Shift-and-persist coping and health among rural African American adolescents

This study examines whether shift-and-persist coping, a coping strategy defined by accepting challenges and remaining hopeful for the future, is associated with psychosocial and physical health and/or moderates the effects of contextual stress (i.e., racial discrimination, financial strain) on health among African American adolescents living in the rural Southeastern United States. Participants (N = 299, 56% boys, M_age = 12.91) completed measures of shift-and-persist coping, contextual stress, and psychosocial and physical health. Shift-and-persist coping was generally associated with better health but did not buffer the effects of contextual stress. Results suggest that shift-and-persist coping may serve as a source of resilience among African American adolescents living in a context where many experience heightened contextual stress.     

Predictors of parenting among African American single mothers: Personal and contextual factors

Guided by family stress theory, relations among neighborhood stress, maternal psychological functioning, and parenting were examined among 123 low‐income, urban‐dwelling, African American single mothers. Using a longitudinal design, structural equation modeling was employed to test the hypothesis that neighborhood stress results in poorer parenting over time through its detrimental effect on maternal psychological functioning. Social support from family and friends was examined as a potential moderator of the association between neighborhood stress and parenting behavior. Results indicated that higher levels of neighborhood stress were related to greater psychological distress among mothers, which in turn, was significantly related to less engagement in positive parenting practices approximately 15 months later. A moderating effect emerged for social support, however, such that the proposed model provided a better fit for mothers reporting low levels of perceived social support than for mothers reporting high levels. Implications of the findings for prevention and intervention are discussed.     

Violence exposure and bullying among African American adolescents: Examining the protective role of academic engagement

While African American youth are at disproportionate risk for both community violence exposure and bullying, few studies have examined the association between these two forms of violence in this population. Moreover, given the countless hours that youth spend in schools, identifying school experiences that might protect against this association is an important step to reducing the likelihood of engagement in bullying. The present study explored whether academic engagement buffers the association between exposure to community violence (i.e., hearing about violence, witnessing or victimization) and bullying involvement (i.e., perpetration or victimization) in a cross-sectional sample of low-income African American adolescents residing in Chicago. A convenience sample of 638 African American high school students were recruited from several Chicago neighborhoods between 2014 and 2015. A series of hierarchical linear regression models assessed the relation between types of community violence exposure, academic engagement and bullying behaviors. We found that youth exposed to community violence – specifically, those who had been victimized and heard about violence – were at increased risk for being victims and perpetrators of bullying. High academic engagement reduced the likelihood that youth who heard about violence well would be at higher risk for bullying involvement. Prevention efforts aimed at reducing bullying involvement would benefit from assessing and targeting violence and victimization in the community, in addition to youths' school experiences.     

Attitudes and beliefs about mental health among African American older adults suffering from depression

Depression among older adults is a major public health concern leading to increased disability and mortality. Less than 3% of older adults utilize professional mental health services for the treatment of depression, less than any other adult age group. And despite similar rates of depression, African Americans are significantly less likely to seek, engage and be retained in professional mental health services than their white counterparts. Cultural differences in the way depression symptoms are manifested, defined, interpreted and labeled may in part explain some of these racial differences in help-seeking behaviors. Focus group methodology was utilized to identify and explore attitudes and beliefs about depression and mental health treatment utilization among 42 older African Americans who had recently suffered a major depressive episode. Thematic analysis of identified six overarching themes: (a) perceptions of depression, (b) the African American experience, (c) seeking treatment as a last resort, (d) myths about treatment, (e) stigma associated with seeking treatment and (f) culturally appropriate coping strategies. We discuss implications for practice, education and research.     

Risk factors for suicide attempts among African American women experiencing recent intimate partner violence

The purposes of this study were to identify risk factors for suicide attempts among 200 African American abused women (100 attempters, 100 nonattempters) and to test a cumulative risk model to determine if a woman's likelihood of making a suicide attempt increased as the number of risk factors increased. Results revealed that attempters were significantly more likely than nonattempters to report high levels of depressive symptoms, hopelessness, drug abuse, and childhood abuse and neglect. Results from the cumulative risk model revealed a linear association between the number of risk factors and the odds of making a suicide attempt. Compared to women with no risk factors, women with two risk factors, women with three risk factors, and women with four to five risk factors were 10, 25, and 107 times, respectively, more likely to attempt suicide. The identification of risk variables highlights the importance of designing interventions to address these factors in order to reduce the risk of suicidal behavior in abused, African American women.     

Identities and Social-Psychological Well-Being among African American College Students

Abstract

This study investigates African American college students to show the impact of role, social, and personal identities on social-psychological well-being, and compares the relationship between identity processes and academic achievement for black and white college students attending a large, urban, predominantly white public university. The findings confirm that student, ethnic, and personal identities influence self-esteem, self-efficacy, and self-authenticity, but that relationships vary both in direction and strength. Turning to our comparison of black and white college students, the findings do not support claims that black students' self-esteem is less dependent than whites' on getting good grades or that black students' academic identity is less important to their self-esteem than it is for white students.     

Trial and lifetime smoking risks among African American college students

The authors surveyed 614 African American university students to determine the magnitude of cigarette use, identify risk factors, and develop models to predict smoking. More than half (58.3%) of the participants had smoked at least once, and 9.3% of that group were lifetime smokers. Among the lifetime smokers, 71.3% had smoked during the 30 days preceding the survey. More women (66.8%) than men (56.1%) had tried smoking and were classed as lifetime smokers. Residence, parental, and peer smoking (current and childhood) were associated with trying smoking; age, race/ethnicity, and marital status were additional factors for becoming a lifetime smoker. The risk of being a lifetime smoker was reduced when neither friends nor parents of the student smoked and the student viewed spirituality as important. The results of this study add to the growing understanding of health risk behaviors among African Americans and can be useful in reducing smoking.     

Internalizing symptoms and safe sex intentions among adolescents in mental health treatment: Personal factors as mediators

Little is known about why some adolescents with internalizing symptoms engage in sexual behaviors that increase their risk for HIV. This study tested a mediation model of internalizing symptoms and safe sex intentions among adolescents receiving mental health treatment. Self-efficacy for HIV prevention, HIV knowledge, and worry about HIV were hypothesized to mediate associations between internalizing symptoms and safe sex intentions among sexually active and non-active adolescents receiving mental health treatment (N = 893, M age = 14.9). Significant indirect effects from internalizing symptoms to safe sex intentions varied according to sexual experience: for sexually non-active adolescents, HIV worry and knowledge mediated this link, whereas for sexually active adolescents, HIV self-efficacy was the significant mediator. Increasing both HIV knowledge and self-efficacy for HIV prevention are important targets for HIV prevention with adolescents with internalizing symptoms, and careful attention should be paid towards targeting these interventions to sexually experienced and inexperienced youth.     

Self-report of health problems and health care use among maltreated and comparison adolescents

The study aims were to compare maltreated and comparison adolescents' health problems and to identify how individual, family and home characteristics and maltreatment status affect adolescents' self-report of health status and health care use. The sample was 224 maltreated adolescents (mean age = 18.3 years) and 128 comparison adolescents (mean age = 18.15 years). Comparison adolescents reported more cold and pain symptoms during the previous 30 days but no differences in other physical health problems, self-assessment of their physical and mental health or health care use compared to maltreated adolescents. Girls were more likely to have had a dental checkup, to have seen a psychological counselor, and to self-identify their physical health as poor compared to boys. Older adolescents were less likely to have had a medical checkup or seen a psychological counselor than younger adolescents. A history of maltreatment was not related to health or health care disparities for adolescents growing up in the same low-income environment as adolescents without a maltreatment report. The environmental context and geographical location in which these adolescents grew up may be the primary driver in their health behaviors and health problems and not the experience of maltreatment.     

Examining the role of parental factors on depression among Urban African American youth living in public housing

This study examined the potential risk and protective parental factors associated with depression among African American youth living in public housing. Utilizing a community-based participatory research approach, 239 African-American youth surveys were collected during 2013–2014 in two urban public housing developments with low socioeconomic profiles. Over half (52.3%) of the sample was in high school and female (58%). 65.3% reported living with their mother while 38% reported being employed. Bivariate analysis revealed significant correlations between depression and maternal substance abuse, paternal monitoring, parent-child relationship, and family time. Results from the regression analyses indicated that higher depression scores were significantly associated with youth who reported poor parent-child relationships, low levels of paternal supervision and high levels of maternal drug abuse. These findings provide support for claims about the importance of parent-child relationship and paternal monitoring as a protective factor for depressive symptoms, particularly during adolescence. Moreover, findings suggest that interventions which are targeted towards urban African American youth should address parental factors as a pathway to decrease depression among this population.     

Dialect leveling and /ai/ monophthongization among African American Detroiters

In this paper I present evidence that Detroit African Americans are participating in a recent sound change which is typically associated with some White, but not African American, varieties in the American South. Although both Southern White and African American speakers monophthongize /ai/ in pre-voiced phonetic contexts ( tide ), the spread of the monophthongal or glide-reduced variant to pre-voiceless environments ( tight ) is a salient characteristic of some subregions of the Southern U.S. I report a leveling pattern in which /ai/ monophthongization has expanded to the salient pre-voiceless context in Detroit African American English (AAE). I explain this is in terms of a change in the group with whom African American speakers perceive themselves as saliently contrastive.     

Substance use, self-esteem, and depression among Asian American adolescents

The relationship of self-esteem and depression with alcohol, tobacco, and other drug (ATOD) use was tested in a California statewide sample of more than 4,300 Asian American high school students comprising five subgroups: Chinese, Japanese, Korean, Filipino, and Vietnamese. Estimated prevalence rates of alcohol, tobacco, and marijuana use among males and females from these Asian American subgroups are presented. Correlations revealed that cigarette, alcohol, and marijuana use were generally more related to high depression and low self-esteem in females than in males. Logistic regression analysis with only the female subjects investigated whether the relationship between the psychological variables and ATOD use was maintained even after controlling for traditionally important constructs in ATOD use (grade level in school, born in the United States, ethnicity, and ATOD use by friends). These results indicated that for females, depression was significantly related to alcohol and tobacco use, but self-esteem was not. Neither self-esteem nor depression was a significant contributor to marijuana use. Issues related to the application of these results are discussed.     

Connective complexity: African American adolescents and the relational context of kinship foster care

Attempts to address racial disproportionality in child welfare must include a focus on the benefits and challenges facing children in kinship care. African American children not only are overrepresented in the child welfare system, but also are placed disproportionately in kinship foster care. Using a sample of 18 African American adolescents ages 11 to 14, this article explores how the relational context of care experienced by adolescents in kinship foster care differs from that of adolescents in nonkinship foster family placements. Findings are presented regarding the stability of relationships as well as complex role dilemmas experienced by kinship youth as they relate to caregivers and birthparents in the child welfare context. Implications are given for practice with kinship families.     

Ecologies of risk among African American girls in juvenile detention

• African American girls are disproportionately represented in juvenile detention, yet less is known about their distinctive and heterogeneous needs, especially regarding their psychosocial contexts. Latent class analysis determined four subgroups based on the adolescent ecology (neighborhood, family, peers) among detained African American girls ages 13–17 (N = 188). The Shielded class (32%) displayed the lowest levels of risk and highest levels of protective factors. The Typical class (24%) was close to the sample average on all indicators, with elevated histories of family incarceration. The Family Distress class (16%) reported the lowest neighborhood risk but was marked by high family risk levels and abuse history. The Highest Risk class (28%) had elevated risk on most indicators but particularly high neighborhood and peer risk. These classes significantly varied by youth social context and mental health. Findings bolster the need to consider the diverse, multidimensional contextual experiences of detained and at-risk African American girls.

     

A longitudinal examination of risk and protective factors associated with drug use and unsafe sex among young African American females

This study prospectively examined associations among multiple theoretically informed risk (e.g., depression, sexual sensation seeking, and risky peers norms) and protective factors (e.g., social support, STI knowledge, and refusal to have sex self efficacy) on unsafe sex among 715 African American adolescent females aged 15–21 who participated in an STI/HIV prevention intervention. Generalized estimating equation models were used to assess associations between baseline characteristics and sexual risk over a 12-month follow-up period. Overall risk in this population was high: at baseline, nearly a third of women reported sex under the influence of alcohol or substances; ≥ 2 partners for vaginal sex, and casual sex partners in the 60 days prior to baseline, and nearly 75% of those reporting vaginal sex used condoms inconsistently. In multivariable analysis, when risk and protective factors were simultaneously considered, higher levels of sexual sensation seeking were associated with having multiple sex partners and inconsistent condom use. Greater perception of risky peer norms was associated with a higher risk of having sex under the influence of alcohol or drugs. In addition, higher sex refusal self-efficacy was protective against having multiple; casual; and concurrent sex partners. Incorporating these salient factors into prevention programs may be critical to the development of targeted interventions for this population.     

Individual and relationship factors associated with delinquency among throwaway adolescents

An estimated 2.18 million juveniles were arrested in 2007 for delinquent acts in the United States. Many studies have investigated delinquency in relation to specific groups, such as runaway adolescents. However, little is known concerning factors associated with delinquency among throwaway youth. Throwaway youth are those who have been forced to leave parental homes without alternative care arranged or those who are prevented from returning home. Informed by general strain theory that suggests individuals choose delinquency as a result of various levels of strain, it is hypothesized that individual and relationship strains would increase levels of delinquency among throwaway youth. Youth recruited for participation in the study were admitted to a county detention center due to family court mandate as a result of parents voluntarily relinquishing guardianship rights. One-hundred and seventy adolescents completed questionnaires that included several standardized self-report measures. The results of this study indicate that throwaway youth have higher levels of delinquency than the general population and appear to have both individual and relational strains that impact delinquency. Factors related to individual characteristics and relationships with peers and family may suggest future directions for practice, policy, and research of this particularly vulnerable population of delinquent, throwaway youth.     

Help-seeking and help-offering for teen dating violence among acculturating Mexican American adolescents

Help-seeking sources, motivations, and barriers concerning teen dating violence are rarely co-examined alongside help-offering processes and messages, and both are understudied among minority youth populations. This study sought the perspectives of Mexican American adolescents (ages 15 to 17) concerning their preferences and experiences with both help-seeking and help-offering. Twenty focus groups (N = 64 adolescents) were divided by gender and by acculturation level to allow for group comparisons. Friends and supportive family members were primary sources of help, although adolescents voiced a number of barriers to help-seeking. The most prominent barrier was fear they would be told to leave the relationship, an anticipated message that aligned with their tendency to tell others to do so. Help-seeking was viewed as a weakness, and help-offering was reserved for friends that asked for it. Recommendations for programs and practice with youth include promoting culturally and gender attuned teen dating violence services that emphasize confidentiality, and working at the family, peer, and school levels to foster healthy relationships.