African American Youth Research Articles

Longitudinal effects of Youth Empowerment Solutions: Preventing youth aggression and increasing prosocial behavior.

Youth violence remains a significant public health problem despite efforts to address it. We describe the evaluation results of Youth Empowerment Solutions (YES), an after-school active learning program implemented by trained local teachers and designed to engage middle school youth in multi-systematic promotive behaviors at the individual-, interpersonal-, and community-level to make lasting positive changes within the context of institutional disadvantages, such as racism. First, we used a modified randomized controlled trial design to examine the direct and indirect influence of YES on prosocial and delinquent behaviors 12 months after the conclusion of the program, through youth empowerment. Next, we evaluated these models by race, to determine if the intervention equitably promotes prosocial outcomes and decreases aggressive behaviors. Among 329 middle school students, YES participation enhanced prosocial behaviors through empowerment, and directly reduced aggressive behaviors a year after the conclusion of the program. This trend was particularly pronounced for African American youth. These effects were found after controlling for age, sex, and behavioral outcomes at baseline, and across different schools and teachers, suggesting that YES can also be sustainable and readily implemented by communities. The implications of the results for youth violence prevention, empowerment theory and intervention development and practice for ethnic minority youth who face structural disenfranchisement are discussed.

Emergency Department Use by Children and Youth with Mental Health Conditions: A Health Equity Agenda.

There are growing concerns regarding the referral of children and youth with mental health conditions to emergency departments (EDs). These focus on upward trends in utilization, uncertainty about benefits and negative effects of ED visits, and inequities surrounding this form of care. A review was conducted to identify and describe available types of data on ED use. The authors’ interpretation of the literature is that it offers compelling evidence that children and youth in the U.S. are being sent to EDs for mental health conditions at increasing rates for reasons frequently judged as clinically inappropriate. As a major health inequity, it is infrequent that such children and youth are seen in EDs by a behavioral health professional or receive evidence-based assessment or treatment, even though they are kept in EDs far longer than those seen for reasons unrelated to mental health. The rate of increase in these referrals to EDs appears much greater for African American and Latinx children and youth than White children and is increasing for the publicly insured and uninsured while decreasing for the privately insured. A comprehensive set of strategies are recommended for improving healthcare quality and health equity. A fact sheet is provided for use by advocates in pressing this agenda.

Health Disparities for Rural Youth

This chapter examines the complexities surrounding exacerbated health disparities and their impact on rural youth mental health outcomes amid a global pandemic. Indisputably, a host of health, economic, and social challenges are associated with the unprecedented interruption caused by the global pandemic. In the same vein, several challenges and concerns about the overall academic and personal/ social experiences and outcomes of school-aged children have resulted in societal concerns about the overall preparation of this generation to meet the leadership and employment demands of a global society. While the COVID-19 pandemic highlighted chronic issues related to health disparities to include intergenerational health, environmental and socioeconomic disparities, and educational inequities, many of these issues have had a longstanding, disproportionate effect on African American (AA) youth and their families. This is particularly the case with AA youth who live in rural communities, that are largely characterized by persistent poverty along the margins of society. Food and housing insecurities, social isolation, and lack of access to adequate physical and mental health resources are a few of the issues faced by these youth and other individuals who belong to these often tight-knit, rural communities. These issues, along with scarce or no availability of medical and mental health care services reflect larger systemic issues which speak to cultural determinism and social justice.

"IT MAKES ME WANNA GO OUT AND HELP PEOPLE": ENHANCING AFRICAN AMERICAN YOUTH'S PERCEPTIONS OF ENGINEERING

"IT MAKES ME WANNA GO OUT AND HELP PEOPLE": ENHANCING AFRICAN AMERICAN YOUTH'S PERCEPTIONS OF ENGINEERING

Navigating ‘danger zones’: social geographies of risk and safety in teens and tweens of color information seeking

ABSTRACT Marginalized people often incur risk when interacting with information providers and institutions; they must weigh the risk of those interactions against the possible benefits of the knowledge or services gained. In this study, we analyze Black, Indigenous, and People of Color (BIPOC) teens and tweens’ articulation of their information practices and their risk management through information seeking. Using data from group interviews with 58 Black, Latinx, Indigenous, and Asian American youth ages 12–18 in North Carolina we describe a model of socially co-constructed information geography focused around identifying, avoiding, and managing risks, costs, and benefits in information-related ‘danger zones.’ Participants described and demonstrated an ongoing conflict between the desire to seek and share information and the desire to avoid social, economic, political, and personal costs of information seeking. When participants observed a possible danger zone, they frequently engaged in a process of cost–benefit analysis that ultimately resulted in a series of defensive information behaviors, including avoidance, confrontation and open resistance, feigned compliance and subversion, and progressive disclosure.

The Formation and Benefits of Natural Mentoring for African American Sexual and Gender Minority Adolescents: A Qualitative Study

This study explored how mentoring begins and the benefits provided for African American sexual and/or gender minority (SGM) youth. Participants were mentors and mentees living in three Mid-Atlantic cities. Mentees (ages 15–21, n = 14) identified as African American; cisgender male, transgender female, or non-binary assigned male; and had sexual interest in men. Mentor participants (ages 18+, n = 13) mentored such youth. Qualitative in-depth interviews were conducted with mentoring relationship partners (both partners did not necessarily participate). All interviews were audio-recorded, transcribed, and imported into Atlas.ti. Using a basic interpretive qualitative analysis, a codebook was developed through inductive and deductive techniques. Analysis focused on mentees’ and mentors’ descriptions and interpretations about how they formed a mentoring relationship and any observed benefits that arose. Themes showed mentoring relationships were formed through introductions via social circles or social media. Mentoring was described as providing a trusted confidant and support with identity formation, relationships, transitioning to adulthood, and health. Results indicate a potential for natural mentoring relationships to provide trusted adult support to SGM adolescents in ways that are experienced as authentic and beneficial to the mental health of African American SGM male youth.

Motivation to Move Out of the Community as a Moderator of Bullying Victimization and Delinquent Behavior: Comparing Non-Heterosexual/Cisgender and Heterosexual African American Adolescents in Chicago's Southside.

A growing body of research documents that bullying victimization is associated with delinquent behavior. There is an increasing need to better illuminate the factors that might moderate this relationship. This study examined whether the motivation to move out of low-resourced neighborhoods and sexual orientation/gender identity moderated the relationship between bullying victimization and delinquent behavior among a sample of 450 heterosexual and 91 non-heterosexual/cisgender African American youths. Measures considered were bullying victimization, delinquent behavior, sexual orientation/gender identity, motivation to move out, and family demographics. Sexual orientation/gender identity was not associated with youth delinquent behavior after controlling for covariates. Being motivated to move out moderated the association between bullying victimization and delinquent behavior. Sexual orientation/gender identity and being motivated to move out of low-resourced communities jointly contributed to the moderating effect between bullying victimization and delinquent behavior. For non-heterosexual/cisgender youth, bullying victimization is correlated with increased delinquent behavior for those with low motivation to move out of their communities compared with those with an average or higher level of motivation to stay. However, such a moderating effect was not shown for heterosexual youth.

Influence of the Home Environment on Physical Activity Behaviors in African American Youth.

Background: This study examined the relationships between components of the home environment and physical activity (PA) behaviors among African American adolescents. Methods: A community-based sample of 99 African American parent-child dyads (62% girls; 42% overweight/obese, 15.0 ± 0.2 years) were included in this analysis. The home environment (PA equipment, family support for PA, and internet access) was evaluated using the Health and Environment Survey. Child PA was measured objectively using accelerometry. Data collection occurred between 2014 and 2016. Results: Internet access was associated with 29 fewer minutes of light physical activity [p = 0.011, β = -29.25 ± 11.28 (95% confidence interval: -51.65 to -6.86)], 9 fewer minutes of moderate-to-vigorous physical activity [p = 0.045, β = -9.10 ± 4.48 (-17.98 to -0.21)], and 38 fewer minutes of total PA (TPA) [p = 0.006, β = -38.35 ± 13.38 (-65.62 to -11.08)]. Family support was associated with 2 minutes of TPA [p = 0.044, β = 2.25 ± 1.10 (-1.97 to 3.19)]. PA equipment was not significantly associated with greater PA (all p's > 0.05). Conclusions: These findings suggest that home internet access may hinder participation in PA among African American adolescents. Future research should continue to identify barriers in the home environment that contribute to physical inactivity among African American adolescents.

Neighborhood Collective Efficacy as a Culturally Responsive Resilience Process: A Longitudinal Study of African American Youth From Fragile Families

A reliance on informal supports and neighborhood relationships has its history within the African American community as a useful strategy for building and maintaining overall resilience. It is known that a history of systemic oppression gave rise to distinct cultural barriers to social services and resources, leading to a reliance on community to help foster success in the African American community. Thus, the notion of neighborhood collective efficacy (NCE) is assumed to be a valuable protective process to explore for African American youth. The current exploratory study utilizes multilevel growth curve modeling to examine the relationship between NCE and aspects of resilience over time. Findings reveal a significant, positive relationship and important implications for culturally responsive study and practice.

Same-race friendship preference across the middle school years: The role of school racial/ethnic context.

The current study examined the developmental trajectory of same-race friendship preference of racially/ethnically diverse students over the course of middle school. Participants were African American, Asian, Latinx, and White youth recruited at the start of middle school in 6th grade (N = 4,361; Mage = 11.33 years) and followed across the 3 years of middle school. School racial/ethnic diversity and the racial/ethnic representation of students in their academic classes, including honors classes, were examined as predictors of friendship preferences over time. Results from latent growth curve models revealed that same-race friendship preference increased over the course of middle school and was shaped by both the school and classroom racial/ethnic context, above and beyond availability. Greater school racial/ethnic diversity predicted steeper increases in same-race friendship preference over time for all racial/ethnic groups. However, there were interactions involving race/ethnicity when the analyses focused on how students were represented in their academic classes compared with school. African American and Asian youth who were underrepresented in honors classes showed steeper increases in same-race friendship preference over time. Implications for prejudice reduction and creating more inclusive school environments are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Suicide in African American Adolescents: Understanding Risk by Studying Resilience.

Historically, suicide rates for African American adolescents have been low, relative to rates for youth of other racial-ethnic backgrounds. Since 2001, however, suicide rates among African American adolescents have escalated: Suicide is now the third leading cause of death for African American adolescents. This disturbing trend warrants focused research on suicide etiology and manifestation in African American adolescents, along with culturally sensitive and effective prevention efforts. First, we revisit leading suicide theories and their relevance for African American adolescents. Next, we discuss health promotive and protective factors within the context of African American youth development. We also critique the current status of suicide risk assessment and prevention for African American adolescents. Then, we present a heuristic model of suicide risk and resilience for African American adolescents that considers their development within a hegemonic society. Finally, we recommend future directions for African American adolescent suicidology.

Romantic relationship and pregnancy dynamics among adolescent African Americans and refugees living in the United States

AbstractFew studies have examined romantic relationship attitudes and behaviors among ethnic or racial minority youth. The purpose of this study was to compare African American (AA) and mostly African refugee adolescents living in a U.S. city on romantic relationship attitudes and behaviors. A baseline questionnaire was given to 1448 adolescents between the ages of 14 and 19 from 2011 to 2014 as part of a larger study on teen pregnancy prevention (Barbee et al., 2016). The sample included both U.S.‐born AA youth and a sample of mostly African refugee youth. Eighty‐eight percent of youth were on free and reduced lunch and living in the highest poverty neighborhoods of a southern U.S. city. AAs reported more favorable life history expectations than refugees. In addition, refugee youth were more likely than AAs to see the ecology as dangerous and their lives as likely to be short. Results also found that AA youth were more secure and less avoidant in their attachment styles than refugee youth. Using a measure of romantic motives, refugee youth were more likely to display traits of “parasites” and less likely to be “partners” or “players” than AA youth. Implications for pregnancy outcomes, youth development, and interventions are discussed.

Predicting Receipt of an Effective Dose of a Family-Centered Preventive Intervention for African American Youth.

Research reveals a linear association between prevention program dose and outcomes; that is, families receive the most benefits when they attend a sufficient number of program sessions. Ensuring participants receive an effective dose of prevention is a persistent challenge for the widespread implementation of family-centered prevention programs. We investigated factors associated with an effective dose of the Strong African American Families (SAAF) substance use prevention program. Dose-related factors included socioeconomic disadvantage, caregiver depression, family disorganization, youth risk for problem behavior, and community risk. Notably, SAAF includes an ecologically appropriate curriculum and a comprehensive set of engagement procedures, which decrease the influence of these factors on attendance. The sample consisted of 252 African American youth and their caregivers from eight rural counties in South Georgia who had been randomly assigned to receive the SAAF substance use prevention program, a seven-session family skills training program. We operationalized an effective dose of SAAF, per recent research, as attendance in at least 5 of 7 sessions. Logistic structural equation modeling revealed no evidence of the tested factors reducing dose. Family disorganization, however, was associated positively with an effective dose, controlling for all other factors. Families with more disorganization were more likely to receive an effective dose of the program. Findings suggest that ecologically sensitive engagement protocols and curricula may obviate the influence of common risk factors and foster participation among those who most perceive a need for the program.

The Impact of Harsh Parenting on the Development of Obesity in Adulthood: An Examination of Epigenetic/Gene Expression Mediators Among African American Youth.

Objective: We examined the association of prospectively assessed harsh parenting during adolescence with body mass index (BMI) in young adulthood among African American youth. We also assessed the role of methylation of obesity-related genes and gene expression markers of obesity as mediators of this association, providing a pathway for the biological embedding of early harsh parenting and its long-term impact on young adult health.Methods: Hypotheses were tested with a sample of 362 African American youth for whom harsh parenting was assessed at ages 10–15, BMI was assessed at age 10 and 29, and both DNA methylation (DNAm) and gene expression of obesity genes were assessed at age 29. Mediational analyses were conducted using bootstrap methods to generate confidence intervals.Results: Controlling for genetic risk for obesity and health-related covariates, harsh parenting across childhood and adolescence was associated with change in BMI (Δ BMI) from ages 10–29. In addition, we found that the indirect effect of harsh parenting on Δ BMI was mediated through obesity-related DNAm and accounted for 45.3% of the total effect. Further, obesity-related DNAm mediated the effect of harsh parenting on gene expression of obesity-related genes (GEOG), and GEOG, in turn, mediated the impact of obesity-related DNAm on ΔBMI. This pathway accounted for 3.4% of the total effect. There were no gender differences in the magnitude of this indirect effect.Conclusions: The results suggest that alterations in methylation and gene expression mediate the impact of harsh parenting on change in obesity from childhood to young adulthood, illustrating plausible biological pathways from harsh parenting to obesity and bolstering the hypothesis that harsh parenting in childhood and adolescence can become biologically embedded and contribute to obesity.

Longitudinal study of the cascading effects of racial discrimination on parenting and adjustment among African American youth

ABSTRACT Attachment theory posits that parenting plays akey role in children’s attachment and subsequent development. Given the normativity of racial discrimination on everyday life experiences of African American families, there is a need to integrate historical and socio-environmental processes in studies to understand how minoritized parents raise secure and stable children. Results from the current study revealed direct associations between mothers’ reports of discrimination and heightened depression and anxiety. Maternal discriminatory experiences were indirectly associated with more negative parenting and compromised parent-child relationship quality, through mothers’ psychological functioning. Elevated emotional and behavioral management problems among youth were directly associated with exposure to racial discrimination. Exposure to discrimination during middle childhood facilitated adapted or learned strategies to manage similar situations as youth transitioned into adolescence, with reduced patterns of depressive symptomology. No significant gender effects emerged. Implications for theoretical advancement and future research are provided.

Sitting in the Pews: Theological Beliefs and Racial/Ethnic Identity Among African American Adolescents

Church attendance, prayer, and faith practices play a significant role in the life experiences among African Americans, especially youth. Few studies on religious behaviors among African American youth investigate the relationship between theological orientations and racial identity. These orientations include biblical principles, other-worldliness, and social legacy. A total of 187 African American adolescents ( Mage = 15) attending 18 predominantly Black churches in two Midwestern cities participated in the study. Results provided support for two theological orientations that were associated with racial/ethnic identity in distinct ways. More specifically, other-worldliness was linked to more negative feelings about the appearance of African American adolescents and being more likely to endorse negative stereotypes about African Americans. Adolescents who perceived their church as communicating a theology based upon biblical principles reported rejecting negative stereotypes about African Americans. Study findings suggest theological orientations may be associated with shaping racial/ethnic identity attitudes among African American adolescents.

Future Directions for Vaccinating Children against the American Endemic: Treating Racism as a Virus

ABSTRACT For Black American youth and their families, the racial terror that claimed the life of George Floyd in May 2020 is nothing new, as stories of people who look just like them have been part and parcel of their lived experience in the United States. Beyond state-sanctioned murder, Black youth were also witnessing the disproportionate transmission, treatment, and travesty plaguing their community with COVID-19 – all predictable outcomes given the inequitable systems supporting the American pipeline from cradle to grave. Why, then, were so many White Americans just coming into awareness of this deadly disease of individual and systemic racism that has ravaged Black American communities for centuries? In this work, we seek to explain in what ways racism is tantamount to a social virus and how its permeation is endemic to the American body, rather than an emerging threat, like a pandemic. We will also address how better conceptualizing racism as a virus allows for more accurate, precise, and feasible treatments for transmitters and targets of racism with respect to prevention (e.g., inoculation) and intervention (e.g., healing and vaccination). Finally, we will describe clinical therapeutic trials that will help to decipher whether our treatment of this social disease is effective, including family-level interventions and systemic shifts in prevention through clinical training.

MEDIA MESSAGES: INTERSECTIONS OF ETHNIC-RACIAL AND MEDIA SOCIALIZATION IN AFRICAN AMERICAN FAMILIES

Research on ethnic-racial socialization in African American families has rarely examined parental messages about media, even though African American youth are among the heaviest media consumers, and media depictions are frequently biased. We surveyed 398 parents of African American 3- to 17-year-olds, asking how often they socialized their child using (a) ethnic-racial socialization, (b) parental mediation, and (c) media racial depictions. Results suggest that ethnic-racial socialization includes a specific set of practices involving encouraging, critiquing, and avoiding particular types of media racial depictions – strategies which we call Media-Based Ethnic-Racial Socialization (MBERS). Frequencies for all three socialization domains were predicted by parent and perceived child ethnic-racial identity strength and parental perceptions of racial bias and opportunity in the child’s media. These results suggest the importance of media for ethnic-racial socialization practices and the centrality of race even for socialization domains that may not always be seen as racialized, such as parental mediation.

Empowerment Pathways: A Mitigation Approach to Adolescent and Youth Racial Stress in Marginalized Populations

Racial unrest recently has been incessant. In response, this conceptual contribution explores a prevention-based program for African American adolescents and youth to aid in their navigation through ubiquitous racial unrest and persistent mental health adversities. This article provides a comprehensive literature review on racial injustice and presents information regarding race-based traumatic stressors and adverse mental health outcomes. The prevention-based program that was created in response to the apparent racial unrest among African American youth and adolescents is presented and explored. The goal of this conceptual article is to raise awareness of this issue, provide practical steps to combat racial injustice, and increase prevention initiatives.

6.4 SYSTEMIC RACISM AND MENTAL HEALTH DISPARITIES: CALL TO ACTION FOR CHILD AND ADOLESCENT PSYCHIATRIST RESEARCHERS, PRACTITIONERS, AND POLICYMAKERS

The COVID-19 pandemic and heightened awareness of police brutality after the killings of George Floyd, Breonna Taylor, and many others, have shifted our focus so that systemic racism finally centers in the discussion of children’s mental health. Specifically, racism has been identified as a social determinant of mental health. Although this pivot in the collective consciousness and the canon of child and adolescent psychiatry has recently begun, previous research exploring racism’s direct effect on child mental health, while limited, has been overlooked and underfunded despite this problem persisting for several decades. We will review data on systemic racism and discrimination and its impact on the mental health for youth and their families with an emphasis in systems of care settings, juvenile justice, and child welfare. This presentation will explore 3 theoretical frameworks: 1) Public Health Critical Race Praxis (PHCRP); 2) structural competency; and 3) racism as a root cause, to propose determination of research, policy, and practice priorities to address mental health inequity in Black, Latinx, and Native American (BLNA) youth whose well-being has been historically marginalized in these systems of care settings. This presentation includes a review of data on racial inequity across child mental health serving systems. Findings from research conducted by the presenter and colleagues investigating promising practices applying antiracist praxis will be discussed. Systemic racism in various sectors (eg, education, legal, health) drives the disproportionate contact that BLNA youth have with systems of care and influences negative health outcomes across their developmental trajectories. In particular, BLNA youth experience greater gaps between treatment need and receipt. These gaps in both service linkage and quality of care received have lifelong intersectional implications on long-term adverse outcomes. Addressing systemic racism requires multimodal interventions that apply antiracist frameworks to create actionable praxis across the domains of research, policy, and practice. PHCRP, structural competency, and racism-as-a-root-cause frameworks can help center the needs and voices of historically marginalized groups and stimulate new approaches to achieve equitable health outcomes.