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Reynolds A, Greenfield EA, Nepomnyaschy L. Disparate benefits of higher childhood socioeconomic status on cognition in young adulthood by intersectional social positions. ADVANCES IN LIFE COURSE RESEARCH 2024; 60:100608. [PMID: 38552532 PMCID: PMC11129928 DOI: 10.1016/j.alcr.2024.100608] [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: 07/12/2023] [Revised: 01/16/2024] [Accepted: 01/16/2024] [Indexed: 04/12/2024]
Abstract
OBJECTIVES Emerging evidence supports the protective effects of higher childhood socioeconomic status (cSES) on cognition over the life course. However, less understood is if higher cSES confers benefits equally across intersecting social positions. Guided by a situational intersectionality perspective and the theory of Minority Diminished Returns (MDR), this study examined the extent to which associations between cSES and cognition in young adulthood are jointly moderated by racialized identity and region of childhood residence. METHODS Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), we used multilevel modeling to test associations between cSES and delayed recall and working memory 14 years later when participants were ages 25-34. Further, we examined the influence of racialized identity and region of childhood residence on these associations. RESULTS Higher cSES was associated with higher delayed recall and working memory scores across social positions. However, the strength of the association between higher cSES and working memory differed across racialized subgroups and region of childhood residence. We found a statistically significant three-way interaction between cSES, race and region of childhood residence. Of particular important, a small yet statistically robust association was found in all groups, but was especially strong among White Southerners and especially weak among Black participants from the South. CONCLUSIONS This study contributes to a growing body of research indicating that the protective effects of higher cSES on cognition are not universal across subgroups of intersecting social positions, consistent with the theory of MDR. These findings provide evidence for the importance of considering the role of systemic racism across geographic contexts as part of initiatives to promote equity in life course cognitive aging and brain health.
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Affiliation(s)
- Addam Reynolds
- Andrus Gerontology Center, 3715 McClintock Ave, Los Angeles, CA 90089, USA; Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
| | - Emily A Greenfield
- School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
| | - Lenna Nepomnyaschy
- School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA
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LAM‐HINE TRACY, FORTHAL SARAH, JOHNSON CANDICEY, CHIN HELENB. Asking MultiCrit Questions: A Reflexive and Critical Framework to Promote Health Data Equity for the Multiracial Population. Milbank Q 2024; 102:398-428. [PMID: 38424372 PMCID: PMC11176410 DOI: 10.1111/1468-0009.12696] [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: 09/29/2023] [Revised: 01/05/2024] [Accepted: 02/07/2024] [Indexed: 03/02/2024] Open
Abstract
Policy Points Health equity work primarily centers monoracial populations; however, the rapid growth of the Multiracial population and increasingly clear health disparities affecting the people in that population complicate our understanding of racial health equity. Limited resources exist for health researchers and professionals grappling with this complexity, likely contributing to the relative dearth of health literature describing the Multiracial population. We introduce a question-based framework built on core principles from Critical Multiracial Theory (MultiCrit) and Critical Race Public Health Praxis, designed for researchers, clinicians, and policymakers to encourage health data equity for the Multiracial population.
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Affiliation(s)
- TRACY LAM‐HINE
- School of MedicineStanford University
- Center for Population Health SciencesSchool of Medicine, Stanford University
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Parker M, Self‐Brown SR, Rahimi A, Fang X. Longitudinal Analysis of the Relationship Between Social Isolation and Hypertension in Early Middle Adulthood. J Am Heart Assoc 2024; 13:e030403. [PMID: 38619293 PMCID: PMC11179928 DOI: 10.1161/jaha.123.030403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 03/01/2024] [Indexed: 04/16/2024]
Abstract
BACKGROUND Most studies have used cross-sectional or limited follow-up data to evaluate the relationship between social isolation (SI) and hypertension in older populations. The objective of this analysis was to examine the relationship between longitudinal SI and hypertension in a younger population. METHODS AND RESULTS The present analysis used data from waves I to V of the National Longitudinal Study of Adolescent to Adult Health (1994-2018) and logistic regression models to describe the association of timing, duration, and transitional patterns of SI with hypertension in early middle adulthood. Models were adjusted for demographic variables and adolescent socioeconomic and health-related confounders. SI was higher across life stages among individuals with hypertension (adolescence: 38% versus 35%, young adulthood: 52% versus 44%, and early middle adulthood: 61% versus 52%). Individuals who were socially isolated in young adulthood or early middle adulthood had greater odds of hypertension in early middle adulthood than those who were not (odds ratio [OR], 1.30 [95% CI, 1.07-1.56]; OR, 1.42 [95% CI, 1.15-1.76], respectively). Early middle adulthood hypertension was significantly associated with persistent SI across all life stages and for those who moved into persistent SI after adolescence (OR, 1.40 [95% CI, 1.02-1.93]; OR, 1.61 [95% CI, 1.18-2.19], respectively). CONCLUSIONS SI in young or early middle adulthood significantly increased the odds of hypertension, as did moving into SI and the accumulation of SI across life stages. Our analysis provides insights regarding timing for effective interventions to reduce hypertension earlier in the life course, which may prevent future adverse cardiovascular-related events.
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Affiliation(s)
- Marie Parker
- School of Public HealthGeorgia State UniversityAtlantaGA
| | | | | | - Xiangming Fang
- School of Public HealthGeorgia State UniversityAtlantaGA
- College of Economics and ManagementChina Agricultural UniversityBeijingChina
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Lebenbaum M, de Oliveira C, Gagnon F, Laporte A. Child health and its effect on adult social capital accumulation. HEALTH ECONOMICS 2024; 33:844-869. [PMID: 38236659 DOI: 10.1002/hec.4792] [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: 02/01/2023] [Revised: 11/15/2023] [Accepted: 11/28/2023] [Indexed: 04/04/2024]
Abstract
Although studies have demonstrated important effects of poor health in childhood on stocks of human and health capital, little research has tested economic theories to investigate the effect of child health on social capital in adulthood. Studies on the influence of child health on adult social capital are mixed and have not used sibling fixed effects models to account for unmeasured family and genetic characteristics, that are likely to be important. Using the Add-Health sample, health in childhood was assessed as self-rated health, the occurrence of a physical health condition or mental health condition, while social capital in adulthood was measured as volunteering, religious service attendance, team sports participation, number of friends, social isolation, and social support. We used sibling fixed effects models, which attenuated several associations to non-significance. In sibling fixed effects models there was significant positive effects of greater self-rated health on participation in team sports and social support, and negative effect of mental health in childhood on social isolation in adulthood. These results suggest that children with poor health require additional supports to build and maintain their stock of social capital and highlight further potential benefits to efforts that address poor child health.
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Affiliation(s)
- Michael Lebenbaum
- Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada
- Canadian Centre for Health Economics, Toronto, Ontario, Canada
- Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Claire de Oliveira
- Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada
- Canadian Centre for Health Economics, Toronto, Ontario, Canada
- Centre for Health Economics and the Hull York Medical School, University of York, York, UK
- Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - France Gagnon
- The Dalla Lana School of Public Health (DLSPH), University of Toronto, Toronto, Ontario, Canada
| | - Audrey Laporte
- Institute of Health Policy, Management and Evaluation (IHPME), University of Toronto, Toronto, Ontario, Canada
- Canadian Centre for Health Economics, Toronto, Ontario, Canada
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Hai AH, Lopez-Quintero C, Elton A, Curran L, Bo A. The independent and joint effect of socioeconomic status and Multiracial status on the prevalence and frequency of substance use and depression among U.S. adolescents. Addict Behav 2024; 151:107953. [PMID: 38232635 DOI: 10.1016/j.addbeh.2024.107953] [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: 08/05/2023] [Revised: 11/29/2023] [Accepted: 01/02/2024] [Indexed: 01/19/2024]
Abstract
AIM While the United States is becoming increasingly Multiracial, much is still unknown about the behavioral health of these growing new generations of Multiracial Americans. To narrow this research gap, this study investigated the prevalence/frequency of substance use and major depressive episodes [MDE] among non-Hispanic Multiracial [NHM] adolescents compared to their non-Hispanic White [NHW] counterparts and whether racial differences vary by socioeconomic status. METHODS We analyzed data from the 2015-2019 National Survey on Drug Use and Health (N = 3,645 NHM and 34,776 NHW adolescents aged 12-17). Average Marginal Effects derived from logistic regression and negative binomial regression were used to examine (1) differences in six outcomes (past-month use of alcohol, cannabis, or drugs other than cannabis [DOTC], past-year MDE, and the frequency of alcohol and cannabis use among past-month users) by Multiracial status; (2) the moderation effect of family income on these associations. RESULTS Compared to high-income NHW adolescents, high-income NHM adolescents reported significantly higher prevalence of past-month cannabis and DOTC use, and past-year MDE. No racial differences were observed at other income levels. Furthermore, moderation analyses indicated that the effect of Multiracial status on MDE was larger in the highest income group compared to the lowest income group. CONCLUSION Our findings suggested that NHM adolescents, particularly those from high income families, exhibit increased prevalence of drug use and depression than NHW adolescents. As the US becomes more diverse, there is a need to further examine the social and structural factors driving the identified racial differences.
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Affiliation(s)
- Audrey Hang Hai
- School of Social Work, Tulane University, 127 Elk Place, New Orleans, LA 70112, USA.
| | - Catalina Lopez-Quintero
- Department of Epidemiology, University of Florida, 2004 Mowry Road, Gainesville, FL 32610, USA
| | - Amanda Elton
- Department of Psychiatry, University of Florida, 1149 Newell Dr., Gainesville, FL 32610, USA
| | - Laura Curran
- School of Social Work, Tulane University, 127 Elk Place, New Orleans, LA 70112, USA
| | - Ai Bo
- Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA
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Wang XT(X, Miller G. Biracial Faces Offer Visual Cues of Successful Intergroup Contact: Genetic Admixture and Coalition Detection. EVOLUTIONARY PSYCHOLOGY 2024; 22:14747049241238623. [PMID: 38477637 PMCID: PMC10938625 DOI: 10.1177/14747049241238623] [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: 03/26/2024] [Revised: 02/24/2024] [Accepted: 02/26/2024] [Indexed: 03/14/2024] Open
Abstract
This research explores how biracial facial cues affect racial perception and social judgment. We tested a coalition-signaling hypothesis of biracial cues in two studies conducted in the United States (n = 227) and China (n = 116). From the perspective of intergroup and interpersonal relations theories in social psychology, biracial features would likely be perceived as cues of threat or resource competition. In contrast, we propose an evolutionary hypothesis that biracial facial cues reveal the ancestral history of intergroup alliances between members of two races or ethnic groups. When racial cues are mixed, we predict that biracial individuals may be viewed more positively than other-race or even own-race members who often compete for limited ingroup resources. The participants observed facial images that ranged from 100% Asian to 100% Caucasian, including morphed biracial composites of 30%, 40%, 50%, 60%, and 70% Caucasian or Asian. The participants evaluated each image regarding perceived Caucasianness (Asianness), attractiveness, trustworthiness, health, intelligence, and career prospects. The US and Chinese samples yielded a similar pattern of own-race bias in racial perception and biracial favoritism in social judgment. The social judgment ratings were not correlated with the racial perception scores and were independent of the sex of the participants or biracial images, indicating a coalitional motive, instead of a mating motive, underlying social perception of biracial individuals. Overall, the results suggest that biracial facial features signal a successful genetic admixture and coalition in parental generations and thus increase the trustworthiness and cooperative potential of a biracial person.
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Affiliation(s)
- XT (XiaoTian) Wang
- Applied Psychology Division, School of Humanities and Social Science, The Chinese University of Hong Kong (Shenzhen), Shenzhen, China
| | - Geoffrey Miller
- Psychology Department, University of New Mexico, Albuquerque, NM, USA
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Dobani F, Zaso M, Desalu JM, Park A. Alcohol use in multiracial American youth compared with monoracial youth: A meta-analysis. Addiction 2024; 119:47-59. [PMID: 37563711 PMCID: PMC10840797 DOI: 10.1111/add.16310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 06/26/2023] [Indexed: 08/12/2023]
Abstract
BACKGROUND AND AIMS Although multiracial people comprise the fastest growing population in the United States, multiracial youth are nearly invisible in alcohol research. This meta-analysis synthesized the youth alcohol literature to estimate the magnitude of difference in alcohol use as a function of multiracial status. DESIGN AND MEASUREMENTS Empirical studies reporting multiracial and monoracial comparisons in youth (aged 10-24 years) alcohol use were identified through a systematic literature search. A random-effects meta-analysis was conducted using 85 effect sizes extracted from 16 studies assessing life-time, past-year, past-month and binge alcohol use. SETTING AND PARTICIPANTS A total of n=1 555 635 youth were assessed in the United States. FINDINGS Multiracial youth are suggested to be more likely to endorse life-time alcohol use than Asian youth [number of studies (k) = 3; odds ratio (OR) = 1.81, 95% confidence interval (CI) = 1.01, 3.24; p = 0.04], with significant between-study heterogeneity (Q = 8.42; p < 0.001; I2 = 76%) in effect size comparisons. Multiracial youth are suggested to be more likely to endorse past-month alcohol use than Black (k = 6; OR = 1.54, 95% CI = 1.38, 1.71; p < 0.001) and Asian (k = 4; OR = 2.09, 95% CI = 1.52, 2.88; p < 0.001) youth, but less likely than White (k = 6; OR = 0.87, 95% CI = 0.84, 0.91; p < 0.001) youth, with significant between-study heterogeneity for Black youth (Q = 11.94; p = 0.03; I2 = 58%) in effect size comparisons. Lastly, multiracial youth are suggested to be more likely to endorse binge alcohol use than Black (k = 4; OR = 1.98, 95% CI = 1.62, 2.44; p < 0.001) and Asian (k = 4; OR = 2.82, 95% CI = 2.28, 3.48; p < 0.001) youth, but less likely than White (k = 5; OR = 0.75, 95% CI = 0.70, 0.81; p < 0.001) and American Indian/Alaska Native (k = 3; OR = 0.78, 95% CI = 0.71, 0.85; p < 0.001) youth, with significant between-study heterogeneity among Black (Q = 23.99; p < 0.001; I2 = 87%) and Asian (Q = 17.76; p < 0.001; I2 = 83%) youth in effect size comparisons. CONCLUSIONS In the United States, multiracial youth report distinct alcohol use patterns compared with monoracial youth and may be at elevated alcohol use risk compared with Black and Asian youth.
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Affiliation(s)
- Fatima Dobani
- Syracuse University Department of Psychology, 430 Huntington Hall, Syracuse, NY 13244
| | - Michelle Zaso
- Clinical and Research Institute on Addictions, University at Buffalo, 1021 Main Street, Buffalo, NY 14203
| | - Jessica M. Desalu
- University Counseling Service, Howard University, 6 & Bryant Streets NW, Washington, DC 20059
| | - Aesoon Park
- Syracuse University Department of Psychology, 430 Huntington Hall, Syracuse, NY 13244
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Clark Goings T, Martinez A, Joseph PL, Goode R, Bauer D. Parenting, Peers, and Alcohol Use Initiation Among Black, White, and Black-White Adolescents: Evidence Using Discrete-Time Survival Analysis. J Psychoactive Drugs 2023:1-8. [PMID: 38143324 PMCID: PMC11194302 DOI: 10.1080/02791072.2023.2297193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2023] [Accepted: 11/21/2023] [Indexed: 12/26/2023]
Abstract
Alcohol use among Biracial adolescents remains understudied. This study examined how parenting and peer factors relate to age of alcohol use onset among Black, White, and Biracial Black-White adolescents and emerging adults. We used Add Health data to produce a final analytic sample of 13,528 adolescents who self-identified as White, Black, or Biracial Black-White. Discrete-time survival analysis implemented within logistic regression indicated Black adolescents showed the lowest probability of alcohol use onset by age 18, followed by Biracial adolescents, and White adolescents. The probability of alcohol use onset increased for Monoracial Black and White adolescents at ages 16, 18, and 21. Descriptively our model suggest that Biracial adolescents exhibit a sharp decline in their probability of alcohol use onset at age 16 and a sharp increase at age 21. However, this trend did not differ significantly from the other racial groups. Consistent with social control and learning theories, low parental acceptance, high parental control, and peer substance use were associated with alcohol use onset. Alcohol use onset trajectories differed for Monoracial and Biracial adolescents with Biracial individuals reporting greater alcohol onset in adulthood. Prevention efforts should continue to target parental acceptance, parental control, and peer substance use.
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Affiliation(s)
- Trenette Clark Goings
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Alejandro Martinez
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Patrece L Joseph
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Rachel Goode
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Daniel Bauer
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Lam-Hine T, Riddell CA, Bradshaw PT, Omi M, Allen AM. Racial differences in associations between adverse childhood experiences and physical, mental, and behavioral health. SSM Popul Health 2023; 24:101524. [PMID: 37860706 PMCID: PMC10583167 DOI: 10.1016/j.ssmph.2023.101524] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 08/30/2023] [Accepted: 09/26/2023] [Indexed: 10/21/2023] Open
Abstract
Purpose Adverse childhood experiences (ACEs) are associated with poor adulthood health. Multiracial people have elevated mean ACEs scores and risk of several outcomes. We aimed to determine whether this group should be targeted for prevention efforts. Methods We analyzed three waves (1994-2009) of the National Longitudinal Study of Adolescent to Adult Health (n = 12,372) in 2023, estimating associations between four or more ACEs and physical (metabolic syndrome, hypertension, asthma), mental (anxiety, depression), and behavioral (suicidal ideation, drug use) outcomes. We estimated adjusted risk ratios for each outcome in modified Poisson models interacting race and ACEs. We used the interaction contrast to estimate race-specific excess cases per 1000 relative to Multiracial participants. Results Excess case estimates of asthma were smaller for White (-123 cases, 95% CI: -251, -4), Black (-141, 95% CI: -285, -6), and Asian (-169, 95% CI: -334, -7) participants compared to Multiracial participants. Black (-100, 95% CI: -189, -10), Asian (-163, 95% CI: -247, -79) and Indigenous (-144, 95% CI: -252, -42) participants had fewer excess cases of and weaker relative scale association with anxiety compared to Multiracial participants. Conclusions Adjusted associations with asthma and anxiety appear stronger for Multiracial people. Existing ACEs prevention strategies should be tailored to support Multiracial youth and families.
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Affiliation(s)
- Tracy Lam-Hine
- Stanford University School of Medicine, Division of Epidemiology & Population Health, 1701 Page Mill Road, Palo Alto, CA, USA
| | - Corinne A. Riddell
- University of California Berkeley School of Public Health, Division of Biostatistics, 2121 Berkeley Way West, Berkeley, CA, USA
- University of California Berkeley School of Public Health, Division of Epidemiology, 2121 Berkeley Way West, Berkeley, CA, USA
| | - Patrick T. Bradshaw
- University of California Berkeley School of Public Health, Division of Epidemiology, 2121 Berkeley Way West, Berkeley, CA, USA
| | - Michael Omi
- University of California Berkeley Department of Ethnic Studies, 506 Social Science Building, Berkeley, CA, USA
| | - Amani M. Allen
- University of California Berkeley School of Public Health, Division of Epidemiology, 2121 Berkeley Way West, Berkeley, CA, USA
- University of California Berkeley School of Public Health, Division of Community Health Sciences, 2121 Berkeley Way West, Berkeley, CA, USA
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Huang CY, Hunt E, Stormshak EA. Differential impact of the school context on ethnic and racial identity and depression for monoracial and multiracial early adolescents. Front Psychiatry 2023; 14:1080085. [PMID: 38045617 PMCID: PMC10690807 DOI: 10.3389/fpsyt.2023.1080085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 11/01/2023] [Indexed: 12/05/2023] Open
Abstract
Introduction This study examined the direct and indirect effects of school context (negative peer relationships, school environment) on ethnic and racial identity (ERI) development in middle school and later depression symptoms in high school. Differences by racial group were examined for non-Hispanic White (NHW) early adolescents, monoracial adolescents, and multiracial adolescents. Methods This study used existing data from a large, multiwave, longitudinal study that included 593 racial/ethnically diverse adolescents from sixth grade through ninth grade across three public middle schools in the Pacific Northwest. Results Using multigroup path analysis in structural equation modeling, the findings indicated differences by racial group-school environment was associated with positive ERI development in middle school for NHW and monoracial adolescents but not for multiracial adolescents. For multiracial adolescents, ERI predicted later depression symptoms. Discussion These findings demonstrated the importance of examining school context and peer relationships in relation to ERI development and psychological wellbeing.
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Affiliation(s)
- Cindy Y. Huang
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY, United States
| | - Emily Hunt
- Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY, United States
| | - Elizabeth A. Stormshak
- Counseling Psychology and Human Services, College of Education, University of Oregon, Eugene, OR, United States
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Kim Y, Lee H, Lee H, Lee M, Kim S, Konlan KD. Social determinants of health of racial and ethnic minority adolescents: An integrative literature review. Heliyon 2023; 9:e20738. [PMID: 37916096 PMCID: PMC10616148 DOI: 10.1016/j.heliyon.2023.e20738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 10/03/2023] [Accepted: 10/05/2023] [Indexed: 11/03/2023] Open
Abstract
Integration of adolescents with diverse cultural backgrounds into the country of residence is associated with some form of rejection and discrimination, predisposing them to undesirable health outcomes. In this regard, the aim of this study was to identify the social determinants of the health of racial and ethnic minority adolescents. In this integrative literature review, PubMed, EMBASE, Cochrane Library, and CINAHL databases were searched from 2016 to 2021 and studies were selected according to the PRISMA 2020 guidelines. Health status was limited to health outcomes according to the definition proposed by the World Health Organization and Healthy People 2020. The social determinants of health were classified according to the research framework of the National Institute on Minority Health and Health Disparities. Six types of health status were identified: self-rated health, obesity and overweight, global self-worth, emotional well-being, anthropometric measurement, and psychosocial adjustment. The social determinants of health were at the individual and interpersonal level, and the domains included the biological (gender, illness experience), psychological (acculturative stress), and sociocultural environment (e.g., socioeconomic status, parents' educational level, household death due to violence). Therefore, future research must prioritize their sociocultural environments to reduce the negative impact of discrimination and sociocultural and structural differences on racial and ethnic minority adolescents.
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Affiliation(s)
- Youlim Kim
- College of Nursing, Kosin University, Busan, South Korea
| | - Hyeonkyeong Lee
- College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea
| | - Hyeyeon Lee
- College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea
| | - Mikyung Lee
- Department of Nursing, Seojeong University, Yangju, South Korea
| | - Sookyung Kim
- School of Nursing, Soonchunhyang University, Cheonan, South Korea
| | - Kennedy Diema Konlan
- Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Volta Region, Ghana
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Erickson S, Bokota R, Doroshenko C, Lewandowski K, Osei K, Flannery K, Dominguez A. Completeness of Race and Ethnicity Reporting in Person-Level COVID-19 Surveillance Data, 50 States, April 2020-December 2021. Public Health Rep 2023; 138:61S-70S. [PMID: 36971246 PMCID: PMC10051003 DOI: 10.1177/00333549231154577] [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] [Indexed: 03/29/2023] Open
Abstract
OBJECTIVES Black, Indigenous, and People of Color have borne a disproportionate incidence of COVID-19 cases in the United States. However, few studies have documented the completeness of race and ethnicity reporting in national COVID-19 surveillance data. The objective of this study was to describe the completeness of race and ethnicity ascertainment in person-level data received by the Centers for Disease Control and Prevention (CDC) through national COVID-19 case surveillance. METHODS We compared COVID-19 cases with "complete" (ie, per Office of Management and Budget 1997 revised criteria) data on race and ethnicity from CDC person-level surveillance data with CDC-reported aggregate counts of COVID-19 from April 5, 2020, through December 1, 2021, in aggregate and by state. RESULTS National person-level COVID-19 case surveillance data received by CDC during the study period included 18 881 379 COVID-19 cases with complete ascertainment of race and ethnicity, representing 39.4% of all cases reported to CDC in aggregate (N = 47 898 497). Five states (Georgia, Hawaii, Nebraska, New Jersey, and West Virginia) did not report any COVID-19 person-level cases with multiple racial identities to CDC. CONCLUSION Our findings highlight a high degree of missing data on race and ethnicity in national COVID-19 case surveillance, enhancing our understanding of current challenges in using these data to understand the impact of COVID-19 on Black, Indigenous, and People of Color. Streamlining surveillance processes to decrease reporting incidence and align reporting requirements with an Office of Management and Budget-compliant collection of data on race and ethnicity would improve the completeness of data on race and ethnicity for national COVID-19 case surveillance.
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Affiliation(s)
| | | | | | | | - Kojo Osei
- Seattle Indian Health Board, Seattle, WA, USA
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13
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Lam-Hine T, Bradshaw PT, Allen AM, Omi M, Riddell CA. A hypothetical intervention to reduce inequities in anxiety for Multiracial people: simulating an intervention on childhood adversity. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2023:2023.06.04.23290940. [PMID: 37333321 PMCID: PMC10274983 DOI: 10.1101/2023.06.04.23290940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
Multiracial people report higher mean Adverse Childhood Experiences (ACEs) scores and prevalence of anxiety than other racial groups. Studies using statistical interactions to estimate racial differences in ACEs-anxiety associations do not show stronger associations for Multiracial people. Using data from Waves 1 (1995-97) through 4 (2008-09) of the National Longitudinal Study of Adolescent to Adult Health (Add Health), we simulated a stochastic intervention over 1,000 resampled datasets to estimate the race-specific cases averted per 1,000 of anxiety if all racial groups had the same exposure distribution of ACEs as Whites. Simulated cases averted were greatest for the Multiracial group, (median = -4.17 cases per 1,000, 95% CI: -7.42, -1.86). The model also predicted smaller risk reductions for Black participants (-0.76, 95% CI: -1.53, -0.19). CIs around estimates for other racial groups included the null. An intervention to reduce racial disparities in exposure to ACEs could help reduce the inequitable burden of anxiety on the Multiracial population. Stochastic methods support consequentialist approaches to racial health equity, and can encourage greater dialogue between public health researchers, policymakers, and practitioners.
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Affiliation(s)
- Tracy Lam-Hine
- Stanford University School of Medicine, Division of Epidemiology & Population Health, Palo Alto CA
| | - Patrick T Bradshaw
- University of California Berkeley School of Public Health, Division of Epidemiology, Berkeley, CA
| | - Amani M Allen
- University of California Berkeley School of Public Health, Division of Community Health Sciences and Division of Epidemiology, Berkeley, CA
| | - Michael Omi
- University of California Berkeley Department of Ethnic Studies, Berkeley, CA
| | - Corinne A Riddell
- University of California Berkeley School of Public Health, Division of Biostatistics and Division of Epidemiology, Berkeley, CA
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Lam-Hine T, Riddell CA, Bradshaw PT, Omi M, Allen AM. Racial Differences in Associations Between Adverse Childhood Experiences and Physical, Mental, and Behavioral Health. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2023:2023.06.02.23290905. [PMID: 37333236 PMCID: PMC10274984 DOI: 10.1101/2023.06.02.23290905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
Introduction Adverse childhood experiences (ACEs) are associated with poor adulthood health, with individuals experiencing multiple ACEs at greatest risk. Multiracial people have high mean ACEs scores and elevated risk of several outcomes, but are infrequently the focus of health equity research. This study aimed to determine whether this group should be targeted for prevention efforts. Methods We analyzed Waves 1 (1994-95), 3 (2001-02), and 4 (2008-09) of the National Longitudinal Study of Adolescent to Adult Health (n = 12,372) in 2023, estimating associations between four or more ACEs and physical (metabolic syndrome, hypertension, asthma), mental (anxiety, depression), and behavioral (suicidal ideation, drug use) outcomes. We estimated risk ratios for each outcome in modified Poisson models with a race × ACEs interaction, adjusted for hypothesized confounders of the ACE-outcome relationships. We used the interaction contrast to estimate excess cases per 1,000 individuals for each group relative to Multiracial participants. Results Excess case estimates of asthma were significantly smaller for White (-123 cases, 95% CI: -251, -4), Black (-141, 95% CI: -285, -6), and Asian (-169, 95% CI: -334, -7) participants compared to Multiracial participants. Black (-100, 95% CI: -189, -10), Asian (-163, 95% CI: -247, -79) and Indigenous (-144, 95% CI: -252, -42) participants had significantly fewer excess cases of and weaker (p < 0.001) relative scale association with anxiety compared to Multiracial participants. Conclusions Adjusted associations between ACEs and asthma or anxiety appear stronger for Multiracial people than other groups. ACEs are universally harmful but may contribute disproportionately to morbidity in this population.
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Affiliation(s)
- Tracy Lam-Hine
- Stanford University School of Medicine, Division of Epidemiology & Population Health, Palo Alto, CA
| | - Corinne A Riddell
- University of California Berkeley School of Public Health, Division of Biostatistics and Division of Epidemiology, Berkeley, CA
| | - Patrick T Bradshaw
- University of California Berkeley School of Public Health, Division of Epidemiology, Berkeley, CA
| | - Michael Omi
- University of California Berkeley Department of Ethnic Studies, Berkeley, CA
| | - Amani M Allen
- University of California Berkeley School of Public Health, Division of Community Health Sciences and Division of Epidemiology, Berkeley, CA
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15
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Fenton MP, Forthun LF, Lynne SD. Pathways to Adulthood in Rural America: A Latent Profile and Latent Transition Analysis of Adult Social Roles. J Youth Adolesc 2023; 52:1170-1190. [PMID: 36881275 PMCID: PMC10866393 DOI: 10.1007/s10964-023-01755-0] [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: 11/15/2022] [Accepted: 02/17/2023] [Indexed: 03/08/2023]
Abstract
The transition to adulthood is characterized by the assumption of adult social roles, which are well documented in the literature; however, rural young adults remain understudied, especially using nationally representative samples. Therefore, this study analyzed a rural subsample of young adults from Add Health (N = 2562, 63.8% white, 34.2% Black, 50% female) using latent profile and latent transition analyses. Latent profiles at the average ages of 21-22 and 28-29 were identified highlighting transitions in education, work, and family formation. Two profiles previously unidentified in the literature emerged, high school graduates living with parents and prolonged transitioners, characterized by living with parents and limited transitions in romantic relationships and parenthood. Rural young people most likely to be in these profiles were male, Black, and from disadvantaged backgrounds. High school graduates living with parents and prolonged transitioners also had high probabilities of living in a rural area late in the transition to adulthood. Female and Black rural young adults had the highest probabilities of transitioning from the high school graduates living with parents profile to the prolonged transitioners profile. These empirically established role transitions and pathways to adulthood in rural communities can help inform investments, policies, and future research to support rural young adults following varying pathways during the transition to adulthood.
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Affiliation(s)
| | - Larry F Forthun
- Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL, USA
| | - Sarah D Lynne
- Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL, USA
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Zhang X, Lee DB. School Prejudice and Substance Use from Adolescence to Emerging Adulthood in the United States: Variation across Race and Ethnicity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4171. [PMID: 36901184 PMCID: PMC10001683 DOI: 10.3390/ijerph20054171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 02/21/2023] [Accepted: 02/22/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Racial and ethnic disparities in health outcomes have been consistently documented in the health literature. Until recently, many studies have evidenced associations between prejudice and health behaviors using cross-sectional data. However, studies assessing the link between school prejudice and health behaviors from adolescence to adulthood are limited. METHODS To address this gap, we use data from Waves I, II, and III of the National Longitudinal Study of Adolescent to Adult Health (1994-2002) to examine how perceptions of school prejudice over time influence cigarette smoking, alcohol use, and marijuana use from adolescence to emerging adulthood. We also examine variation across race and ethnicity. RESULTS Results indicate that school prejudice in adolescence (Wave I) is associated with higher cigarette use, alcohol use, and marijuana use in later adolescence (Wave II). White and Asian adolescents who perceived school prejudice were more likely to use alcohol, while Hispanic adolescents were more likely to use marijuana. CONCLUSIONS Efforts to reduce school prejudice among adolescents may have implications in reducing substance use.
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Affiliation(s)
- Xing Zhang
- College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA
| | - Daniel B. Lee
- Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, MI 48109, USA
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17
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Figgou L, Bozatzis N, Kadianaki I. 'Guilty as charged': Intersectionality and accountability in lay talk on discrimination and violence. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2023. [PMID: 36696093 DOI: 10.1111/bjso.12627] [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: 03/04/2022] [Revised: 11/28/2022] [Accepted: 01/13/2023] [Indexed: 01/26/2023]
Abstract
Although intersectionality is gaining ground in social psychological research, most approaches fail to capture the historically and interactionally contingent nature of intersecting identities and the implications of their mobilization. This study, aiming at addressing this lacuna, focuses on the intersection of identities as lay actors' resource, used to account for the murder of Zak Kostopoulos, a young LGBTQI+ activist in Greece. Data are derived from 4 focus group discussions in which 25 young people, aged between 19 and 25 years old, participated. Using concepts provided by discursive/rhetorical psychology, analysis indicated that the rhetorical occasioning of intersecting identities is oriented to social accountability concerns and accomplishes important positioning work for the speakers. Specifically, by underscoring the intersecting (sexual/class) identities of the victim, speakers accentuated the moral charge against the perpetrators, distancing themselves from the (constructed as prototypically Greek) image of the un-enlightened and servile bigot. However, although participants explained ZK's murder through recourse to his intersecting identities, they grounded claims for justice on a common human identity (independent of class and sexuality). Findings are discussed in relation to the need to advance a critical agenda for social psychology research on intersectionality and to processes of ideological reproduction in the context of LGBTQΙ+ politics.
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Affiliation(s)
- Lia Figgou
- School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece
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18
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Grilo SA, Santelli JS, Nathanson C, Catallozzi M, Abraido-Lanza AF, Adelman S, Hernández D. Psychosocial outcomes and peer influences among multiracial adolescents in the United States. Front Public Health 2023; 11:852268. [PMID: 36923049 PMCID: PMC10008866 DOI: 10.3389/fpubh.2023.852268] [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: 01/11/2022] [Accepted: 01/30/2023] [Indexed: 03/01/2023] Open
Abstract
Objective To examine racial and ethnic self-identification among adolescents and explore psychosocial outcomes and peer treatment for multiracial adolescents in the United States. Methods Data are from the 2014 Child Development Supplement, a subsample of the Panel Study of Income Dynamics. Data were weighted to be nationally representative. Descriptive statistics were used to describe the population and to explore family and parent demographics. Multivariable regressions tested for differences in psychosocial outcomes and peer treatment and group behaviors for multiracial youth in comparison to their single race peers. Results Black multiracial youth had significantly lower scores on the children's depression index compared to single race Black youth, and White multiracial youth reported significantly higher rates of peer mistreatment in comparison to White single race youth. Black multiracial and White multiracial adolescents reported similar positive and negative peer group behaviors. Conclusions Complex patterns emerge when examining the psychosocial and peer treatment variables presented in this analysis for multiracial adolescents and their single-race peers. The findings regarding depressive symptoms and peer bullying point to signs of different relationships between multiracial groups. White multiracial adolescents report worse outcomes than their White single-race peers, but Black multiracial adolescents reporting better outcomes than their Black single-race peers.
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Affiliation(s)
- Stephanie A Grilo
- Mailman School of Public Health, Heilbrunn Department of Population and Family Health, Columbia University, New York City, NY, United States
| | - John S Santelli
- Mailman School of Public Health, Heilbrunn Department of Population and Family Health, Columbia University, New York City, NY, United States
| | - Constance Nathanson
- Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University, New York City, NY, United States
| | - Marina Catallozzi
- Mailman School of Public Health, Heilbrunn Department of Population and Family Health, Columbia University, New York City, NY, United States.,Department of Pediatrics, Columbia University Medical Center, New York City, NY, United States
| | - Ana F Abraido-Lanza
- School of Social Work, Columbia University, New York City, NY, United States
| | - Sarah Adelman
- Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University, New York City, NY, United States
| | - Diana Hernández
- Mailman School of Public Health, Department of Sociomedical Sciences, Columbia University, New York City, NY, United States
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The Mental Health of Young Return Migrants with Ancestral Roots in Their Destination Country: A Cross-Sectional Study Focusing on the Ethnic Identities of Japanese-Brazilian High School Students Living in Japan. J Pers Med 2022; 12:jpm12111858. [PMID: 36579606 PMCID: PMC9694424 DOI: 10.3390/jpm12111858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 10/25/2022] [Accepted: 11/04/2022] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The number of young Japanese Brazilians, who are return migrants with Japanese ancestral roots, is increasing rapidly in Japan. However, the characteristics of their mental health and the relation between mental health and a complex ethnic identity remains unclear. METHODS This cross-sectional study compared 25 Japanese-Brazilian high school students with 62 Japanese high school students living in the same area. Research using self-report questionnaires on mental health, help-seeking behavior tendencies, and ethnic identity was conducted. The Japanese-Brazilian group was also divided into high and low ethnic identity groups, and their mental health conditions were compared. RESULTS The Japanese-Brazilian group had significantly poorer mental health conditions and lower ethnic identities than the Japanese group and were less likely to seek help from family members and close relatives. Among the Japanese Brazilians, those with low ethnic identity had significantly poorer mental health than those with high ethnic identity. CONCLUSIONS Young Japanese Brazilians may face conflicts of ethnic identity that can disturb their mental health. To build an inclusive society, the establishment of community services to support mental health and to help return migrants develop their ethnic identity is essential.
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20
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Franchino-Olsen H, Silverstein HA, Kahn NF, Martin SL. Physical Disabilities and Low Cognitive Ability Increase Odds of Minor Sex Exchange among Adolescent Males in the United States. JOURNAL OF CHILD SEXUAL ABUSE 2022; 31:967-986. [PMID: 36380509 PMCID: PMC10731614 DOI: 10.1080/10538712.2022.2146560] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 09/02/2022] [Accepted: 10/26/2022] [Indexed: 06/16/2023]
Abstract
Disability is a well-established risk factor for sexual violence victimization among both male and female children. Some research indicates that adolescent females with disabilities are at higher risk of experiencing minor sex exchange (a form of minor sex trafficking victimization) compared to females without disabilities, but there is a dearth of similar research among adolescent males. This study investigates whether physical disability and low cognitive ability are related to sex exchange among minor adolescent males. This cross-sectional analysis using data from a nationally representative cohort study, The National Longitudinal Study of Adolescent to Adult Health (Add Health), included 4,401 male participants who were age 18 or younger at Wave II. Unadjusted and adjusted logistic regression models estimated the odds of adolescent experiences of sex exchange by physical disability and cognitive ability. Both severe physical disability and low cognitive ability in adolescent males were significantly associated with increased odds of exchanging sex, results similar to those found in studies of adolescent females. Because of these associations for both males and females, disability should be taken into account when designing and implementing prevention and intervention programs related to sex trafficking. These results underscore the importance of addressing system-wide gaps contributing to the relationship between disability and the involvement of minors in commercial sex exchange.
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Affiliation(s)
| | - Hannah A Silverstein
- Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Nicole F Kahn
- Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Sandra L Martin
- Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
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21
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Menken MS, Isaiah A, Liang H, Rivera PR, Cloak CC, Reeves G, Lever NA, Chang L. Peer victimization (bullying) on mental health, behavioral problems, cognition, and academic performance in preadolescent children in the ABCD Study. Front Psychol 2022; 13:925727. [PMID: 36225678 PMCID: PMC9549775 DOI: 10.3389/fpsyg.2022.925727] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 08/26/2022] [Indexed: 02/01/2023] Open
Abstract
Objective Peer victimization is a substantial early life stressor linked to psychiatric symptoms and poor academic performance. However, the sex-specific cognitive or behavioral outcomes of bullying have not been well-described in preadolescent children. Methods Using the baseline dataset of the Adolescent Brain Cognitive Development (ABCD) Study 2.0.1 data repository (N = 11,875), we evaluated associations between parent-reported bullying victimization, suicidality (suicidal ideation, intent, and/or behavior), and non-suicidal self-injury (NSSI), as well as internalizing and externalizing behavioral problems, cognition, and academic performance. Results Of the 11,015 9-10-year-old children included in the analyses (5,263 girls), 15.3% experienced bullying victimization, as reported by the primary caregiver. Of these, boys were more likely to be bullied than girls (odds ratio [OR], 1.2 [95% CI, 1.1-1.3]; p = 0.004). Children who were bullied were more likely to display NSSI or passive suicidality (OR, 2.4 [95% CI, 2.0-2.9]; p < 0.001) and active suicidality (OR, 3.4 [95% CI, 2.7-4.2]; p < 0.001). Bullied children also had lower cognitive scores, greater behavioral problems, and poorer grades (p < 0.001). Across all participants, boys had poorer grades and greater behavioral problems than girls; however, bullied boys had greater behavioral problems than girls in several areas (p < 0.001). Compared to their non-bullied peers, bullied children with greater non-suicidal self-injury or suicidality also had greater behavioral problems and poorer grades (p < 0.001). Conclusion These findings highlight the sex-specific effects of bullying, and the negative associations of bullying victimization with cognitive performance, behavioral problems, and academic performance. Future longitudinal studies will identify the natural history and neural correlates of these deficits during adolescence.
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Affiliation(s)
- Miriam S. Menken
- Chang Laboratory, Department of Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Amal Isaiah
- Department of Otorhinolaryngology—Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, MD, United States,Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Huajun Liang
- Chang Laboratory, Department of Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Pedro Rodriguez Rivera
- Chang Laboratory, Department of Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Christine C. Cloak
- Chang Laboratory, Department of Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Gloria Reeves
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Nancy A. Lever
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, United States
| | - Linda Chang
- Chang Laboratory, Department of Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States,Department of Neurology, University of Maryland School of Medicine, Baltimore, MD, United States,Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States,*Correspondence: Linda Chang,
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22
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Franchino-Olsen H, Martin SL, Halpern CT, Preisser JS, Zimmer C, Shanahan M. Adolescent Experiences of Violence Victimizations Among Minors Who Exchange Sex/Experience Minor Sex Trafficking. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP16277-NP16301. [PMID: 34192962 PMCID: PMC9465536 DOI: 10.1177/08862605211021967] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This work investigates the associations between experiences of domestic minor sex trafficking and adolescent interpersonal violence victimizations, including intimate partner violence (IPV) and community violence. Abuse and violence in childhood are commonly proposed as risk factors for domestic minor sex trafficking. However, less is known about how interpersonal violence victimizations in adolescence connect to domestic minor sex trafficking experiences. The poly-victimization framework provides a means to understand domestic minor sex trafficking as a type of violence amid a web of additional interconnected violence victimizations. Efforts to better understand the interpersonal violence experienced by survivors of domestic minor sex trafficking are valuable in contextualizing trafficking experiences for adolescents. Data from The National Longitudinal Study of Adolescent to Adult Health, a population-based sample of adolescents in the United States (n = 12,605) were used to examine experiences of domestic minor sex trafficking for minor respondents, as measured through questions about exchanging sex for money or drugs. A multivariable logistic regression model was used to estimate the associations between domestic minor sex trafficking and IPV or community violence, while controlling for demographic variables and adolescent risk behaviors. Minors who experience community violence had significantly greater odds of having exchanged sex (aOR: 1.86; 95% CI: 1.32 -2.64). However, IPV was not significantly associated with minors' experiences of sex exchange (aOR: 1.14; 95% CI: 0.85 -1.54). Alcohol or drug use (aOR: 1.87; 95% CI: 1.32 -2.65) and having run away (aOR: 2.04; 95% CI: 1.53 -2.72) were also significantly associated with minor sex exchange. As experiences of domestic minor sex trafficking were significantly associated with community violence victimizations, prevention and intervention efforts targeting youth at high risk for or survivors of domestic minor sex trafficking should consider how community violence victimizations impact these adolescent populations, and programming/messaging should be adjusted to account for these additional violence victimizations.
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Franchino-Olsen H, Martin SL. The Associations Between Gang Membership and Domestic Minor Sex Trafficking: Findings From a Nationally Representative Study. VIOLENCE AND VICTIMS 2022; 37:479-496. [PMID: 35577530 PMCID: PMC10765547 DOI: 10.1891/vv-2021-0070] [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] [Indexed: 06/15/2023]
Abstract
Adolescent gang membership has been proposed as a risk factor that creates individual-level vulnerability for domestic minor sex trafficking (DMST) and/or a context in which DMST may occur. This study investigates the gang membership-DMST association using data from The National Longitudinal Study of Adolescent to Adult Health, a nationally representative sample of adolescents in the United States (n = 12,605). Bivariate results found gang-involved minors had 4.39 greater odds of experiencing DMST compared to non-gang-involved peers. Multivariable results found gang membership, violence victimization, delinquency, and certain demographic characteristics to be significantly associated with DMST. These findings emphasize the need to consider the context in an adolescent's life beyond DMST when designing policies and programs, and highlight the need for additional research into the gang membership-DMST association.
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Affiliation(s)
- Hannabeth Franchino-Olsen
- The University of Edinburgh, School of Social and Political Science Ringgold standard institution-Social Work, Chrystal Macmillan Building 15a George Square, Edinburgh EH8 9LD, United Kingdom of Great Britain and Northern Ireland
| | - Sandra L Martin
- University of North Carolina at Chapel Hill Gillings, School of Global Public Health Ringgold standard institution-Maternal and Child Health Chapel Hill, North Carolina, United States
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Echevarria E, Lorch SA. Family Educational Attainment and Racial Disparities in Low Birth Weight. Pediatrics 2022; 150:188346. [PMID: 35757969 DOI: 10.1542/peds.2021-052369] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/20/2022] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES To evaluate the effect of grandmother and mother educational attainment on low birth weight (LBW) in children and grandchildren. METHODS The National Longitudinal Study of Adolescent to Adult Health is a multigenerational study that collected survey data from 1994 to 2018. Using this database, we constructed a cohort of 2867 non-Hispanic Black (NHB) and non-Hispanic White (NHW) grandmother-mother-grandchild triads to evaluate how education affects the likelihood of having LBW children and grandchildren, while adjusting for socioeconomic and maternal health factors using multivariable logistic regression. RESULTS Similar to previous studies, NHB women were more likely to have LBW descendants compared with NHW women in unadjusted and adjusted analyses. The prevalence of LBW descendants was lower in women with college education, regardless of race. Irrespective of race, mother and grandmother college education was associated with decreased odds of LBW children and grandchildren after adjusting for individual variables. When mother and grandmother education were examined together, and after adjusting for all individual, community, and health variables together, mother college education remained associated with lower odds of LBW (adjusted odds ratio, 0.58; 95% confidence interval, 0.44-0.77). There were no statistically significant differences in these effects between NHW and NHB populations. CONCLUSIONS Educational attainment in mothers is associated with decreased odds of LBW descendants after adjusting for multiple individual, community, and health covariates, regardless of race. Targeting improvements in education may ameliorate adverse pregnancy outcomes that disproportionately affect minority communities and cause significant lifelong consequences.
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Affiliation(s)
- Emily Echevarria
- Department of Pediatrics, New York-Presbyterian Hospital - Weill Cornell Medicine, New York, New York
| | - Scott A Lorch
- Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.,Perelman School of Medicine.,Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania
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Fan Q, DuPont-Reyes MJ, Hossain MM, Chen LS, Lueck J, Ma P. Racial and ethnic differences in major depressive episode, severe role impairment, and mental health service utilization in U.S. adolescents. J Affect Disord 2022; 306:190-199. [PMID: 35301042 DOI: 10.1016/j.jad.2022.03.015] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 03/08/2022] [Accepted: 03/10/2022] [Indexed: 12/15/2022]
Abstract
BACKGROUND/OBJECTIVES This study aimed to examine racial and ethnic variations in national trends, past-year prevalence, determinants of major depressive episode (MDE), MDE-related role impairment and mental health (MH) services utilization in U.S. adolescents. METHODS Data was extracted from the National Survey on Drug Use and Health (NSDUH) from 2010 to 2018. A total of 137,671 nationally representative adolescents aged 12-17 were included in the study. Weighted temporal trends in the past-year prevalence of MDE, and MDE with severe role impairment were estimated both overall and by race and ethnicity. Weighted multivariate logistic regressions were conducted to assess racial/ethnic differences in determinants of MDE, MDE-related severe role impairment, and MH services utilization after adjusting for sociodemographic characteristics, family structure, substance use, activity participation, and problem-solving group engagement. RESULTS The prevalence of MDE and MDE with severe role impairment among U.S. adolescents has steadily increased, while MDE-related health services utilization remained low from 2010 to 2018. Racial and ethnic minority adolescents were more likely to experience an MDE, but less likely to use MH services compared to their White counterparts. Participating in school, family, community, or faith-based activities was significantly associated with lower MDE incidence. Problem-solving group engagement was associated with MH services utilization (all p-values < 0.05). CONCLUSION High prevalence of depression and low MH service utilization among U.S. adolescents remains a public health issue. Moreover, racial/ethnic disparities persist in MH and service utilization outcomes. Future research must investigate the burden and predictors of mental illness, and the factors influencing MH services utilization in diverse adolescent populations.
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Affiliation(s)
- Qiping Fan
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, TX, USA
| | - Melissa J DuPont-Reyes
- Department of Epidemiology and Biostatistics, School of Public Health, Texas A&M University, TX, USA
| | - Md Mahbub Hossain
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, TX, USA
| | - Lei-Shih Chen
- Department of Health and Kinesiology, College of Human Development, Texas A&M University, TX, USA
| | - Jennifer Lueck
- Department of Communication, College of Liberal Arts, Texas A&M University, TX, USA
| | - Ping Ma
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, TX, USA.
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Koning SM, Polos JA, Kershaw KN, McDade TW. Racial Inequities in Birth Weight by Maternal Age Among College-Educated Mothers: The Role of Early Disadvantage. Am J Prev Med 2022; 62:735-744. [PMID: 35183408 PMCID: PMC9035061 DOI: 10.1016/j.amepre.2021.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 12/03/2021] [Accepted: 12/08/2021] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Non-Hispanic Black infants experience disproportionately high risks of low birth weight compared with non-Hispanic White infants, particularly among mothers with high educational attainment and greater socioeconomic advantage. This study investigates how maternal early-life disadvantage contributes to ongoing racial birth weight inequities among U.S. college‒educated mothers, specifically declining birth weights with age among non-Hispanic Black mothers. METHODS Study analyses used cohort data from the National Longitudinal Study of Adolescent to Adult Health. Racial inequities in birth weight by maternal age and early-life disadvantage were assessed using completed reproductive histories among college-educated mothers at ages 33-44 years collected in 2016‒2018 and regression-based marginal standardization techniques. Early-life disadvantage was measured using a study-based composite measure of early-life concentrated poverty and social disadvantage in homes, neighborhoods, and schools, collected in previous waves. Primary analyses were completed in 2020‒2021. RESULTS Among non-Hispanic Black mothers who experienced high early-life disadvantage, a 1-year increase in maternal age at delivery was associated with lower birth weight by 26.07 g (95% CI= -48.74, -3.40). Similar declines were not found among non-Hispanic Black mothers with low early-life disadvantage. Non-Hispanic White mothers experienced increased birth weight with maternal age, 6.85 g (95% CI= -1.12, 14.82) per year, which did not significantly vary by early-life disadvantage. CONCLUSIONS Early-life disadvantage modifies whether and how college-educated mothers experience birth weight decline with older age. The effects of early-life contexts and embedded racial inequities on maternal health inequities and differential weathering warrant further public health attention.
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Affiliation(s)
- Stephanie M Koning
- Institute for Policy Research, Northwestern University, Evanston, Illinois; Department of Anthropology, Weinberg College of Arts & Sciences, Northwestern University, Evanston, Illinois.
| | - Jessica A Polos
- Institute for Policy Research, Northwestern University, Evanston, Illinois
| | - Kiarri N Kershaw
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
| | - Thomas W McDade
- Institute for Policy Research, Northwestern University, Evanston, Illinois; Department of Anthropology, Weinberg College of Arts & Sciences, Northwestern University, Evanston, Illinois
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Amiri S, Pham CD, Castonguay S, Denney JT, Buchwald DS. Deaths associated with opioids, race and ethnicity, and years of potential life lost in Washington State. J Subst Abuse Treat 2022; 139:108789. [DOI: 10.1016/j.jsat.2022.108789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 03/09/2022] [Accepted: 04/25/2022] [Indexed: 11/29/2022]
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Yao ES, Bullen P, Meissel K, Tiatia J, Fleming T, Clark TC. Effects of Ethnic Classification on Substantive Findings in Adolescent Mental Health Outcomes. J Youth Adolesc 2022; 51:1581-1596. [PMID: 35438431 PMCID: PMC9232462 DOI: 10.1007/s10964-022-01612-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Accepted: 04/01/2022] [Indexed: 11/30/2022]
Abstract
Although most adolescents are healthy, epidemiological studies show that a significant number experience mental health challenges, and that Indigenous and ethnic minority youth tend to have poorer mental health outcomes. However, ethnic classification in adolescence is complex due to increasing multi-ethnic identification, and little is known about how different classification methods affect research conclusions. This study used a nationally representative adolescent sample from Aotearoa New Zealand (N = 8275; ages 12–18; 55% female; 32% multi-ethnic) to investigate the effects that five ethnic classification methods have on substantive findings in three mental health outcomes: overall psychosocial difficulties, deliberate self-harm, and suicide attempts. The results showed that, depending on the classification method used, reported outcomes within the same nominal ethnic group varied by an effect size (d) of up to 0.12, and the reported magnitude of difference between nominal ethnic groups varied by an effect size (d) of up to 0.25. These effects are substantial given that they are solely due to a change in method. The impact that ethnic classification method has on substantive findings highlights the importance of criticality and transparency in research involving ethnicity data.
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Affiliation(s)
- Esther S Yao
- Faculty of Education and Social Work, The University of Auckland, Auckland, New Zealand.
| | - Pat Bullen
- Faculty of Education and Social Work, The University of Auckland, Auckland, New Zealand
| | - Kane Meissel
- Faculty of Education and Social Work, The University of Auckland, Auckland, New Zealand
| | - Jemaima Tiatia
- School of Māori Studies and Pacific Studies, The University of Auckland, Auckland, New Zealand
| | - Theresa Fleming
- School of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Terryann C Clark
- School of Nursing, The University of Auckland, Auckland, New Zealand
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Duong MT, Gaias LM, Brown E, Kiche S, Nguyen L, Corbin CM, Chandler CJ, Buntain-Ricklefs JJ, Cook CR. A Cluster Randomized Pilot Trial of the Equity-Explicit Establish-Maintain-Restore Program among High School Teachers and Students. SCHOOL MENTAL HEALTH 2022; 14:951-966. [PMID: 35464191 PMCID: PMC9012058 DOI: 10.1007/s12310-022-09516-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2022] [Indexed: 10/28/2022]
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Hong JS, Yan Y, Espelage DL, Tabb KM, Caravita SCS, Voisin DR. Peer Victimization and Adverse Psychosocial Wellbeing of Black/White Biracial Adolescents: Is Ease of Talking With Family a Protective Buffer? SCHOOL PSYCHOLOGY REVIEW 2022. [DOI: 10.1080/2372966x.2022.2034474] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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31
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Doctors’ Perceptions of Multiracial Adolescents. SOCIAL SCIENCES 2022. [DOI: 10.3390/socsci11040146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Perceptions of race influence the way health care is delivered to minority populations, particularly multiracial people. Currently only 11% of American physicians are Black or Latinx, making the chances slim that Black and Latinx patients will be treated by a co-ethnic. White supremacy is well documented in the medical literature—along with efforts to combat it—yet medical education and health care are still largely based on studies by and about white people. This privileging of whiteness is increasingly evident as the COVID-19 pandemic has shone a renewed spotlight on disparities in health and care in the U.S. The current study considers how doctors perceive race and use it to make healthcare decisions. Among the (N = 509) doctors in this sample, few said they considered the patient’s race. Of those who did, many determined race by some method other than asking the patient directly. The most common methods were observing skin tone and observing cultural cues. Doctors perceived nearly half the multiracial targets as monoracial. Targets who followed the norm of hypodescent were significantly more likely to be identified congruently by doctors. Targets who identified at the extremes of the color spectrum (black and white) were easier to identify, while the beige tones in the middle of the spectrum were more challenging. Patient ancestry was the most relevant criterion in explaining the congruence of racial identification between patients and doctors, while characteristics of the doctors were nearly irrelevant.
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Carlson DL, Bellair PE, McNulty TL. Duration-Weighted Exposure to Neighborhood Disadvantage and Racial-Ethnic Differences in Adolescent Sexual Behavior. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2022; 63:71-89. [PMID: 34605702 DOI: 10.1177/00221465211046361] [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] [Indexed: 06/13/2023]
Abstract
Racial-ethnic disparities in adolescent sexual risk behavior are associated with health disparities during adulthood and are therefore important to understand. Some scholars argue that neighborhood disadvantage induces disparities, yet prior research is mixed. We extend neighborhood-effects research by addressing long-term exposure to neighborhood disadvantage and estimation bias resulting from inclusion of time-varying covariates. Drawing from the Fragile Families and Child Well-Being Study, we compare a point-in-time proximal measure of neighborhood disadvantage with a duration-weighted measure using marginal structural models with inverse probability of treatment weights. Findings indicate that multiracial, non-Hispanic black, and Hispanic youth exhibit significantly higher sexual risk and duration-weighted exposure to neighborhood disadvantage than non-Hispanic white adolescents. Duration-weighted exposure is a better predictor of sexual initiation and number of partners by age 15 than a point-in-time proximal measure of neighborhood disadvantage and accounts for a substantial portion of the race-ethnic differences in sexual risk.
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Standley CJ. Expanding our paradigms: Intersectional and socioecological approaches to suicide prevention. DEATH STUDIES 2022; 46:224-232. [PMID: 32048555 DOI: 10.1080/07481187.2020.1725934] [Citation(s) in RCA: 29] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
Despite increasing research on suicide, we continue to see rising rates, particularly among youth. In answering recent calls for critical suicidology and transdisciplinary approaches to research, I discuss expanding beyond the paradigmatic confines of suicidology by proposing two related approaches to improve our science: intersectionality theory and socioecological theory. Following a discussion of social identity and its relation to suicide risk, I review the literature on these topics and highlight importance of paying attention to the unique experiences of youth through the study of intersectionality and using socioecological models in our research moving forward.
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Affiliation(s)
- Corbin J Standley
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
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Nalven T, Spillane NS, Rossi JS. Racial discrimination, racial identity affiliation, and heavy alcohol use among multiracial individuals. Alcohol Clin Exp Res 2021; 45:1653-1663. [PMID: 34388267 DOI: 10.1111/acer.14651] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 04/09/2021] [Accepted: 05/25/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Alcohol use is disproportionately higher among multiracial than monoracial adults; yet, associated risk and protective factors are underexplored. The present study compared levels of experienced racial discrimination, racial identity affiliation, and heavy alcohol use among multiracial and monoracial adults and tested whether racial identity affiliation, experienced racial discrimination, and their interaction were significantly associated with heavy alcohol use among multiracial individuals. METHODS We conducted secondary analyses of data from the National Epidemiologic Survey on Alcohol and Related Conditions-III. Participants are a nationally representative sample of all U.S. adults (N = 29,026; 56.4% female) and were interviewed for the study from 2012 to 2013. The sample includes 598multiracial individuals. RESULTS Linear regression analyses showed that multiracial individuals experienced significantly greater racial discrimination than White (b = -1.26, 95% CI [-1.47, -1.05], p < 0.001) or Asian individuals (b = -0.30, 95% CI [-0.53, -0.06], p = 0.013) but less than Black individuals (b = 0.29, 95% CI [0.08, 0.50], p = 0.007). Furthermore, multiracial individuals reported less affiliation with their racial identity than Black (b = 4.92, 95% CI [4.23, 5.62], p < 0.001) or Asian individuals (b = 3.86, 95% CI [3.09, 4.63], p < 0.001) but did not differ significantly from White individuals. Logistic regression analysis showed that multiracial individuals were significantly more likely to report heavy drinking than Asian individuals (OR = 0.53, 95% CI [0.36, 0.78], p = 0.001) but did not differ significantly from White or Black individuals. Finally, experienced racial discrimination was significantly related to heavy alcohol use in multiracial adults (b = 0.11, 95% CI [0.01, 0.20], p = 0.031), though neither racial identity affiliation nor the interaction of racial identity affiliation with experienced racial discrimination were significantly related to heavy alcohol use. CONCLUSIONS Our results suggest that multiracial individuals, as compared to other minoritized individuals who are monoracial, report high levels of experienced racial discrimination and heavy alcohol use and low levels of racial identity affiliation. Further understanding of the effects of racial identity affiliation and experienced racial discrimination on the risk for heavy alcohol use could help in the development of interventions aimed at reducing alcohol use disparities among multiracial individuals.
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Affiliation(s)
- Tessa Nalven
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Nichea S Spillane
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
| | - Joseph S Rossi
- Department of Psychology, University of Rhode Island, Kingston, RI, USA
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35
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Tackett AP, Wallace SW, Smith CE, Turner E, Fedele DA, Stepanov I, Lechner WV, Hale JJ, Wagener TL. Harm Perceptions of Tobacco/Nicotine Products and Child Exposure: Differences between Non-Users, Cigarette-Exclusive, and Electronic Cigarette-Exclusive Users. Tob Use Insights 2021; 14:1179173X21998362. [PMID: 33854392 PMCID: PMC8013926 DOI: 10.1177/1179173x21998362] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 02/04/2021] [Indexed: 12/17/2022] Open
Abstract
Objective This study examined caregiver perception of harm and child secondhand exposure to nicotine in a sample of e-cigarette-exclusive, cigarette-exclusive, and non-tobacco/nicotine users (non-users). Methods Cigarette-exclusive (n = 19), e-cigarette-exclusive (n = 12), and non-users (n = 20) and their children (N = 51, Mage = 10.47) completed self-report questionnaires about perceptions of harm, child secondhand exposure, and provided urine to assess child nicotine exposure (cotinine). ANOVAs examined differences between caregiver use status on tobacco harm perceptions and child cotinine levels. Independent samples t-test compared differences in caregiver-reported child secondhand exposure in the home and car. Results All 3 caregiver groups rated cigarettes as highly harmful (P = .14), but e-cigarette users rated all 3 types of e-cigarette products (Cartridge-based: P < .001; Tank: P < .001; Box Mod: P < .001) as less harmful than cigarette users and non-users. Caregivers from the e-cigarette user group reported greater child secondhand exposure than caregivers using cigarettes (past 7-day in-home exposure (P = .03); past 7-day exposure in-home + in-car exposure (P = .02); in-home exposure by caregivers and other people exposure (P = .02)). Children from the cigarette user group had significantly higher levels of cotinine (M = 16.6, SD = 21.7) compared to children from the Non-User group (M = .43, SD = .95; P = .001), but no significant difference when compared to children from the E-Cigarette User group (M = 6.5, SD = 13.5). Discussion In this sample, caregivers who used e-cigarettes perceived them as less harmful, reported using them more frequently at home and in the car, even when their children were present, compared to cigarette users. As a result, children appear to be exposed to nicotine at levels similar to children living with cigarette users. Future caregiver prevention and intervention efforts should target education around the potential harms of secondhand e-cigarette aerosol to children.
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Affiliation(s)
- Alayna P Tackett
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California Los Angeles, USA
| | | | | | - Elise Turner
- Department of Clinical & Health Psychology, University of Florida, Gainesville, USA
| | - David A Fedele
- Department of Clinical & Health Psychology, University of Florida, Gainesville, USA
| | - Irina Stepanov
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, USA
| | | | - Jessica J Hale
- Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, USA.,Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, USA
| | - Theodore L Wagener
- Division of Medical Oncology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, USA.,Center for Tobacco Research, The Ohio State University Comprehensive Cancer Center, USA
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Berry OO, Londoño Tobón A, Njoroge WFM. Social Determinants of Health: the Impact of Racism on Early Childhood Mental Health. Curr Psychiatry Rep 2021; 23:23. [PMID: 33712922 DOI: 10.1007/s11920-021-01240-0] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/23/2021] [Indexed: 02/06/2023]
Abstract
PURPOSE OF REVIEW Despite increased literature on the impact of racism in the past decades, relatively few studies have focused on the effects of racism on younger children. This article reviews research from the past 5 years focusing on the impact of racism on infant and early childhood mental health and socioemotional development. RECENT FINDINGS Longitudinal studies provide evidence that very young children are highly influenced by exposure to multiple and interconnecting levels of racism and discrimination. These forms of exposure (structural and personally mediated, which can be further divided into direct and indirect exposure) are particularly nefarious to young children's socioemotional development and have implications for adolescent and adult mental health with lasting sequelae. Furthermore, the effects of racism on parenting practices and maternal/caregiver mental health appear to indicate mechanisms through which racism affects young children. Although more studies are needed in this area, recent literature indicates that racism is a social determinant of health that adversely impacts infant and early childhood socioemotional, and behavioral development. Future studies should focus on understanding the mechanisms through which racism impacts early childhood development and health, and interventions to prevent and mitigate the effects of racism.
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Affiliation(s)
- Obianuju O Berry
- Department of Child Psychiatry, New York University, New York, NY, USA. .,Office of Behavioral Health, New York Health + Hospital, New York, NY, USA.
| | - Amalia Londoño Tobón
- Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA
| | - Wanjikũ F M Njoroge
- Department of Psychiatry, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.,Department of Child and Adolescent Psychiatry and Behavioral Sciences, Children's Hospital of Philadelphia, Philadelphia, PA, USA
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37
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Running Bear U, Asdigian NL, Beals J, Manson SM, Kaufman CE. Health outcomes in a national sample of American Indian and Alaska Native adults: Differences between multiple-race and single-race subgroups. PLoS One 2020; 15:e0242934. [PMID: 33270688 PMCID: PMC7714360 DOI: 10.1371/journal.pone.0242934] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 11/11/2020] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To determine differences among multi-race (MR) American Indian and Alaska Natives (AIAN), single race (SR) AIANs, and SR-Whites on multiple health outcomes. We tested the following hypotheses: MR-AIANs will have worse health outcomes than SR-AIANs; SR-AIANs will have worse health outcomes than SR-Whites; MR-AIANs will have worse health outcomes than SR-Whites. METHODS Behavioral Risk Factor Surveillance System data were used to examine general health, risk behaviors, access to health care, and diagnosed chronic health conditions. Those identifying as SR-White, SR-AIAN, and MR-AIAN were included in multinomial logistic regression models. RESULTS Compared to SR-AIANs, MR-AIANs had more activity limitations, a greater likelihood of experiencing cost as a barrier to health care and were more likely to be at increased risk and diagnosed with more chronic health conditions. Both SR and MR-AIANs have worse health than SR-Whites; MR-AIANs appear to be at increased risk for poor health. CONCLUSIONS The current study examined access to health care and nine chronic health conditions, neither of which have been considered in prior work. MR AIANs are at increased risk compared to SR groups. These observations beg for further inquire into the mechanisms underlying these differences including stress related to identify, access to care, and discrimination. Findings support the continued need to address health disparities among AIANs regardless of SR or MR identification.
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Affiliation(s)
- Ursula Running Bear
- Department of Population Health, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, United States of America
| | - Nancy L. Asdigian
- Department of Community and Behavioral Health, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz, Medical Campus, Aurora, CO, United States of America
| | - Janette Beals
- Department of Community and Behavioral Health, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz, Medical Campus, Aurora, CO, United States of America
| | - Spero M. Manson
- Department of Community and Behavioral Health, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz, Medical Campus, Aurora, CO, United States of America
| | - Carol E. Kaufman
- Department of Community and Behavioral Health, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz, Medical Campus, Aurora, CO, United States of America
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Abstract
Multiracial individuals represent a growing segment of the population and have been increasingly the focus of empirical study. Much of this research centers on the perception and racial categorization of multiracial individuals. The current paper reviews some of this research and describes the different types of stimuli that have been used in these paradigms. We describe the strengths and weaknesses associated with different operationalizations of multiracialism and highlight the dearth of research using faces of real multiracial individuals, which we posit may be due to the lack of available stimuli. Our research seeks to satisfy this need by providing a free set of high-resolution, standardized images featuring 88 real multiracial individuals along with extensive norming data and objective physical measures of these faces. These data are offered as an extension of the widely used Chicago Face Database and are available for download at www.chicagofaces.org for use in research.
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Goodhines PA, Desalu JM, Zaso MJ, Gellis LA, Park A. Sleep Problems and Drinking Frequency among Urban Multiracial and Monoracial Adolescents: Role of Discrimination Experiences and Negative Mood. J Youth Adolesc 2020; 49:2109-2123. [PMID: 32860577 PMCID: PMC7487034 DOI: 10.1007/s10964-020-01310-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Accepted: 08/20/2020] [Indexed: 12/13/2022]
Abstract
Mounting evidence suggests that multiracial adolescents may be at greater risk than their monoracial peers for both sleep problems and alcohol use. However, mechanisms underlying these uniquely-heightened risky health behaviors among multiracial adolescents remain a gap in the literature. This cross-sectional study examined a risk pathway involving discrimination experiences and negative mood underlying racial disparities in concurrent sleep problems and drinking frequency. Students at an urban, socioeconomically-disadvantaged high school (N=414; grades 9–11, Mage=16.00 [SD=1.08]; 57% female; 17% multiracial, 41% Black, 22% White, 18% Asian, 2% Other; 12% Hispanic/Latinx) completed a survey. Path analysis demonstrated that associations of multiracial status with sleep problems (insomnia symptom severity and insufficient weekday sleep duration), but not drinking frequencies (past-year drinking or past-2-week binge-drinking frequencies), were explained by discrimination experiences and, in turn, negative mood. In ancillary analysis excluding White students, the serial indirect risk pathway was significant for both insomnia symptom severity and past-year drinking frequency outcomes. Discrimination experiences and negative mood may function as intermediate factors contributing to racial disparities in adolescent sleep problems, although longitudinal replication is needed.
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Affiliation(s)
| | - Jessica M Desalu
- Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA
| | - Michelle J Zaso
- Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA
- Clinical and Research Institute on Addictions, University at Buffalo, Buffalo, NY, 14203, USA
| | - Les A Gellis
- Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA
| | - Aesoon Park
- Department of Psychology, Syracuse University, Syracuse, NY, 13244, USA.
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Horwitz IM, Domingue BW, Harris KM. Not a family matter: The effects of religiosity on academic outcomes based on evidence from siblings. SOCIAL SCIENCE RESEARCH 2020; 88-89:102426. [PMID: 32469740 DOI: 10.1016/j.ssresearch.2020.102426] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 03/30/2020] [Accepted: 04/05/2020] [Indexed: 06/11/2023]
Abstract
Religiosity has been positively linked with multiple measures of academic success, but it is unclear whether the "effect" of religiosity on academic outcomes is causal or spurious. One source of heterogeneity that may contribute to a child's level of religiosity and his/her academic success is family background. This paper is the first to use sibling differences to estimate the associations between religiosity on short and long-term academic success. Our analysis yields two main results. First, more religious adolescents earned higher GPAs in high school, even after including family fixed effects. Second, because they earned higher GPAs in high school, more religious adolescents completed more years of education 14 years after their religiosity was measured. Our findings suggest that adolescents' religious commitments influence their schooling in both the short and long term and should be more actively included and theorized as important drivers of educational and economic stratification.
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Affiliation(s)
- Ilana M Horwitz
- Graduate School of Education, Stanford University, United States.
| | | | - Kathleen Mullan Harris
- Department of Sociology, University of North Carolina at Chapel Hill, Carolina Population Center, University of North Carolina at Chapel Hill, United States
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Franchino-Olsen H, Silverstein HA, Kahn NF, Martin SL. Minor sex trafficking of girls with disabilities. INTERNATIONAL JOURNAL OF HUMAN RIGHTS IN HEALTHCARE 2020; 13:97-108. [PMID: 38323087 PMCID: PMC10846682 DOI: 10.1108/ijhrh-07-2019-0055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
Abstract
Purpose – The purpose of this paper is to investigate the associations between minor women' (girls') disability status and victimization via minor sex trafficking. Design/methodology/approach – This investigation used data from the National Longitudinal Study of Adolescent to Adult Health, a large, nationally-representative sample of in-school adolescents in the USA that began in 1994. The analysis included bivariate associations between physical disability status or low cognitive ability and minor sex trafficking among female survey respondents (n = 5,430). Findings – Girls with any disability had a higher prevalence of minor sex trafficking than their peers without disabilities. Odds of minor sex trafficking were significantly higher for those with severe physical disabilities (5.83) and for those with low cognitive abilities (4.86) compared to the odds of their peers without their respective disabilities. Results for girls with mild or moderate physical disabilities were not statistically significant compared to peers without disabilities. Social implications – These nationally-representative survey data reinforce the trends present in smaller populations and case study research: female adolescents with disabilities are at a heightened risk for sex trafficking. On both a national and global scale, the human rights gaps in policy and practice must be addressed to adequately reach, intervene and protect this vulnerable population. Originality/value – Research about minor sex trafficking typically relies on small-scale surveys and/or convenience samples. This study used a nationally-representative survey to demonstrate the link between disability status and women's experiences with minor sex trafficking.
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Affiliation(s)
- Hannabeth Franchino-Olsen
- Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Hannah A Silverstein
- Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Nicole F Kahn
- Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Sandra L Martin
- Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
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42
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Harris KM, Halpern CT, Whitsel EA, Hussey JM, Killeya-Jones LA, Tabor J, Dean SC. Cohort Profile: The National Longitudinal Study of Adolescent to Adult Health (Add Health). Int J Epidemiol 2020; 48:1415-1415k. [PMID: 31257425 DOI: 10.1093/ije/dyz115] [Citation(s) in RCA: 200] [Impact Index Per Article: 50.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2019] [Indexed: 01/17/2023] Open
Affiliation(s)
- Kathleen Mullan Harris
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Sociology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Carolyn Tucker Halpern
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Maternal and Child Health, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Eric A Whitsel
- Department of Epidemiology and Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Jon M Hussey
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Department of Maternal and Child Health, Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Ley A Killeya-Jones
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.,Epidemiology Research Team, Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Joyce Tabor
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Sarah C Dean
- Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Joung KH, Chung SS. Factors Related to Depressive Symptoms Among Multicultural Adolescents in Korea. J Sch Nurs 2020; 38:138-147. [PMID: 32077777 DOI: 10.1177/1059840520906591] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study aimed to compare related factors of depressive symptoms among multicultural adolescents in South Korea. Cross-sectional data were collected from 1,325 students studying in ninth grade (mean age: 14.97 ± 0.36 years) who had one Korean parent and one foreign-born parent. The score of depressive symptoms among girls (1.777 ± 0.550) was higher than boys (1.647 ± 0.512). The regression model-including demographic, psychological, and social factors-explained 38.3% of depressive symptoms among boys and 27.9% among girls. Body image satisfaction was the most powerful factor related to depressive symptoms in both boys and girls. Gender-differentiated factors identified in this study such as demographic, psychological, and social factors need to be studied while planning gender-tailored intervention programs to help relieve depressive symptoms among multicultural adolescents.
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Affiliation(s)
| | - Sung Suk Chung
- Department of Statistics and Institute of Applied Statistics, Jeonbuk National University, Jeonju, South Korea
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Alcohol trajectories among biracial black subgroups: Testing the intermediate substance use hypothesis. Addict Behav 2020; 101:106006. [PMID: 31751852 DOI: 10.1016/j.addbeh.2019.05.030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 05/23/2019] [Accepted: 05/26/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVE This study tests the intermediate biracial substance use hypothesis, which suggests that the prevalence of substance use among biracial individuals fall intermediate to their corresponding mononoracial counterparts. Using National Longitudinal Study of Adolescent and Adult Health (Add Health) data, we examine alcohol-use trajectories of a de-aggregated sample of biracial Black youth and compare them with the trajectories of the corresponding monoracial counterparts. METHOD The sample consists of 9421 adolescents and young adults who self-identified as 1 of 4 monoracial groups (i.e., Black, White, Hispanic, American Indian) or 1 of 3 biracial Black groups (i.e., Black-American Indian, Black-Hispanic, and Black-White). Study hypotheses are tested using latent growth curve modeling for first use, number of drinks, and binge drinking. RESULTS We found partial support for the intermediate substance use hypothesis, with the alcohol use rates of biracial Blacks more closely resembling the non-Black corresponding group than the monoracial Black group. Black-American Indians face particularly high risk of problematic drinking. CONCLUSIONS These findings demonstrate the need for additional research clarifying the onset and maintenance of alcohol use and misuse among biracial individuals and subgroups.
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Clark Goings T, Teran Hidalgo SJ, Gilreath TD. Is There a Cigarette Catch-Up Effect for Biracial Black Youth? JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2020; 28:248-258. [PMID: 36968190 PMCID: PMC10035570 DOI: 10.1080/1067828x.2020.1714525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Trenette Clark Goings
- School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Sebastian J. Teran Hidalgo
- Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Tabb KM, Gavin AR, Smith DC, Huang H. Self-rated health among multiracial young adults in the United States: findings from the add health study. ETHNICITY & HEALTH 2019; 24:495-511. [PMID: 28658965 PMCID: PMC6105566 DOI: 10.1080/13557858.2017.1346175] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 05/29/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE The multiracial adult population is one of the fastest growing segments of the U.S. population, yet much remains to be learned about multiracial health. Considerable research finds racial/ethnic disparities in self-rated health, however subgroups within the multiracial population have not been consistently described. DESIGN We use data from the National Longitudinal Survey of Adolescent Health (Add Health) and multivariate logistic regression analyses to compare self-rated health of multiracial and monoracial young adults (n = 7880). RESULTS Overall, there were no significant differences in poor self-rated health status of multiracial adults as a single group odds ratio 0.84 (95% CI: 0.52-1.36) compared to monoracial White adults. Analyses further revealed important variations in health-status by specific subgroups and show that some multiracial subgroups may not fit existing patterns of health disparities. For instance, Asian-White multiracial adults do not fit documented patterns of health disparities and report better health than monoracial Asian and monoracial White adults. CONCLUSION This study illustrates that the inclusion of specific multiracial categories provides evidence to enhance understanding of the pathways that are linked to health outcomes and the implications for health disparities.
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Affiliation(s)
- Karen M Tabb
- a School of Social Work , University of Illinois , Urbana-Champaign , IL , USA
| | - Amelia R Gavin
- b School of Social Work , University of Washington , Seattle , WA , USA
| | - Douglas C Smith
- a School of Social Work , University of Illinois , Urbana-Champaign , IL , USA
| | - Hsiang Huang
- c Department of Psychiatry , Cambridge Health Alliance, Harvard Medical School , Cambridge , MA , USA
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Zhang X, Sassler S. The Age of Independence, Revisited: Parents and Interracial Union Formation Across the Life Course 1. SOCIOLOGICAL FORUM (RANDOLPH, N.J.) 2019; 34:361-385. [PMID: 31631938 PMCID: PMC6801113 DOI: 10.1111/socf.12501] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Romantic relationships that cross racial lines have grown since anti-miscegenation laws were deemed unconstitutional. In The Age of Independence, Rosenfeld argued that parental influence over children's mate selection processes had waned. Rosenfeld, however, was not able to test this supposition directly because of his reliance on cross-sectional census data. Using Waves I and III of Add Health for a cohort of individuals from 1994 to 2002, we examine whether parents matter in shaping their offspring's romantic attachments, by exploring whether adolescent reports of maternal closeness and parental control are associated with youth's likelihood of being in an interracial relationship in emerging adulthood. We find that parental factors do influence emerging adults' romantic relationships; these associations vary by race, ethnicity, and gender. Among white men, maternal closeness in adolescence reduces the likelihood of being in an interracial relationship in emerging adulthood. Parental control elevates the odds of being in an interracial relationship among black and Hispanic women. We also find that parental decisions on where families live shape offspring's choices, as relative exogamous group size in adolescence is associated with interracial union formation in later life. Our findings suggest that parental influence remains salient in the partner choices made by emerging adults.
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Affiliation(s)
- Xing Zhang
- School of Medicine and Public Health and Center for Demography and Ecology, 610 Walnut Street, Room 667, University of Wisconsin-Madison, Madison, Wisconsin 53726;
| | - Sharon Sassler
- Department of Policy Analysis and Management, Martha Van Rensselaer Hall, Room 1032A, Cornell University, Ithaca, New York 14850;
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Franco M, Carter S. Discrimination from family and substance use for multiracial individuals. Addict Behav 2019; 92:203-207. [PMID: 30658257 DOI: 10.1016/j.addbeh.2019.01.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 10/24/2018] [Accepted: 01/08/2019] [Indexed: 11/16/2022]
Abstract
Whereas Multiracial people exhibit heightened rates of substance use, existing research has yet to account for why. The current study examines whether Multiracial people's experiences of discrimination from family may explain their substance use behaviors, and furthermore, whether compromised mental health indirectly explains relationships between familial discrimination and substance use. Online cross-sectional survey data was collected from (N = 466) Multiracial participants. Negative binomial regression analysis indicated that discrimination from family predicted drug use above and beyond general discrimination. Results of bootstrapping analysis revealed that the pathway from discrimination from family to drug use is partially explained by anxiety and depressive symptoms. The implications of these findings for addressing heightened rates of substance abuse among the Multiracial population are discussed.
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Affiliation(s)
- Marisa Franco
- Department of Counseling and Psychological Services, Georgia State University, Atlanta, GA 30303, United States.
| | - Sierra Carter
- Department of Psychology, Georgia State University, Atlanta, GA 30303, United States
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Miller B, Rocks S, Catalina S, Zemaitis N, Daniels K, Londono J. The Missing Link in Contemporary Health Disparities Research: A Profile of the Mental and Self-Rated Health of Multiracial Young Adults. HEALTH SOCIOLOGY REVIEW : THE JOURNAL OF THE HEALTH SECTION OF THE AUSTRALIAN SOCIOLOGICAL ASSOCIATION 2019; 28:209-227. [PMID: 32982579 PMCID: PMC7518507 DOI: 10.1080/14461242.2019.1607524] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2018] [Accepted: 04/10/2019] [Indexed: 06/11/2023]
Abstract
This study compared the mental and self-rated health of monoracial and multiracial young adults using data from Wave 3 of the National Longitudinal Adolescent to Adult study. Our analytic sample consisted of 10,535 men and women ages 18-25 that self-identified as monoracial (Asian, Black, Native American, and White) or multiracial (White-Nonwhite and Nonwhite-Nonwhite). We find that when comparing aggregated racial groups, multiracials have poorer mental health than monoracials. However, differences emerge when multiracials are disaggregated into their two primary pairings of White-Nonwhite and Nonwhite-Nonwhite and compared to monoracials collectively and individually. We find that White-Nonwhites have poorer mental and self-rated health relative to monoracials generally and Whites specifically. In contrast, Nonwhite-Nonwhites have greater self-esteem and self-rated health than Whites as well as the aggregated monoracial group. Our findings highlight the complexities of examining multiracial health without researchers using consistent multiracial categories and reference groups. The results are discussed using three new perspectives that are introduced to explain health disparities between monoracial and multiracial persons.
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Affiliation(s)
| | - Sara Rocks
- University of South Florida St. Petersburg
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Oi K, Wilkinson L. Trajectories of Suicidal Ideation from Adolescence to Adulthood: Does the History of Same-Sex Experience Matter? ARCHIVES OF SEXUAL BEHAVIOR 2018; 47:2375-2396. [PMID: 30105619 DOI: 10.1007/s10508-018-1234-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 04/10/2018] [Accepted: 05/14/2018] [Indexed: 06/08/2023]
Abstract
The fluidity of same-sex experience (SSE) can be conceptualized as both a risk and a resource that impacts suicidal ideation over time. Considering whether SSE occurs in adolescence, adulthood, or both, this study suggests that SSE in both adolescence and adulthood is associated with depression and low self-esteem throughout the life course, resulting in chronic susceptibility to suicidal ideation. Yet due to variation in both accumulation of risk and resources over time, trajectories of suicidal ideation during the transition to adulthood likely vary by timing of SSE. To test these hypotheses, we fit latent growth curve models to a gender-stratified sample taken from the National Longitudinal Study of Adolescent to Adult Health (7608 men, 8070 women). We created four groups of SSE: no SSE (6322 men, 5981 women), SSE in adolescence only (634 men, 480 women), SSE in adulthood only (372 men, 1081 women), and SSE in adolescence and adulthood (280 men, 528 women). Men and women with SSE in both life stages had the greatest risk of suicidal ideation in adolescence and in adulthood. Yet women with first SSE in adulthood had less of a decline in suicidal ideation over time, relative to those with no SSE and those with SSE in adolescence only, and this was partially due to higher depression and lower self-esteem. Results suggest greater support is needed for adolescents expressing non-normative sexualities and for those with first SSE in adulthood, a group that is more difficult to identify in schools.
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Affiliation(s)
- Katsuya Oi
- Department of Sociology, Northern Arizona University, 330 Paul H. Castro, 5 E. McConnell Dr., Flagstaff, AZ, 86011, USA.
| | - Lindsey Wilkinson
- Department of Sociology, Portland State University, Portland, OR, USA
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