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Opara I, Lizarraga A, Lardier DT, Herrera A, Garcia-Reid P, Reid RJ. What happens when we ask? A phenomenological focus group on HIV prevention and sexual health education among emancipated foster care youth. CHILDREN AND YOUTH SERVICES REVIEW 2022; 140:106583. [PMID: 35910532 PMCID: PMC9337728 DOI: 10.1016/j.childyouth.2022.106583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Youth of color who have recently been emancipated from foster care are among the most vulnerable group at risk for having poor sexual health outcomes. It is essential for researchers to understand how emancipated foster care youth receive messages about safe sex and HIV/STI prevention in order to tailor health promotion activities for this group. This study presents a strengths-based view of emancipated foster care youth of color who developed an empowering, arts-based campaign to prevent HIV in their community using Youth Participatory Action Research (Y-PAR) methods. The project was led by 10 emancipated foster care youth who participated in two focus groups that centered on understanding their knowledge of HIV. Five major themes emerged from the focus group. Implications for researchers include incorporating safe spaces for youth to develop ideas that can result in empowering activities relating to prevention.
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Affiliation(s)
- Ijeoma Opara
- Department of Social and Behavioral Sciences, School of Public Health, Yale University, USA
| | | | - David T. Lardier
- University of New Mexico, School of Medicine, Department of Psychiatry, USA
| | | | - Pauline Garcia-Reid
- Department of Family Science & Human Development, Montclair State University, USA
| | - Robert J. Reid
- Department of Family Science & Human Development, Montclair State University, USA
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Opara I, Rivera Rodas EI, Garcia-Reid P, Reid RJ. Ethnic Identity, Empowerment, Social Support and Sexual Risk Behaviors Among Black Adolescent Girls: Examining Drug Use as a Mediator. CHILD & ADOLESCENT SOCIAL WORK JOURNAL : C & A 2022; 39:71-86. [PMID: 35462639 PMCID: PMC9031836 DOI: 10.1007/s10560-020-00706-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Substance abuse and sexual health research tends to overlook the resiliency skills that Black adolescent girls possess. Using a strengths-based lens, this study examines the role of protective factors: (e.g. ethnic identity, social support, and psychological empowerment) on sexual risk behaviors testing drug use as a mediator among a sample of Black adolescent girls. The study uses a sample (N = 340) female adolescents (13-17 years old) who identified as being Black only and reside in a northeastern urban community in New Jersey. Structural equation modeling was employed to test the hypothesized model of the mediating role of drug use on sexual risk behaviors among this sample. Findings revealed that drug use significantly mediated the relationship between social support, ethnic identity, and psychological empowerment on sexual risk behaviors, with high ethnic identity scores having the strongest relationship on low sexual risk behaviors and low levels of drug use. Given the rise of sexually transmitted infections (STIs) in the United States among Black adolescent girls, findings from this study can contribute to development of culturally appropriate and innovative strategies to reduce risky behaviors by promoting social and cultural strengths among Black girls living in urban communities.
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Affiliation(s)
- Ijeoma Opara
- School of Social Welfare, Stony Brook University, Stony Brook, USA
- Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, USA
| | | | - Pauline Garcia-Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, USA
| | - Robert J. Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, USA
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Opara I, Lardier DT, Durkee MI, Garcia-Reid P, Reid RJ. Ethnic Identity as a Moderator Between HIV Knowledge, Viral Hepatitis Knowledge, and Psychological Antecedents Among Racial-Ethnic Minority Youth Living in an Urban Community. J Racial Ethn Health Disparities 2021; 9:1298-1307. [PMID: 34041704 DOI: 10.1007/s40615-021-01069-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 04/27/2021] [Accepted: 05/18/2021] [Indexed: 11/25/2022]
Abstract
Racial-ethnic minority youth between the ages of 13 and 24 in the USA are disproportionately impacted by HIV. Low HIV knowledge and psychological antecedents such as low perception of risk and low sexual negotiation skills have all been associated with HIV risk behaviors; however, the role of ethnic identity on these factors is unclear in the literature. Ethnic identity, which is a critical part of identity development among racial-ethnic minority youth, has been found to be a protective factor in risk-taking behaviors. However, limited research is available on the role of ethnic identity in HIV prevention research among youth. For this study, data were collected as part of a larger HIV prevention education program using a sample of 564 students of color (Meanage = 16.30, standard deviation [SD] = 1.26; 67.4% Hispanic, 29.5% Black) from an underserved northeastern US urban community. We examined whether ethnic identity moderated the relationship between psychological antecedents (e.g., perception of risk and sexual negotiation skills), gender, and viral hepatitis knowledge on HIV knowledge. Findings revealed that ethnic identity significantly moderated the relationship between psychological antecedent variables and HIV knowledge by strengthening these associations as ethnic identity increased. Female adolescents were also more likely to have higher levels of HIV knowledge than males. Findings provide support for cultural and gender-specific prevention programs for racial-ethnic minority youth that seek to reduce HIV risk behaviors by increasing ethnic identity, particularly in under-resourced communities.
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Affiliation(s)
- Ijeoma Opara
- Department of Social and Behavioral Sciences, School of Public Health, Yale University, New Haven, CT, USA.
- Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT, USA.
| | - David T Lardier
- Department of Individual, Family, and Community Studies, University of New Mexico, Albuquerque, NM, USA
- Department of Psychiatry and Behavioral Sciences, School of Medicine, University of New Mexico, Albuquerque, NM, USA
| | - Myles I Durkee
- Department of Psychology, University of Michigan, Ann Arbor, MI, USA
| | - Pauline Garcia-Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
| | - Robert J Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
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Lardier DT, Opara I, Reid RJ, Garcia-Reid P, Herrera A, Cantu I. Increasing HIV/AIDS knowledge among urban ethnic minority youth: Findings from a community-based prevention intervention program. JOURNAL OF HIV/AIDS & SOCIAL SERVICES 2021; 20:76-96. [PMID: 34177389 PMCID: PMC8225251 DOI: 10.1080/15381501.2021.1910097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 02/05/2021] [Accepted: 03/08/2021] [Indexed: 06/13/2023]
Abstract
HIV (Human Immunodeficiency Virus)/AIDs (Acquired immunodeficiency syndrome) prevention and research are imperative. Prevention-intervention programming is minimal in low-income communities of color. Additional research is needed that uncovers points of support and prevention to increase HIV knowledge and awareness and limit new HIV infections among adolescents of color. This study presents preliminary findings from a community-based HIV/AIDS, substance abuse, and viral hepatitis (VH) prevention education intervention for ethnic minority youth in a northeastern urban community. We evaluated HIV/AIDS knowledge and factors associated with knowledge. Participants (N = 599) completed a baseline survey followed by an exit survey measuring HIV/AIDS knowledge. Exit survey findings indicated that there was an increase in HIV/AIDs knowledge. Multivariate regression analyses showed that change scores in VH knowledge accuracy, sexual negotiation skills, risk perception, and ethnic identity were positively associated with change in HIV/AIDs knowledge score. The development and implementation of HIV/AIDS knowledge interventions can be crucial in alleviating new infections in the U.S.
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Affiliation(s)
- David T. Lardier
- Department of Individual, Family, and Community Studies, University of New Mexico, Albuquerque, NM, USA
- Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, University of New Mexico, Albuquerque, NM, USA
| | - Ijeoma Opara
- Department of Social & Behavioral Sciences, School of Public Health, Yale University, New Haven, CT, USA
- Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT, USA
| | - Robert J. Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
| | - Pauline Garcia-Reid
- Department of Family Science and Human Development, Montclair State University, Montclair, NJ, USA
| | - Andriana Herrera
- Department of Public Health, Montclair State University, Montclair, NJ, USA
| | - Irene Cantu
- Department of Individual, Family, and Community Studies, University of New Mexico, Albuquerque, NM, USA
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Lardier DT, Opara I, Brammer MK, Pinto SA, Garcia-Reid P, Reid RJ. Psychological sense of community, community civic participation, and ethnic identity on social justice orientation and psychological empowerment between LGBQ and Non-LGBQ youth of color. JOURNAL OF LGBT YOUTH 2021; 20:1-32. [PMID: 36855462 PMCID: PMC9970295 DOI: 10.1080/19361653.2020.1860858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 08/31/2020] [Accepted: 11/30/2020] [Indexed: 06/18/2023]
Abstract
For lesbian, gay, bisexual, and questioning (LGBQ) youth of color, the intersection of identifying as both LGBQ and a person of color results in not only managing racial stereotypes, but also heterosexism and genderism. Developing a critical understanding of oppressive social conditions and ways to engage in social action is a form of resistance for these youth. Research is needed among LGBQ youth of color that examines the range of predictors and outcomes related to civic engagement, development, and empowerment. Drawing on data derived from a sample of urban youth of color (N = 383; 53.1% Female; 75% Hispanic; Age range = 14 to 18 years; 15% identify as LGBQ), this study will: (1) examine the relationship between community-based perceptions (e.g., psychological sense of community), ethnic identity, behaviors (e.g., community civic participation) and awareness of social justice concerns with dimensions of psychological empowerment; and (2) assess differences that these relationships have between LGBQ and non-LGBQ youth of color. Findings indicate that main predictors have a positive impact on intrapersonal and cognitive dimensions of psychological empowerment through social justice orientation, with noted variations between LGBQ and non-LGBQ youth of color.
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Affiliation(s)
- David T. Lardier
- Department of Individual, Family and Community Education, College of Education and Human Sciences, The University of New Mexico, Albuquerque, New Mexico, USA
- Department of Psychiatry and Behavioral Sciences, The University of New Mexico, Albuquerque, New Mexico, USA
| | - Ijeoma Opara
- School of Social Welfare, Stony Brook University, Stony Brook, New York, USA
| | - Mary Kathryn Brammer
- Department of Individual, Family and Community Education, College of Education and Human Sciences, The University of New Mexico, Albuquerque, New Mexico, USA
| | - Stacy A. Pinto
- Department of Counseling Psychology, Morgridge College of Education, University of Denver, Denver, Colorado, USA
| | - Pauline Garcia-Reid
- College of Education and Human Services, Family Science and Human Development, Montclair State University, Montclair, New Jersey, USA
| | - Robert J. Reid
- College of Education and Human Services, Family Science and Human Development, Montclair State University, Montclair, New Jersey, USA
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