Trial and Lifetime Smoking Risks Among African American College Students

Abstract

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.     

Hookah and Cigarette Smoking Among African American College Students: Implications for Campus Risk Reduction And Health Promotion Efforts

ABSTRACT

Objective: To identify individual and institutional risks and protections for hookah and cigarette smoking among African American (AA) college students. Participants: AA college students (N = 1,402; mean age = 20, range = 18–24 years; 75% female) who completed the Fall 2012 American College Health Association–National College Health Assessment II. Methods: Respondents were stratified into 4 mutually exclusive groups by last-30-day smoking status: cigarette-only use (5.1%), hookah-only use (5.9%), dual use (2.4%), and nonuse (86.6%). Multinomial logistic regression models identified the relative odds of exclusive and dual hookah and cigarette smoking. Results: Current hookah and cigarette smoking rates were comparably low. Age, gender identity, current substance use, interest in tobacco use information, and student population prevailed as risks and protections for hookah and cigarette smoking. Conclusions: Campus health promotion campaigns may need to tailor messages to AA students, particularly those who use substances, to underscore the health risks of hookah and cigarette smoking.     

Tobacco Control and Smoking Cessation Efforts in an Inner-City African American Community

This paper describes the conceptual framework that guided the development and implementation of a large-scale, community-based health initiative to lower the prevalence of smoking in an urban African American community. This project developed culturally-sensitive approaches to reducing smoking in the community and to promoting tobacco control efforts developed and implemented by community members. A randomized clinical-trial methodology was used to test the efficacy of the culturally-sensitivey community-developed smoking cessation interventions in lowering smoking rates as compared with a self-help approach. Two theoretical models guided the intervention strategies: a macro-level model applicable to the community as a whole, and a psychological process model applicable to individuals. The community model was based on community systems theory and incorporated the Readiness for Change Model which was applied in both the individual and organizational models. In addition, culturally-sensitive data collection methods were developed to improve the reliability and validity of project data, especially in determining the smoking prevalence rates and smoking behaviors of hard-to-reach, inner-city African Americans. Since the health of individuals is related to the health of their communities, smoking cessation and tobacco control activities that are integrated into the framework of the community (Le., churches, city-council, housing developments, community organizations), and incorporate culturally-relevant and specific interventions can be effective methods for achieving behavioral and societal change.     

Screening and Brief Intervention for Tobacco Use by Student Health Providers on College Campuses

Abstract

Objective: This study assessed college students’ reports of tobacco screening and brief intervention by student health center providers. Participants: Participants were 3,800 students from 8 universities in North Carolina. Methods: Web-based survey of a stratified random sample of undergraduates. Results: Fifty-three percent reported ever visiting their student health center. Of those, 62% reported being screened for tobacco use. Logistic regression revealed screening was higher among females and smokers, compared to nonsmokers. Among students who were screened and who reported tobacco use, 50% reported being advised to quit or reduce use. Brief intervention was more likely among current daily smokers compared to current nondaily smokers, as well as at schools with higher smoking rates. Screening and brief intervention were more likely at schools with lower clinic caseloads. Conclusions: Results highlight the need to encourage college health providers to screen every patient at every visit and to provide brief intervention for tobacco users.     

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.     

Re-Uniting African American Scholars,Practitioners and the Community

ABSTRACT

That African American communities are too often desolate places where it seems, in Hurston's words, “life has been and gone,” argues for increasingly creative community development strategies. This paper presents an historically-based, corporate empowerment model designed to address the desolation, by re-uniting scholars, practitioners and other community stakeholders for collective benefit and empowerment. Through an African-centered evaluative discussion, the authors assume the professional risk of sharing an outcome that may be viewed as a failure. The efficacy of the model, juxtaposed against the continued powerlessness of African American scholars, practitioners and communities, is explored. Practice challenges and implications are discussed.     

Agenda Setting and African American Women in State Legislatures

SUMMARY

Political scientists have, in recent years, uncovered substantial evidence that political representation in the United States is influenced by gender and race, yet generally examine the effects of gender entirely separate from the effects of race. In this article, we explore the agenda-setting behavior of African American female state legislators. We find that African American women do respond to both women's interests and black interests. We also find that while the sponsorship of black interest measures by African American women (or other legislators) is not influenced by the proportion of African Americans within the chamber, African American women are less likely to sponsor women's interest measures in legislatures with a relatively high proportion of women present. We conclude that because of their focus on multiple groups, black women occupy a unique place in representation, and that their choices are influenced by the institutional context in which they work.     

Epistemological inclusiveness in researching the African American community

Abstract

African American communities have experienced negative effects from a history of medical abuse, lack of proper research procedures, and misinterpretations of study findings because of racism. These past injustices have led to a mistrust of research and researchers. This paper focuses on how some methodological challenges, in a study funded by a National Institutes of Health grant on two low-income African American communities in Kentucky, were mediated through the collaboration of a multi-racial/ethnic team of researchers engaged in cross-disciplinary research. The information for this paper is based on the reflections of key members of the research team. The reflections show that having researchers with different epistemologies resulted in a culturally aware and sensitive study in which emic and etic research approaches were adopted. The inclusion of race-based epistemologies and close community ties were found to be particularly useful in building trust and getting the support of the two communities. However, these outcomes were only possible because research team members provided each other latitude for intellectual freedom and leadership.     

African American Family and Parenting Strategies in Impoverished Neighborhoods

This article considers how qualitative insights can inform quantitatively-derived neighborhood effects theories. Neighborhood effects theories argue that inner-city areas lack social and economic resources that promote the social mobility prospects of African American children. Consequently, children who grow up in impoverished neighborhoods are at risk for dropping out of school, bearing children prematurely, and engaging in delinquent activities. Qualitative studies, however, identify family and parenting strategies that buffer children from the risks associated with inner-city residence. When these practices are used, children are more likely to complete high school, forego premature childbearing, and participate in prosocial activities. Insights from qualitative studies expand on neighborhood effects theories by identifying variations in child social mobility prospects and the processes by which conventional outcomes are achieved. More specifically, qualitative studies focus attention on important factors that permit children to succeed, despite social and economic obstacles.     

Gender Role Identity and Stress in African American Women

Abstract

Womanism is a feminist perspective that has recently been appropriated for social work practice with African American women (Littlefleld, in press). It emphasizes the centrality of gender role in African American women's psychosocial adaptation, and asserts that the archetypal gender role for this group incorporates both nurturing and economic providing functions. This gender role fluidity has been characterized both as a source of strength (Billingsley, 1992; Hill, 1999) and strain (Lewis, 1989; McAdoo, 1985). The present study empirically investigated the relationship between gender role identity and stress in African American women to clarify its adaptive value. The Bem Sex Role Inventory was used to classify subjects into groups based on the degree to which they identified themselves with stereotypically masculine and feminine traits. Women who endorsed high levels of both masculine and feminine traits experienced lower levels of stress than did other women. The findings indicate that gender role identity is a factor in African American women's psychosocial well-being, and that mainstream gender role norms may not be adequate for analyzing the experiences of this group.     

A case study of an African American stepgrandmother raising adopted grandchildren

Research on the perspectives of older African American stepgrandparents raising adolescent grandchildren is underdeveloped. This case study research uses a culturally sensitive conceptual framework to explore the experiences of one African American stepgrandmother raising adopted grandchildren. The participant was identified in a larger study of older grandparents raising adolescent grandchildren. An in-depth, face-to-face interview was conducted in a public place. The themes described by this older African stepgrandmother included (1) strong family ties overlaid with family conflict and emotional difficulties, (2) traditional philosophies of parenting and childrearing that conflicted with her spouse, (3) reliance on a constellation of support including her religious community, and (4) recommendations for improving resource development. The findings of this case study identify critical issues for this older African American stepgrandmother. Although the findings are not meant to generalize, social workers and other helping professionals can benefit from the increased knowledge gained from this stepgrandmother’s experiences that can inform issues for exploration with similar caregivers.     

Young African American Males: Barriers to Access to Health Care

African American males continue to experience an unacceptable and disproportionate number of health disparities when compared with other racial and ethnic groups. Young African American males can expect to live the least amount of time when compared to any other ethnic minority or racial sub-group. Understanding the obstacles and barriers that impede access to health care and wellness services among young African American males is essential to begin the process of decreasing health disparities. The goal of this qualitative study was to explore and identify the barriers experienced by young African American males in accessing health care services while also creating a rare opportunity to give voice to young African American males. The study results indicate that young African American males have multiple perceptions of barriers to health care services. Their perceptions fell into three categories: the negative impact of environment or community, lack of finances or no insurance, and distrust of medical practices associated with race history resulting in accessing healthcare as a last resort. Additional research is needed to craft community-based programs to: a) educate young African American males on the importance of preventative strategies to maintain wellness; and b) ensure that the appropriate medical and wellness services are available and reaching young African American males in need.     

Prompting Depression Treatment Seeking among Smokers: A Comparison of Participants from Six Countries in an Internet Stop Smoking RCT

Websites containing information and advice about health are increasingly common and popular. It is important to understand whether the material these sites contain can positively influence individual behavior, and whether populations differ in their response to that material. Participants in an international web-based stop smoking randomized controlled trial (RCT) were screened for major depression; participants whose history and/or depression symptoms were deemed of concern were offered one of two prompts (Strong and Mild) to seek treatment, depending on depression history. Participants from 3 predominantly English-speaking and 3 predominantly Spanish-speaking countries were analyzed. Individuals given a Strong prompt were more likely to seek treatment for depression than those given a weak prompt (16.6% vs. 10.2% of previously untreated individuals reported seeking treatment), controlling for symptom level and other variables. Country-specific differences were observed, with participants from South Africa and Spain departing from the common pattern of Strong prompt leading to higher likelihood of treatment seeking. Older age and female gender, but not symptom level predicted higher likelihood of seeking treatment following a prompt. The results suggest that information provided by the health websites can promote help seeking in affected individuals.     

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.     

Understanding Leadership Development in African American Youth

Abstract

This exploratory study assesses factors related to leadership development for African American adolescents participating in a community service program designed to develop young African American leaders (N = 345). Psychometric characteristics of self-reported levels of leadership are explored to determine similarities and differences between gender groups. A multivariate analysis of socioeconomic factors, levels of self-esteem, school grades, and social activities as predictors of leadership development produced mixed findings. The results suggest that higher levels of global and academic self-esteem are related to leadership characteristics in female respondents, but not males. On the other hand, the impact of program participation on leadership was only significant in the area of personal relationship skills as a form of leadership for males. Findings from this investigation point out the need for research on leadership development dynamics among African American children and adolescents.     

Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy

Methods for preventing adolescent suicide are surveyed, and cognitive-behavioral therapy (CBT) is explored as a method for serving suicidal African American adolescents. Strengths, limitations, and compatibility of CBT with social work values are examined. Although CBT shows much promise in helping suicidal African American adolescents, research on the efficacy and effectiveness of CBT with this population is lacking. Suicide risk and protective factors and social inequities are evaluated as they relate to African American adolescents generally. In addition to relieving suicidal symptoms, CBT potentially could facilitate social liberation for this population.     

Coming of age in African American English: A longitudinal study1

This study examines trajectories of development in the use of African American English (AAE) for 32 speakers through the first 17 years of their lives based on a unique, longitudinal database. Temporal data points in the analysis include 48 months, Grade 1 (about age 6), Grade 4 (about age 9), Grade 6 (about age 11), Grade 8 (about age 13), and Grade 10 (about age 15). Complementary methods of analysis for assessing AAE include a token‐based Dialect Density Measure (DDM), a type‐based vernacular diversity index, and frequency‐based variation analysis. The study reveals different trajectories and peak periods for the use of AAE, including a ‘roller coaster’ and a curvilinear trajectory; at the same time, there is a common dip among speakers in the overall use of vernacular AAE from Grade 1 through Grade 4. Examination of a selective set of demographic and self‐regard measures shows no significant differences for gender, school racial density, racial peer contacts, and measures of Afro‐centrality, but does show a significant correlation between mothers’ and child use of AAE as well as age/grade.     

Examining mixing methods in an evaluation of a smoking cessation program

Three different methods were used in an evaluation of a smoking cessation study: surveys, focus groups, and phenomenological interviews. The results of each method were analyzed separately and then combined using both a pragmatic and dialectic stance to examine the effects of different approaches to mixing methods. Results show that the further apart the methods are philosophically, the more diverse the findings. Comparisons of decision maker opinions and costs of the different methods are provided along with recommendations for evaluators’ uses of different methods.     

Spirituality in Violent and Sub stance-Abusing African American Men

Abstract

Historically, African Americans have relied upon an undying belief in religious consciousness as a source of survival to endure the harsh treatment they experienced in a society that tended to de-humanize their existence (Martin & Martin, 2002). However, Vanzant (1996) said that Black men have lost their souls and feverishly search for a sense of meaning or the essence of their true sense of self. In addition, in fear, shame, and humiliation, Black men have run to alcohol and violence in a misguided attempt to feel more complete. The search for completeness is universal, cross-cultural, and (in essence) spiritual. Therefore, this article describes a means for recognizing and incorporating spirituality into treatment when clinicians work with African American men. The author utilizes case scenarios, reviews the literature, and provides practical examples on how clinicians can recognize and create an environment that invites clients to explore their spiritual needs. Although the primary focus of this article is upon holistically treating violent African American men, the principles and concepts the author uses can be effectively used in treating clients from a variety of ethnic backgrounds.     

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.