The present study examined smoking-specific and general parenting predictors of in vivo observed patterns of parent–adolescent discussion concerning adolescents’ cigarette smoking experiences and associations between these observed patterns and 24-month longitudinal trajectories of teen cigarette smoking behavior (nonsmokers, current experimenters, escalators). Parental solicitation, adolescent disclosure, and adolescent information management were coded from direct observations of 528 video-recorded parent–adolescent discussions about cigarette smoking with 344 teens (M age = 15.62 years) with a history of smoking experimentation (321 interactions with mothers, 207 interactions with fathers). Adolescent initiation of discussions concerning their own smoking behavior (21% of interactions) was predicted by lower levels of maternal observed disapproval of cigarette smoking and fewer teen-reported communication problems with mothers. Maternal initiation in discussions (35% of interactions) was associated with higher levels of family rules about illicit substance use. Three categories of adolescent information management (full disclosure, active secrecy, incomplete strategies) were coded by matching adolescents’ confidential self-reported smoking status with their observed spontaneous disclosures and responses to parental solicitations. Fully disclosing teens reported higher quality communication with their mothers (more open, less problematic). Teens engaged in active secrecy with their mothers when families had high levels of parental rules about illicit substance use and when mothers expressed lower levels of expectancies that their teen would smoke in the future. Adolescents were more likely to escalate their smoking over 2 years if their parents initiated the discussion of adolescent smoking behavior (solicited) and if adolescents engaged in active secrecy.

Background: Limited research has explored sources of resilience for Latino immigrants or the potential of resilience-based interventions to promote Latino immigrant health and well-being.Purpose: To evaluate Latino immigrants' experiences with a resilience training and application of the training to participants' personal lives and their communities among Latino immigrants.Methods: We conducted a retrospective, qualitative study in Philadelphia, PA from 2017 to 2018. We completed semi-structured, key informant interviews with nine participants who had taken the resilience training, and one facilitator (N=10). Transcripts were analyzed via interpretive content analysis.Results: The training resonated deeply with participants because of their personal traumas and immigration-related adversity. Participants were primed by past experiences of violence, as well as by daily struggles they encounter as Latino immigrants in the United States amid worsening anti-immigrant rhetoric and policy. The training was found to be transformative by allowing participants to discover and tap into their own inherent resilience. Participants utilized the knowledge and skills acquired from the training to better manage daily situations, as well as worked to strengthen others within their networks.Conclusions: Resilience-based interventions can help to strengthen communities against adversity. Cultivating resilience in Latino immigrants can have positive effects on psychosocial health. Resilience-building approaches could be implemented as stand-alone or enhancing components of more complex health promotion interventions. More research is needed on resilience, as well as its utility in community-based interventions to promote the health and well-being of Latino immigrants.

Introduction: Breast cancer is typically seen as a disease of mid-life, but growing evidence supports primary prevention throughout women's lives. Little is known about the salience of breast cancer prevention messages for younger women, especially those at risk for breast cancer disparities. Description: Our multiphase exploratory project first analyzed a purposive sample of news and popular media messages on breast cancer aimed at young adults. We then used these mainstream and tailored media examples in 7 focus groups with Philadelphia-area African-American, Latina, Asian-American, and sexual minority women age 21-30. Identity-concordant moderators explored knowledge, attitudes, and practices regarding health in general and breast cancer specifically, and media credibility and usage patterns. Then, guided discussion of breast cancer-related media examples was used to explore audience interpretation and response to messaging. Responses to a brief structured survey and transcribed audio-recordings of focus group discussions were analyzed. Findings: Participants had diverse levels of socioeconomic and health-related resources: 40% were born outside of the U.S., 37% were uninsured, and 37% had < high school education. Most used social media (i.e., 86% Facebook, 71% Instagram), 83% read on-line news at least weekly, and 63% had searched on-line for cancer information. When asked about cancer prevention across the life course, many young women expressed limitations on ideal health behaviors at their current life stage, due to economic constraints or stressors related to school, job or family. Respondents had little knowledge of evidence supporting risk-reducing behaviors, such as breast feeding, diet and physical activity, or limiting alcohol. Most found both mainstream and culturally tailored messages about breast cancer new and compelling; however, some challenged group-specific risk information or saw culturally tailored messages as geared to older, less acculturated women. Although young women recognized the importance of risk reduction, most felt that behavior change would be more feasible, and more important, when they were older. Conclusions: Young women of all backgrounds and levels of access to information are not well informed about primary prevention of breast cancer. Tailored information has salience but may also need to consider generational and life-stage effects. Planning for health behavior change during young adult transitional stages appears highly salient, but must consider life roles, which widely differ by SES and culture. Citation Format: Ann Carroll Klassen, Udara Perera, Suzanne Grossman, Ana Martinez-Donate, Augusta Villanueva, Zujeil Flores, Amy Leader, HeeSoon Juon. Primary prevention across the life course: Findings from the young women's breast cancer and media study [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr A010.