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Summers-Gabr NM, Sato M, Chilenski SM, Villarruel F, Smith P, Henderson C, Newell J, Wilson H, Craig A. Discriminatory Experiences Among Black Youth: How Encounters and Expectations Explain Emotional Well-Being. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2024; 25:31-43. [PMID: 37329411 PMCID: PMC11126461 DOI: 10.1007/s11121-023-01540-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/13/2023] [Indexed: 06/19/2023]
Abstract
Research suggests that encounters with racism are related to depression in Black youth. However, less is known about how experienced racial discrimination can influence other aspects of well-being among Black youth including their socio-emotional development and behavior. In addition, emerging literature highlights the critical ways anticipated racial discrimination may impact the emotional well-being of Black youth. To address these gaps, the current study assessed whether experienced discrimination was associated with higher levels of internalizing problems (anxiety/depression, suicidal thoughts) and lower levels of socio-emotional development (emotion regulation, prosocial behavior). We then tested whether expected discrimination contributed to similar patterns. Lastly, this study examined how age and gender moderated this relationship. Across eight schools in three communities, 1435 Black youth (56.57% female; 56.40% 10th grade) in 10th and 12th grades responded to the Youth Experience Survey. Using a series of hierarchical linear and hierarchical binary logistic regressions, results found that those who experienced racial discrimination and expected discrimination demonstrated higher internalizing problems and lower socio-emotional development; however, expected discrimination often accounted for more variance than experienced. These findings suggest the multifaceted influence both experienced and expected racial discrimination have on the well-being of Black youth and can provide important insights to community prevention systems.
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Affiliation(s)
- Nicole M Summers-Gabr
- Department of Population Science and Policy, Southern Illinois University School of Medicine, 201 E. Madison, Springfield, IL, 62702, USA.
| | - Mikiko Sato
- Department of Human Development and Family Studies, Michigan State University, East Lansing, USA
| | - Sarah M Chilenski
- Edna Bennett Pierce Prevention Research Center, Pennsylvania State University, State College, USA
| | - Francisco Villarruel
- Department of Human Development and Family Studies, Michigan State University, East Lansing, USA
| | - Paula Smith
- Department of Educational Leadership and Policy, University of Utah, Salt Lake City, USA
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2
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Yang Y, Jeong J, Bae S. A systematic review of social processes and mechanisms in the community that influence risky sexual behaviour among adolescents and young adults. Nurs Open 2023; 10:5868-5886. [PMID: 37254640 PMCID: PMC10416058 DOI: 10.1002/nop2.1870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 02/18/2023] [Accepted: 05/16/2023] [Indexed: 06/01/2023] Open
Abstract
AIMS To examine the associations between social processes and mechanisms within the community and risky sexual behaviour (RSB) among adolescents and young adults. DESIGN Systematic review. METHODS We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and conducted a literature search in August 2020. From 11,216 identified articles, 605 were for full-text screen. We used 24 articles, 22 after applying inclusion criteria and 2 manually searched relevant articles. RESULTS Social processes and mechanisms within the community included collective efficiency and social support, community safety and community norm. Collective efficacy and social support and community safety were examined using 10 and 16 studies, respectively. We found that collective efficiency and social support, and community norms partially supported the occurrences of RSB among adolescents and young adults. Community safety displayed inconclusive relationships with RSB. CONCLUSIONS The findings highlight the importance of social processes and mechanisms within the community in preventing RSB among adolescents and young adults. Community-based programs to improve community efficacy and social support would be effective strategies to reduce such RSB and to promote better reproductive health among adolescents and young adults.
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Affiliation(s)
- Youngran Yang
- Research Institute of Nursing Science, College of Nursing, Jeonbuk National UniversityJeonju‐siRepublic of Korea
| | - Jieun Jeong
- Graduate School of Clinical and Public Health ConvergenceEwha Womans UniversitySeoulRepublic of Korea
| | - Sung‐Heui Bae
- Graduate Program in System Health Science and Engineering, College of NursingEwha Womans UniversitySeoulRepublic of Korea
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3
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Lieberman AG, Stock ML, AuBuchon KE, Beekman JB, Lambert SF. Intersectional discrimination from black women, white women, black men, or white men impacts young adult black women's affective states and risky health cognitions. Psychol Health 2023; 38:1-17. [PMID: 34180327 DOI: 10.1080/08870446.2021.1941962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Black women experience pronounced inequalities in alcohol use and sexual risk outcomes. Racial discrimination is a known contributor to health inequalities. However, Black women face unique and intersectional forms of discrimination beyond racial discrimination. The current study investigates how exclusion from four distinct social groups effects Black women's negative affect and risky health cognitions. DESIGN Black women (N = 124; ages 18-29) were randomly assigned to be excluded in Cyberball by Black women, Black men, White women, or White men. MAIN OUTCOME MEASURES Participants responded to measures of internalising (depressive, anxious) and externalising (anger) affect, heavy alcohol use willingness, and risky sex expectations. RESULTS Participants primarily attributed exclusion from White women to racial discrimination, exclusion from Black men to gender discrimination, and exclusion from White men to both gender and racial discrimination. When excluded by White women, participants reported the highest levels of anger, depressive affect, and anxiety. Exclusion by White men predicted the greatest heavy drinking willingness, though exclusion by Black men predicted the greatest risky sex expectations. CONCLUSION This study is the first to demonstrate that exclusion from different social groups leads to differing patterns of negative affect and risky health cognitions in young adult Black women.
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Affiliation(s)
- Abby G Lieberman
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Michelle L Stock
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Katarina E AuBuchon
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Janine B Beekman
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
| | - Sharon F Lambert
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA
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Pahl K, Williams SZ, Capasso A, Lewis CF, Lekas HM. A longitudinal pathway from ethnic-racial discrimination to sexual risk behaviors among Black women and Latinas: Ethnic-racial identity exploration as a protective factor. Soc Sci Med 2023; 316:115061. [PMID: 35637046 DOI: 10.1016/j.socscimed.2022.115061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Revised: 05/11/2022] [Accepted: 05/18/2022] [Indexed: 01/11/2023]
Abstract
BACKGROUND Black women and Latinas in their thirties continue to be at risk for HIV transmission via heterosexual intercourse. METHODS Informed by the Theory of Gender and Power, this study investigated a longitudinal path model linking experiences of ethnic-racial discrimination in late adolescence to sexual risk behaviors in adulthood among 492 Black women and Latinas. We also tested whether ethnic-racial identity exploration served as a resilience asset protecting women against the psychological impact of ethnic-racial discrimination. Survey data from female participants in the Harlem Longitudinal Development Study, which has followed a cohort of New York City Black and Latinx youth since 1990, were analyzed. Data for this analysis were collected at four time points when participants were on average 19, 24, 29, and 32 years of age. Structural equation modeling was used to examine a hypothesized pathway from earlier ethnic-racial discrimination to later sexual risk behaviors and the protective role of ethnic-racial identity exploration. RESULTS Results confirmed that ethnic-racial discrimination in late adolescence was linked with sexual risk behaviors in the early thirties via increased levels of affective distress in emerging adulthood, experiences of victimization in young adulthood, and substance use in the early thirties among women low in ethnic-racial identity exploration. We also found that ethnic-racial identity served as a resilience asset, as the association between discrimination in late adolescence and affective distress in emerging adulthood was not significant among women with higher levels of ethnic-racial identity exploration. CONCLUSIONS The results provide important preliminary evidence that ethnic-racial identity exploration may serve as a resilience asset among Black women and Latinas confronting racial discrimination. Further, we suggest that ethnic-racial identity exploration may constitute an important facet of critical consciousness.
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Affiliation(s)
- Kerstin Pahl
- Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue, 8th Floor, New York, NY, 10016, USA; Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA.
| | - Sharifa Z Williams
- Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA
| | - Ariadna Capasso
- NYU School of Global Public Health, New York University, 708 Broadway, New York, NY, 10003, USA
| | - Crystal Fuller Lewis
- Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue, 8th Floor, New York, NY, 10016, USA; Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA
| | - Helen Maria Lekas
- Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue, 8th Floor, New York, NY, 10016, USA; Nathan Kline Institute for Psychiatric Research, 140 Old Orangeburg Road, Orangeburg, NY, 10962, USA
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5
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Selvarajah S, Corona Maioli S, Deivanayagam TA, de Morais Sato P, Devakumar D, Kim SS, Wells JC, Yoseph M, Abubakar I, Paradies Y. Racism, xenophobia, and discrimination: mapping pathways to health outcomes. Lancet 2022; 400:2109-2124. [PMID: 36502849 DOI: 10.1016/s0140-6736(22)02484-9] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 10/06/2022] [Accepted: 11/28/2022] [Indexed: 12/13/2022]
Abstract
Despite being globally pervasive, racism, xenophobia, and discrimination are not universally recognised determinants of health. We challenge widespread beliefs related to the inevitability of increased mortality and morbidity associated with particular ethnicities and minoritised groups. In refuting that racial categories have a genetic basis and acknowledging that socioeconomic factors offer incomplete explanations in understanding these health disparities, we examine the pathways by which discrimination based on caste, ethnicity, Indigeneity, migratory status, race, religion, and skin colour affect health. Discrimination based on these categories, although having many unique historical and cultural contexts, operates in the same way, with overlapping pathways and health effects. We synthesise how such discrimination affects health systems, spatial determination, and communities, and how these processes manifest at the individual level, across the life course, and intergenerationally. We explore how individuals respond to and internalise these complex mechanisms psychologically, behaviourally, and physiologically. The evidence shows that racism, xenophobia, and discrimination affect a range of health outcomes across all ages around the world, and remain embedded within the universal challenges we face, from COVID-19 to the climate emergency.
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Affiliation(s)
- Sujitha Selvarajah
- Institute for Global Health, University College London, London, UK; St George's Hospital NHS Foundation Trust, London, UK.
| | | | - Thilagawathi Abi Deivanayagam
- Institute for Global Health, University College London, London, UK; Lancaster Medical School, Faculty of Health and Medicine, Lancaster University, Lancaster, UK
| | | | - Delan Devakumar
- Institute for Global Health, University College London, London, UK
| | - Seung-Sup Kim
- Department of Environmental Health Sciences, Seoul National University, Seoul, South Korea
| | - Jonathan C Wells
- University College London Great Ormond Street Institute of Child Health, London, UK
| | - Marcella Yoseph
- Global Mental Health, London School of Hygiene & Tropical Medicine, London, UK; Sir Ketumile Masire Teaching Hospital, University of Botswana, Gaborone, Botswana
| | - Ibrahim Abubakar
- Institute for Global Health, University College London, London, UK
| | - Yin Paradies
- Alfred Deakin Institute for Citizenship and Globalisation, Deakin University, Melbourne VIC, Australia
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Li Y, Samp JA. The impact of COVID-19-related anti-Asian discrimination on sexual communication and relationships among Asian individuals in the United States. JOURNAL OF SOCIAL AND PERSONAL RELATIONSHIPS 2022; 39:3394-3414. [PMID: 38603356 PMCID: PMC9066240 DOI: 10.1177/02654075221098420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/13/2024]
Abstract
Asian individuals in the United States have experienced heightened racial discrimination during the COVID-19 pandemic, which may reduce positive relationship processes and damage intimate relationships, including their sexual behaviors and quality. Guided by the chilling effect and Interpersonal Exchange Model of Sexual Satisfaction, this study explores how COVID-19-related anti-Asian discrimination moderates the relationships between sexual relationship power, sexual self-disclosure, and sexual satisfaction. Results (N = 294 partnered Asian adults) showed that as racial discrimination increased, the positive relationship between sexual relationship power and sexual self-disclosure decreased. As people experienced more racial discrimination, the positive effects of sexual self-disclosure on sexual satisfaction also decreased. Sexual power positively predicted sexual satisfaction via sexual communication, only when COVID-19-related discrimination was low or moderate. This study demonstrates how racial discrimination interacts with relational factors to predict Asian individuals' sexual communication and, in turn, sexual satisfaction. More public attention and efforts should be devoted to combating anti-Asian discrimination during the pandemic and beyond.
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Affiliation(s)
- Yachao Li
- Department of Communication Studies and Department of Public Health, The College of New Jersey, Ewing, NJ, USA
- Yachao Li, The College of New Jersey, Kendall Hall 218, 2000 Pennington Road, Ewing, NJ 08628, USA.
| | - Jennifer A Samp
- Department of Communication Studies, University of Georgia, Athens, GA, USA
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Bennett M, Roche KM, Huebner DM, Lambert SF. Peer Discrimination, Deviant Peer Affiliation, and Latino/a Adolescent Internalizing and Externalizing Symptoms: A Prospective Study. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2022:1-17. [PMID: 35853146 PMCID: PMC9849486 DOI: 10.1080/15374416.2022.2093209] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
OBJECTIVE U.S. Latino/a adolescents experience high levels of ethnic discrimination, particularly in new immigrant destinations. Due to the salience of peers during adolescence, this study examined how peer discrimination related directly and indirectly, through deviant peer affiliation, to changes in Latino/a adolescents' internalizing and externalizing symptoms. Culture-specific moderators hypothesized to buffer discrimination impacts on adolescent symptomology included Spanish language enculturation and adolescents' social ties to relatives in the family's country-of-origin. METHOD The sample of 547 Latino/a adolescent participants from the Caminos al Bienestar study (55.4% female; age M = 12.8, range = 11-16) was selected at random from middle schools in a large, suburban school district in Atlanta, Georgia. Three time points of survey data spaced roughly 6 months apart were collected during 2018 and 2019. RESULTS Results from longitudinal structural equation models revealed that peer discrimination was associated indirectly with increased externalizing symptoms, through increases in affiliation with deviant peers (β = 0.05; SE = 0.02; B = 0.02; 95% CI = 0.01, 0.09). We did not observe direct or indirect effects of peer discrimination on changes in internalizing symptoms, and we found no significant protective effects of either Spanish language enculturation or social ties with the country-of-origin. CONCLUSIONS Ethnic discrimination by peers may lead to deviant peer affiliation and, in turn, increased externalizing behaviors. Future research identifying protective factors that buffer discrimination impacts on deviant peer affiliation is needed to inform the development of interventions that can prevent Latino/a adolescents' externalizing symptoms.
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Affiliation(s)
- Morgane Bennett
- Department of Prevention & Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC
| | - Kathleen M. Roche
- Department of Prevention & Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC
| | - David M. Huebner
- Department of Prevention & Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC
| | - Sharon F. Lambert
- Department of Psychological and Brain Sciences, Columbian College of Arts and Sciences, The George Washington University, Washington, DC
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Yusuf HE, Copeland-Linder N, Young AS, Matson PA, Trent M. The Impact of Racism on the Health and Wellbeing of Black Indigenous and Other Youth of Color (BIPOC Youth). Child Adolesc Psychiatr Clin N Am 2022; 31:261-275. [PMID: 35361364 DOI: 10.1016/j.chc.2021.11.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Black, Indigenous, and other Youth of Color (BIPOC youth) experience racism from a young age. These experiences have both immediate and long-term impacts on their health and wellbeing. Systemic racism contributes to the inequitable distribution of health resources and other social determinants of health, creating barriers to accessing care. Substance use disorders and sexual/nonsexual risk behaviors have been linked to experiences of racism in BIPOC youth. The legacy of generational racial trauma can frame behaviors and attitudes in the present, undermining health and survival in this group. BIPOC youth also face difficulties navigating spheres characterized as white spaces. Ethnic-racial socialization may promote resilience and help with coping in the context of racial stress. While many professional health organizations have embraced dismantling racism, a shift in the narrative on racial values will be critical for preventing adversity and achieving health equity for BIPOC youth.
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Affiliation(s)
- Hasiya E Yusuf
- Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins University, 200 N Wolfe Street, Baltimore, MD 21287, USA.
| | - Nikeea Copeland-Linder
- Department of Psychiatry and Behavioral Sciences, Kennedy Krieger Institute, Johns Hopkins School of Medicine, 600 N Wolfe Street, Baltimore, MD 21205, USA
| | - Andrea S Young
- Division of Child and Adolescent Psychiatry, Johns Hopkins School of Medicine, 1800 Orleans Street, Bloomberg 12 N, Baltimore, MD 21287 USA
| | - Pamela A Matson
- Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins University, 200 N Wolfe Street, Baltimore, MD 21287, USA
| | - Maria Trent
- Department of Pediatrics, Johns Hopkins University School of Medicine, Johns Hopkins University, 200 N Wolfe Street, Baltimore, MD 21287, USA.
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Opara I, Pierre K, Assan MA, Scheinfeld L, Alves C, Cross K, Lizarraga A, Brawner B. A Systematic Review on Sexual Health and Drug Use Prevention Interventions for Black Girls. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:3176. [PMID: 35328864 PMCID: PMC8950684 DOI: 10.3390/ijerph19063176] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 02/25/2022] [Accepted: 03/03/2022] [Indexed: 02/01/2023]
Abstract
BACKGROUND The relationship between drug use and poor sexual health outcomes in Black adolescent females such as diagnoses of sexually transmitted infections, HIV, and early/unwanted pregnancy has been established in the literature. Yet, very few interventions have been successful in reducing the risk of poor sexual health outcomes and drug use for adolescent girls. Even more rare are interventions that are catered to specifically to Black girls in the United States, which is a group that has the highest rates of poorer sexual health outcomes and negative consequences associated with drug use. Therefore, this systematic review sought to identify and organize interventions that are focused on preventing HIV, STIs, early pregnancy and drug use for and include large samples of Black girls. Fifteen interventions were identified that met the review's search criteria. RESULTS A total of 15 interventions that were published between 2005 and 2020 were included in the review. While all but one intervention focused on sexual health outcomes, two interventions infused drug use education for girls. CONCLUSION This review provides recommendations for sexual health and drug use prevention researchers to engage in an intersectional framework and concludes with a summary of next steps to guide future research and policy work to address disparities that impact Black girls.
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Affiliation(s)
- Ijeoma Opara
- Department of Social & Behavioral Sciences, Yale School of Public Health, Yale University, New Haven, CT 06520, USA
- Center for Interdisciplinary Research on AIDS, Yale School of Public Health, Yale University, New Haven, CT 06520, USA
| | - Kimberly Pierre
- Irvington Department of Health and Senior Services, Irvington, NJ 07111, USA;
| | | | - Laurel Scheinfeld
- Health Sciences Library, Stony Brook University, Stony Brook, NY 11794, USA;
| | - Courtnae Alves
- School of Health Technology and Management Health Science, Stony Brook University, Stony Brook, NY 11794, USA;
| | - Kristina Cross
- School of Social Welfare, Stony Brook University, Stony Brook, NY 11794, USA;
| | - Ashley Lizarraga
- School of Social Welfare, University of Washington, Seattle, WA 98105, USA;
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10
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Mendez L, Mozley MM, Kerig PK. Beyond Trauma Exposure: Discrimination and Posttraumatic Stress, Internalizing, and Externalizing Problems Among Detained Youth. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:1825-1851. [PMID: 32515294 DOI: 10.1177/0886260520926314] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
According to the race-based traumatic stress model, racial discrimination is proposed to comprise a traumatic experience that results in posttraumatic stress symptoms, as well as internalizing and externalizing problems among youth. Accordingly, a significant body of research has emerged that supports the associations among these constructs. However, the majority of these empirical studies have not accounted for the potential role of traditionally defined traumatic events in these associations. This study investigated whether self-reported racial discrimination was related to posttraumatic stress symptoms, internalizing, and externalizing symptoms above and beyond the impact of other trauma exposures in a sample of 266 detained youth (79% boys, 60% identified as an ethnic minority). Results of hierarchical linear regressions demonstrated that, after accounting for youths' other trauma exposures, racial discrimination accounted for significant variance in the models predicting delinquency and risk-taking but no other externalizing and internalizing problems, or posttraumatic stress symptoms. These findings indicate that racial discrimination may be particularly important for understanding offending behavior among detained youth.
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11
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Alley J, Diamond LM. Early childhood adversity and Women’s sexual behavior: The role of sensitivity to sexual reward. DEVELOPMENTAL REVIEW 2021. [DOI: 10.1016/j.dr.2021.100982] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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12
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Voisin DR, Takahashi LM. The Relationship Between Violence Syndemics and Sexual Risk Behaviors Among African American Adolescents: Implications for Future Research. J Adolesc Health 2021; 68:937-944. [PMID: 33431249 DOI: 10.1016/j.jadohealth.2020.11.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 10/28/2020] [Accepted: 11/15/2020] [Indexed: 01/20/2023]
Abstract
PURPOSE We present a conceptual framework based on a review of the literature to highlight the interconnecting and reinforcing elements of a violence syndemic and how this syndemic influences sexual risk behaviors among African American heterosexual adolescents. METHODS We review existing peer-reviewed published research from 2000 to 2020 that links a violence syndemic (i.e., racism and race-related stress, neighborhood and police violence, peer violence, and family violence and disruptions) to adolescent sexual risk behaviors. Empirical findings and theoretical underpinnings are used to document this relationship and illuminate the factors that mediate this relationship. RESULTS Empirical studies support the links between specific types of violence and sexual risk behaviors among African American adolescents. Further, existing studies point to the important relationships among the specific types of violence, supporting a violence syndemic approach. CONCLUSIONS While more researchers are examining socio-ecological contextual factors as important predictors for sexual risk behaviors, there remains inadequate understanding about how violence types reinforce one another to heighten sexual risk behaviors among African American heterosexual adolescents. This article presents new directions for adolescent research, especially how a violence syndemic approach can be used to explain sexual risk, but also to refocus intervention design on the complex burdens experienced by this population.
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Affiliation(s)
- Dexter R Voisin
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
| | - Lois M Takahashi
- Sol Price School of Public Policy, University of Southern California, Los Angeles, California.
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Jelsma EB, Goosby BJ, Cheadle JE. Do trait psychological characteristics moderate sympathetic arousal to racial discrimination exposure in a natural setting? Psychophysiology 2021; 58:e13763. [PMID: 33462861 PMCID: PMC10624514 DOI: 10.1111/psyp.13763] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 12/12/2020] [Accepted: 12/14/2020] [Indexed: 11/28/2022]
Abstract
Personality and psychological traits are known to influence how individuals react to and cope with stress, and thus, have downstream health and aging consequences. However, research considering psychological health traits as individual-level difference factors moderating the links been racism-related stress and health for racial and ethnic minorities in the United States is rare. Using intensive daily diaries and a wearable sensor that continuously recorded sympathetic nervous system arousal in a sample of racial and ethnic minority college students (80% African American, first-generation Black, or African; 20% Latinx), we linked arousal to racism-related experiences dynamically throughout the day as participants naturally went about their lives. Findings suggest that multiple traits are associated with increased arousal in real time when interpersonal discrimination is perceived, but that only anger and anxiety also predicted increased arousal during moments of rumination and reflection on race-related inequities. Vicarious discrimination exposure moments were also linked to suppressed arousal in general, but particularly for more anxious individuals. We use a stress appraisal and coping framework to elucidate the ways in which individual psychological differences may inform physiological responses to race-related stress. The biopsychosocial pathways by which cognitive appraisal and interpersonal race-related stress contribute to racial health disparities are also discussed.
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Affiliation(s)
- Elizabeth B Jelsma
- Department of Human Development and Family Sciences, The University of Texas at Austin, Austin, TX, USA
- Population Research Center, University of Texas at Austin, Austin, TX, USA
| | - Bridget J Goosby
- Population Research Center, University of Texas at Austin, Austin, TX, USA
- Department of Sociology, University of Texas at Austin, Austin, TX, USA
| | - Jacob E Cheadle
- Population Research Center, University of Texas at Austin, Austin, TX, USA
- Department of Sociology, University of Texas at Austin, Austin, TX, USA
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14
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Piña-Watson B, Cox K, Neduvelil A. Mexican descent college student risky sexual behaviors and alcohol use: The role of general and cultural based coping with discrimination. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2021; 69:82-89. [PMID: 31513462 DOI: 10.1080/07448481.2019.1656214] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2018] [Revised: 05/30/2019] [Accepted: 08/12/2019] [Indexed: 06/10/2023]
Abstract
This study investigates cultural and general coping strategies as potential protective or risk factors to risky sexual behaviors (RSBs) and alcohol use in the face of discrimination for Mexican descent college students. Participants: Data collection was conducted from September 2016 to May 2017 and included 796 Mexican descent emerging adults. Methods: Linear regressions were conducted to test main and interaction effects of discrimination, and general and cultural coping strategies on RSBs and alcohol use issues. Results: Higher discrimination experiences were not associated with RSBs or alcohol use issues. Only ethnicity-based coping was found to be a significant moderator to the relationships between discrimination and the outcome variables of RSBs and alcohol use issues. Conclusions: This study has implications for the way mental health clinicians explore the intersection of ethnic identity and coping as a means of understanding the relationship among discrimination, RSBs, and alcohol use issues.
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Affiliation(s)
- Brandy Piña-Watson
- Department of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Kassidy Cox
- Department of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Ashley Neduvelil
- Department of Psychological Sciences, Texas Tech University, Lubbock, Texas, USA
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Banks DE, Hensel DJ, Zapolski TCB. Integrating Individual and Contextual Factors to Explain Disparities in HIV/STI Among Heterosexual African American Youth: A Contemporary Literature Review and Social Ecological Model. ARCHIVES OF SEXUAL BEHAVIOR 2020; 49:1939-1964. [PMID: 32157486 PMCID: PMC7321914 DOI: 10.1007/s10508-019-01609-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 12/03/2019] [Accepted: 12/10/2019] [Indexed: 05/21/2023]
Abstract
Heterosexual African American youth face substantial disparities in sexual health consequences such as HIV and STI. Based on the social ecological framework, the current paper provides a comprehensive, narrative review of the past 14 years of literature examining HIV/STI risk, including risky sexual behavior, among heterosexual African American youth and a conceptual model of risk among this population. The review found that individual psychological and biological factors are insufficient to explain the sexual health disparities faced by this group; instead, structural disadvantage, interpersonal risk, and community dysfunction contribute to the disparity in HIV/STI outcomes directly and indirectly through individual psychological factors. The conceptual model presented suggests that for African American youth, (1) HIV/STI risk commonly begins at the structural level and trickles down to the community, social, and individual levels, (2) risk works in a positive feedback system such that downstream effects compound the influence of structural risks, and (3) contextual and individual risk factors must be considered within the advanced stage of the epidemic facing this population. Despite advanced HIV and STI epidemics among heterosexual African American youth, multisystemic interventions that target structural risk factors and their downstream effects are posited to reduce the disparity among this high-risk population.
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Affiliation(s)
- Devin E Banks
- Department of Psychology, Indiana University Purdue University-Indianapolis, 402 N. Blackford St., LD 124, Indianapolis, IN, 46202, USA.
| | - Devon J Hensel
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Tamika C B Zapolski
- Department of Psychology, Indiana University Purdue University-Indianapolis, 402 N. Blackford St., LD 124, Indianapolis, IN, 46202, USA
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16
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Otiniano Verissimo AD, Dyer TP, Friedman SR, Gee GC. Discrimination and sexual risk among Caribbean Latinx young adults. ETHNICITY & HEALTH 2020; 25:639-652. [PMID: 29495893 DOI: 10.1080/13557858.2018.1444148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2016] [Accepted: 01/24/2018] [Indexed: 06/08/2023]
Abstract
Objectives: Discrimination, such as being treated unfairly due to race, contributes to stress. Individuals may cope with this by engaging in risky behaviors. Consistent with this premise, prior studies found that discrimination is associated with substance use. Research has also shown that sex while 'high' on alcohol and drugs is associated with increased risk for HIV and other STIs. The present study examines the relationship between discrimination and sexual risk. We investigate whether discrimination is associated with sex while high on alcohol and drugs. Design: Analyses focus on a sample of 356 Caribbean Diasporic young adults, primarily Caribbean Latinx, aged 18 to 25 who participated in the Drug Use and HIV Risk among Youth Survey carried out from 1997 to 2000 in Brooklyn, New York. Logistic regression examined the association between self-reported discrimination and sex while high. Results: More than half (52.3%) of respondents reported moderate discrimination. Sex while high was also reported: 35.7% for alcohol, 43.3% for marijuana, and 32.6% for heroin/cocaine. Discrimination was associated with increased risk of sex while high on (1) marijuana and (2) heroin/cocaine, but was not with alcohol. Conclusions: Discrimination may be a risk factor for engaging in sex while high on drugs, which may put individuals at risk for HIV as well as other STIs. Future research should explore relationships between discrimination and sex while high on alcohol and drugs among various racial/ethnic groups and Diasporas, while also assessing how this relationship may contribute to HIV incidence.
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Affiliation(s)
| | - Typhanye Penniman Dyer
- Department of Epidemiology and Biostatistics, School of Public Health, The University of Maryland, College Park, MD, USA
| | - Samuel R Friedman
- Institute of Infectious Disease Research, National Development and Research Institutes, New York, NY, USA
| | - Gilbert C Gee
- Department of Community Health Sciences, University of California, Los Angeles, CA, USA
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Family Context and Adolescent Risky Sexual Behavior: an Examination of the Influence of Family Structure, Family Transitions and Parenting. J Youth Adolesc 2020; 49:1179-1194. [DOI: 10.1007/s10964-020-01231-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 03/17/2020] [Indexed: 10/24/2022]
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Rosenthal L, Lobel M. Gendered racism and the sexual and reproductive health of Black and Latina Women. ETHNICITY & HEALTH 2020; 25:367-392. [PMID: 29447448 DOI: 10.1080/13557858.2018.1439896] [Citation(s) in RCA: 82] [Impact Index Per Article: 20.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Objective: To understand health disparities, it is important to use an intersectional framework that examines unique experiences of oppression faced by particular groups due to their intersecting identities and social positions linked to societal structures. We focus on Black and Latina women and their experiences with 'gendered racism' - unique forms of oppression due to the intersection of race/ethnicity and gender - to foster understanding of disparities between Black and Latina versus White women in sexual and reproductive health outcomes in the U.S. Specifically, we focus on stereotype-related gendered racism (ongoing discrimination and stereotype threat based on historically-rooted stereotypes about Black and Latina women's sexuality and motherhood) and birth control-related mistrust (ongoing mistrust of the government and medical system related to birth control due to historical and current abuses).Design: We analyzed data from two survey studies with adult women in New York (Study 1: paper-and-pencil community data collection, N = 135, Mage = 43.35) and across the U.S. (Study 2: online data collection, N = 343, Mage = 29.49) who were currently pregnant or had at least one child and identified as Black, Latina, or White.Results: Black and Latina women reported greater frequency of and concern over stereotype-related gendered racism (F(3,131) = 17.90, p < .001 Study 1; F(3,339) = 22.23, p < .001 Study 2) and greater birth control-related mistrust (F(3,131) = 7.55, p < .001 Study 1; F(3,339) = 17.32, p < .001 Study 2) than White women did. In turn, stereotype-related gendered racism was positively associated with pregnancy-specific stress (ß = .40, p < .001 Study 1; ß = .33, p < .001 Study 2), and birth control-related mistrust was negatively associated with sexual relationship power (ß = -.19, p = .002 Study 2), which are factors known to contribute to birth outcomes and sexual risk, respectively.Conclusion: Findings suggest that gendered racism may play an important role in existing racial/ethnic disparities in women's sexual and reproductive health outcomes, and interventions addressing gendered racism at multiple levels are needed to promote health equity.
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Affiliation(s)
- Lisa Rosenthal
- Psychology Department, Pace University, New York, NY, USA
| | - Marci Lobel
- Department of Psychology, Stony Brook University, Stony Brook, NY, USA
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Gibbons FX, Fleischli ME, Gerrard M, Simons RL, Weng CY, Gibson LP. The impact of early racial discrimination on illegal behavior, arrest, and incarceration among African Americans. ACTA ACUST UNITED AC 2019; 75:952-968. [PMID: 31621340 DOI: 10.1037/amp0000533] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The prospective relations between perceived racial discrimination (PRD), assessed at 4 different time periods from childhood through adolescence, along with assessments of PRD from the police ("hassling"), and self-reports of arrest and incarceration at a mean age of 24.5 years, were examined in a sample of 889 African Americans from the Family and Community Health Study. Multiple covariates were included in the analyses (e.g., academic orientation, socioeconomic status, self-control). Structural equation modeling revealed relations between PRD, especially that assessed in childhood, and both arrest and incarceration reported in adulthood. Mediators of these relations included deviant affiliation and self-reports of both substance use and illegal behavior. PRD from the police directly predicted subsequent illegal behavior. Racial pride moderated reactions to both types of PRD: Persons high in racial pride reported more illegal behavior after PRD from police but less illegal behavior in the absence of perceived police discrimination and less illegal behavior overall. Finally, childhood PRD, but not adolescent PRD, directly predicted incarceration that occurred up to 14 years later, and it did so when controlling for arrest, self-reported illegal behavior, and other covariates. The importance of childhood PRD experiences and possible avenues of intervention suggested by the pattern of results are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Affiliation(s)
| | - Mary E Fleischli
- Institute for Collaboration on Health, Intervention, and Policy (InCHIP)
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Landor AM, McNeil Smith S. Skin-Tone Trauma: Historical and Contemporary Influences on the Health and Interpersonal Outcomes of African Americans. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2019; 14:797-815. [DOI: 10.1177/1745691619851781] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Empirical evidence demonstrates that racism is a source of traumatic stress for racial/ethnic minorities, particularly African Americans. Like race and racism, skin tone and experiences of colorism—an often overlooked form of discrimination that privileges lighter skinned over darker skinned individuals, although not uniformly, may also result in traumatic stress. This article proposes a new conceptual model of skin-tone trauma. The model depicts how historical and contemporary underpinnings of colorism lead to colorist incidents that may directly and indirectly, by eliciting traumatic stress reactions, lead to negative effects on the health and interpersonal relationships of African Americans. Key tenets of critical race and intersectionality theories are used to highlight the complexities of skin-tone trauma as a result of intersectional identities on the basis of existing social hierarchies. Last, we present suggestions for researchers, as well as recommendations and strategies for practitioners, to unmask “skin-tone wounds” and promote healing for individuals, families, and communities that suffer from skin-tone trauma. Skin-tone trauma should be acknowledged by researchers, scholars, and practitioners to better understand and assess the widespread scope of trauma in the African American community.
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Affiliation(s)
| | - Shardé McNeil Smith
- Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign
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21
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Reports of perceived racial discrimination among African American children predict negative affect and smoking behavior in adulthood: A sensitive period hypothesis. Dev Psychopathol 2019; 30:1629-1647. [PMID: 30451139 DOI: 10.1017/s0954579418001244] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We examined the prospective relations between a cultural risk factor, perceived racial discrimination (PRD), and subsequent negative affect and health behavior (smoking) in a panel of 889 African American children (part of the Family and Community Health Study). Cultural moderators (protective factors) of these relations were also examined. PRD was assessed six times from ages 10.5 (Wave 1) to 24.5 (Wave 6), and negative affect (anger and depressive symptoms) was assessed at Wave 2 (age 12.5) and Wave 6 (age 24.5). Results indicated that Wave 1 PRD predicted Wave 6 smoking, controlling for multiple factors related to smoking and/or PRD, including smoking at age 15.5. Structural equation models indicated that these relations between Wave 1 PRD and smoking were mediated by both early and later negative affect. The models also indicated that Wave 1 PRD had a direct impact on Wave 6 anger (assessed 14 years later), controlling for the effects of PRD on early affect. Cultural socialization was associated with lower rates of adolescent smoking, and it buffered the relation between PRD and Wave 6 anger. The impact of early PRD experiences along with suggestions for culturally informed interventions and preventive interventions that might buffer against early PRD effects are discussed.
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22
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Hicks MR, Kogan SM. Racial Discrimination, Protective Processes, and Sexual Risk Behaviors Among Black Young Males. ARCHIVES OF SEXUAL BEHAVIOR 2019; 48:507-519. [PMID: 30671878 PMCID: PMC7931456 DOI: 10.1007/s10508-018-1341-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Revised: 10/31/2018] [Accepted: 11/01/2018] [Indexed: 05/25/2023]
Abstract
Racial discrimination is a documented risk factor for sexual risk behaviors among young Black men. Mechanisms of effect and protective processes remain to be investigated. This study examined the mediating effect of emotional distress, self-regulation, and substance use on the association between racial discrimination and sexual risk behaviors. Sexual risk behaviors included in this study were inconsistent condom use and sexual concurrency (sexual partnerships that overlap overtime). The protective effect of protective social ties was also investigated. A sample of 505 heterosexually active men aged 19-22 years were recruited and surveyed for 3 time points. Men answered questions on racial discrimination, sexual risk behaviors, emotional distress, self-regulation, and substance use. Mediation and moderation models were tested. Racial discrimination (T1) significantly and positively predicted emotional distress (T2). Emotional distress, substance use, and self-regulation partially mediated the association between racial discrimination and sexual risk behaviors. Protective social ties attenuated the effects of emotional distress on substance use and self-regulation. Racial discrimination is an important context for sexual risk behaviors. Minority stress may translate to sexual risk behavior through psychosocial mediators, such as emotional distress, self-regulation, and substance use. Protective social ties may buffer against emotional distress to reduce substance use and increase self-regulation. The findings of this study can provide new insights through the investigation of risk and protective processes that influence sexual risk behaviors among young Black men.
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Affiliation(s)
- Megan R Hicks
- School of Social Work, Wayne State University, 5447 Woodward Ave., Detroit, MI, 48202, USA.
| | - Steven M Kogan
- Human Development and Family Science, University of Georgia, Athens, GA, USA
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23
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Benner AD, Wang Y, Shen Y, Boyle AE, Polk R, Cheng YP. Racial/ethnic discrimination and well-being during adolescence: A meta-analytic review. ACTA ACUST UNITED AC 2018; 73:855-883. [PMID: 30024216 DOI: 10.1037/amp0000204] [Citation(s) in RCA: 357] [Impact Index Per Article: 59.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
This meta-analytic study systematically investigates the relations between perceived racial/ethnic discrimination and socioemotional distress, academics, and risky health behaviors during adolescence, and potential variation in these relations. The study included 214 peer-reviewed articles, theses, and dissertations, with 489 unique effect sizes on 91,338 unique adolescents. Random-effects meta-analyses across 11 separate indicators of well-being identified significant detrimental effects. Greater perceptions of racial/ethnic discrimination were linked to more depressive and internalizing symptoms; greater psychological distress; poorer self-esteem; lower academic achievement and engagement; less academic motivation; greater engagement in externalizing behaviors, risky sexual behaviors, and substance use; and more associations with deviant peers. Metaregression and subgroup analyses indicated differences by race/ethnicity, Gender × Race/Ethnicity interactions, developmental stage, timing of retrospective measurement of discrimination, and country. Overall, this study highlights the pernicious effects of racial/ethnic discrimination for adolescents across developmental domains and suggests who is potentially at greater risk. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Affiliation(s)
| | - Yijie Wang
- Department of Human Development and Family Studies
| | - Yishan Shen
- Department of School of Family and Consumer Sciences
| | | | | | - Yen-Pi Cheng
- Department of Human Development and Family Sciences
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24
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Gerrard M, Gibbons FX, Fleischli ME, Cutrona CE, Stock ML. Moderation of the effects of discrimination-induced affective responses on health outcomes. Psychol Health 2018; 33:193-212. [PMID: 28436272 PMCID: PMC6145071 DOI: 10.1080/08870446.2017.1314479] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE The goal of the study was to examine differential mediation of long-term effects of discrimination on health behaviour and health status by internalising (anxiety and depression) and externalising (hostility and anger), and to explore moderation of these effects, specifically, by the presence of support networks and coping tendencies. DESIGN The current analyses employed structural equation modelling of five waves of data from Black female participants of the Family and Community Health Study over 11 years (M age 37-48). MAIN OUTCOMES MEASURES The main outcome variables were health status and alcohol use (frequency and problematic consumption). RESULTS Perceived racial discrimination was associated with increases in internalising and externalising. In addition, internalising reactions to discrimination were associated with deterioration in health status and increases in problematic drinking; externalising reactions were associated with increases in frequency of drinking. These relations were attenuated by availability of support networks, and exacerbated by use of avoidance coping. CONCLUSION The current study (a) replicated previous research suggesting that two different types of affective reactions mediate the relations between perceived racial discrimination and physical health status vs. health-impairing behaviours: internalising and externalising, and (b) revealed moderation of these effects by coping mechanisms.
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Affiliation(s)
- Meg Gerrard
- a Department of Psychological Sciences and Institute for Collaboration on Health, Intervention and Policy (InChip) , University of Connecticut , Storrs , CT , USA
| | - Frederick X Gibbons
- a Department of Psychological Sciences and Institute for Collaboration on Health, Intervention and Policy (InChip) , University of Connecticut , Storrs , CT , USA
| | - Mary E Fleischli
- b Institute for Collaboration on Health, Intervention and Policy (InChip) , University of Connecticut , Storrs , CT , USA
| | - Carolyn E Cutrona
- c Department of Psychology , Iowa State University , Ames , IA , USA
| | - Michelle L Stock
- d Department of Psychology , The George Washington University , Washington , DC , USA
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25
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Sanchez D, Hamilton ER, Gilbert DJ, Vandewater EA. Examining Africentric Cultural Values, Ethnic Identity, and Substance Use Abstinence in Low-Income, Early Adolescent, African American Girls. JOURNAL OF BLACK PSYCHOLOGY 2018; 44:74-100. [PMID: 37503449 PMCID: PMC10372843 DOI: 10.1177/0095798417746265] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
An examination of cultural protective factors that foster substance use abstinence among low-income, early adolescent, African American girls may be helpful in understanding how to promote resilience and reduce negative health outcomes. This study examined the relations between Africentric cultural values, ethnic identity, and substance use abstinence among 196 low-income African American early adolescent girls (age 11-14 years). Results of logistic regressions revealed that Africentric values were negatively linked to cigarette and alcohol abstinence. Results also showed a significant positive interaction between Africentric cultural values and ethnic identity exploration that contributed to increased cigarette and alcohol abstinence. Implications for research and practice with African American early adolescent girls are discussed.
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26
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Respress BN, Amutah-Onukagha NN, Opara I. The Effects of School-Based Discrimination on Adolescents of Color Sexual Health Outcomes: A Social Determinants Approach. SOCIAL WORK IN PUBLIC HEALTH 2017; 33:1-16. [PMID: 29199912 DOI: 10.1080/19371918.2017.1378953] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Social inequalities are at the heart of disparities in sexual health outcomes among African American and Latino/a adolescents living in the United States. Schools are typically the largest and primary context in youth development. School characteristics such as peer and teacher discrimination and school performance were examined to determine whether such characteristics predict sexual behavior in adolescents of color. This study utilized a representative sample of high school age students to assess sexual risk behavior. Findings indicate that there was a clear disparity in sexually transmitted infection diagnoses. School characteristics such as teacher discrimination and Grade Point Average were significant predictors to sexual risky behaviors among adolescents of color. The study adds to the literature in examining contextual factors that are associated with adolescent sexual risk behavior, and findings provide implications for future prevention work.
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Affiliation(s)
- Brandon N Respress
- a College of Nursing and Health Innovation , University of Texas at Arlington , Arlington , Texas , USA
| | - Ndidiamaka N Amutah-Onukagha
- b Department of Public Health and Community Medicine, School of Medicine , Tufts University , Boston , Massachusetts , USA
| | - Ijeoma Opara
- c Department of Family Science and Human Development , Montclair State University , Montclair , New Jersey , USA
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27
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Sutin AR, Terracciano A. Perceived weight discrimination and high-risk health-related behaviors. Obesity (Silver Spring) 2017; 25:1183-1186. [PMID: 28653501 DOI: 10.1002/oby.21845] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Revised: 02/21/2017] [Accepted: 03/15/2017] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Perceived weight discrimination has been associated with several health-risk behaviors related to eating and physical activity. The purpose of this research is to test whether weight discrimination is associated with nonweight-related high-risk behaviors that put the individual's health at risk. METHODS As part of a larger survey on health and well-being, participants (N = 5,163) reported on their experiences with weight discrimination and their engagement in four high-risk behaviors: current cigarette smoking, driving while intoxicated, risky sexual/drug use behaviors, and seat belt use. Logistic regression was used to test the association between weight discrimination and each behavior, controlling for relevant demographics and BMI. RESULTS Perceived weight discrimination was associated with increased risk of cigarette smoking (odds ratio [OR] = 1.64, 95% confidence interval [CI] = 1.36-1.99), driving while intoxicated (OR = 2.01, 95% CI = 1.60-2.54), risky sexual/drug use behaviors (OR = 2.17, 95% CI = 1.69-2.80), and not using a seat belt (OR = 1.53, 95% CI = 1.15-2.03). With the exception of seat belt use, all associations remained significant controlling for depressive symptoms. CONCLUSIONS The results of this research indicate that the harmful associations between weight discrimination and health-risk behaviors are not limited to behaviors related to eating and physical activity but extend to high-risk behaviors that may contribute to the association between weight discrimination and poor health.
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Affiliation(s)
- Angelina R Sutin
- Florida State University College of Medicine, Tallahassee, Florida, USA
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Landry M, Turner M, Vyas A, Wood S. Social Media and Sexual Behavior Among Adolescents: Is there a link? JMIR Public Health Surveill 2017; 3:e28. [PMID: 28526670 PMCID: PMC5457530 DOI: 10.2196/publichealth.7149] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Revised: 02/10/2017] [Accepted: 03/07/2017] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Adolescent sexual risk taking and its consequences remain a global public health concern. Empirical evidence on the impact that social media has on sexual health behaviors among youth is sparse. OBJECTIVE The study aimed to examine the relationship between social media and the change in sexual risk over time and whether parental monitoring moderates this relationship. METHODS This study comprised a sample of 555 Latino youth aged 13-19 years from Maryland, United States completing baseline and follow-up surveys. Mixed-effects linear regression was used to examine the relationship between social media and the change in sexual risk over time and whether parental monitoring moderated the relationship. RESULTS Sexual risk behaviors significantly increased between baseline (T1) and follow up (T2) (mean=0.432 vs mean=0.734, P<.001). Youth sending more than 100 text messages per day had significantly higher sexual risk scores (beta=1.008, P<.001) but significantly larger declines in sexual risk scores for higher levels of parental monitoring (beta=-.237, P=.009). CONCLUSIONS Although adolescents exchange SMS at high rates, parental monitoring remains vital to parent-child relationships and can moderate SMS frequency and sexual risk behaviors, despite parental influence diminishing and peer pressure and social influences increasing during adolescence.
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Affiliation(s)
- Megan Landry
- Milken Institute School of Public HealthDepartment of Prevention and Community HealthThe George Washington UniversityWashington, DCUnited States
| | - Monique Turner
- Milken Institute School of Public HealthDepartment of Prevention and Community HealthThe George Washington UniversityWashington, DCUnited States
| | - Amita Vyas
- Milken Institute School of Public HealthDepartment of Prevention and Community HealthThe George Washington UniversityWashington, DCUnited States
| | - Susan Wood
- Milken Institute School of Public HealthDepartment of Health PolicyThe George Washington UniversityWashington, DCUnited States
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Kogan SM, Cho J, Barnum S, Barton A, Hicks MR, Brown GL. Pathways to HIV-Related Behavior Among Heterosexual, Rural Black Men: A Person-Centered Analysis. ARCHIVES OF SEXUAL BEHAVIOR 2017; 46:913-924. [PMID: 26699737 PMCID: PMC6295152 DOI: 10.1007/s10508-015-0661-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Revised: 10/27/2015] [Accepted: 10/29/2015] [Indexed: 05/30/2023]
Abstract
We investigated the psychosocial mechanisms linking personal and contextual risk factors to HIV-related behavior among 498 rural Black men. We characterized HIV-related behavior in terms of profile groups and hypothesized that contextual and personal risk factors (childhood adversity, community disadvantage, incarceration, and racial discrimination) would predict HIV-related behavior indirectly via two psychosocial mechanisms: impulsivity and negative relational schemas. Study results documented three HIV-related behavior profile groups. The Safer group reported low levels of risky behavior. The Risk-Taking group reported inconsistent condom use and elevated substance use. The Multiple Partners group reported the highest numbers of partners and relatively consistent condom use. Risk factors predicted profile groups directly and indirectly through psychosocial mechanisms. Impulsivity mediated the association between community disadvantage and membership in the risk-taking group. Negative relational schemas mediated the associations of childhood experiences and community disadvantage with membership in the multiple partners group. Specificity in pathways suggests the need for targeted interventions based on multidimensional characterizations of risk behavior.
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Affiliation(s)
- Steven M Kogan
- Department of Human Development and Family Science, University of Georgia, 123 Dawson Hall, Athens, GA, 30602, USA.
| | - Junhan Cho
- Department of Human Development and Family Science, University of Georgia, 123 Dawson Hall, Athens, GA, 30602, USA
| | - Stacey Barnum
- Center for Family Research, University of Georgia, Athens, GA, 30602-4527, USA
| | - Allen Barton
- Center for Family Research, University of Georgia, Athens, GA, 30602-4527, USA
| | - Megan R Hicks
- Department of Human Development and Family Science, University of Georgia, 123 Dawson Hall, Athens, GA, 30602, USA
| | - Geoffrey L Brown
- Department of Human Development and Family Science, University of Georgia, 123 Dawson Hall, Athens, GA, 30602, USA
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Metzger IW, Cooper SM, Ritchwood TD, Onyeuku C, Griffin CB. Profiles of African American College Students' Alcohol Use and Sexual Behaviors: Associations With Stress, Racial Discrimination, and Social Support. JOURNAL OF SEX RESEARCH 2017; 54:374-385. [PMID: 27215314 PMCID: PMC5373031 DOI: 10.1080/00224499.2016.1179709] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Though studies show that alcohol use and sexual activity increase during emerging adulthood, few studies examine within-ethnic group differences, particularly among African American college students. This investigation utilized a latent class analytic methodology to identify risk behavior profiles of alcohol use (frequency and amount of alcohol consumed), sexual activity (number of intimate partners), and co-occurring risk behaviors (drinking before sexual intercourse) among 228 African American college students. This investigation also examined whether identified risk behavior profiles were associated with stress (interpersonal, intrapersonal, academic, and environmental), experiences of racial discrimination, and social support (from family, friends, and the college community). Results identified five distinct profiles within this sample: (a) High Sexual Risk-above-average sexual activity; (b) Abstainers-below-average alcohol use and sexual activity; (c) Low Risk-average alcohol use and sexual activity; (d) Alcohol Risk-above-average alcohol use and below-average sexual activity; and (e) Co-Occurring Risk-above-average alcohol use and sexual activity. Identified profiles differed across interpersonal and environmental stress, and self-reported frequency of experiences with racial discrimination. Implications for prevention programs and interventions aimed at reducing alcohol and sexual activity for African American college students are discussed.
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Affiliation(s)
- Isha W. Metzger
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
| | | | - Tiarney D. Ritchwood
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina; and Department of Public Health Sciences, Medical University of South Carolina
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Roberts ME, Bernstein MH, Colby SM. The effects of eliciting implicit versus explicit social support among youths susceptible for late-onset smoking. Addict Behav 2016; 62:60-4. [PMID: 27322670 DOI: 10.1016/j.addbeh.2016.06.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 05/24/2016] [Accepted: 06/10/2016] [Indexed: 10/21/2022]
Abstract
PURPOSE Adolescents susceptible to late-onset smoking (becoming regular smokers at age 18 or later) are an understudied population. Social support is a promising target for intervention, but it is important to distinguish between implicit social support (reminders that one belongs to a network of valued others) and explicit social support (seeking and receiving advice and emotional solace). This study aimed to test the potential protective influence of implicit and explicit social support on reducing the risk of late-onset smoking. METHODS Fifty-eight smoking-susceptible youths (aged 16-18, 45% African American, 55% non-Hispanic White) completed an experimental session that included a video-recording task designed to elicit thoughts about implicit, explicit, or no social support. Youths reported their behavioral willingness and intentions (BW and BI) to smoke immediately following the social support manipulation; a random sample of 39 youths reported again at a 3-week follow-up. RESULTS Following the manipulation, BW and BI for cigarette smoking were significantly higher among youths assigned to the explicit-support condition, compared to those in the implicit-support or control conditions. At follow-up, BW and BI were highest in the explicit-support condition and lowest in the implicit-support condition, but the differences were not significant. CONCLUSIONS Overall, findings indicated that for teens susceptible for late-onset smoking, eliciting thoughts about implicit social support produces lower risk for cigarette initiation than does eliciting thoughts about explicit social support. The present results and the video task that yielded them are important to researchers and practitioners interested in reducing the likelihood of late-onset smoking.
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Sanchez D, Bentley-Edwards KL, Matthews JS, Granillo T. Exploring Divergent Patterns in Racial Identity Profiles Between Caribbean Black American and African American Adolescents: The Links to Perceived Discrimination and Psychological Concerns. JOURNAL OF MULTICULTURAL COUNSELING AND DEVELOPMENT 2016. [DOI: 10.1002/jmcd.12054] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Delida Sanchez
- Department of Educational Psychology; University of Texas at Austin
| | | | - J. S. Matthews
- Department of Educational Foundations; Montclair State University
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Stock ML, Peterson LM, Molloy BK, Lambert SF. Past racial discrimination exacerbates the effects of racial exclusion on negative affect, perceived control, and alcohol-risk cognitions among Black young adults. J Behav Med 2016; 40:377-391. [PMID: 27646550 DOI: 10.1007/s10865-016-9793-z] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 09/01/2016] [Indexed: 01/08/2023]
Abstract
Racial discrimination is associated with alcohol use and risky sex cognitions and behaviors, which are risk factors for negative health outcomes, including human immunodeficiency virus infection. The current study investigated the causal impact of racial discrimination on alcohol and sexual-risk cognitions while exploring potential mediators that might help explain this relation: negative affect, perceived control, and meaningful existence. We also examined if past discrimination impacts the strength of (moderates) these effects. Participants were 287 Black/African American young adults aged 18-25. They were randomly assigned to be excluded or included by White peers via the game Cyberball. Racial exclusion (vs. inclusion) predicted greater: perceived racial discrimination, negative affect, alcohol use willingness, and reduced perceived control and meaningful existence. Furthermore, excluded participants who experienced more past racial discrimination reported the lowest perceived control, and greatest negative affect and alcohol-risk cognitions. The findings suggest that past racial discrimination exacerbates the harmful health effects of immediate experiences of discrimination.
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Affiliation(s)
- Michelle L Stock
- Department of Psychology, The George Washington University, 2125 G St. N.W., Washington, DC, USA.
| | | | - Brianne K Molloy
- Department of Psychology, The George Washington University, 2125 G St. N.W., Washington, DC, USA
| | - Sharon F Lambert
- Department of Psychology, The George Washington University, 2125 G St. N.W., Washington, DC, USA
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Tynes BM, Rose CA, Hiss S, Umaña-Taylor AJ, Mitchell K, Williams D. Virtual Environments, Online Racial Discrimination, and Adjustment among a Diverse, School-Based Sample of Adolescents. INTERNATIONAL JOURNAL OF GAMING AND COMPUTER-MEDIATED SIMULATIONS 2016; 6:1-16. [PMID: 27134698 PMCID: PMC4851344 DOI: 10.4018/ijgcms.2014070101] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Given the recent rise in online hate activity and the increased amount of time adolescents spend with media, more research is needed on their experiences with racial discrimination in virtual environments. This cross-sectional study examines the association between amount of time spent online, traditional and online racial discrimination and adolescent adjustment, including depressive symptoms, anxiety and externalizing behaviors. The study also explores the role that social identities, including race and gender, play in these associations. Online surveys were administered to 627 sixth through twelfth graders in K-8, middle and high schools. Multiple regression results revealed that discrimination online was associated with all three outcome variables. Additionally, a significant interaction between online discrimination by time online was found for externalizing behaviors indicating that increased time online and higher levels of online discrimination are associated with more problem behavior. This study highlights the need for clinicians, educational professionals and researchers to attend to race-related experiences online as well as in traditional environments.
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Affiliation(s)
| | | | - Sophia Hiss
- University of Southern California, Los Angeles, CA, USA
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A Post-Racial Society in Which Ethnic-Racial Discrimination Still Exists and Has Significant Consequences for Youths’ Adjustment. CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE 2016. [DOI: 10.1177/0963721415627858] [Citation(s) in RCA: 98] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Ethnic and racial minority youths in the United States are at risk for experiencing unfair treatment and other forms of marginalization based on their ethnic-racial background. The current article discusses the prevalence of perceived ethnic-racial discrimination among ethnic-racial minority children and adolescents in the United States, provides an overview of the potentially negative consequences of such experiences for youth, and explains how youths’ ethnic-racial identity may protect against the negative effects of ethnic-racial discrimination.
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Boislard MA, van de Bongardt D, Blais M. Sexuality (and Lack Thereof) in Adolescence and Early Adulthood: A Review of the Literature. Behav Sci (Basel) 2016; 6:E8. [PMID: 26999225 PMCID: PMC4810042 DOI: 10.3390/bs6010008] [Citation(s) in RCA: 72] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 02/25/2016] [Accepted: 03/07/2016] [Indexed: 12/15/2022] Open
Abstract
Youth sexuality has been primarily studied with a focus on its potential public health issues, such as sexually transmitted infections and unwanted pregnancies, and its comorbidity with other risky behaviors. More recently, it has been studied as a normative step in romantic partnerships, either pre- or post-marital, as well as outside the context of romantic involvement. In this paper, we review the extensive literature on sexuality in adolescence and early adulthood both within and outside romantic relationships (i.e., casual sexual relationships and experiences; CSREs). Furthermore, the recent recognition of youth sexuality as a developmental task has led to a renewed interest from scholars in youth who abstain from sexual encounters, whether deliberately or not. A brief overview of the literature on cultural differences in sexuality, and sexual-minority youth sexual development is also provided. This paper concludes by suggesting future directions to bring the field of youth sexuality and romantic relationships forward.
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Affiliation(s)
- Marie-Aude Boislard
- Département de Sexologie, Université du Québec à Montréal, Case postale 8888, Succursale Centre-Ville, Montréal, QC H3C 3P8, Canada.
| | - Daphne van de Bongardt
- Research Institute of Child Development and Education (YIELD), University of Amsterdam, P.O. Box 15776, Amsterdam 1001 NG, The Netherlands.
| | - Martin Blais
- Département de Sexologie, Université du Québec à Montréal, Case postale 8888, Succursale Centre-Ville, Montréal, QC H3C 3P8, Canada.
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Wells BE, Rendina HJ, Kelly BC, Golub SA, Parsons JT. Demographic Predictors of Event-Level Associations between Alcohol Consumption and Sexual Behavior. J Urban Health 2016; 93:155-69. [PMID: 26678072 PMCID: PMC4794469 DOI: 10.1007/s11524-015-0015-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Alcohol consumption is associated with sexual behavior and outcomes, though research indicates a variety of moderating factors, including demographic characteristics. To better target interventions aimed at alcohol-related sexual risk behavior, our analyses simultaneously examine demographic predictors of both day- and event-level associations between alcohol consumption and sexual behavior in a sample of young adults (N = 301) who are sexually active and consume alcohol. Young adults (aged 18-29) recruited using time-space sampling and incentivized snowball sampling completed a survey and a timeline follow-back calendar reporting alcohol consumption and sexual behavior in the past 30 days. On a given day, a greater number of drinks consumed was associated with higher likelihood of sex occurring, particularly for women and single participants. During a given sexual event, number of drinks consumed was not associated with condom use, nor did any demographic predictors predict that association. Findings highlight associations between alcohol and sexual behavior, though not between alcohol and sexual risk behavior, highlighting the need for additional research exploring the complex role of alcohol in sexual risk behavior and the need to develop prevention efforts to minimize the role of alcohol in the initiation of sexual encounters.
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Affiliation(s)
- Brooke E Wells
- Center for HIV/AIDS Educational Studies and Training (CHEST), 142 W. 36th St., 9th Fl., New York, NY, 10018, USA
- Center for Human Sexuality Studies, Widener University, One University Place, Chester, PA, 19013, USA
| | - H Jonathon Rendina
- Center for HIV/AIDS Educational Studies and Training (CHEST), 142 W. 36th St., 9th Fl., New York, NY, 10018, USA
| | - Brian C Kelly
- Center for HIV/AIDS Educational Studies and Training (CHEST), 142 W. 36th St., 9th Fl., New York, NY, 10018, USA
- Department of Sociology, Purdue University, 700 W. State St., West Lafayette, IN, 47907, USA
| | - Sarit A Golub
- Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave, New York, NY, 10065, USA
- Doctoral Program in Basic and Applied Social Psychology, The Graduate Center of CUNY, 365 5th Ave, New York, NY, 10034, USA
- Doctoral Program in Health Psychology and Clinical Science, The Graduate Center of CUNY, 365 5th Ave, New York, NY, 10034, USA
| | - Jeffrey T Parsons
- Center for HIV/AIDS Educational Studies and Training (CHEST), 142 W. 36th St., 9th Fl., New York, NY, 10018, USA.
- Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave, New York, NY, 10065, USA.
- Doctoral Program in Health Psychology and Clinical Science, The Graduate Center of CUNY, 365 5th Ave, New York, NY, 10034, USA.
- Doctoral Program in Public Health, The Graduate Center of CUNY, 365 5th Ave, New York, NY, 10034, USA.
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de Baca TC, Wahl RA, Barnett MA, Figueredo AJ, Ellis BJ. Adversity, Adaptive Calibration, and Health: The Case of Disadvantaged Families. ADAPTIVE HUMAN BEHAVIOR AND PHYSIOLOGY 2016; 2:93-115. [PMID: 27175327 DOI: 10.1007/s40750-016-0042-z] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Epidemiologists and medical researchers often employ an allostatic load model that focuses on environmental and lifestyle factors, together with biological vulnerabilities, to explain the deterioration of human physiological systems and chronic degenerative disease. Although this perspective has informed medicine and public health, it is agnostic toward the functional significance of pathophysiology and health deterioration. Drawing on Life History (LH) theory, the current paper reviews the literature on disadvantaged families to serve as a conceptual model of stress-health relationships in which the allocation of reproductive effort is instantiated in the LH strategies of individuals and reflects the bioenergetic and material resource tradeoffs. We propose that researchers interested in health disparities reframe chronic degenerative diseases as outcomes resulting from strategic calibration of physiological systems to best adapt, survive, and reproduce in response to demands of specific developmental contexts. These effects of adversity on later-age degenerative disease are mediated, in part, by socioemotional and cognitive mechanisms expressed in different life history strategies.
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Affiliation(s)
- Tomás Cabeza de Baca
- Health Psychology, Department of Psychiatry, University of California, San Francisco
| | - Richard A Wahl
- Adolescent Medicine, Department of Pediatrics, College of Medicine, University of Arizona
| | - Melissa A Barnett
- Division of Family Studies and Human Development, Norton School of Family and Consumer Sciences, University of Arizona
| | - Aurelio José Figueredo
- Department of Psychology, School of Mind, Brain, and Behavior, College of Science, University of Arizona
| | - Bruce J Ellis
- Division of Family Studies and Human Development, Norton School of Family and Consumer Sciences, University of Arizona
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Perceived Discrimination, Peer Influence and Sexual Behaviors in Mexican American Preadolescents. J Youth Adolesc 2016; 45:928-44. [PMID: 26792264 DOI: 10.1007/s10964-016-0420-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2015] [Accepted: 01/08/2016] [Indexed: 10/22/2022]
Abstract
Both discrimination and sexual health disparities have significant negative health implications for Latina/o preadolescent youth, including negative mental health outcomes, STIs/HIV, unintended pregnancy, and ongoing poverty. Studying these links within this population, therefore, has significant public health relevance, both in terms of promoting sexual health in general as well as serving the specific needs of Latina/o youth. This study explored the relationship between perceived discrimination, peer influence and sexual behaviors among 438 Mexican American preadolescents in the Southwest United States (55.3 % male). Additionally, this study examined whether psychological distress, substance use, and sexual motives mediated and whether gender moderated these relations. A multiple-group path analysis of the analytical model was performed to examine the hypothesized relations between perceived discrimination, peer influence, psychological distress, substance use, sexual motives and sexual behaviors. The findings indicated that perceived discrimination was directly linked to sexual behaviors among participants and indirectly linked via substance use. The findings also indicated that peer influence was indirectly linked to sexual behaviors via substance use among participants and via sexual motives among boys. This study underscores the importance of substance use in the perceived discrimination, peer influence and sexual behavior link in Mexican American preadolescents. Additionally, it highlights the importance of sexual motives in the link between peer influence and sexual behaviors of Mexican American boys.
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40
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Kaplan KC, Hormes JM, Wallace M, Rountree M, Theall KP. Racial Discrimination and HIV-related Risk Behaviors in Southeast Louisiana. Am J Health Behav 2016; 40:132-43. [PMID: 26685822 PMCID: PMC5030196 DOI: 10.5993/ajhb.40.1.15] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
OBJECTIVES We examined the relationship between cumulative experiences of racial discrimination and HIV-related risk taking, and whether these relationships are mediated through alcohol use among African Americans in semi-rural southeast Louisiana. METHODS Participants (N = 214) reported on experiences of discrimination, HIV sexual risk-taking, history of sexually transmitted infection (STI), and health behaviors including alcohol use in the previous 90 days. Experiences of discrimination (scaled both by frequency of occurrence and situational counts) as a predictor of a sexual risk composite score as well as a history of STI was assessed using multivariate linear and logistic regression, respectively, including tests for mediation by alcohol use. RESULTS Discrimination was common in this cohort, with respondents confirming their experience on average 7 of the 9 potential situations and on more than 34 separate occasions. After adjustment, discrimination was significantly associated with increasing sexual risk-taking and lifetime history of STI when measured either by frequency of occurrence or number of situations, although there was no evidence that these relationships were mediated through alcohol use. CONCLUSIONS Cumulative experiences of discrimination may play a significant role in sexual risk behavior and consequently increase vulnerability to HIV and other STIs.
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Affiliation(s)
- Kathryn C Kaplan
- Allan Rosenfield Global Health at the Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Julia M Hormes
- University of Albany, State University of New York, Albany, NY, USA
| | - Maeve Wallace
- Comprehensive Alcohol Research Center, Louisiana State University Health Sciences Center, New Orleans, LA, USA
| | | | - Katherine P Theall
- Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA; Comprehensive Alcohol Research Center, Louisiana State University, Health Sciences Center, USA.
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Mechanisms That Link Parenting Practices to Adolescents’ Risky Sexual Behavior: A Test of Six Competing Theories. J Youth Adolesc 2015; 45:255-70. [DOI: 10.1007/s10964-015-0409-7] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2015] [Accepted: 12/17/2015] [Indexed: 11/25/2022]
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42
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Jardin C, Garey L, Sharp C, Zvolensky MJ. Acculturative Stress and Risky Sexual Behavior: The Roles of Sexual Compulsivity and Negative Affect. Behav Modif 2015; 40:97-119. [PMID: 26584611 DOI: 10.1177/0145445515613331] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Recent syndemic models of sexual health disparities affecting racial/ethnic minorities have highlighted the role of discrimination. Yet no previous work has examined how acculturative stress (distress at the transition from one's original culture toward a new culture) associates with sexual HIV-risk behavior (SHRB). Work among other minority populations suggests sexual compulsivity (SC) may contribute to syndemic sexual health disparities as a means of coping with distress. With this in mind, the present study examined whether SC explained the relation between acculturative stress and SHRB. Separate analyses were conducted for males and females within a sample of 758 sexually initiated racial/ethnic minority college students. Among males and females, acculturative stress had an indirect effect on SHRB via SC. As the first study to examine SHRB in relation to acculturative stress, findings provide preliminary evidence that targeting SC among racial/ethnic minorities may help reduce sexual health disparities.
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Affiliation(s)
| | | | - Carla Sharp
- University of Houston, Houston, TX, USA The Menninger Clinic, Houston, TX, USA
| | - Michael J Zvolensky
- University of Houston, Houston, TX, USA University of Texas MD Anderson Cancer Center, Houston, TX, USA
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43
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Paradies Y, Ben J, Denson N, Elias A, Priest N, Pieterse A, Gupta A, Kelaher M, Gee G. Racism as a Determinant of Health: A Systematic Review and Meta-Analysis. PLoS One 2015; 10:e0138511. [PMID: 26398658 PMCID: PMC4580597 DOI: 10.1371/journal.pone.0138511] [Citation(s) in RCA: 1189] [Impact Index Per Article: 132.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Accepted: 08/30/2015] [Indexed: 12/20/2022] Open
Abstract
Despite a growing body of epidemiological evidence in recent years documenting the health impacts of racism, the cumulative evidence base has yet to be synthesized in a comprehensive meta-analysis focused specifically on racism as a determinant of health. This meta-analysis reviewed the literature focusing on the relationship between reported racism and mental and physical health outcomes. Data from 293 studies reported in 333 articles published between 1983 and 2013, and conducted predominately in the U.S., were analysed using random effects models and mean weighted effect sizes. Racism was associated with poorer mental health (negative mental health: r = -.23, 95% CI [-.24,-.21], k = 227; positive mental health: r = -.13, 95% CI [-.16,-.10], k = 113), including depression, anxiety, psychological stress and various other outcomes. Racism was also associated with poorer general health (r = -.13 (95% CI [-.18,-.09], k = 30), and poorer physical health (r = -.09, 95% CI [-.12,-.06], k = 50). Moderation effects were found for some outcomes with regard to study and exposure characteristics. Effect sizes of racism on mental health were stronger in cross-sectional compared with longitudinal data and in non-representative samples compared with representative samples. Age, sex, birthplace and education level did not moderate the effects of racism on health. Ethnicity significantly moderated the effect of racism on negative mental health and physical health: the association between racism and negative mental health was significantly stronger for Asian American and Latino(a) American participants compared with African American participants, and the association between racism and physical health was significantly stronger for Latino(a) American participants compared with African American participants. Protocol PROSPERO registration number: CRD42013005464.
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Affiliation(s)
- Yin Paradies
- Alfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education, Deakin University, Melbourne, Victoria, Australia
| | - Jehonathan Ben
- Alfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education, Deakin University, Melbourne, Victoria, Australia
| | - Nida Denson
- School of Social Sciences and Psychology, University of Western Sydney, Sydney, New South Wales, Australia
| | - Amanuel Elias
- Alfred Deakin Institute for Citizenship and Globalization, Faculty of Arts and Education, Deakin University, Melbourne, Victoria, Australia
| | - Naomi Priest
- Australian Centre for Applied Social Research Methods, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Alex Pieterse
- Division of Counseling Psychology, University at Albany, State University of New York, New York, New York, United States of America
| | - Arpana Gupta
- Oppenheimer Center for Neurobiology of Stress, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, United States of America
| | - Margaret Kelaher
- Centre for Health Policy Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Gilbert Gee
- Department of Community Health Sciences, University of California, Los Angeles, Fielding School of Public Health, Los Angeles, California, United States of America
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Zucker AN, Fitz CC, Bay-Cheng LY. Reverberations of Racism and Sexism Through the Subjective Sexualities of Undergraduate Women of Color. JOURNAL OF SEX RESEARCH 2015; 53:265-272. [PMID: 26147282 DOI: 10.1080/00224499.2014.1002557] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Young women of color (among others) face both subtle and overt discrimination on a regular basis, but few studies have examined relations between discrimination and sexual outcomes using quantitative tools. We surveyed 154 self-identified undergraduate women of color to examine connections between race- and sex-based discrimination and subjective sexual well-being (i.e., condom use self-efficacy and sexual life satisfaction) and also tested whether sexual autonomy mediated these relations. When examined individually, each form of discrimination was related negatively to condom use self-efficacy and sexual life satisfaction, such that as women reported more discrimination, they reported poorer sexual well-being. However, when examining both racism and sexism as joint predictors, only racism remained significant and there were no racism × sexism interaction effects. In a path model, sexual autonomy mediated the relation between racism and each measure of subjective sexual well-being; racism was negatively related to sexual autonomy, which in turn was positively related to both condom use self-efficacy and sexual life satisfaction. These findings are consistent with the broader literature on the negative impact of discrimination on various aspects of mental and physical health. They also reinforce the position that redressing social inequality is a vital component of promoting individual health.
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Affiliation(s)
- Alyssa N Zucker
- a Department of Psychology and Women's Studies Program , The George Washington University
| | - Caroline C Fitz
- b Department of Psychology , The George Washington University
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45
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Angry rumination moderates the association between perceived ethnic discrimination and risky behaviors. PERSONALITY AND INDIVIDUAL DIFFERENCES 2015. [DOI: 10.1016/j.paid.2015.01.047] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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Kogan SM, Yu T, Allen KA, Pocock AM, Brody GH. Pathways from Racial Discrimination to Multiple Sexual Partners Among Male African American Adolescents. PSYCHOLOGY OF MEN & MASCULINITY 2015; 16:218-228. [PMID: 25937821 PMCID: PMC4414338 DOI: 10.1037/a0037453] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
African American male adolescents' involvement with multiple sexual partners has important implications for public health as well as for their development of ideas regarding masculinity and sexuality. The purpose of this study was to test hypotheses regarding the pathways through which racial discrimination affects African American adolescents' involvement with multiple sexual partners. We hypothesized that racial discrimination would engender psychological distress, which would promote attitudes and peer affiliations conducive to multiple sexual partnerships. The study also examined the protective influence of parenting practices in buffering the influence of contextual stressors. Participants were 221 African American male youth who provided data at ages 16 and 18; their parents provided data on family socioeconomic disadvantages. Of these young men, 18.5% reported having 3 or more sexual partners during the past 3 months. Structural equation models indicated that racial discrimination contributed to sexual activity with multiple partners by inducing psychological distress, which in turn affected attitudes and peer affiliations conducive to multiple partners. The experience of protective parenting, which included racial socialization, closeness and harmony in parent-child relationships, and parental monitoring, buffered the influence of racial discrimination on psychological distress. These findings suggest targets for prevention programming and underscore the importance of efforts to reduce young men's experience with racial discrimination.
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Newsome V, Davis Z, Dinac J. Re-Search: The Missing Pieces in Investigating African-American Relationship Dynamics and Implications for HIV Risk. ACTA ACUST UNITED AC 2015; 1:113-128. [PMID: 26594651 DOI: 10.1353/bsr.2015.0001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Evans SZ, Simons LG, Simons RL. Factors that Influence Trajectories of Delinquency Throughout Adolescence. J Youth Adolesc 2014; 45:156-71. [DOI: 10.1007/s10964-014-0197-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 10/01/2014] [Indexed: 11/30/2022]
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49
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van de Bongardt D, Reitz E, Sandfort T, Deković M. A Meta-Analysis of the Relations Between Three Types of Peer Norms and Adolescent Sexual Behavior. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2014; 19:203-34. [PMID: 25217363 DOI: 10.1177/1088868314544223] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The aim of the present meta-analysis was to investigate the associations between three types of peer norms-descriptive norms (peer sexual behaviors), injunctive norms (peer sexual attitudes), and peer pressure to have sex-and two adolescent sexual behavior outcomes (sexual activity and sexual risk behavior). Adolescent sexual activity was more strongly associated with descriptive norms (ESrfixed=.40) than with injunctive norms (ESrfixed=.22) or peer pressure (ESrfixed=.10). Compared with the sexual activity outcome, the effect size for descriptive norms (peer sexual risk behavior) for sexual risk behavior was smaller (ESrfixed=.11). Age, gender, peer type, and socio-cultural context significantly moderated these associations. Additional analyses of longitudinal studies suggested that selection effects were stronger than socialization effects. These findings offer empirical support for the conceptual distinction between three types of peer norms and hold important implications for theory, research, and intervention strategies.
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Affiliation(s)
| | | | - Theo Sandfort
- Columbia University, New York, NY, USA New York State Psychiatric Institute, New York, NY, USA
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Bowleg L, Fitz CC, Burkholder GJ, Massie JS, Wahome R, Teti M, Malebranche DJ, Tschann JM. Racial discrimination and posttraumatic stress symptoms as pathways to sexual HIV risk behaviors among urban Black heterosexual men. AIDS Care 2014; 26:1050-7. [PMID: 24797317 DOI: 10.1080/09540121.2014.906548] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In light of evidence that racial discrimination and posttraumatic stress symptoms (PTSS) are neither rare nor extraordinary for many Black urban men, we examined the relationship between everyday racial discrimination and sexual HIV risk behaviors in a predominantly low-income sample of 526 urban Black heterosexually identified men; 64% of whom were unemployed and 55% of whom reported a history of incarceration. We tested the hypothesis that PTSS would mediate the relationship between everyday racial discrimination and sexual risk. Participants in the predominantly low-income urban sample ranged in age from 18 to 45 (M = 28.80, SD = 7.57). Three multiple regression models were used to test the study's mediational model. As hypothesized, PTSS mediated the relationship between everyday racial discrimination and sexual risk behaviors. Most participants (97%) reported experiences with everyday racial discrimination. Results empirically support the notion of racial discrimination-based traumatic stress as a pathway to Black heterosexual men's increased sexual risk behaviors. Results also highlighted key demographic differences with older men reporting fewer PTSS and sexual risk behaviors compared with younger men. Incarceration was related to both PTSS and sexual risk, underscoring the role that incarceration may play in Black heterosexual men's adverse health outcomes. Our study highlights the need for more qualitative and quantitative research to understand the nature of PTSS in Black heterosexual men and mechanisms such as substance use that may link traumatic experiences and sexual risk. Future research could also assess experiences with childhood sexual abuse, violence, and incarceration to gain a more in-depth understanding of the sources of traumatic stress in Black heterosexual men's lives. We advocate for the development of community-based individual and structural-level interventions to help Black heterosexual men in urban areas develop effective strategies to cope with racial discrimination-based traumatic stress to reduce sexual HIV risk behaviors in Black communities.
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Affiliation(s)
- Lisa Bowleg
- a Department of Psychology , The George Washington University , Washington , DC , USA
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