Longitudinal trends in substance use and mental health service needs in child welfare

Caregiver substance use and mental health problems have long been discussed as concerns in promoting positive child welfare outcomes. Yet the absence of longitudinal data focused on racial/ethnic differences in service needs and substance use has limited child welfare systems in their ability to address potential disparities. This study examines racial/ethnic trends in service needs and patterns of substances used among child welfare-involved caregivers over a 15-year period (2000–2015) from a large, urban county located in the Midwestern United States. Substance use service needs showed an increase over time among White non-Hispanic individuals, and declined over time for all racial/ethnic minority groups. Mental health service needs increased over time, with White non-Hispanic individuals experiencing the largest increase. Co-occurring service needs showed a moderate increase for all groups. Trends associated with service needs across the lifespan were relatively similar across racial and ethnic groups, with needs peaking between ages 30 and 35. When examining specific substances used, cocaine use decreased over time for all individuals. However, marijuana use increased substantially for Black/African American individuals, while opioid use increased substantially for White non-Hispanic individuals. These results highlight key areas where trends among child welfare-involved caregivers differ from population-based trends and suggest that improved coordination between child welfare agencies, mental health and substance use treatment providers may be a key step in reducing the disparities observed.     

A study of the relationship between protective behaviors and drinking consequences among undergraduate college students

The authors identified the number, type, and frequency of protective behaviors that undergraduate college students who consume alcohol use to prevent alcohol-related consequences. Their hypothesis was that students who engage in more types of protective behaviors with greater frequency would be less likely to experience alcohol-related consequences. Participants consisted of a randomly selected sample of 1,355 undergraduates aged 18 years and older at a large public university. Students completed a mailed questionnaire on alcohol and health behaviors in spring 2002. The findings (after adjustment for covariates) indicated that self-protective behaviors are inversely associated with alcohol-related problems for women but not for men. The influences of gender and racial and ethnic differences are considered in relation to prevention and intervention programs aimed at reducing alcohol-related consequences on college campuses.     

Marriage‐Market Constraints and Mate‐Selection Behavior: Racial,Ethnic, and Gender Differences in Intermarriage

Despite theoretical consensus that marriage markets constrain mate‐selection behavior, few studies directly evaluate how local marriage‐market conditions influence intermarriage patterns. Using data from the American Community Survey, the authors examine what aspects of marriage markets influence mate selection, assess whether the associations between marriage‐market conditions and intermarriage are uniform by gender and across pan‐ethnic groups, and investigate the extent to which marriage‐market conditions account for group differences in intermarriage patterns. Relative group size is the most salient and consistent determinant of intermarriage patterns across pan‐ethnic groups and by gender. Marriage‐market constraints typically explain a larger share of pan‐ethnic differences in intermarriage rates than individual traits, suggesting that scarcity of co‐ethnic partners is a key reason behind decisions to intermarry. When faced with market constraints, men are more willing or more successful than women in crossing racial and ethnic boundaries in marriage.     

Racial/Ethnic Patterns of Kindergarten School Enrollment in the United States

Enrollment into unequal schools at the start of formal education is an important mechanism for the reproduction of racial/ethnic educational inequalities. We examine whether there are racial/ethnic differences in school enrollment options at kindergarten, the start of schooling. We use nationally representative data from the Early Childhood Longitudinal Study‐Birth Cohort (ECLS‐B) to model whether parents seek information about their child's school before enrolling, whether parents move to a location so that a child can attend a certain school, or whether parents enroll their child in a school other than the assigned public school. Results indicate that enrollment patterns differ greatly across race/ethnicity. Whereas Black families are the most likely to seek information on a school's performance, White families are the most likely to use the elite option of choosing their residential location to access a particular school. These differences persist when controlling for socioeconomic status and sociogeographic location. Kindergarten enrollment patterns preserve the advantages of White families, perpetuating racial/ethnic disparities through multiple institutions and contributing to intergenerational processes of social stratification. Research should continue to examine specific educational consequences of housing inequities and residential segregation.     

Coping With LGBT and Racial–Ethnic‐Related Stressors: A Mixed‐Methods Study of LGBT Youth of Color

This study examines how racial–ethnic minority lesbian, gay, bisexual, and transgender (LGBT) youth cope with both racial–ethnic and LGBT‐related stress. Within a sample of 213 LGBT youth of color, the present study presents (1) quantitative and qualitative results from an approach and avoidance–based measure of parental racial coping socialization across six conversation domains, and (2) qualitative responses regarding LGBT stressors and associated coping strategies. The emphasis on approach versus avoidance varied across the racial–ethnic conversation domains. However, both racial–ethnic‐ and LGBT‐related coping strategies emphasized a combination of cognitive and behavioral strategies. Similarities and differences also existed in the types of stressors encountered across racial–ethnic and LGBT statuses. We discuss the potential for coping skill transfer across these minority statuses.     

Coping with perceived discrimination: does ethnic identity protect mental health?

Using data (N = 2,109) from a large-scale epidemiological study of Filipino Americans, this study examines whether ethnic identity is linked to mental health and reduces the stress of discrimination. The strength of identification with an ethnic group is found to be directly associated with fewer depressive symptoms. In other words, having a sense of ethnic pride, involvement in ethinic practices, and cultural commitment to one's racial/ethnic group may protect mental health. Self-reports of racial/ethnic discrimination over a lifetime and everyday discrimination in the past month not due to race/ethnicity are associated with increased levels of depressive symptoms. Yet ethnic identity buffers the stress of racial/ethnic discrimination. This suggests that ethnic identity is a coping resource for racial/ethnic minorities that should not be overlooked. The strong link between ethnic identity and better mental health has implications for social-psychological theories on race/ethnicity and assimilation in the United States.     

Associations between discussions of racial and ethnic differences in internationally adoptive families and delinquent behavior among Korean adopted adolescents

Internationally adopted adolescents may have more delinquent behavior than non-adopted adolescents. One explanation is that these adolescents experience discrimination and loss of culture, and adoptive parents are not adequately addressing these experiences. However, studies have not examined the effects of family discussions of racial and ethnic differences within adoptive families on adopted adolescents' delinquent behavior. To test this relationship, this study utilized data from 111 U.S. internationally adoptive families with 185 South Korean adopted adolescents (55% female, M age = 17.75). During an observational assessment, families discussed the importance of their racial and ethnic differences, and adolescents completed a delinquent behavior questionnaire. Analysis of covariance showed differences in adolescent delinquent behavior across three ways adoptive families discussed racial and ethnic differences; adolescents whose families acknowledged differences had the fewest mean delinquent behaviors. There were no significant differences in delinquent behavior between adolescents whose families acknowledged or rejected the importance of racial and ethnic differences. However, adopted adolescents whose families held discrepant views of differences had significantly more problem behavior than adolescents whose families either acknowledged or rejected the importance of racial and ethnic differences. Clinicians, adoption professionals, and other parenting specialists should focus on building cohesive family identities about racial and ethnic differences, as discrepant views of differences are associated with the most adoptee delinquent behavior.     

Bullying and suicide in high school students: Findings from the 2015 California youth risk behavior survey

ABSTRACT

School bullying and cyberbullying have been linked to suicidal behaviors through depression and alcohol, tobacco, marijuana, and other drug use. However, how these associations may differ across racial/ethnic groups remains relatively unknown. Using data from the 2015 California Youth Risk Behavior Survey, this study aims to examine two questions in different racial/ethnic subgroups: (1) Does bullying affect suicide? and (2) Does bullying have an indirect effect on suicide through depression and use of alcohol, tobacco, marijuana and other drugs? The sample consisted of 1,765 Californian youth attending grades 9–12. Logistic regression analyses indicate that being bullied is associated with increased odds of suicide across all racial/ethnic groups; depression mediates the effect of bullying on suicide for all racial/ethnic groups; alcohol use mediates the effect only for Hispanic youth; other drug use mediates the effect only for White youth; marijuana and tobacco use have no mediating role. These findings suggest that bullying may lead to suicide through different risk behaviors for youths of different racial/ethnic groups. Professionals who work with bullied youths need to treat depression more effectively to prevent suicide in service planning and provision. They also need to be aware of the racial/ethnic differences in the risk behaviors intercorrelated with bullying and suicide and provide appropriate treatment to the youth of specific race/ethnicity.     

Neighborhoods, Family, and Substance Use: Comparisons of the Relations across Racial and Ethnic Groups

This study examines how substance use among adolescents is related to several risk and protective factors derived from two ecological contexts: the neighborhood and the family. It explicitly investigates how the relationships between substance use and the factors vary across different racial and ethnic groups. Findings suggest many common correlates and processes of substance use for adolescents, regardless of race or ethnicity, including that neighborhood safety is associated with substance use. There are also some racial and ethnic group differences in relationships, including that low attachment to and lack of social opportunities in neighborhoods more strongly predict substance use among whites than among other racial and ethnic groups and that family management decreases the relationship between neighborhood safety and substance use among African Americans. A better understanding of the associations among factors that influence substance use across racial and ethnic subgroups can help effectively target preventive interventions for different groups.     

Born Without a Silver Spoon: Race,Wealth, and Unintended Childbearing

The United States has a surprisingly high rate of unintended fertility, particularly among women of color. Although studies have examined socioeconomic correlates of unintended fertility, the role of economic resources remains unclear. Wealth may provide an important context for whether a birth was intended or unintended. Moreover, staggering racial wealth disparities may contribute to racial/ethnic patterns of unintended childbearing. This study examines the linkages between wealth and unintended first births, drawing on data from the NLSY79 (N?=?1508). Results suggest that net wealth is negatively related to the probability of having an unintended first birth, controlling for a host of sociodemographic characteristics. We also use decomposition analysis to quantify wealth’s contribution to racial/ethnic disparities in unintended childbearing. Second only to marital status, differences in net wealth account for 9–17% of racial/ethnic disparities in unintended childbearing. Our results suggest that wealth is a significant and heretofore overlooked correlate of unintended childbearing.     

From Multiracial Subjects to Multicultural Citizens: Social Stratification and Ethnic and Racial Classification among Children of Immigrants in the United Kingdom

This study examines how immigrant parents’ geographic origins correspond to their adult children's ethnic and racial self‐classification; whether discrepancies are associated with socioeconomic status; and the implications of these patterns for assessing socioeconomic inequality. Using linked British census data, we identify immigrants’ children in 1971 and examine how they ethnically/racially self‐classify in 2001. We find that fluidity in classification varies across groups, but higher educational attainment is consistently associated with less white British classification. Therefore, grouping immigrants’ children by ethnic/racial self‐classification underestimates socioeconomic disadvantage for these groups. However, grouping by parental birthplace overlooks variation in racialization and disadvantage among children of immigrants from the same country of origin.     

Race, ethnicity, and depression in Canadian society

This study examines racial/ethnic differences in mental health using data from the 1996-97 National Population Health Survey. Three hypotheses are tested. First, a socioeconomic hypothesis tests if differences in family income, education, and low income explain racial/ethnic mental health variation. Second, a social resources hypothesis tests if differences in social support explain racial/ethnic mental health variation. Finally, an interaction hypothesis tests if mental health variation stems from specific interactions of race/ethnicity with economic and social factors. Although there are socioeconomic, social resource, and interaction effects, the analysis shows that they do not fully explain racial/ethnic mental health variation. Overall, our results suggest that East and Southeast Asian, Chinese, South Asian, and black Canadians have better mental health than English Canadians. Jewish Canadians have poorer mental health than English Canadians. All other racial/ethnic groupings have similar mental health as English Canadians.     

Racial/Ethnic Differences in Court Referred Pathways to Mental Health Services for Children in Foster Care

Racial/Ethnic disparity in placement patterns and service utilization among children in foster care has been documented in a variety of studies. This study examined the role of the court process in referring children in foster care to mental health services and tested for racial/ethnic differences in the patterns of referral and service use. Court records for 142 children ages 2–16, representing Caucasian, African American, and Hispanic racial/ethnic groups were reviewed. Results indicate that the court process does play a significant role in referring children to services. Significant differences by race and ethnicity in mental health service utilization prior to the child's protective placement, as well as service orders, and post-placement service use were identified. Caucasian youth were more likely to receive orders for psychotherapy and to have documented use of psychotherapy than were African American and Hispanic youth, even when the possible confounding effects of age and type of maltreatment were controlled. Implications for the effective delivery of supportive services to those children most in need are discussed.     

Mode of job entry and the ethnic composition of firms: Early twentieth-century migrants to New York City

Until relatively recently racial and ethnic minorities were concentrated in particular economic niches. This paper explores the hypothesis that one mechanism that facilitated the maintenance of such niches was for employers to accept referrals from existing employees of particular ethnic backgrounds. This hypothesis is pursued through an analysis of job histories obtained from forty-five elderly black, Italian, and Jewish migrants to New York. The results indicate racial differences in the way that respondents obtained jobs. Moreover, the relationship between means of entry and the minority of composition of firms varied across all three groups.     

Infant health, race/ethnicity, and early educational outcomes using the ECLS-B

Using data from the "Early Childhood Longitudinal Study—Birth Cohort," this article emphasizes the central role of poor infant health as a mechanism in the formation of early educational disparities. Results indicate that the varying prevalence of poor infant health across racial/ethnic groups explains a significant portion of the black disadvantage and a moderate portion of the Asian advantage relative to whites in math and reading skills at age four. Results also demonstrate that infant health is an equal opportunity offender across social groups as children with poor health are equally disadvantaged in terms of early cognitive development, regardless of racial/ethnic status. Overall, results indicate that health at birth has important consequences for individual educational achievement and racial/ethnic disparities in cognitive development and school readiness.     

Prevalence of alcohol-use disorders and alcohol-related problems in a college student sample

Most studies of alcohol consumption patterns and alcohol-related problems among college students have failed to include a diagnostic measure based on Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) criteria. Applying the DSM-IV standards would facilitate an analysis of the prevalence of alcohol-use disorders and individual symptoms of those disorders. A structured diagnostic interview based on DSM-IV criteria (the alcohol section of the Substance Abuse Module) and several alcohol screening instruments were administered to 306 undergraduate students at an urban commuter campus. The prevalence of current and lifetime alcohol-use disorders, individual symptoms of those disorders, and other alcohol-related problems are reported, as well as data regarding alcohol consumption patterns and binge drinking. The data are analyzed in terms of demographic variables, including sex, ethnicity, year in school, age, and marital status of those in the sample.     

Exploring Gender and Racial/Ethnic Differences in the Effects of Child Sexual Abuse

Child sexual abuse (CSA) has been linked to a number of adverse effects including hypersexuality (HYP), substance use (SUB), suicidality (SUI), and depression (DEP). Despite a plethora of research on CSA, little is known about how it affects adolescents and the cultural factors that influence their coping styles. This study was founded on social-cultural coping theory and the model of traumagenic dynamics of sexual abuse, suggesting that CSA consequences lead to maladaptive coping mechanisms influenced by sociocultural factors. Using archival data, loglinear analysis was conducted to examine gender differences within racial/ethnic groups in HYP, SUI, DEP, and SUB among adolescent survivors of CSA in a National sample of 13,583 male and female high school students. The purpose of the study was to identify differences in the effects of CSA as manifested by variations of maladaptive coping across racial/ethnic groups and gender. Boys were significantly more likely to use substances, while girls were more likely to experience depressive symptoms and suicidality. Notably, this study did not reveal any significant racial/ethnic differences in adolescent coping. These findings can inform treatment planning and interventions for adolescents who may present with DEP, SUI, SUB, or risky sexual behaviors, but may have underlying trauma from CSA. This study contributes to the knowledge base about the processes that take place within adolescent CSA survivors, shedding light on cultural nuances among adolescent coping and informing culturally competent practice.     

Marital Status and Depressive Symptoms

Marital status differences in depressive symptoms are examined in a random sample of 559 Anglos, 403 Blacks, and 822 Mexican American adults. Findings were generally consistent with a "crisis" model, with highest levels of depression observed among the separated, with lower distress levels among the divorced, although, marital differences remained significant after controls only among Anglo males. Differences were negligible among Blacks and Mexican Americans and lower levels of distress were found among never married than married Black females. Further analyses indicated that observed racial/ethnic differences can be partially explained by differences between groups in length of time since separation/divorce and likelihood of previous marriage, though significantly higher levels of depression and marital strain among married Black females relative to Anglo and Mexican American females-even among those in their first marriage-suggests differences between groups in the relative rewards or costs of marriage. These preliminary analyses underscore the need to examine alternative explanations of racial/ethnic and marital status differences in distress in a larger, prospective data base.     

Sexual Assault Risks Among Gay and Bisexual Men

The goal of this study was to examine lifetime patterns of sexual assault and associated risks among a purposive sample of gay and bisexual men (N = 183; 18 to 35 years old, M = 24.3). Cross-sectional data were collected via written, self-administered questionnaires and face-to-face, event-based qualitative interviews. Alcohol severity scores indicated high rates of hazardous drinking (53.0%) and possible dependence (14.2%) among participants. One-half of men (50.8%) reported childhood sexual abuse (CSA), and 67.2% reported adult sexual assault (ASA). Average age at most recent ASA was 21 years. Most perpetrators (83.9%) of recent ASA incidents were male; 67.0% of participants reported consuming alcohol and/or drugs prior to the most recent incident. Regression findings indicated more severe CSA experiences and past alcohol-related problems predicted recent severe ASA. Although we found similarities between gay and bisexual men in lifetime sexual assault history, we found some distinct differences in ASA risk factors. Bisexual men reported higher alcohol severity scores, more female ASA perpetrators, higher internalized homophobia scores, and fewer male sexual partners than gay men. Findings suggest the need for interventions that reduce ASA risk among sexual minority men—and the potential benefits of focusing on alcohol consumption in risk reduction efforts.     

Relationships Between Parenting Environment and Children's Mental Health Among African American and European American Mothers and Children

This study examined the relationship between aspects of the parenting environment and children's conduct problems and anxious symptoms among socioeconomically comparable samples of African American and European American mothers and their kindergarten children. Ethnic differences in parenting may lead to differences in the relationship between parenting and child outcomes. Thus, the moderating role of ethnicity for the relationships between parenting and children's mental health was tested. African American and European American parents were similar in their parenting practices. European American children reported a higher number of anxious symptoms, however. Parenting and family interaction patterns were associated with children's anxious symptoms and conduct problems. Although many relationships were similar across ethnic groups, there were ethnic differences in the relationships between maternal parenting efficacy and anxiety and between hostile control and conduct problems. These similarities and differences are discussed in light of theory and familial, cultural, and environmental niches.