Historical,environmental, and behavioral correlates of sexual offending by male adolescents: A critical review

This article is a critical review of research on the historical, environmental, and behavioral correlates of sexual offending by male adolescents. Variables considered include: demographics, victimization history, delinquency history, sexual history, family situation, social/relationships, intellectual functioning, and psychopathology. The review concludes with suggestions for future research and implications for treatment, assessment, and prevention of sexual offending behavior by adolescents.     

Effectiveness of Pre-counseling Genetic Education Workshops at a Large Urban Community Health Center Serving Low-Income Chinese American Women

Chinese American pregnant women and women of childbearing age face economic, cultural and linguistic barriers in accessing mainstream health care services. The Charles B. Wang Community Health Center developed a culturally and linguistically competent genetic education workshop for high-risk Chinese American prenatal patients. Patients referred for genetic counseling for thalassemia, abnormal triple screen results, and/or advanced maternal age were recruited to participate in the workshop. The workshop provided basic “genetic 101” education, focusing on topics that were directly relevant to the patients’ reasons for referral. The effectiveness of the workshop was measured using a quasi-experimental design with pre-post surveys administered to intervention and control group participants. The evaluation also included a genetic counselor assessment and a pilot study of genetic counseling appointment length. Overall, workshop participants showed significant increases in knowledge, positive attitude and self-efficacy regarding genetic services as compared to their control group counterparts. The pilot appointment length study data revealed that the workshop reduced the length of the genetic counseling appointment time by 40%. These positive findings suggest that it would be worthwhile to replicate the genetic education workshop at other health agencies serving Chinese-speaking populations and that further evaluation research should be conducted.     

Perceptions of coercive sexual behavior by males and females

In this study male and female subjects were given six vignettes depicting heterosexual interactions between acquaintances. The vignettes described sexual advances representing different points along a coerciveness continuum. The gender of the aggressor and the victim were varied. The subjects were then asked to indicate their perception of the degree of coerciveness involved. In addition, they were asked to attribute both positive and negative feelings to the victim. The results indicated that male subjects perceived these sexual advances as slightly more coercive when the victim was a female, whereas females perceived the advances as slightly more coercive when the victim was a male. Also, there was a tendency to view the low-coercion activities as more coercive when the males were the victim, whereas the opposite was true for the vignettes rated high on coercion, especially the one describing physical coercion. The attributions of positive and negative feelings tended to parallel the coerciveness ratings. Typically, the more coercive activity was seen as, the less positive feelings and more negative feelings the subjects attributed to the victim. The results were discussed in terms of stereotypical beliefs regarding the sexuality of males and females and attribution theory.     

Alcohol involvement in hospital-admitted nonfatal suicide acts

We analyzed alcohol involvement in 84,005 medically identified live discharges for self-inflicted intentional injuries (typically suicide acts) from hospitals in 20 U.S. states in 1997. Alcohol was involved in 27% of the discharges. Evidence of alcohol was significantly more prevalent in men than women, but generally men drink more than women. Blacks had the highest alcohol involvement in their suicide acts relative to their drinking patterns. Overall, alcohol involvement rose and subsequently fell with age, with involvement above 30% for ages 30-55. Lowering the minimum legal drinking age to 18 from 21 could potentially raise alcohol-involved suicide hospitalizations among youth by an estimated 27%.