Perceived Stigma and Depression among Black Adolescents in Outpatient Treatment

Despite the high prevalence of depression among children and adolescents, most that need mental health treatment do not seek care. This is especially true for ethnic minority adolescents. Prior research has shown that perceived stigma may act as a barrier to the initiation of and adherence to depression treatment, yet few studies have examined the relationship between stigma and depression among Black adolescents. This exploratory study examined the relationship between Black adolescents' depression severity and their current level of perceived stigma in an outpatient sample. Face-to-face interviews were conducted with a clinical sample of adolescents referred for mental health services at a community-based outpatient clinic (n =108), participating in a prospective pilot study on adolescents' patterns of mental health service use. The analyses revealed that greater depression severity was significantly associated with higher perceived stigma (p < .05), particularly among females. The results also suggest that Black adolescents appear to exhibit an appropriate level of self-assessment regarding their need for mental health services. These results are interpreted in relation to previous literature, and limitations and directions for future research are discussed.     

Organized Religious Involvement and Mental Health Among Caribbean Black Adolescents

Though religion has been related to better mental health, the aspects of organized religious life most salient for the mental health of Caribbean Black adolescents in the US, beyond religious service attendance, has been understudied. This research utilized a sub-sample of Caribbean Black adolescents from the NSAL-A, a nationally representative U.S. dataset, to examine (1) the prevalence of organized religious involvement (e.g., participation in religious service activities, choice to attend religious services) and (2) the relationship between organized religious involvement and mental health. Results showed that 62 % of Caribbean Black adolescents attend religious services regularly (at least a few times a month) and 49 % or more attend religious services or participate in religious activities (e.g., youth groups) by choice. Additionally, various aspects of organized religious involvement were positively related to coping and self-esteem, and negatively related to depressive symptoms. Religious service attendance was not related to any of the mental health indicators. Study results can inform the development of individual and group level interventions targeted at supporting the mental health of Caribbean Black adolescents.     

Examining the Interaction of Daily Hassles Across Ecological Domains on Substance Use and Delinquency Among Low-Income Adolescents of Color

The increased risk for substance use and delinquency among adolescents of color has been partially attributed to increased exposure to daily hassles. Although a certain number of hassles are normative, especially among family and peers, adolescents of color experience more stressors in their neighborhood or directly related to fewer resources than their White counterparts. These hassles may interact across ecological systems to impact behavioral outcomes among adolescents. This may be especially true for young people living in public housing. Based on ecological systems theory, this study tests the relationship between experiences of hassles across multiple ecological levels and problem behaviors in a sample of 315 ethnically diverse early adolescents (M_age = 12; 51% female) living in public housing neighborhoods in two large metropolitan areas in the United States. A positive relationship was found between family hassles and both substance use and delinquency, as well as between school hassles and substance use. When the interactions between family, peer, school, and neighborhood/resource hassles were considered, five statistically significant interactions were found. The study results reinforce the role of contextual factors, such as living in low-income neighborhoods and the complexity of hassles interacting at multiple levels of a young person’s daily ecology, on adolescent outcomes.     

Self‐Esteem Trajectories among Ethnic Minority Adolescents: A Growth Curve Analysis of the Patterns and Predictors of Change

The current study presents a growth curve analysis of self‐esteem among Black, Latino, and Asian American high school students. A series of hierarchical linear models were used to examine patterns and predictors of change in self‐esteem over time. Results revealed an average increase in self‐esteem with age. Although boys and girls experienced similar trajectories of self‐esteem, ethnicity was a significant moderator of developmental change. Black adolescents reported higher self‐esteem, while Asian American adolescents reported lower self‐esteem, compared with their Latino peers. Latino adolescents experienced a sharper increase in self‐esteem over time compared with Black adolescents. The unique and conjoint effects of adolescents' experiences with peers, family, and school were examined in relation to self‐esteem trajectories. Results revealed that each perceived context was significantly associated with self‐esteem trajectories when examined independently, but family experiences emerged as most strongly related to changes in self‐esteem. Results underscore the need to examine change at the individual level, as well as the importance of studying the unique and conjoint effects of individual and contextual‐level variables on developmental processes among ethnic minority adolescents.     

The Impact of Intergenerational Head Start Participation on Success Measures Among Adolescent Children

This study examines the influence of intergenerational Head Start participation on success outcomes among adolescent children of mother-adolescent pairs (N = 1,251). Data come from the National Longitudinal Survey of Youth (NLSY79) and the National Longitudinal Survey's Child-Mother (NLSCM) files. Of 290 adolescents who participated in Head Start as children, one-third (n = 97) had mothers who had also participated in Head Start when they were children. Graduates of Head Start appear roughly comparable to other adolescents in regard to highest grade completed, a sense of mastery, perceived health, and level of depressive symptoms. They do not attain the levels of achievements as other adolescents in regard to reading comprehension and years living above the poverty level.     

Meeting the needs of adolescents living with HIV through home based care: Lessons learned from Tanzania

PurposeHome based care is central to HIV care and support throughout Africa. Most programs have not addressed the unique needs of adolescents living with HIV, who display lower retention in HIV care and treatment adherence. This study examined the experiences of adolescents living with HIV in Tanzania in order to identify ways to improve home based care to better meet their needs.MethodsWe conducted a qualitative study in Dar es Salaam and Tanga Region consisting of in-depth interviews with 14 adolescents living with HIV, 10 primary caregivers, and 12 providers assigned to their households. Interviews examined adolescents' experiences of growing up with HIV, perceptions of current home based care, and challenges in increasing acceptability of services.ResultsWe found the program did not align well with adolescents' expectations. Adolescents felt home based care to be more relevant to their caregivers and did not form independent relationships with providers. They expressed anxiety that participation might lead to inadvertent disclosure of their status and consequent discrimination. Both adolescents and their caregivers felt disappointment that no material or financial support was available despite widespread poverty, although they appreciated receiving psychosocial support and practical referrals. Providers demonstrated motivation to work with adolescents but acknowledged lacking requisite skills such as ways to communicate with young people and key messages to deliver.ConclusionsDespite challenges, we identified feasible adaptations to make home based care more adolescent-centered. These include actively engaging adolescents in program design, improving provider training in communication with adolescents, and proactively addressing unrealistic expectations. Finally, increasing referral links to a wider range of services could improve program effectiveness by integrating it into a broader development approach.     

Health-Related Adjustment of Adolescents in Various Postdivorce Family Structures With Main Focus on Father Custody With and Without a Stepmother

It is well established that adolescents living in father custody are more likely to be involved in antisocial behavior and substance use, as compared to adolescents living in mother custody. This study assessed whether these differences also pertain to a wider spectrum of health-related outcomes. A second aim was to investigate the role of a stepparent on adolescents' health-related adjustment. A total of 6,447 Norwegian adolescents between ages 11 and 16 participated in the study. The findings revealed that the differences between adolescents in father versus mother custody might be somewhat more comprehensive than previous studies have observed, indicating increased risks for adjustment problems among adolescents living with a single father on various health-related outcomes. Generally, a stepmother does not seem to compensate for the risks of adjustment problems, but might have a positive influence on certain health-related behaviors.     

ENTER INTO HIS GATES: AN ANALYSIS OF BLACK CHURCH PARTICIPATION PATTERNS

This study examines contemporary trends in Black Church adult participation and whether and how patterns are influenced by factors such as denomination, location, church and clergy profile, church environment, and programmatic efforts. Bivariate and ordered logit results based on Faith Factor 2000 Project data across seven denominations suggest minimal denominational influence; however, church environment, including worship features and sermonic emphasis, as well as varied programs, positively influence participation. Additionally, participation decline is apparent among rural congregations. Results help illumine profiles of Black churches most likely to experience high or low levels of participation.     

Say it Loud: The Obama Effect and Racial/Ethnic Identification of Adolescents

The current study examined how self-reported racial/ethnic identification of adolescents living in poverty may be related to significant societal events and seminal public figures. Data from a multiple cohort longitudinal study, conducted in Mobile, Alabama between 1998 and 2011, were used to examine the impact of Barack Obama's nomination and presidency on racial/ethnic identification. The results show that significantly more adolescents changed their self-reported racial/ethnic identification from White or Mixed-Race to Black or Mixed Race after the election than before. These results suggest that a distant public figure can serve as a role model with observable effects for adolescents.     

A Person‐Centered Approach to the Study of Black Adolescent Religiosity,Racial Identity,and Sexual Initiation

Decreasing the number of adolescents who have never had sexual intercourse is one way to address sexual health disparities. We used intersectionality to explore the joint effects of religiosity and racial identity on Black adolescent sexual initiation. Data originated from the National Survey of American Life‐Adolescent (n = 1,170), a nationally representative study of Black adolescents. Latent profile analysis and survival analysis were used to evaluate study hypotheses. Results showed four distinct profiles of religiosity and racial identity. These profiles explained 19% of the variability in sexual initiation. Additional analyses revealed sociodemographic differences in profile membership. Findings contribute to understanding ethnic heterogeneity among Black adolescents and racial identity and religiosity as sociocultural factors that influence sexual initiation; and support reconceptualizing Black adolescent religiosity.     

School Violence and Adolescent Mental Health in South Africa: Implications for School Health Programs

This study examines the perceptions of high-school adolescents about gang violence in a periurban community near Cape Town and the implications for school health in South Africa. Using the qualitative focus group discussion (FGD) guide, data were collected from 60 high-school adolescents, between 10 and 20 years of age. Trained moderators conducted nine FGDs with small groups of six to eight students. The constant comparative ethnographic method was used to analyze the data. Results indicate that gang violence is very common among high-school adolescents living on the Cape Flat. Gangs, perceived by many as part of the rite of passage among adolescents, are a major threat to the public health, mental well-being, general welfare, happiness, and development of high-school populations on the Cape Flat. Gang activity interlock with many other social problems, including drug and alcohol abuse, school unrest and violence, and the increasing prevalence of sexually transmitted diseases, especially HIV and AIDS. These findings suggest an urgent need for concerted efforts to develop mechanism to protect school pupils from gangs and develop healthier social alternatives to gang-related activites. Ties among government, school, parents, and community education and participation are urgently necessary to implement a school-based approach to adolescent health promotion.     

Prevalence of Problem Gambling Among Adolescents: A Comparison Across Modes of Access,Gambling Activities,and Levels of Severity

The high availability and accessibility of online gambling have recently caused public concern regarding the potential increase of gambling-related problems among young people. Nonetheless, few studies among adults and none among adolescents have explored specific characteristics of gamblers as a function of gambling venues to date. This study sought to analyze the prevalence of gambling among a sample of adolescents in the last year, as well as sociodemographic and gambling-related characteristics as possible predictors of at-risk and problem gambling. The sample comprised 1313 adolescents aged 14–18 years. Participants were asked to respond to several questions regarding their gambling behavior. Chi square and ANOVA tests were performed in order to explore differences between groups, and a set of multinomial regressions established significant severity predictors. The prevalence of at-risk and problem gambling was 4 and 1.2 %, respectively. Regression analyses showed that having a relative with gambling problems predicted at-risk gambling. Both living with only one parent or not living with parents at all, and the prevalence of Electronic Gambling Machines in the last year were associated with problem gambling. Mixed-mode gambling was a predictor of both at-risk and problem gambling. Our findings extend previous research on gambling among adolescents by exploring gambling behavior according to different modes of access. Although the prevalence of exclusive online gambling among the total sample was low, these results support the need to consider specific subgroups of gamblers and their concrete related features when conducting both indicated prevention and treatment protocols for adolescents.     

The role of fathers in reducing dating violence victimization and sexual risk behaviors among a national sample of Black adolescents

PurposeStructural equation modeling (SEM) was used to explore the impact of father-figures' involvement on reducing both dating violence and sexual risk among a national sample of Black American youth well as the possible mediating effect of dating violence on the relationship between father figure involvement and sexual risk behaviors.MethodsTo explore this phenomenon, sexually active Black adolescents between the ages of 13–21 with a romantic partner in the previous 18 months were selected (N = 422) from wave II of the National Longitudinal Study of Adolescent Health.ResultsThe analyses indicated that overall, perceived closeness to father figures reduced dating violence victimization among Black youth. When separated by gender, our hypothesis for male respondents was supported indicating that perceived closeness with their father figures resulted in a reduction in dating violence. However, the same hypothesis was not supported for female respondents. On the other hand, perceived closeness to father figures resulted in lower sexual risk behaviors for girls.ConclusionGiven the study's findings, researchers, practitioners, and policy makers should consider the importance of the father–child relationship in reducing problem behaviors among Black adolescents. In particular, emphasis should be given to the quality of the father–child relationship rather than general father involvement in reducing dating violence victimization and risky sexual behavior among sexually experienced Black adolescents.     

Internalizing and externalizing symptoms among unaccompanied refugee and Italian adolescents

This study investigated the prevalence of emotional and behavioral symptoms in unaccompanied refugee adolescents living in Italy; an area which remains under-researched despite the relatively high number of asylum seekers registered in Italy compared to other industrialized countries. The Child Behavior Checklist (CBCL) for 6–18 year-olds was completed by a social worker or parent for each of the 120 participating adolescents; sixty male unaccompanied refugee adolescents and sixty male native Italian adolescents. The paper presents findings that illustrate high levels of emotional and behavioral problems in unaccompanied refugee youth living in Italy. On all components of the CBCL, unaccompanied refugee adolescents were found to present with significantly more problems, as reported by social workers, compared to the Italian group of adolescents. In the light of these results, the importance of interventions and culturally sensitive therapeutic programs for refugee youth is discussed.     

Personality Characteristic Adaptations: Multiracial Adolescents' Patterns of Racial Self‐Identification Change

For multiracial adolescents, forming a sense of self and identity can be complicated, even at the level of classifying themselves in terms of racial group membership. Using a Race Self Complexity ( Winston et al., 2004 ) theoretical framework, this study used an open‐ended question to examine the racial self‐identification fluidity of 66 adolescents during the 7th, 8th, and 11th grades. This sample included 22 Black/White 1 multiracial adolescents, as well as a matched sample of 22 Black and 22 White adolescents. Seventy‐three percent of the multiracial adolescents changed their racial self‐identification in the form of two time change patterns with a number of consolidating and differentiating racial self‐identification variations. There was no change for the monoracial adolescents. These results suggest that within the lives of multiracial adolescents, the process of racial self‐identification may be a personality characteristic adaptation to the meaning of race in American society that may change across time, place, and role.     

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.     

Explaining Condom Use Disparity Among Black and Hispanic Female Adolescents

The study examined condom use among 204 Black and Hispanic female adolescents who attended family planning clinics. Partner attitude, partner communication, parental communication and social support measures were used in a multinomial logistic regression model to predict condom use at last intercourse. The results indicated that adolescents who perceived that their partners had a positive attitude toward condom use were 1.37 times more likely to report condom use compared to those whose partners did not have a positive attitude. Additionally, adolescents who reported communicating with partners about condoms were .37 times more likely to use condoms compared to those who did not communicate with their partners. These findings suggest that increasing condom use among female adolescents will require addressing primarily partner factors. Male partners must also be included in interventions to increase condom use.     

Cigarette smoking, friendship factors, and social norm perceptions among central and Eastern European high school students

Studies investigating smoking behavior among adolescents living in post-communistic Central-European countries are sparse. This study focused on the relationship between cigarette smoking, certain friendship factors, and social norm perceptions among 1,886 Central-Eastern European adolescents from high schools in Hungary, Slovakia, Czech Republic, and Romania. Smoking behavior was related to having friends who smoke, ease or difficulty making new friends, time spent with friends after school and during evenings, and estimations of the prevalence of smoking by schoolmates. Because these youth appear to overestimate the prevalence of smoking by schoolmates, the use of a norms-correction strategy may have potential merit in smoking prevention efforts targeting these adolescents. Smoking prevention and reduction are critical issues for Central-Eastern European youth because they appear to smoke cigarettes at a high rate.     

What Do Urban Black Mothers Tell Their Adolescents About Alcohol and Other Drugs?

This study utilized qualitative content analysis to examine messages conveyed about alcohol and other drugs by urban Black mothers (N = 130) with a personal, familial, or personal and familial history of problematic substance use to younger and older adolescents (M = 15.2 years). Data from a two‐cohort longitudinal sample revealed considerable similarity in themes across the younger and older cohorts. Results suggest Black mothers offer more messages of information and advice to younger adolescents, while communicating directives related to use to older adolescents.