Substance Abuse Treatment with Adolescent African American Males

Abstract

The use of substances by adolescent African American males is of particular concern because of the damaging effect that drug abuse has not only on the individual and his family but also on the African American community. The literature is scant regarding treatment services and few therapeutic interventions have been specifically designed to holistically meet the needs of these youth. This article proposes the use of Afrocentricity and Reality Therapy as therapeutic bases for substance abuse treatment with this population.     

Scratchcard Gambling Among Adolescent Males

Playing instant scratchcards has become a popular activity among a significant minority of the UK population since their introduction by the National Lottery operators (Camelot) on March 21, 1995. This study examined scratchcard gambling in a group of adolescent males. A total of 204 boys from two secondary schools in Birmingham (aged 11 to 16 years; mean age 13.6 years) were administered a questionnaire on their scratchcard gambling behaviour. Ten classes (five in each school) took part in the survey with one class from each year group selected at random by the headteacher. Within each class almost all the children took part. Forty-two percent of the sample (n=86) had bought their own scratchcards since their introduction in March 1995. Ten children (12% of the gamblers who had bought scratchcards themselves) met an adapted version of the DSM-IV criteria for pathological gambling on scratchcards. Furthermore, a significant relationship was found between parents buying scratchcards and the child's scratchcard purchasing behaviour.     

Overlooking African American Males

ABSTRACT

This study describes a group of seven, urban African American grandmother caregivers' perceptions of family resources. Data for this ethnography design were collected through participant observation, field notes, taped interviews and a genogram to capture those who were available and unavailable to provide support. The identification of themes yielded that grandmothers could only depend upon family members with resources; sons were viewed as most reliable and dependable; and family members were unable to contribute when managing their own problems. The study results suggest intergenerational programs aimed at the family system is important for meeting the needs of grandmother caregivers.     

Multi-Ethnic Comparison of Risk and Protective Factors for Adolescent Pregnancy

Data from a longitudinal cohort study, the National Longitudinal Survey of Youth, are used to examine the differences in risk and protective factors for adolescent pregnancy among four ethnic groups—non-Hispanic Whites, non-Hispanic Blacks, Hispanics, and American Indians. The objective is the identification of differential predictors for adolescent pregnancy among each ethnic group included in the analyses, as well as better comprehension of the differences among women who experienced a teen pregnancy compared to those who did not. The model for this sample of 5,053 women indicates that higher self-esteem and a higher level of maternal education are protective factors; living in poverty as a young teen, substance use, and adolescent marriage are factors associated with an increased risk for teen pregnancy. Further, the results indicate that unique sets of predictors exist for each ethnic group. Implications of these findings are discussed.     

Substance Use Among Rural African American Adolescents: Identifying Risk and Protective Factors

Substance use continues to be a significant problem among youth in our society, particularly in rural communities. The purpose of the current study was to identify the possible risk and protective factors that may be affecting the rates of alcohol and illegal drug use among a population of African American adolescents living in a rural, southern community. The following were identified as possible risk factors: (1) Being an older adolescent (15 years of age or older); (2) Spending afternoons after school with friends; (3) Having friends or family members who use alcohol or illegal drugs; (4) Being raised by non-family members; and (5) Having plans to enter military after high school. The following characteristics were associated with less alcohol and illegal drug use, and were identified as possible protective factors: (1) Being raised by parent(s) or other family members; (2) Spending afternoons after school with parents; (3) Having parents who talk to youth about dangers of drug and alcohol use; (4) Having parents who disapprove of their child using drugs or alcohol; (5) Being involved in extra-curricular church-related activities; and (6) Having plans to work, or attend college or technical school after high school. Characteristics that have been associated with drug and alcohol in previous research that were not associated with use in the current study include: (1) Being male; (2) Peer pressure to use alcohol or illegal drugs; (3) Grades in school; and (4) Involvement in extra-curricular activities. Implications for developing effective community programs aimed at reducing substance use among our youth are discussed.     

Contextual Factors Related to African American Adolescent Career Development

African American adolescents’ career development has gained increased attention in light of various barriers affecting their educational and career development goals. The author examined relationships among career decision self‐efficacy, ethnic identity, and academic self‐concept of 104 African American high school students enrolled in Upward Bound programs. Participants responded to measures of career decision self‐efficacy, ethnic identity, and academic self‐concept. Results indicated that career decision self‐efficacy was significantly and positively correlated with ethnic identity and academic self‐concept. In addition, academic self‐concept was found to be a stronger predictor of career decision self‐efficacy than was ethnic identity. The results of this study may assist counselors, teachers, administrators, and parents to understand career decision self‐efficacy as it relates to ethnic identity, academic self‐concept, and demographic variables. This research supports the need for continued career‐related interventions within the schools designed to focus on factors related to ethnic minorities to help foster their career development.     

HIV/AIDS Knowledge Sources and Risk Behavior among Adolescent African American Males: Toward Developing HIV/AIDS Pedagogy

Black male adolescent HIV incidence and prevalence account for a disproportionate number of AIDS cases. Their cultural experiences are significantly different than other sectors of the U.S. population. Among adolescents, they constitute 37 percent of the cases, which is more than double their representation in the general adolescent population. The authors ask where do African American males receive information about HIV/ AIDS.     

Mental Health and HIV Risk Among African American Adolescents

Summary

The family system is integral to adolescent mental health and HIV risk. However, few studies have addressed family variables and adolescent outcomes among African American families. This study tested a longitudinal model of parenting, adolescent mental health, and adolescent HIV risk, among a community sample of low-income, urban African American families from the Collaborative HIV prevention and AdolescentMental Health Project (CHAMP). Consistent with general adolescent population data, we expected less parental monitoring, greater psychological control and less positive parenting to increase risk for adolescent depression and conduct problems. We hypothesized that these variables would in turn increase rates of HIV risk. We followed one hundred and thirty-four African American youth and theirmaternal caregivers as part of the CHAMP project. Study variables included: positive parenting, parental monitoring, psychological control, adolescent distress, conduct problems, and recent HIV risk. We examined the relationship among these variables via longitudinal path analysis. Age was strongly associated with increased adolescent HIV risk. Contrary to hypotheses, more parental psychological control was marginally associated with less HIV risk, while positive parenting was marginally associated with greater HIV risk. Adolescent depression was associated with more conduct problems, but unrelated to HIV risk. Thus, parenting practices generally considered negative might actually be protective among some lower SES African American families. This underscores the importance of extending studies of family context and adolescent risk behaviors to diverse social and ethnic groups. Designing prevention programs for diverse groups will require articulating culturally specific effects for different parenting practice.     

Dating Violence,Young African American Males,and Risk and Protective Factors: A Review of the Literature

This report examines the extant literature on dating violence, young African American males, and risk and protective factors. Studies have shown that correlates exist between community factors, parental discipline, and gender role beliefs in young African American males that place them at risk for dating perpetration. Studies have also shown that protective factors such as adequate adult supervision, social support, and problem-solving skills exist and can mitigate risk. Implications for research and programming are also discussed.     

Risk and Resilience Among African American Children of Incarcerated Parents

Abstract

The current literature indicates that children of incarcerated parents are negatively responding to parent-child separation and vulnerable to myriad adverse psychological, emotional, and behavioral outcomes. African American children are the most greatly impacted by this social issue as they account for over 50% of all children of incarcerated parents. Despite the risks, many of these youths appear to cope with parent-child separation. There is a paucity of literature that employs a risk and resilience conceptual model to explicate the variability in developmental trajectories. This article reviews the literature on risks and resilience among African American families. An interpersonal-ecological conceptual model that emphasizes the reciprocal interaction between the person and social context is employed. Moreover, African American resilient factors that potentially mediate the relationship between parental incarceration and environmental risks and developmental outcomes are discussed.     

A Longitudinal Analysis of Adolescent Substance Use and School Motivation Among African American Youth

Cross‐sectional research has shown a link between adolescent substance use and educational motivation. The purpose of the current study was to examine this link in a longitudinal sample of African American youth. The study examined the interrelationships between alcohol and both marijuana use and school motivation over the high school years and their effect on graduation in 681 African American adolescents (50.8% female). School motivation was shown to relate to subsequent alcohol use throughout high school and marijuana use early in high school. School motivation did not affect graduation status, but alcohol and marijuana use were related to a lower likelihood of graduating from high school. Some gender differences and differences among those who had tried alcohol or marijuana at the first wave as opposed to those who had not tried each substance were found. The findings support a systems model where school experiences can affect substance use, which, in turn, can affect the completion of high school.     

Drug Trafficking and Urban African American Youth: Risk Factors for PTSD

This article examines how African American youths (ages 12–17) who are raised in neighborhoods that are centers for illegal drug trade and drug dealing (trafficking, running) cope with violent events such as shooting, stabbings and other intentional injuries. Using qualitative research methods, the study explores urban youths' perceptions of drug trafficking and related activities in their neighborhoods. The study then explores issues of personal encounters with traumatic events related to drug trafficking activities (shootings, stabbings, deaths, other violence) in their community. Finally, the study discusses implications of findings for risk and treatment of post-traumatic stress disorders (PTSD) among these youths.     

Factors Influencing Condom Use and STD Acquisition Among African American College Women

Abstract

To identify factors that influence condom use and the risk of acquiring sexually transmitted diseases (STDs) among African American college women, the authors surveyed a sample of 123 sexually experienced undergraduate women at a state university. The college women who were older, had initiated sex earlier, or had more recent sexual partners were more likely than others in the study to report a history of an STD. The findings have implications for prevention and intervention programs for African American college women.     

Impact of Familial Factors and Psychopathology on Suicidality Among African American Adolescents

Abstract

Racial differences in familial factors, psychopathology, perceptions of social support, and socioeconomic status were examined in a matched sample of African American and White suicidal adolescents (N = 90) during a psychiatric hospitalization. Exploratory analyses suggest that significant differences were found in family support and its association with psychopathology, but most noteworthy were the many similarities between the two adolescent groups. The results presented in     

Toward a Theoretical Understanding of Hypermasculine Coping Among Urban Black Adolescent Males

Abstract

The literature regarding African American males has generally focused on the cultural or academic deficits of Black boys. This short-sighted approach fails to take into account the role of contextin shaping opportunities to complete normative developmental tasks. Further, such deficit perspectives leave few to no options for intervention. Consequently, a process-oriented and developmentally informed theoretical model (PVEST) was used to examine the relationships between risks, stress, and coping for a sample of urban Black adolescent males (n = 125). More specifically, the role of fear in promoting hypermasculine coping is explored. The results suggest that hypermasculine attitudes are a function of hypervulnerabilty. Coping-based intervention strategies are discussed.     

Individual Growth Curves of Frequency of Sexual Intercourse Among Urban,Adolescent, African American Youth

Summary

In the current study we examined individual growth curves of frequency of sexual intercourse among a sample of urban, low-income, African American youth at increased risk for subsequent HIV/AIDS exposure. Three waves of longitudinal data from the Collaborative HIV-Prevention AdolescentMental Health (CHAMP) project were utilized. Participant ages ranged from 9 to 12 years (M = 11 years) at the first interview wave and from 15 to 19 years (M = 18 years) at the final interview wave. As such, we were able to map out true developmental trajectories of sexual intercourse over a 10-year period of adolescence (spanning ages 9 to 19 years). Results indicate that the average study participant was sexually abstinent (in terms of intercourse) during the pre-teen years, reported a single episode of sexual intercourse between ages 14 and 15, and by age 19, reported between 3 and 10 episodes of sexual intercourse. Significant variability in the acceleration of growth rates (as captured by a quadratic random effect) was observed, suggesting that some youth accelerated more rapidly (in their sexual intercourse histories) than did others. Participant gender predicted trajectory starting points; boys reported higher rates of sexual intercourse at age 12. Frequency of baseline exposure to sexual possibility situations (i.e., being in mixed-sex company in a private place in the absence of adult supervision) predicted growth curve acceleration, suggesting preteenswith more exposure to sexual possibility situations accelerated more rapidly in their rates of sexual intercourse over time. Developmental implications of these data are discussed.     

Racial Differences in Abused Older African American Males, Caucasian Males, and their Abusers

This study examined racial differences between mistreated and abused older African American and Caucasian men. The racial and gender differences of their perpetrators were also examined. Data from a single elder abuse provider agency in the State of Illinois were analyzed. Differences with respect to physical abuse, emotional abuse, physical neglect, deprivation, confinement, and financial exploitation were examined, as were demographic characteristics and limitations of victims and abusers.     

AIDS, Sexuality and African American Adolescent Females

Many African American adolescent females do not have sufficient information to break the cycle of unintended pregnancy and sexually transmitted diseases, in a society where we are bombarded from dusk to dawn with sexually explicit images. Knowledge alone does not change behavior, but it does provide the basis for decisions that promote sexual health. Adolescents are too often driven by curiosity and pressure to perform sexually. The ability to make the right decisions about sex is a skill that develops slowly throughout life. However, teens are impulsive and possess an attitude of invincibility. Youth cannot rely on the community to educate them about the dangers of unprotected sex. The African American community has never welcomed the topic of sexuality into our homes. Presently, the age old tradition of telling youth what they should and should not do without giving them the specific information about sex or sexual behavior continues. Prevention must be strongly emphasized. Schools must play role in the war against irresponsible sexual behavior and AIDS. This paper will describe an innovative group project designed to educate African American female teens about sexuality in an urban school setting. The topic of sex generated confusing and powerful feelings that were expressed in the group. Group members learned how to protect themselves, nurture themselves and value themselves. The goal of the group was to impart knowledge, change risky behaviors, validate their existence and listen to their stories.