White Dress.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mitchell, C.M., Beals, J., Kaufman, C.E. et al. Alcohol Use, Outcome Expectancies, and HIV Risk Status among American Indian Youth: A Latent Growth Curve Model with Parallel Processes. J Youth Adolescence 35, 726–737 (2006). https://doi.org/10.1007/s10964-006-9103-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10964-006-9103-0

Keywords

Search

Navigation