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2012

Adolescents

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Teacher Nominations And The Identification Of Social, Emotional, And Behavioral Concerns In Adolescence, Stephanie Deverich Davis Dec 2012

Teacher Nominations And The Identification Of Social, Emotional, And Behavioral Concerns In Adolescence, Stephanie Deverich Davis

Theses and Dissertations

Emotional and Behavioral Disorders (EBD) directly influence learning, relationships, mood, and overall scholastic experiences. Research provides evidence that early intervention and prevention efforts can address the needs of students with EBD (Allen-DeBoer, Malmgren, & Glass, 2006; Cook, et al. 2008; Lien-Thorne & Kamps, 2005; Regan, Mastropieri, & Scruggs, 2005; Rivera, Al-Otiba, & Koorland, 2006), but in order to identify these at-risk youth, a screening system is needed to broadly consider Social, Emotional, and Behavioral Concerns (SEBC).This dissertation evaluated the alignment of a teacher nomination process (Teacher Nomination Form (TNF)) and a normative screener of EBD risk (BASC-2 Behavioral and Emotional …


The Relevance Of Twelfth Night For Adolescents, Sarah Monson Dec 2012

The Relevance Of Twelfth Night For Adolescents, Sarah Monson

Student Works

Twelfth Night is a valuable play to be studied by junior high students as an introduction to Shakespeare. It includes humor, it deals with the important issues of relationships and bullying in a healthy way, and it encourages the reader to move away from a suspension of reality with these and other issues that are important in this stage of life. Shakespeare needs to be relatable to students in order to break down the barriers of difficult language and a bygone time period that make his work appear impenetrable to young people today.


Adolescent Dating Violence Prevention And Intervention In A Community Setting: Perspectives Of Young Adults And Professionals, Donna S. Martsolf, Crystal Colbert, Claire B. Drauker Dec 2012

Adolescent Dating Violence Prevention And Intervention In A Community Setting: Perspectives Of Young Adults And Professionals, Donna S. Martsolf, Crystal Colbert, Claire B. Drauker

The Qualitative Report

Adolescent dating violence (ADV) is a significant community problem. In this study, we examine the perspectives of two groups (young adults who experienced ADV as teens and professionals who work with teens) on ADV prevention/intervention in a community context. We interviewed 88 young adults and 20 professionals. Our research team used Thorne’s (2008) interpretive description methods to determine participants’ perspectives on community views on ADV, community ADV prevention/intervention programs, and ideal ADV prevention/intervention strategies. Participants perceived most communities as being blind to ADV. They perceived prevention programs as unavailable, inappropriate, or impersonal. Young adults indicated that professionals should use a …


Moving Toward Leadership: A Case Study Of Latina Adolescents And Effective Communication, Isela Estrada Dec 2012

Moving Toward Leadership: A Case Study Of Latina Adolescents And Effective Communication, Isela Estrada

Creative Arts Therapies Theses

The problem addressed in this study is the need for Latina adolescents to develop effective communication and leadership skills that will support their success in U.S. culture and society. This thesis is a case study of two Mexican-American adolescents who participated in a twelve-session leadership program at a dance studio. The goal of the study was to test the effectiveness of Rena Kornblum’s (2002) Disarming the Playground curriculum as a social skills program to improve leadership, effective communication skills, and group cohesion. This study included video footage of the adolescents engaging in movement-based role-play scenarios, which was examined using qualitative …


Self-Esteem And Suicide In Adolescents, Sidney Brannam Dec 2012

Self-Esteem And Suicide In Adolescents, Sidney Brannam

Intersections Fall 2020

Suicide is the third leading cause of death among the adolescent population worldwide. The period of adolescence is a critical time of change and growth, and is especially important in the development of self-esteem. Self-Esteem is defined as the individual's subjective evaluation of her or his worth as a person. Positive view of the self is generally associated with successful work, relationships, and health. Some factors that may lead to a negative view of the self are stressful life events and changes and relationships. Self-esteem becomes more stable and more difficult to change in adulthood; therefore, it is critical to …


Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker Dec 2012

Can Psychopathic Traits Contribute To Success In Adolescence? Relations Between Boldness, Meanness, Disinhibition, And Adaptive Functioning, Matthew David Guelker

Dissertations

Psychopathy, though frequently couched as a distinctive set of traits with violent and aggressive behavioral consequences (i.e., Hart, Kropp, & Hare, 1988; McCord & McCord, 1964; Millon & Davis, 1998), was presented in one of the original conceptualizations as a set of specific traits (i.e., emotional unresponsiveness and behavioral deviance) that could manifest as charm, confidence, and social dominance without resulting in criminality and aggression (Cleckley, 1941, 1988). More recently, Patrick, Fowles, and Krueger (2009) developed the Triarchic Conceptualization of psychopathy that differentiates underlying components of psychopathy into boldness, meanness, and disinhibition. The factor structure of the Triarchic Psychopathy Measure …


Teacher Perceptions Of Middle School Concept Implementation And Effect Upon Science Achievement, Shelly Lindsey Bruce Nov 2012

Teacher Perceptions Of Middle School Concept Implementation And Effect Upon Science Achievement, Shelly Lindsey Bruce

Electronic Theses and Dissertations

The current educational reform intends to enhance our nation's competitiveness through specific focus upon curricular and instructional improvement of math and science education for all students in America. The implementation of nationwide common internationally-benchmarked standards is purposed to advance student academic performance through enriched curriculum and better prepared teachers. This research investigates the relationship between school demographics and implementation of the middle school concept to improved science achievement. A teacher questionnaire and state testing data will be utilized to determine: (1) which middle school concept characteristics, within each of the three domains of curriculum, instruction and advising, and school governance, …


Research Brief: "Exploring The Role Of Social Connectedness Among Military Youth: Perceptions From Youth, Parents, And School Personnel", Institute For Veterans And Military Families At Syracuse University Nov 2012

Research Brief: "Exploring The Role Of Social Connectedness Among Military Youth: Perceptions From Youth, Parents, And School Personnel", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

The purpose of this study is to analyze the experiences of military youth as they go through the process of parental deployment, relocation, and interacting with the stressors of consistently adjusting to new places (including making new friends, etc.). The future research recommended for this study includes sampling from a larger population, as well as from a greater number of families involved with other armed forces' experiences.


Natural Mentoring Relationships As A Buffer Against The Negative Effects Of Stressors On Academic Outcomes Of Latino Adolescents, Claudio Rivera Nov 2012

Natural Mentoring Relationships As A Buffer Against The Negative Effects Of Stressors On Academic Outcomes Of Latino Adolescents, Claudio Rivera

College of Science and Health Theses and Dissertations

This cross-sectional study examined 192 Latino adolescents in their ninth grade of high school. A resiliency theory framework was used for this study. The purpose of the study was to determine if natural mentoring relationships served a compensatory and protective role against stressors on the academic outcomes of Latino adolescents in their first year of high school. Using multiple hierarchical regression analyses, it was determined that stressors and mentoring relationship quality had main effects and interaction effects on the academic outcomes of Latino adolescents. Thus, support for the compensatory and protective model of resilience was provided in some aspects of …


The Us National Collaborative On Childhood Obesity Research (Nccor) Measures Registry, David Berrigan, Jill Reedy Oct 2012

The Us National Collaborative On Childhood Obesity Research (Nccor) Measures Registry, David Berrigan, Jill Reedy

International Journal of Exercise Science: Conference Proceedings

Background: The US National Collaborative on Childhood Obesity Research (NCCOR) is a collaborative effort among the United States (US) Centers for Disease Control and Prevention, the US National Institutes of Health, the Robert Wood Johnson Foundation, and the US Department of Agriculture. The Measures Registry, released April 2011, is one of NCCOR’s new research tools.

Methods: To develop the Measures Registry—a searchable online tool of childhood obesity measures—NCCOR conducted a literature review of all articles with relevant measures published between 2004 and 2010. Measures were categorized according to four domains: individual dietary behavior, individual physical activity behavior, food environment, and …


Research Brief: "Adolescent Well-Being In Washington State Military Families", Institute For Veterans And Military Families At Syracuse University Oct 2012

Research Brief: "Adolescent Well-Being In Washington State Military Families", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the quality of life experienced by adolescents when dealing with the stressors associated with parental deployment, which include increased problems with mental health and well-being. Suggestions for future research include testing different variables not previously examined by this study, such as length of parental deployment, as well as greater sample of military families which are able to reflect a wider array of the population.


Clinical Guidance On The Use Of Antidepressant Medications In Children And Adolescents, Bill Lyndon, Leanne Rowe, Allen Fraser, Daryl Efron, Garry Walter, Ian Wilson, Louise Newman, Natalie Silove Oct 2012

Clinical Guidance On The Use Of Antidepressant Medications In Children And Adolescents, Bill Lyndon, Leanne Rowe, Allen Fraser, Daryl Efron, Garry Walter, Ian Wilson, Louise Newman, Natalie Silove

Ian G Wilson

This statement is addressed to prescribers, especially general practitioners, and is intended to provide clinical guidance on the use of selective serotonin reuptake inhibitors (SSRIs) when treating children and adolescents. While treatment of psychiatric and developmental disorders in children may include multiple modalities of therapy, this statement is focussed on medication.


The Peers Intervention: Social Anxiety, Physiological Regulation, And Core Autistic Symptoms In Adolescents With Autism, Kirsten A. Schohl Oct 2012

The Peers Intervention: Social Anxiety, Physiological Regulation, And Core Autistic Symptoms In Adolescents With Autism, Kirsten A. Schohl

Master's Theses (2009 -)

There have been very few effective interventions developed that have focused on improving social skills in adolescents with autism spectrum disorders (ASD), however, the need is persistent. This study aimed to evaluate the effectiveness of the Program for the Enrichment and Education of Relational Skills (PEERS: Laugeson, Frankel, Mogil, & Dillon, 2009). PEERS focuses on improving friendship quality and social skills among adolescents, ages 11-15 years, with higher-functioning ASD. This study included 47 participants, who were randomly assigned to two groups. Assessment measures utilized parent report and adolescent self-report at pre- and post-treatment. In addition, respiratory sinus arrhythmia (RSA) was …


"Oh, Those Loud Black Girls!": A Phenomenological Study Of Black Girls Talking With An Attitude, Jacqueline B. Koonce Oct 2012

"Oh, Those Loud Black Girls!": A Phenomenological Study Of Black Girls Talking With An Attitude, Jacqueline B. Koonce

Bilingual and Literacy Studies Faculty Publications and Presentations

Current research suggests that it is imperative for researchers and educators to pay more attention to the needs of African American adolescent girls and how their race and gender affect schooling (Fordham, 1993; Morris, 2007). The purpose of this study was to highlight the lived experiences of two African American adolescent girls when they used the African American women's speech practice, "Talking with an Attitude" (TWA), with their teachers. Using phenomenology and Afrocentric feminist epistemology as methodological and theoretical approaches, interviews were used to collect and analyze data that revealed the nature of their lived experiences. Van Manen's description of …


Nonreciprocal And Reciprocal Dating Violence And Injury Occurrence Among Urban Youth, Monica Swahn, Meltem Alemdar, Daniel J. Whitaker Sep 2012

Nonreciprocal And Reciprocal Dating Violence And Injury Occurrence Among Urban Youth, Monica Swahn, Meltem Alemdar, Daniel J. Whitaker

Dan Whitaker

Objective: Dating violence is a significant health problem among youth that leads to adverse health outcomes, including injuries. Reciprocal violence (perpetrated by both partners) is associated with increased injury in adults, but very little is known about the prevalence and context for reciprocal violence, as well as injury rates, among youth. We sought to determine the prevalence and scope of reciprocal dating violence and injury occurrence among urban youth in a high-risk community.

Methods: Analyses were based on data from the Youth Violence Survey, conducted in 2004, and administered to over 80% of public school students in grades 7, 9, …


Road Rules And Rights: The Irreconcilable Pursuits Of Adolescent Life, Liberty, . . . And Licensure, Vivian E. Hamilton Sep 2012

Road Rules And Rights: The Irreconcilable Pursuits Of Adolescent Life, Liberty, . . . And Licensure, Vivian E. Hamilton

Vivian E. Hamilton

Car crashes involving teen drivers, in which they are overwhelmingly at fault, kill far more teens each year than any other cause, arguably making driving the greatest public health threat facing U.S. teens. Teens crash at rates far higher than those of older drivers, and the younger the teen driver, the higher the risk—16-year-old drivers have crash rates 250% higher than those of 18-year-olds. Research has established that the differences in crash risk among teens at younger ages results only partly from inexperience; instead, their increased crash risk primarily results from immature regulatory competence that develops only with time, and …


Access To Media Resources As Predictor Of Adolescents’ Attitude To Sexual And Reproductive Health Practices In Selected Non-Governmental Organisations In Nigeria, Sunday Olusola Ladipo, Adewale Adeduntan Mr Sep 2012

Access To Media Resources As Predictor Of Adolescents’ Attitude To Sexual And Reproductive Health Practices In Selected Non-Governmental Organisations In Nigeria, Sunday Olusola Ladipo, Adewale Adeduntan Mr

Library Philosophy and Practice (e-journal)

This study investigated the influence of adolescents’ access to media resources on attitude to sexual and reproductive health. The survey research design was adopted while the questionnaire was used as the major instrument of data collection. Sixty copies of questionnaire were administered on the adolescents that were purposively selected from the three organisations chosen for the study while only 52 copies were returned with useful responses. The findings of the study revealed that the adolescents make use of electronic media resources more than other categories of media resources such as print and oral media resources.The study established a significant relationship …


Continuity Of Conduct And Substance Use Disorders Among Adolescents In The One Year And Two Years Following Exposure To Substance Abuse Treatment, Brian Mcmanus Aug 2012

Continuity Of Conduct And Substance Use Disorders Among Adolescents In The One Year And Two Years Following Exposure To Substance Abuse Treatment, Brian Mcmanus

College of Science and Health Theses and Dissertations

The current study utilized a sample of 138 adolescents from a short-term inpatient chemical dependency recovery hospital. Analyses utilized scales from the Global Appraisal of Individual Needs (GAIN), a semi-structured interview that was administered multiple times over the two years after treatment intake. Analyses examined the persistence of substance abuse, conduct disorder symptomatology, delinquent behavior, and mental distress following treatment. A primary goal of the study was to examine whether adolescents with severe conduct disorder (i.e., those engaging in behaviors causing considerable harm to others) followed different trajectories than their mild/moderate counterparts. This inquiry was predicated largely on research that …


Perceived Risk For Hiv Among High Risk Individuals: A Comparison Of Adolescents And Adults, Akele Jeffers Aug 2012

Perceived Risk For Hiv Among High Risk Individuals: A Comparison Of Adolescents And Adults, Akele Jeffers

Public Health Theses

The United States continues to be affected by the HIV/AIDS epidemic, and now public health is faced with new challenges in mitigating the spread of the disease. African-Americans are disproportionately affected by HIV and a further understanding about the factors that influence high risk sexual behaviors needs to be continuously examined. The aim of this study was to understand and compare the the perception of HIV risk and factors associated with risk perception in high risk adult and adolescent groups. After multivariate analysis, having multiple partners was the only predictor of an increased risk perception among adults. Among adolescents, no …


16 And Pregnant: Minors' Consent To Abortion And Adoption, Malinda L. Seymore Aug 2012

16 And Pregnant: Minors' Consent To Abortion And Adoption, Malinda L. Seymore

Malinda L. Seymore

A minor girl’s decision about the resolution of an unplanned pregnancy is a highly contested issue. Especially contentious is the minor’s ability to consent to an abortion without the assistance of an adult such as her parents or a judge. That issue has received substantial attention from policy makers, scholars, judges and legislators. Almost no attention has been paid, however, to the decision of a minor parent to continue her pregnancy, relinquish her constitutionally-protected parental rights and place a child for adoption. In 37 states, a minor’s abortion decision is regulated differently from the decision of an adult’s, while in …


Mindfulness And Self-Compassion: Exploring Pathways To Adolescent Emotional Well-Being, Karen Leslie Bluth Aug 2012

Mindfulness And Self-Compassion: Exploring Pathways To Adolescent Emotional Well-Being, Karen Leslie Bluth

Doctoral Dissertations

Adolescents today are confronted with the compounded stressors of life in our high-pressured society and the cognitive, physiological, and emotional changes that are characteristic of this stage of development. As a result, they often struggle with self-doubt, leading to depression, anxiety, and maladaptive trajectories. Mindfulness, or paying attention in the moment in an intentional and purposeful way, has been reported to have positive effects on emotional well-being in adults, and shows promise for similar results in recent research with children and adolescents.

Moreover, the mechanisms through which being mindful achieves positive outcomes has only recently been explored, and has not …


Community Participation Group Interventions For Children And Adolescents With Neurodevelopmental Disabilities : A Systematic Review ; And, Community Participation For Girls And Women Living With Rett Syndrome, Jaimi Andrews Aug 2012

Community Participation Group Interventions For Children And Adolescents With Neurodevelopmental Disabilities : A Systematic Review ; And, Community Participation For Girls And Women Living With Rett Syndrome, Jaimi Andrews

Theses : Honours

Community participation group interventions for children and adolescents with neurodevelopment disabilities : A systematic review

Objective: To describe the effectiveness of community integration interventions on community participation, self-esteem and quality of life for children and adolescents with a neurodevelopment intellectual disability.

Method: Electronic searches of five databases and manual searches of reference lists were conducted. Community integration interventions which targeted friendship development, recreation participation, quality of life and self-esteem were included.

Results: Thirteen studies were included in this review. A variety of study designs and interventions were used. Following interventions, all but one study reported significantly increased …


Developing And Evaluating The Impact Of An Extension-Based Train-The-Trainer Model For Effectively Disseminating Food Safety Education To Middle School Students, Jennifer Richards, Carrie Pratt, Gary T. Skolits, Janie Burney Aug 2012

Developing And Evaluating The Impact Of An Extension-Based Train-The-Trainer Model For Effectively Disseminating Food Safety Education To Middle School Students, Jennifer Richards, Carrie Pratt, Gary T. Skolits, Janie Burney

The Journal of Extension

Adolescents are an understudied, but meaningful, population when it comes to food safety education. With the proliferation of pathogenic microbes and changes in eating habits of Americans, today's youth are more at risk of contracting a foodborne illness than previous generations. Hands On: Real World Lessons for Middle School Classrooms provides effective food safety education for adolescents. However, rapid expansion of the program created the need for a train-the-trainer model of professional development. The study reported here evaluated the efficacy of a train-the-trainer model. Results indicate that the model can effectively train classroom teachers to implement the Hands On program.


Physical Activity Behaviour Of Paediatric Patients With Type 1 Diabetes, Freya Macmillan, Alison Kirk, Nanette Mutrie Jul 2012

Physical Activity Behaviour Of Paediatric Patients With Type 1 Diabetes, Freya Macmillan, Alison Kirk, Nanette Mutrie

International Journal of Exercise Science: Conference Proceedings

Type 1 diabetes is a common chronic condition in children and young people and its prevalence is increasing worldwide. Paediatric patients with Type 1 diabetes can have poorer health and overall quality of life than their non-diabetic peers and some studies suggest that they may be less active than their non-diabetic peers. Regular physical activity has many potential health benefits for any young person but can also benefit areas of health specifically important for those with Type 1 diabetes. In addition being regularly active can reduce the risk of developing diabetic complications. Promoting physical activity participation in this population is …


The New Frontier Of Peer Victimization: Prospective Associations Between Adolescents' On-Line Peer Victimization And Internalizing Symptoms, Ryan Richard Landoll Jul 2012

The New Frontier Of Peer Victimization: Prospective Associations Between Adolescents' On-Line Peer Victimization And Internalizing Symptoms, Ryan Richard Landoll

Open Access Dissertations

Peer victimization in adolescence has been consistently associated with increases in internalizing symptoms, such as depression and social anxiety. Recently, both empirical and public attention has focused on cyber victimization, or negative peer experiences that occur in an on-line context. Adolescent Internet use has reached nearly universal rates (recent estimates report over 93% of adolescents have access to the Internet, with the majority accessing the Internet daily), and the rise of social networking and media tools has created a diverse and complicated environment for adolescents to interact within in cyberspace. Research has made great strides in identifying the potential negative …


Peer Victimization And Adolescent Substance Use: The Moderating Roles Of Gender And Peer Aggression, Sherilynn F. Chan Jun 2012

Peer Victimization And Adolescent Substance Use: The Moderating Roles Of Gender And Peer Aggression, Sherilynn F. Chan

Open Access Theses

Peer victimization (PV) is a salient interpersonal stressor that has been linked with a variety of mental and physical health outcomes in adolescence. However, limited research has focused on the links between PV and substance use, specifically cigarette and alcohol use. The present study examined the relationship between four subtypes of PV (overt, relational, reputational, and cyber) and adolescent cigarette and alcohol use. Gender and peer aggression were also examined as potential moderators. Participants were 811 adolescents aged 13 to 19 years (M = 15.79 years; SD = 1.21), who were recruited from two high schools in the Miami-Dade County …


Associations Between Insulin And Glucose Concentrations And Anthropometric Measures Of Fat Mass In Australian Adolescents, Elizabeth Denney-Wilson, Christopher T. Cowell, Anthony D. Okely, Louise L. Hardy, Robert Aitken, Timothy Dobbins Jun 2012

Associations Between Insulin And Glucose Concentrations And Anthropometric Measures Of Fat Mass In Australian Adolescents, Elizabeth Denney-Wilson, Christopher T. Cowell, Anthony D. Okely, Louise L. Hardy, Robert Aitken, Timothy Dobbins

A. D. Okely

Background One of the most serious, yet common co-morbidities of obesity is insulin resistance, which if untreated may progress to type 2 diabetes. This paper describes the insulin and glucose concentration distributions, the prevalence of elevated insulin, the associations between insulin and body mass index (BMI), waist circumference, waist-to-height ratio (WHtR) and fat mass index in a representative sample of Australian adolescents. Methods Cross-sectional population-based study of adolescent boys and girls (N = 496, mean age 15.3 years) attending schools in metropolitan Sydney, Australia. Fasting venous blood collected and analysed for insulin and glucose concentrations. Height, weight, waist circumference measured, …


Influences On Consumption Of Soft Drinks And Fast Foods In Adolescents, Elizabeth Denney-Wilson, Anthony D. Okely, Louise Hardy, David Crawford, Timothy Dobbins Jun 2012

Influences On Consumption Of Soft Drinks And Fast Foods In Adolescents, Elizabeth Denney-Wilson, Anthony D. Okely, Louise Hardy, David Crawford, Timothy Dobbins

A. D. Okely

Soft drink and fast food are energy dense foodstuffs that are heavily marketed to adolescents, and are likely to be important in terms of risk of obesity. This study sought to examine the influences on soft drink and fast food consumption among adolescents as part of a cross-sectional survey of 2,719 adolescents (aged 11-16) from 93 randomly selected schools in New South Wales, Australia. Students provided information on soft drink and fast food consumption, and responded to statements examining influences over consumption. Over half of the boys and more than one third of the girls reported drinking soft drink daily, …


Preventing Hiv Infection Among Adolescents: Evaluation Of A School-Based Education Program, D Main, Donald Iverson, J Mcgloin, S Banspach, J Collins, D Rugg, Lloyd Kolbe Jun 2012

Preventing Hiv Infection Among Adolescents: Evaluation Of A School-Based Education Program, D Main, Donald Iverson, J Mcgloin, S Banspach, J Collins, D Rugg, Lloyd Kolbe

Don C. Iverson

Background. This article reports the results of the impact of aschool-based HIV prevention intervention on students′ knowledge, attitudes, and behavior related to HIV infection. Methods. Seventeen schools within six Colorado school districts were assigned to either intervention or comparison conditions. Students in 10 schools received a 15-session, skills-based HIV prevention curriculum implemented by trained teachers. A total of 2,844 students completed at least one survey during the study period; surveys were matched using demographic questions, yielding a cohort of 979 students who had baseline and 6-month follow-up data. Results. Intervention students exhibited greater knowledge about HIV and greater intent to …


Comparison Of Hiv-Risk Behaviors And Demographics Of Adolescents Tested Or Not Tested For Hiv Infection, D Main, Donald Iverson, J Mcgloin Jun 2012

Comparison Of Hiv-Risk Behaviors And Demographics Of Adolescents Tested Or Not Tested For Hiv Infection, D Main, Donald Iverson, J Mcgloin

Don C. Iverson

In a survey of 2,548 adolescents, 11.5 percent reported ever having had the human immunodeficiency virus (HIV) antibody test. Those who had been tested were significantly more likely to be male, black, and to reside in metropolitan areas than those who had not been tested. Tested adolescents were more than three times as likely to report having injected drugs and were more than twice as likely to have had sexual intercourse, had sexual intercourse at earlier ages, and with multiple partners. More than half of adolescents who had been HIV-tested had no reported risks for HIV infection. More than one-quarter …