Considering the projected increase of African Americans reaching age 60, and because depressive illness is an important public heath concern, early identification of salient risk factors for depression is critical in instituting early intervention programs for the ethnic minority elderly population.

A sample of 277 Native American students (grades 7 to 12) was surveyed to examine the age of onset, patterns of progression, and periods of risk for drug use. Results suggest that Native American youth begin smoking cigarettes and marijuana, drinking, sniffing solvents, and using cocaine as early as 10 years of age. The period of risk for initiation of drug use was between the ages of 10 and 13 years. Implications for drug use prevention-education programming are presented.

Several authors have reported that older African-Americans with multiple medical problems and decreased activities of daily living are at an increased risk of reporting symptoms of depression. African-Americans were more likely to report symptoms of anger, irritability, denial of illness, and to spontaneously report symptoms that did not reflect a change in mood, but rather forbearance of a difficult time or somatic complaints. This paper describes the results of a study to assess the presence of depressive symptoms in older African-American community residents. A new instrument, the Baker Belief Scale, is compared with the Center for Epidemiologic Studies-Depression Scale (CES-D) and the association of medical illnesses, social network, and level of physical function in activities of daily living (ADL). Ninety-six African-American men and women, aged 60 years or older, with equal representation from urban and rural counties in western Tennessee comprised the sample. The sample was stratified, in each of the two counties, into three age categories; 60-69, 70-79, and 80 years and older. A screening battery consisting of the Short Portable Mental Status Questionnaire, the CES-D, the Lubben Social Network Scale, and the Katz ADL were administered to the sample. Current medical illnesses were recorded with demographic data. There was a significant association between the CES-D score and the BBS score for those who screened positive for symptoms of depression. In addition there was a significant relationship between CES-D score and specific medical illnesses, social network, physical function in ADL, and residence (urban vs. rural). Residents who screened positive (N = 19) for depressive symptomatology with CES-D scores of 16 or higher exhibited a higher frequency of hypertension, arteriosclerosis, and circulatory problems than those who tested negative (N = 77). More urban residents (N = 13) than rural residents (N = 6) screened positive for symptoms of depression. Approximately 21% (N = 20) of the 96 respondents had scores of 20 or less on the Lubben Social Network Scale, suggesting a group of "at risk" for social isolation.

Childhood and adolescent depression has emerged as a public health concern because of its impairment of functioning, particularly in the domains of decision making and self-efficacy. The present investigation examines the association between depressive symptoms and decision coping patterns among a nonreferred, nonclinical community sample of 276 low-income African American adolescents. The students ranged in age from 12 to 17 years. The Children's Depression Inventory was used to assess participants'depressive symptomatology. The Flinders Adolescent Decision Making Questionnaire was used for assessing participants' decision coping patterns. The instrument was group administered in classroom settings by the research staff. Findings indicated a significant association between depressive symptomatology and the use of maladaptive decision coping patterns. Perhaps increasing competence in decision making may have beneficial effects on overall mood and depressive symptoms among children and adolescents.

A three-year evaluation of Nebraska students ( N = 130) was conducted to gauge the long-term influence of an initial preventive alcohol education intervention. The initial intervention was developed around the inoculation model of McGuire which proposes that individuals can be inoculated against persuasive verbal appeals and thus resist specific pressures. Students in the initial program were assessed and found to be highly susceptible to peer pressure to misuse alcohol. Subjects were followed through their junior year in high school and assessed on the following self-report alcohol-related behaviors: frequency of riding with drinking drivers; frequency of drinking and, frequency of drinking to excess. Cognitive areas assessed included items assessing the concept of tolerance to alcohol. Results suggest that after three years frequency of risky alcohol-related behavior between experimental and control students was not significantly different. Assessments of cognitive items revealed no statistically significant differences between experimental and control students. When viewed in context with prior evaluations of these subjects at two-weeks and six-months time, the findings are disappointing yet informative. The claim that specific “educational inoculation” strategies play a long-term role in delaying the initiation of risky health behavior in adolescents is discussed. The judicious integration of periodic, sequential, and meaningful booster components into school-based environments is recommended as a potential way to achieve a more lasting effect in preventive inoculation efforts.