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S80 Poster Abstracts / 48 (2011) S18–S120

not transition. Most participants approached transition withdistrust; only the oldest welcomed transition. Challenges totimely transitions included bad experiences with adult pro-viders (“No bedside manner, extremely serious, and have nopersonality”), lack of information regarding transition process(“I haven’t even spoken to anyone. I don’t know what to do”);rumors among patients (“They kick the adults out. . . you can’tstay in the hospital anymore, you have to do home IVs”); fearof being first (“They don’t know what they’re doing and we’retheir guinea pigs.”); and external influences that made transi-tion feel abrupt and out of control (“Because I survived, I’mgoing to be denied the best care possible because it’s a chil-dren’s hospital.”) Successful transitions occurredwhen partic-ipants took pro-active, optimistic approaches.Conclusions: By examining transition to adult-oriented care“from the inside out,” through the experiences of young adultswith CF, VIA-Transitions revealed that most perceived transi-tion as being uprooted with little preparation or communica-tion from known and trusted clinical relationships to un-known, less comforting and supportive care. Young adultpatients make health care decisions informed by experiencecombinedwith objective data, but ultimately driven byhumanconcerns.Many resisted transition and fewwere successful onprojected timelines. Through starting early, engaging andcommunicating openly with patients as valued partners, con-tinuously providing information and involving them in deci-sion-making, building their trust in new clinicians and pro-grams, and most importantly, maintaining their sense ofpersonal control, we can relieve anxiety, reduce resistance,and accomplish healthy transitions.Sources of Support: Grant #K23 HD01296 from the Nationalnstitute of Child Health and Human Development, the Debo-ah Munroe Noonan Foundation, and the William F. Miltonoundation.

121.

DECREASING VIOLENCE AMONG HIGH RISK LATINO YOUTHManuel Angel Oscos-Sanchez, MD, Janna Lesser,PhD, RN, L. Dolores Oscos-Flores, BSEd, DanielPineda. The University of Texas Health ScienceCenter at San Antonio

Purpose: Violence remains the leading cause of mortality andmorbidity among Latino youth; this is especially true for youththat attend alternative schools. The purpose of this analysiswas to determine correlates of decreased frequency of perpe-tration of violence among middle and high school studentsenrolled in a disciplinary alternative education program(DAEP) in a predominantly Latino school district.Methods: Upon entrance into the DAEP, all students wereasked to participate in the study. After obtaining parentalconsent, 285 students enrolled. All participants completed aconfidential, self-administered, baseline survey, and244 (86%)completed a 3 month follow-up survey. Surveys collected de-mographic data and past 30 day measures of self-reportedfrequency of perpetration of non-physical violence, physicalviolence, and intimate partner violence (IPV). Change in fre-quency of perpetration of violence was determined by sub-tracting 3-month follow-up data from baseline data. Bivariate

correlation analysis determined significant correlates of

hange in frequency of perpetration of violence. Three multi-ariate linear regression models were constructed to deter-ine significant predictors of change in frequency of perpetra-

ion of violence.esults: At baseline, 95% of the 244 participants reported oner more acts of non-physical violence, 85% reported one orore acts of physical violence, and 46% reported one or morects of IPV in the past 30 days. At the 3-month follow-up, 82%eported non-physical violence, 70% reported physical vio-ence, and 38% reported IPV. In a bivariate correlation analysis,hange in Exposure to Community Violence (ECV), change inelief in aggression (BIA), change in belief in non-violent con-ict resolution, change in frequency of depression symptoms,aving an intimate partner, and household size were corre-ated with change in frequency of perpetration of violence (p1). Three multivariate linear regression models were con-tructed with change in frequency of perpetration of non-hysical violence, physical violence, and IPV as the dependentariables. The six significant variables from the bivariate anal-sis were entered as potential predictor variables. Increasedevels of ECV were associated with increased levels of non-hysical violence, physical violence, and IPV (p � .00), whilencreased BIA was associated with increased levels of non-hysical violence (p � .01).onclusions: Among students attending a disciplinary alter-ative education program in an economically disadvantagedredominantly Latino urban school district, increasing levelsf Exposure to Community Violence were associated with anncrease in frequency of perpetration of non-physical violence,hysical violence, and intimate partner violence. The findingsuggest that decreasing levels of Exposure to Community Vio-ence may be the most effective strategy for decreasing vio-ence among high-risk Latino youth.ources of Support: National Institute of Child Health anduman Development.

122.

SELF-PROMOTERS AND STALKERS: GENDER DIFFERENCES INSNS USE AMONG OLDER ADOLESCENTSMegan Moreno, MD, MSEd, MPH2, ErikaMikulec, BS2, Rosalind Koff, BA2, Megan Lederer,D2, Molly Carnes, MD, MS1. 1Center foromen’s Health Research 2University of

Wisconsin

Purpose: Early studies of adolescent internet use focused ontime spent on the internet, and consistently found males tohave higher use patterns. Currently, up to 98% of older adoles-cents are social networking site (SNS) users. Less is knownabout gender differences in SNS use; this information wouldcontribute to developing conceptual models of adolescent in-ternet use that could be used towards health interventiondevelopment. The purpose of this study was to evaluate olderadolescent males’ and females’ SNS use.Methods: Gender-specific focus groups were recruited byconvenience sample at a large Midwestern university. Focusgroups were led by a trained same-gender facilitator. Facilita-tors used both open-ended and prompting questions to ex-plore how participants used SNSs including frequency, moti-

vations for use and experiences with SNSs. All focus groups

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S81Poster Abstracts / 48 (2011) S18–S120

were recorded and manually transcribed. Analysis was con-ducted by three investigators using an iterative process inwhich all investigators first reviewed transcripts individuallyand then discussed together to determine consensus onthemes and representative quotations.Results: A total of 12 focus groups were conducted, including28 males and 39 females between the ages of 18 and 23 years.All participants reported SNS use. The major theme derivedfrom our data was that males tended to approach SNS usethrough an individualistic framework and females tended toapproach SNS use through a communal framework. Thistheme was expressed in several ways. First, males often de-scribed their motivation to have a SNS profile as one of self-promotion: “It’s a great way to get my name out to people.”Females frequently discussed SNS use as a way to be con-nected to their community: “I use it to send messages tofriends that I don’t see all week.” Second, males describedlogging onto their SNS profile with a goal-oriented approach.Many males described using only the applications needed fortheir intended task, and then logging off. In contrast, femalesoften described logging onto their profile as part of a routinehabit: “I talk to other people on there, or I check the homepagefor updates, or I check my friends’ walls and stuff for newpictures.” Third, males and females both stated that they usedFacebook to communicate with friends. However, females re-ported pursuing in-depth profile investigations of people theydid anddid not know: “Itmakes stalking acceptable. Not actualstalking. However, offline you never look at someone’s actualphoto albums you do not know. But on Facebook I look atthem.”Conclusions: Our findings suggest differences in male andfemale older adolescents’ motivations towards and use ofSNSs. Males’ approach to SNSs was more centered on individ-ual goals and existing relationships. Females’ approach wasmore centered on routine maintenance of their online com-munity, as well as exploration within the Facebook site andlarger online community. As health interventions using theinternet are increasing, a clear understanding of gender differ-ences in SNS use will be essential to create interventions thatare effective and targeted.Sources of Support: The work described was supported byaward K12HD055894 from NICHD.

123.

DEPRESSION DISCLOSURES ON FACEBOOK: ASSOCIATIONSWITH SELF-REPORT AND PERCEPTIONS OF PEERSMegan Moreno, MD, MSEd, MPH2, LaurenJelenchick, BS2, Allison Grant, BA2, Meganumper, BA in progress2, Laura Richardson, MD,

MPH1. 1Seattle Children’s Hospital 2Universityf Wisconsin

Purpose:Depression is common and under-diagnosed amongollege students. College students do not always seek help forepression in clinical settings; however, depression disclo-ures are often displayed on social networking site (SNS) pro-les and presumably viewed by other peer SNS users. SNSsould be an innovative approach to complement currentcreening strategies as well as to support adolescents with

epression. The purpose of this study was to evaluate Face-

ook depression disclosures and their association with bothelf-reports via a clinical screen and peer perception.ethods: Public Facebook profiles of freshmen undergradu-tes aged 18 to 19 years from a large state university werexamined for displayeddepression references by three trainedoders. Profiles were categorized as depression referencesresent (Displayers) and no depression references (Non-Dis-layers). A 20% subsample was evaluated for interrater reli-bility; Cohen’s kappa for depression reference coding was.79. Participants then completed a one-to-one interviewwithtrained research assistant including depression screening viahe PHQ-9 and an open-endedquestion: “What do you think ofhen you see displayed references to depression on Face-ook?” Analyses included logistic regression to examine theelationship between Displayer/Non-Displayer and PHQ-9 de-ression categories, adjusting for gender. Qualitative analysisf interview data was conducted in an iterative approachwithhree investigators individually evaluating transcripts andhen meeting to determine thematic consensus.esults: A total of 60 participants completed the interview68.5% response rate), of these, the average agewas 18.8 years,6 (60%) were female. Depression references were displayedn 20 profiles (33%), femalesweremore likely to be DisplayersOR� 4, 95%CI 1.1-14.1). Themean PHQ scorewas 3.2 (�/-2.1)nd 16 (26.7%) met criteria for mild depression (PHQ scoreetween 5 and 10). No participant’s scores met criteria forevere depression. Displayers weremore likely (OR � 4.9, 95%I 1.4-17.8) to meet PHQ-9mild depression criteria comparedo Non-Displayers. Qualitative analysis of transcripts revealedhree main themes. First, depression disclosures were vieweds a way to reach out: to ask for help or get attention. Partici-ants frequently stated that this need might be met by peersesponding to such comments publicly on Facebook to dem-nstrate support. Second, depression disclosures were vieweds a way to share feelings: to contribute to the frequent expe-ience of being depressed during college. Third, Facebook wasiewed as a venue to push out, to vent, or displace emotions.onclusions: Depression disclosures on SNSs can be used todentify older adolescents with mild depression. College stu-ents may be using SNSs to seek support for depression, andheir peers may both recognize and respond to such disclo-ures. Universities may consider providing targeted outreacho these students through Facebook, and educating students tonhance peer ability to recognize or respond to depressionisclosures. Future studies must be done to evaluate moreevere depression, however, expansion and translation ofhese findings may produce novel interventions among col-ege students at risk for mild depression.ources of Support: The work described was supported byward K12HD055894 from NICHD and by award R03A019572 from NIAAA.

124.

SUICIDE RISK BEHAVIORS IN WASHINGTON STATEADOLESCENTS WITH DISABILITIES: EXAMINING THE ROLE OFDEPRESSIVE SYMPTOMSBonnie Strelitz, MPH3, Jane Rees, PhD, RD3,laine Thompson, PhD, RN2, Leslie Walker, MD1.

1University of Washington School of Medicine

2University of Washington School of Nursing