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This study examined how early adolescents' risk taking propensity and urban stress were linked to their affiliation with risky peers. Participants (n = 297; [X-bar] age = 10.48 years [SD = 0.93 years]; 54% male; 58% Black/African American) completed a brief laboratory-based behavioral risk taking task. They also completed self-report measures of urban stress and the number of close friends engaged in various risky behaviors (e.g., smoking, stealing). Results supported a link between risk taking propensity and affiliation with risky peers that was moderated by urban stress. After controlling for demographic factors, early adolescents' risk taking propensity was positively associated with affiliation with risky peers at high levels of urban stress but not at low levels of urban stress.

Background: Health literacy is crucial to develop health-related knowledge, adopt healthy lifestyles, and benefit from health care services. However, research on the association between health literacy and adolescent health outcomes, particularly on their prospective associations, is rare. We assessed health literacy using 3 validated measures, and examined cross-sectional and prospective associations between health literacy and adolescent health behaviors and outcomes. Methods: We conducted a short-term prospective study of 250 adolescents (mean age = 14 years; 57% female; 48% African American) who were entering or in the ninth grade in an urban school district. Health literacy was assessed by individual interviews at baseline, and health-related behaviors and outcomes were assessed by a paper-and-pencil survey at baseline and at a 6-month follow-up. Results: Nearly half of the sample was reading at least 2 grades below expected levels. Lower baseline health literacy was associated with a lower self-rating of general health, unhealthier diet, heavier weight, and greater engagement in problem behaviors and sexual behaviors at baseline. Lower baseline health literacy also was associated with a greater increase in substance use over time. Conclusions: Results point to the pressing need to improve health literacy in urban high school students.

Growing evidence links perceptions of neighborhood disorder to adverse health outcomes but little is known about psychological processes that may mediate this association. We tested the hypothesis that two psychological mechanisms--agonistic striving and subordination--mediate the link between perceived neighborhood disorder and hypertension risk in youth. Perceived neighborhood disorder, agonistic striving, subordination experiences, negative affect, obesity, and ambulatory blood pressure during daily activities (48 h) were assessed in a multiethnic sample of 167 low- to middle-income urban adolescents. Path analyses revealed that agonistic striving, subordination, and obesity each independently mediated the association between neighborhood disorder and blood pressure; these variables accounted for 73% of the shared variance, 42% of which was explained by agonistic striving. The direct relationship between perceived neighborhood disorder and blood pressure was no longer significant in the presence of these mediators. Negative affect was associated with neighborhood disorder and subordination, but not blood pressure. Agonistic striving proved to be a significant and substantial mediator of the association between perceived neighborhood disorder, blood pressure, and future hypertension risk. New research should seek to clarify the processes by which stressful neighborhoods induce persistent agonistic motives and perceptions of subordination in adolescents. Keywords Adolescent health * Perceived neighborhood disorder * Agonistic striving * Social power * Subordination * Implicit motives * Hypertension risk, Introduction Poor quality or 'disordered' neighborhoods may endanger residents' health by undermining their perceived ability to control important events in their everyday lives (Martin-Storey et al., 2012; Weden et al., [...]

Stress caused by chronic difficulties encountered by people residing in poor urban neighborhoods is associated with health problems and disease in developed countries, but the relationship between neighborhood stress and health in developing nations, such as India, has not been assessed. In this study, the authors administered the City Stress Inventory, a self-report measure assessing stress experienced as a function of environmental conditions unique to living in large cities that was validated in the United States, to 163 high school students in New Delhi, India. Components of urban stress in India, with some modifications, appear to be similar to components of urban stress reported by adolescents in the United States. Urban stress was predictive of high blood pressure as reported by the adolescents 'parents. In addition, urban stress also predicted health habits, such as chewing tobacco and alcohol use, and psychosocial characteristics, such as hostility. Adolescents' reports of parental stress concerning money and social pressures were also associated with city stress. The current study indicates that the City Stress Inventory is valid in an Indian sample and is predictive of health problems. Index Terms: adolescents, health, hostility, India, neighborhood stress, socioeconomic status, Globalization has led to rapid industrialization and urbanization in developing countries, such as India, and an increase in lifestyle-related disorders, such as coronary heart disease (CHD), essential hypertension (EH), stroke, [...]

The Social Competence Interview (SCI), an interview to induce cardiovascular reactivity through recounting a stressful life experience, was used with a sample of 120 working women employed as childcare providers. Women recounted their most stressful work factor while cardiovascular reactions were monitored at 2-minute intervals (data points included 4 baseline, 6 SCI, and 3 recovery). Increases were found when comparing mean baseline and SCI measures: systolic blood pressure (SBP) increased 10.00 mm Hg; diastolic blood pressure (DBP) increased 10.63 mm Hg; and heart rate increased 4.57 beats per minute. Consistent with the literature SBP and DBP were higher for some subgroups of women (those who were 50 years or older, were obese, or had 4 or more risk factors) across all data points. There were no time by individual difference interactions, indicating that the patterns of change over time were the same across groups. In a logistic regression, comparing women who reached SBP [greater than or equal to] 140 mm Hg and/or DBP [greater than or equal to] 90 mm Hg during the SCI versus those who did not, higher BP was associated with being older and obese, having a higher level of acceptance coping, and a lower level of suppression of competing activities coping. KEYWORDS. Cardiovascular reactivity, occupational stress, Social Competence Interview, working women, childcare providers, coping

This article examines the influence of the living conditions of urban poor on their health taking into account the environmental and neighborhood characteristics in The City Stress Inventory model. Results indicate long-term effects of coping with urban poverty undermines health due to chronic psychological stress and low socioeconomic status.

The relationships between social skills and cardiovascular reactivity in children between the ages of 8 and 17 were studied. Social skills were found to matter for understanding cardiovascular responses in children.

Excessive blood pressure elevations during daily activities increase cardiovascular risk and may be related to individual differences in emotionality and expressive style. Emotional traits and ambulatory blood pressure were measured during a typical school day in 228 Black and White adolescents at risk of developing essential hypertension. Trait affect (depression, anger) predicted prevailing blood pressure levels; this association was moderated by gender, social setting (in classroom vs. with friends), and nonverbal expressive style. Relationships between emotion and blood pressure were not explained by obesity, smoking, or alcohol use. The uniform environment and regimen of the school made it possible to attribute variations in prevailing blood pressure to personality differences involving ways adolescents perceive and negotiate their social world.

Many illnesses can be prevented or limited by altering personal behavior, and public health planners have turned to psychology for guidance in fostering self-protective activity. A social theory of personal action provides an integrative framework for applying psychology to public health, disclosing gaps in our current understanding of self-regulation, and generating guidelines for improving health promotion at the population level. A social action view emphasizes social interdependence and interaction in personal control of health-endangering behavior and proposes mechanisms by which environmental structures influence cognitive action schemas, self-goals, and problem-solving activities critical to sustained behavioral change. Social action theory clarifies relationships between social and personal empowerment and helps explain stages of self-change.

Physicians who were trained to give antismoking advice to patients did so effectively soon after training, but their performance deteriorated during the next nine months. Antismoking effectiveness is maintained if advice-giving rates are monitored monthly and physicians receive immediate corrective feedback. (Author/MLW)