Cumulative Social-Environmental Adversity Exposure as Predictor of Psychological Distress and Risk Behavior in Urban Youth

The present study examines exposure to adversity as a predictor of psychological distress and risk behavior among 266 elementary students in 14 low income neighborhood schools in Chicago. Two indices of adversity exposure were created, reflecting neighborhood, school, and peer group risk (NSP) and the lack of protective resources within the family and neighborhood (LPR). Regression analyses investigated these indices as independent and potentially interacting predictors of self-reported symptoms of depression and anxiety, frequency of substance use, and involvement in violence-related behavior. The LPR index was found to be a linear predictor of greater reported anxiety and exhibited a significant curvilinear association with reports of depression, substance use, and violence-related behavior. Similarly, the NSP index was a linear predictor of greater reported levels of substance use and violence-related behavior. Significant interaction between the two indices was found. Implications for research and school clinicians (social workers and psychologists) are offered.