The Adolescent Sexual Development of African American Gay Men with AIDS: Implications for Community-Based Practice

ABSTRACT

This qualitative study describes the adolescent sexual development of ten African American gay men living with AIDS. The informants retrospectively describe the challenges of being a gay adolescent in a mostly heterosexist and homophobic environment. They report unsupportive homophobic and heterosexist family members, community members and school officials. They also describe their burgeoning sexual orientation, sexual initiation as well as consensual and non-consensual sexual experiences with their peers. Additionally, several informants describe seeking sexual experiences with adult men. Later they suggest the adult men became their primary sources of emotional and psychological support. Implications for community practice, intervention and research with both African American gay adolescents and adult men living with AIDS are discussed.     

A Psychometric Comparison of Three Scales and a Single-Item Measure to Assess Sexual Satisfaction

This study was designed to systematically compare and contrast the psychometric properties of three scales developed to measure sexual satisfaction and a single-item measure of sexual satisfaction. The Index of Sexual Satisfaction (ISS), Global Measure of Sexual Satisfaction (GMSEX), and the New Sexual Satisfaction Scale–Short (NSSS-S) were compared to one another and to a single-item measure of sexual satisfaction. Conceptualization of the constructs, distribution of scores, internal consistency, convergent validity, test-retest reliability, and factor structure were compared between the measures. A total of 211 men and 214 women completed the scales and a measure of relationship satisfaction, with 33% (n = 139) of the sample reassessed two months later. All scales demonstrated appropriate distribution of scores and adequate internal consistency. The GMSEX, NSSS-S, and the single-item measure demonstrated convergent validity. Test-retest reliability was demonstrated by the ISS, GMSEX, and NSSS-S, but not the single-item measure. Taken together, the GMSEX received the strongest psychometric support in this sample for a unidimensional measure of sexual satisfaction and the NSSS-S received the strongest psychometric support in this sample for a bidimensional measure of sexual satisfaction.     

The Sexual Debut of Girls in Early Adolescence: The Intersection of Race,Pubertal Timing,and Friendship Group Characteristics

Scholars who have studied the effects of early pubertal timing on girls' sexual debut contend that this association may result from the company they keep. Although this basic biosocial model of adolescent behavior has been applied to various outcomes with diverse samples of adolescent girls, less work has contextualized this microlevel developmental phenomenon within the larger macrolevel structures of race and ethnicity. Using a sample of White, African American, and Latina girls (N=1,299) drawn from the National Longitudinal Study of Adolescent Health, this study conducted within‐group multivariate analyses and found important differences in the linkages that make up this biosocial model by race and ethnicity, with the linkages strongest for Whites, followed by Latina, and African American girls. These differences in association may reflect differences in the social construction of girlhood across race and ethnicity.     

Family Processes and Problem Behaviors in Middle‐Class African American Adolescents

This study examined the joint association between mothers’ and adolescents’ ratings of parental behavioral control and adolescents’ and observers’ ratings of mother – adolescent communication with adolescent problem behaviors in a sample of 86 middle‐class African American early adolescent boys and girls (age: M= 13.08 years, SD= 1.32) and their mothers. Consistent with hypotheses, greater adolescent‐rated parental behavioral control and better observer‐rated mother – adolescent communication were associated with lower levels of adolescent problem behavior, as examined using structural equation modeling. Furthermore, interrelationships between age and adolescent problem behavior were partially mediated by adolescents’ reports of parental behavioral control and observers’ ratings of positive mother – adolescent communication, which both decreased with adolescents’ age. Although the sample was primarily middle class, higher socioeconomic status was associated with more positive mother – adolescent communication, as rated by observers. Problem behavior was greater among boys than girls, but the hypothesized indirect effect of gender on problem behavior through associations with parenting was not observed. The findings demonstrate the utility of conceptually distinguishing between parenting and parent – adolescent relationships, and suggest that both have unique influences on middle‐class African American adolescents’ problem behavior.     

Testing Family Stress and Family Investment Explanations for Conduct Problems Among African American Adolescents

The recent U.S. recession has resulted in higher rates of unemployment, underemployment, and child poverty, with African Americans disproportionately represented among the financially disadvantaged. Although past research has established the relationship between family financial hardship and various child adjustment problems, African Americans remain an understudied group. In the current study the authors used longitudinal data from the Family and Community Health Study (n = 422), an all African American sample, to investigate the impact of economic distress on adolescent conduct problems. They examined the extent to which this relationship can be explained by 2 frequently employed models: (a) the family stress model and (b) the family investment model. The authors extend past research by assessing the relative contributions of each model while controlling for the paths proposed by the other model. The results suggest that the family processes identified by the family stress model provide a more accurate explanation for why economic hardship is associated with increased conduct problems among African American adolescents.     

Adolescent Transitions to Young Adulthood: Antecedents,Correlates, and Consequences of Adolescent Employment

The antecedents, correlates, and consequences of adolescent employment were investigated in a sample of 251 low‐income, African American youth that were followed since birth. The youth (age: M at preschool = 4.89, SD= .70; M at adolescence = 16.44, SD= .66; M at transition to adulthood = 19.36, SD= .76; and M at early adulthood = 27.67, SD= .75) were the firstborn children of African American teenage mothers who gave birth in Baltimore in the 1960s. Analyses examined the antecedents and correlates of age of entry into employment and stability of employment during adolescence. The associations of adolescent work experiences with subsequent adult education and employment outcomes also were considered. Findings indicate that among this sample of low‐income, African American youth, those who repeated a grade in school during middle childhood were more likely to enter the workforce at later ages than their peers who did not repeat a grade. The small subset of adolescents who never worked (n= 12) appear to be markedly more disadvantaged than their peers who worked. At the transition to adulthood, adolescents who entered the workforce earlier were more likely to complete high school than their peers. In addition, stable employment during the adolescent years had more beneficial effects on young men's chances of attending college than young women's postsecondary education. This pattern of findings is consistent with ethnographic accounts of adolescent employment among poor, minority, urban youth.     

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.     

Differential perceptions of a hypothetical sexual assault survivor based on race and ethnicity: Exploring victim responsibility,trauma, and need for social support

Objective: Explore the ways in which a sample of college women interpret racially/ethnically coded vignettes to understand their perceptions of responsibility and trauma experienced by a hypothetical female sexual assault survivor and her need for social support. Participants: Convenience sample of college women (N?=?51) attending a large, predominately white university in the Southeastern United States recruited between January and March 2013. Methods: Participants were randomly assigned one of three vignettes describing a hypothetical date rape scenario. Vignette scenarios were identical except for discrete statements coded to signify either an African American, Latina, or white female student. Participants responded to open-ended questions that gauged their interpretations of responsibility, trauma, and social support. Results: Qualitative analysis of open-ended responses revealed six overarching themes, including overt victim blaming/shaming, justification of the sexual assault, and perceived need for social support. Conclusions: Findings point to the significance of including race in discussions about and programs that address sexual assault on college campuses to ensure that all women who experience sexual violence receive the support that they need.     

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.     

The Importance of Fathers

Abstract

The purpose of this study was to explore the relation between self-esteem, socio-demographic factors, father-daughter relationships, and sexual risk-taking in an economically diverse group of late-adolescent African American girls. Participants were 100 African American adolescent girls from the Southeast region of the U.S. Regression analyses revealed that fathers' education was the most powerful predictor of sexual risk, with self-esteem emerging as a significant, yet less powerful predictor. A subset of the initial sample participated in a secondary, qualitative study explicitly examining father-daughter communication about sexuality. Thematic analysis revealed three distinct categories of father-daughter sexual communication. Participants associated directive and insightful communication styles with positive father-daughter relationships and less risky sexual behavior. Absent/ avoidant communication was linked to rejection, regret, and more risky sexual behavior. Results suggest that the impact of fathers on girls' sexual risk-taking is powerful and distinctly different than the effect of the more traditionally explored correlates of risk.     

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     

The Importance of Fathers

ABSTRACT

The purpose of this study was to explore the relation between self-esteem, sociodemographic factors, father-daughter relationships, and sexual risk-taking in an economically diverse group of late-adolescent African American girls. Participants were 100 African American adolescent girls from the Southeast region of the U.S. Regression analyses revealed that fathers' education was the most powerful predictor of sexual risk, with self-esteem emerging as a significant, yet less powerful predictor. A subset of the initial sample participated in a secondary, qualitative study explicitly examining father-daughter communication about sexuality. Thematic analysis revealed three distinct categories of father-daughter sexual communication. Participants associated directive and insightful communication styles with positive father-daughter relationships and less risky sexual behavior. Absent/avoidant communication was linked to rejection, regret, and more risky sexual behavior. Results suggest that impact of fathers on girls' sexual risk taking is powerful and distinctly different than the effect of the more traditionally explored correlates of risk.     

College Women's Experiences with Physically Forced,Alcohol- or Other Drug-Enabled,and Drug-Facilitated Sexual Assault Before and Since Entering College

Objective: Research has shown associations between college women's alcohol and/or drug consumption and the risk of sexual assault, but few studies have measured the various means by which sexual assault is achieved.

Participants: The authors' Campus Sexual Assault Study obtained self-report data from a random sample of undergraduate women (N = 5,446).

Methods: The authors collected data on sexual assault victimization by using a cross-sectional, Web-based survey, and they conducted analyses assessing the role of substance use. The authors also compared victimizations before and during college, and across years of study.

Results: Findings indicate that almost 20% of undergraduate women experienced some type of completed sexual assault since entering college. Most sexual assaults occurred after women voluntarily consumed alcohol, whereas few occurred after women had been given a drug without their knowledge or consent.

Conclusions: The authors discuss implications for campus sexual assault prevention programs, including the need for integrated substance use and sexual victimization prevention programming.     

Racial and Ethnic Differences in Experiencing Parents’ Marital Disruption During Late Adolescence

Using panel data from 9,252 adolescents in the National Education Longitudinal Study, this study finds that among children who experience parents’ marital disruption during late adolescence, European, Asian, and African American adolescents exhibit wider and greater maladjustment both before and after the disruption than their Hispanic American counterparts. This finding lends general support to the hypothesis of prevalence of disadvantages, although it is less consistent with the hypothesis of prevalence of divorce. Moreover, whereas Asian American adolescents in predisrupted families are more vulnerable to a shortage of family social resources, their African American peers are affected more by a shortage of financial/human resources. Finally, postdisruption effects on non‐Hispanic American adolescents are either completely or partially attributable to predisruption factors.     

Behavioral health correlates of exposure to community violence among African-American adolescents in Chicago

AimsThough public health researchers are more aware of behavioral health concerns among African American youth, few studies have explored how exposure to community violence may be related to adverse youth concerns. This study examines the relationship between exposure to community violence and mental health problems, substance use, school engagement, juvenile justice involvement, and STI risk behaviors.MethodsA total of 638 African American adolescents living in predominantly low-income, urban communities participated in the study by completing self-report measures on exposure to community violence, mental health, school engagement proxies, substance use, delinquency markers and sexual risk behaviors.ResultsAdolescents who reported higher rates of exposure to community violence were significantly more likely to report poorer mental health, delinquent behaviors, a history of juvenile justice involvement, lower school bonding and student-teacher connectedness. These youth were also significantly more likely to use alcohol, cigarettes, and illicit substances, and engage in sexual risk behaviors.ConclusionsFindings suggest that there is a critical need for culturally relevant prevention and intervention efforts for African American adolescents who are frequently exposed to community violence.     

The Influence of Race/Ethnicity and Gender on Psychological and Social Well-Being

Abstract

Psychological and social well-being was investigated, using a sample of non-disadvantaged African American men and women, and White men and women. Three standardized scales, the Generalized Contentment Scale, the Kansas Marital Satisfaction Scale, and the Cohesion subscale of the Family Adaptability and Cohesion Evaluation Scale were used to measure well-being. The data were analyzed through t-test, ANOVA, and regression statistical procedures.

An association between race, gender and well-being was supported. More importantly, race was found to be the most important single variable in predicting levels of well-being. These results may support the continuing significance of race in the lives of African American individuals and families.     

Role of the Father‐Adolescent Relationship in Shaping Adolescents’ Attitudes Toward Divorce

The quality of father‐adolescent relationships, especially for nontraditional fathers, has been neglected in investigating adolescents’ beliefs. Closeness of father‐adolescent relationships was examined as a predictor of adolescents’ attitudes toward divorce. A sample of European and African American adolescents (N = 300) reported on the quality of father‐adolescent relationships in 11th grade and their attitudes toward divorce at age 19. Boys who felt close to their biological custodial fathers, biological noncustodial fathers, and stepfathers felt less likely to divorce in the future than boys who did not feel close to their fathers. The same was not true for girls. Feeling close to a father—regardless of father type—is associated with boys’ confidence in the stability of their future marriages.     

An Empirical Examination of Sexual Relations Between Adolescents and Adults

SUMMARY

The American view that adolescent-adult sexual relations are by definition “child sexual abuse” has spread throughout the Western world and reshaped public policy. This paper, originally presented as a talk, examines the scientific validity of this view. A historical perspective traces the conflation of the adolescent experience with rape, incest, and that of the young, prepubescent child. Biological and cognitive perspectives support the view that adolescents have more in common with adults than children. Sweeping claims that adolescents react as children are said to is critically tested by examining two types of relations-those between heterosexual teenage boys and women and those between gay or bisexual teenage boys and men. Non-clinical empirical data show overwhelmingly that such relations are characterized mostly by positive reactions based on consent if not initiative on the part of the minor, with perceived benefit rather than harm as a correlate. It is concluded that the American view is false, and that public policy that heightens official reaction to such relations, such as that currently proposed by the European Union, are either misinformed or disingenuous in alleging to protect when the motive is to control adolescents.     

Validation of the Postpartum Social Support Questionnaire in low-income,African American women

ABSTRACT

This study applied a previously developed Postpartum Social Support Questionnaire to low-income, African American women. The 33-question survey was administered to 95 African American women between 4- and 8-weeks postpartum. The survey was readministered 2 weeks later. All women were of low socioeconomic status based on their qualification for public insurance. The questionnaire addresses subscales of partner, parent, in-law, and other friend/relative support. Responses were used to evaluate internal reliability of each subscale, test–retest correlation, and factor loading. Results were compared between women with and without a positive postpartum depression screen. Cronbach's alpha coefficients for each subscale ranged from .90 to .96. Test-retest correlation coefficients ranged from .72 to .87. Exploratory factor analysis with orthogonal varimax rotation was consistent with previously studied samples. Those women with positive postpartum depression screens had significantly lower social support scores (M = 122, SD = 36) than women with negative postpartum depression screens (M = 149, SD = 38), t(79) = ?2.62, p = .01. The Postpartum Social Support Questionnaire is a useful assessment in low-income, African American mothers.