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Wills TA, Okamoto SK, Knight R, Pagano I. Parental Support, Parent-Adolescent Conflict, and Substance Use of Native Hawaiian and Other Pacific Islander Youth: Ethnic Differences in Stress-Buffering and Vulnerability Effects. ASIAN AMERICAN JOURNAL OF PSYCHOLOGY 2019; 10:218-226. [PMID: 31788156 PMCID: PMC6884318 DOI: 10.1037/aap0000139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This research study examined the overall and ethnic-specific effects of parental emotional and instrumental support, parent-adolescent interpersonal conflict, and negative life events (i.e., major life stressors, such as parental job loss or school suspension) on the substance use of Caucasian, Asian-American, Filipino, and Native Hawaiian and other Pacific Islander (NHOPI) youth in Hawai'i. Adolescents (N = 3,561) from 10 public middle/intermediate schools completed paper/pencil surveys, and multiple regression and structural equation models were developed to examine overall and ethnic-specific effects. Parental support was found to buffer against the influence of negative life events on substance use in the overall sample; however, this effect was not observed for either Caucasian or NHOPI youth in ethnic-specific analyses. The impact of parent-adolescent conflict and negative life events on substance use was more pronounced for both Filipino and NHOPI youth. While the study may have had some limitations related to regional specificity and measurement, the findings nonetheless point to the differential effects of risk and protective factors for NHOPI youth, compared with other youth ethnic groups in Hawai'i. Implications of these findings for culturally specific, family-focused prevention research and practice for NHOPI youth are discussed.
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Affiliation(s)
- Thomas A Wills
- Professor and Director of the Cancer Prevention in the Pacific Program, University of Hawai'i Cancer Center
| | - Scott K Okamoto
- Professor and Research Faculty, School of Social Work, Hawai'i Pacific University, and an Adjunct Associate Researcher, Cancer Prevention in the Pacific Program, University of Hawai'i Cancer Center
| | - Rebecca Knight
- Community Health Educator, Polk County Public Health, Polk County, OR
| | - Ian Pagano
- Assistant Professor, Cancer Prevention in the Pacific Program, University of Hawai'i Cancer Center
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Kim S, Glassgow AE. The effect of father's absence, parental adverse events, and neighborhood disadvantage on children's aggression and delinquency: A multi-analytic approach. JOURNAL OF HUMAN BEHAVIOR IN THE SOCIAL ENVIRONMENT 2018; 28:570-587. [PMID: 31097910 PMCID: PMC6516459 DOI: 10.1080/10911359.2018.1443866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
We applied multiple statistical approaches to address the co-varying nature of neighborhood, household context, and children's behavioral problems. The focal relationship under investigation was the effect of father presence on child's aggression. We take advantage of hybrid models to examine within-group fixed effects of time varying variables, while paying attention to household stable characteristics.
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Affiliation(s)
- Sage Kim
- School of Public Health, University of Illinois at Chicago,
Chicago, IL, USA
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Kim S, Mazza J, Zwanziger J, Henry D. School and Behavioral Outcomes Among Inner City Children: Five-Year Follow-Up. URBAN EDUCATION 2014; 49:835-856. [PMID: 26388655 PMCID: PMC4570570 DOI: 10.1177/0042085913501895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Educational achievement is a key determinant of future life chances, but children growing up in poverty tend to do worse by many academic measures. Family, school, and neighborhood contextual characteristics may affect academic outcomes. In an attempt to explore neighborhood and individual level factors, we performed multilevel analyses to explain child's behavioral problems, repeat grade, average math and reading scores. Outcome measures were associated with specific neighborhood characteristics, above and beyond the effect of student/family level factors. The findings warrant further consideration of ecological interventions aiming to improve academic and behavioral outcomes of children living in poverty.
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Affiliation(s)
- Seijeoung Kim
- University of Illinois at Chicago, School of Public Health, Division of Health Policy and Administration
| | - Jessica Mazza
- University of Illinois at Chicago, School of Public Health, Division of Health Policy and Administration
| | - Jack Zwanziger
- University of Illinois at Chicago, School of Public Health, Division of Health Policy and Administration
| | - David Henry
- University of Illinois at Chicago, School of Public Health, Division of Health Policy and Administration
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Allen ML, Garcia-Huidobro D, Hurtado GA, Allen R, Davey CS, Forster JL, Hurtado M, Lopez-Petrovich K, Marczak M, Reynoso U, Trebs L, Svetaz MV. Immigrant family skills-building to prevent tobacco use in Latino youth: study protocol for a community-based participatory randomized controlled trial. Trials 2012; 13:242. [PMID: 23253201 PMCID: PMC3543344 DOI: 10.1186/1745-6215-13-242] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Accepted: 11/28/2012] [Indexed: 01/12/2023] Open
Abstract
Background Despite declines over recent years, youth tobacco and other substance use rates remain high. Latino youth are at equal or increased risk for lifetime tobacco, alcohol, marijuana, and other illicit drug use compared with their white peers. Family plays an important and influential role in the lives of youth, and longitudinal research suggests that improving parenting skills may reduce youth substance use. However, few interventions are oriented towards immigrant Latino families, and none have been developed and evaluated using a community-based participatory research (CBPR) process that may increase the effectiveness and sustainability of such projects. Therefore, using CBPR principles, we developed a randomized clinical trial to assess the efficacy of a family-skills training intervention to prevent tobacco and other substance use intentions in Latino youth. Methods/Design In collaboration with seven Latino community-serving agencies, we will recruit and randomize 336 immigrant families, into intervention or delayed treatment conditions. The primary outcome is youth intention to smoke 6 months post intervention. The intervention consists of eight parent and four youth sessions targeting parenting skills and parent–youth relational factors associated with lower smoking and other substance use in youth. Discussion We present the study protocol for a family intervention using a CBPR randomized clinical trial to prevent smoking among Latino youth. The results of this trial will contribute to the limited information on effective and sustainable primary prevention programs for tobacco and other substance use directed at the growing US Latino communities. Trial registration ClinicalTrials.gov: NCT01442753
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Affiliation(s)
- Michele L Allen
- Department of Family Medicine and Community Health, School of Medicine, University of Minnesota, 717 Delaware Street S,E,, Suite 166, Minneapolis, MN, 55414, USA.
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Okamoto SK, Helm S, Giroux D, Kaliades A, Kawano KN, Kulis S. A typology and analysis of drug resistance strategies of rural Native Hawaiian youth. J Prim Prev 2011; 31:311-9. [PMID: 20640939 DOI: 10.1007/s10935-010-0222-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This study examines the drug resistance strategies described by Native Hawaiian youth residing in rural communities. Sixty-four youth from 7 middle and intermediate schools on the Island of Hawai'i participated in a series of gender-specific focus groups. Youth responded to 15 drug-related problem situations developed and validated from prior research. A total of 509 responses reflecting primary or secondary drug resistance strategies were identified by the youth, which were qualitatively collapsed into 16 different categories. Primary drug resistance strategies were those that participants listed as a single response, or the first part of a two-part response, while secondary drug resistance strategies were those that were used in tandem with primary drug resistance strategies. Over half of the responses reflecting primary drug resistance strategies fell into three different categories ("refuse," "explain," or "angry refusal"), whereas over half of the responses reflecting secondary drug resistance strategies represented one category ("explain"). Significant gender differences were found in the frequency of using different strategies as well as variations in the frequency of using different strategies based on the type of drug offerer (family versus friends/peers). Implications for prevention practice are discussed.
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Affiliation(s)
- Scott K Okamoto
- School of Social Work, Hawai'i Pacific University, 1188 Fort St. Mall, Honolulu, HI 96813, USA.
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Wegner EL, Garcia-Santiago O, Nishimura ST, Hishinuma ES. Educational performance and attitudes toward school as risk-protective factors for violence: A study of the Asian/Pacific Islander Youth Violence Prevention Center. PSYCHOLOGY IN THE SCHOOLS 2010. [DOI: 10.1002/pits.20504] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Okamoto SK, Helm S, Po'a-Kekuawela K, Chin CIH, Nebre LRH. Community risk and resiliency factors related to drug use of rural Native Hawaiian youth: an exploratory study. J Ethn Subst Abuse 2009; 8:163-77. [PMID: 19459123 DOI: 10.1080/15332640902897081] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This exploratory, qualitative study examined the community-based risk and resiliency factors related to the drug use of rural Native Hawaiian youth. Forty-seven youth from five middle schools participated in focus groups that examined the ecological context of drug use for rural Hawaiian youth. Findings indicated that youth in the study were part of large extended networks of families and that these networks became a defining characteristic of the rural communities in the study. These familial networks functioned as sources of risk and protection related to drug use for youth participants. Implications for community-based practice are discussed.
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Prevalence and correlates of conduct disorder and problem behavior in Caribbean and Filipino immigrant adolescents. Eur Child Adolesc Psychiatry 2008; 17:264-73. [PMID: 18431540 DOI: 10.1007/s00787-007-0640-1] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/29/2007] [Indexed: 10/22/2022]
Abstract
This study investigates the prevalence and subtypes of conduct disorder (CD) and behavioral problems among youth in two communities characterized by prolonged parent-child separation upon immigration. CD and problem behaviors were assessed in 252 Caribbean-Canadian and Filipino-Canadian adolescents (12-19-year-old) using the DISC-C, the YSR and the CBCL cross-informant construct. Adolescents reported less problem behaviors than their host country peers, despite immigrant background or parent-child separation. The high adolescent-onset CD rate supports the hypothesis that psychosocial stressors play a role in the emergence of the disorder. Specifically, high levels of perceived racism and low collective self-esteem predicted problem behaviors in these youngsters.
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Okamoto SK, Lecroy CW, Tann SS, Rayle AD, Kulis S, Dustman P, Berceli D. The implications of ecologically based assessment for primary prevention with indigenous youth populations. J Prim Prev 2006; 27:155-70. [PMID: 16534658 PMCID: PMC3043385 DOI: 10.1007/s10935-005-0016-6] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This paper describes a five-stage approach toward conducting an ecologically based assessment with Indigenous youth populations, and the implications of this approach for the development and implementation of culturally grounded prevention interventions. A description of a pilot study funded by the National Institutes of Health/National Institute on Drug Abuse (NIH/NIDA) focused on drug use and American Indian youth is presented as one model for operationalizing ecologically based assessment with Indigenous youth populations, and issues related to translating the pilot study into a prevention intervention are discussed. This paper suggests that ecologically based assessment can serve as a foundation for culturally grounded prevention interventions, promoting the social and ecological validity of those interventions.
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Affiliation(s)
- Scott K Okamoto
- Hawaii Pacific University, 1166 Fort St. Mall, Suite 302, Honolulu, HI, 96813, USA.
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Hishinuma ES, Else 'IRN, Chang JY, Goebert DA, Nishimura ST, Choi-Misailidis S, Andrade NN. Substance use as a robust correlate of school outcome measures for ethnically diverse adolescents of Asian/Pacific Islander ancestry. SCHOOL PSYCHOLOGY QUARTERLY 2006. [DOI: 10.1521/scpq.2006.21.3.286] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Williams JKY, Else 'IRN, Hishinuma ES, Goebert DA, Chang JY, Andrade NN, Nishimura ST. A Confirmatory Model for Depression Among Japanese American and Part-Japanese American Adolescents. ACTA ACUST UNITED AC 2005; 11:41-56. [PMID: 15727494 DOI: 10.1037/1099-9809.11.1.41] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
A confirmatory model integrating Japanese ethnicity, cultural identity, and depression was developed (N = 140). The model incorporated the Center for Epidemiologic Studies-Depression Scale (CES-D), Major Life Events Scale, and Japanese Cultural Scale. Japanese American adolescents scored higher on the Japanese Cultural Scale and reported fewer depressive symptoms on the CES-D total and on 2 of the 3 CES-D factors than part-Japanese American adolescents. Predictors for depression were being Japanese American vs. part-Japanese American, female gender, and culturally intensified events. A significant interaction of behavior by self-identification was noted. The model had good overall fit and suggested that the formation of cultural identity may contribute to depressive symptoms experienced by adolescents, particularly adolescents of mixed heritage.
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Affiliation(s)
- John Kino Yamaguchi Williams
- John A. Burns School of Medicine, Department of Psychiatry, University of Hawai'i at Manoa, Manoa, HI 96813, USA
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