Browsing by Author "Mets, V.E."
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Item An examination of the association between risky sexual behaviors and suicidal behaviors among adolescents: Findings from the 2017 Youth Risk Behavior Survey(Springer, 2021) Baiden, P.; Jahan, N.; Mets, V.E.; Adeku, Y.Although various studies have examined the association between risky sexual behaviors and mental health outcomes, few studies have investigated the association between risky sexual behaviors and suicidal ideation and suicide attempts among adolescents. The objective of this study was to investigate the association between risky sexual behaviors and suicidal ideation and suicide attempts among adolescents from the United States. Data for this study came from the 2017 Youth Risk Behavior Survey. An analytic sample of 5,125 adolescents aged 14–18 years (50.1% female) who have ever had sexual intercourse was analyzed using binary logistic regression. The outcome variables examined were suicidal ideation and suicide attempts, and the main explanatory variable was risky sexual behaviors. Among the 5,125 adolescents who have ever had sexual intercourse, 22.8% experienced suicidal ideation, and 11.6% attempted suicide during the past 12 months. In the multivariable logistic regression, adolescents who had unprotected sexual intercourse had 1.24 times higher odds of reporting suicidal ideation (AOR = 1.24, p < .05, 95% CI = 1.01–1.54). In addition, adolescents who had four or more sexual partners in their lifetime had 1.61 times higher odds of making a suicide attempt (AOR = 1.61, p < .001, 95% CI = 1.25–2.07). Other significant factors associated with suicidal ideation and suicide attempts include being a sexual minority, being a victim of sexual violence, experiencing school bullying and cyberbullying victimization, having symptoms of depression, and misusing prescription pain medication. The findings of the present study highlight the association between risky sexual behaviors and suicidal ideation and suicide attempts among adolescents.Item Exposure to neighborhood violence and insufficient sleep among adolescents in the United States: Findings from a population-based study(Children and Youth Services Review, 2024) Baiden, P.; Mets, V.E.; Broni, M.N.Although studies have investigated and found an association between victimization and insufficient sleep among adolescents, few studies have examined the association between exposure to neighborhood violence and insuf ficient sleep among adolescents. The objective of this study was to investigate the cross-sectional association between exposure to neighborhood violence and insufficient sleep among adolescents. Data for this study came from the 2021 Youth Risk Behavior Survey. An analytic sample of 17,033 adolescents aged 14–18 (51.7 % male) was analyzed using binary logistic regression. The outcome variable investigated was insufficient sleep, and the main explanatory variable was exposure to neighborhood violence. Of the 17,033 adolescents, 76.5 % did not obtain the recommended 8 hours of sleep on an average school night, and 18.7 % were exposed to neighborhood violence. Controlling for the effects of other factors, exposure to neighborhood violence was associated with 1.33 times higher odds of having insufficient sleep (AOR = 1.33, 95 % CI = 1.13–1.58). Adolescents were more likely to get insufficient sleep if they were older, non-Hispanic Black, had poor mental health during COVID, felt sad or hopeless, engaged in excessive screen-time behaviors, or used alcohol. Physical activity, school connectedness, and parental monitoring all had protective effects on insufficient sleep. This study found that exposure to neighborhood violence was associated with insufficient sleep among adolescents over and above demographic and other covariates. Future studies that employ longitudinal designs may offer additional insight into the mechanisms underlying the association between exposure to neighborhood violence and insufficient sleep.Item Investigating the co-occurrence of marijuana use and prescription opioid misuse with multiple suicide attempts among adolescents with a history of suicidal ideation(Psychiatry Research, 2023) Baiden, P.; Wood, B.; Mets, V.E.; et al.This study investigated the co-occurrent association of marijuana use and prescription opioid misuse with multiple suicide attempts among adolescents with a history of suicidal ideation. Data came from the 2019 Youth Risk Behavior Survey. The sample was comprised of adolescents ages 14–18 who reported suicidal ideation during the past year (n = 2,562). Multinomial logistic regression was used to examine the co-occurring asso ciation of marijuana use and prescription opioid misuse with multiple suicide attempts. Of the 2,562 adolescents who experienced suicidal ideation, 19.2 % also attempted suicide multiple times during the past year and 19.0 % reported ever using marijuana and misusing prescription opioids, 8.8 % misused prescription opioids only, and 33.3 % used marijuana only. In the multivariate model, for adolescents who used marijuana and misused pre scription opioid, the risk of attempting suicide once was 1.77 times higher (RRR = 1.77, 95 % CI = 1.22–2.59) and the risk of multiple suicide attempts was 3.23 times higher (RRR = 3.23, 95 % CI = 1.95–5.33) when compared to adolescents who had never used marijuana nor misused prescription opioid. The risk of multiple suicide attempts was greater for bisexual and racial/ethnic minority adolescents and adolescents who felt sad or hopeless. Interventions that prevent prescription opioid misuse among adolescents may be effective in mitigating suicide attempts.Item Perceived racial discrimination and polysubstance use among racial/ethnic minority adolescents in the United States(Drug and Alcohol Dependence, 2023) Baiden, P.; Onyeaka, H.K.; Mets, V.E.; et al.Objective: Polysubstance use among adolescents is a significant public health concern, yet most studies on adolescent substance use focus on a singular substance. This study is one of the first to investigate the association between perceived racial discrimination (PRD) in school and polysubstance use among racial/ethnic minority adolescents using a nationally representative sample. Methods: Data was from the 2021 Adolescent Behaviors and Experiences Survey. The sample included 4145 racial/ethnic minority adolescents (52.8% female). Hierarchical binary logistic regression was used to examine the association between PRD in school and polysubstance use among racial/ethnic minority adolescents. Results: About 12% of racial/ethnic minority adolescents engaged in polysubstance use and 23.4% reported experiencing PRD in school sometimes/most of the time/always. Controlling for other factors, experiencing PRD in school sometimes/most of the time/always was associated with 1.52 times higher odds of polysubstance use when compared to adolescents who never experienced PRD in school (OR=1.52, p=.044, 95% CI=1.01–2.30). Cyberbullying victimization, symptoms of depression, and being emotionally abused by a parent during COVID 19 were also associated with polysubstance use. Conclusion: Controlling for demographic characteristics and psychosocial stressors, PRD in school was significantly associated with higher odds of polysubstance use among racial/ethnic minority adolescents. The findings of this study could inform clinicians and policymakers of the association between PRD in school and polysubstance use, which could contribute to early identification of polysubstance use among racial/ethnic minority adolescents.Item Racial/ethnic differences in adolescents’ non-response to suicide attempt: Findings from the Youth Risk Behavior Survey, 2015–2019(Journal of Psychiatric Research, 2023) Baiden, P.; Baiden, P.; Mets, V.E.; et al.Racial/ethnic minority adolescents are at greater risk of attempting suicide compared to their White counter parts. Yet, racial/ethnic minority adolescents are more likely to not respond to questions on suicidal behaviors. The objective of this study was to investigate the association between race/ethnicity and missing response to suicide attempt among adolescents in the United States. Data for this study were obtained the 2015–2019 na tional Youth Risk Behavior Survey (n = 40,360). The outcome variable investigated in this study was missing response to suicide attempt and the main explanatory variable was race/ethnicity. Two hierarchical binary lo gistic regression models were fitted to examine the association between race/ethnicity and missing response to suicide attempt. Of the 40,036 adolescents, 13.4% had missing response to suicide attempt. Controlling for the effects of demographic factors and symptoms of depression, adolescents who self-identified as non-Hispanic Black had more than threefold higher odds of having missing response to suicide attempt when compared to their non-Hispanic White counterparts (AOR = 3.62, p < .001, 95% CI = 2.45–5.34). Adolescent males and adolescents questioning their sexual identity had higher odds of having missing response to suicide attempt. Adolescents with depressive symptoms had lower odds of having missing response to suicide attempt. Missing response to suicide attempt among adolescents continues to differ by race/ethnicity and other demographic factors. The use of a single item in assessing suicide attempt history may be inadequate in capturing national estimates of adolescent suicide metrics.