African American Adolescents Research Articles

Pathways linking attachment and depressive symptoms for Black and White adolescents: do race and neighborhood racism matter?

ABSTRACT Decades of evidence demonstrate that insecure attachment is associated with increased risk for depressive symptoms. Yet research has focused on predominantly White samples, with little attention to whether developmental pathways vary by social-contextual factors like racial identity and neighborhood racism. This study examines whether longitudinal links between attachment style and depressive symptoms differ for White and Black American adolescents or by exposure to neighborhood racism (N = 171, M age at Time 1 = 14 years). Multigroup measured variable path analyses controlling for gender and household income revealed that attachment avoidance predicted relative increases in depressive symptoms for White adolescents, but not for Black adolescents. Links between attachment style and depressive symptoms did not differ based on exposure to neighborhood racism. Experiences of neighborhood racism were associated with greater attachment avoidance but not anxiety. Results highlight the importance of examining attachment in different socioecological contexts to illuminate the unique pathways characterizing Black youth development.

Adolescent bullying victimization and psychosomatic symptoms: Can relationship quality with fathers buffer this association?

The present study explored racial/ethnic and sex differences in fathers’ awareness and perceived ease of communication with fathers and how they are related to adolescent bullying victimization and psychosomatic symptoms. Data were drawn from the 2009 to 2010 Health Behavior in School-Aged Children study in the United States. The sample consists of 5,121 White, 1,497 African American, and 1,850 Hispanic adolescents in grades 5 to 10. For all three racial and ethnic groups, bullying victimization was positively associated with psychosomatic symptoms. A higher level of the child's perception of their father's awareness was found to be positively associated with lower levels of bullying victimization for White and Hispanic adolescents. African American, White, and Hispanic adolescents who perceived their fathers as easy to communicate with had a lower risk of bullying victimization. The child's perception of their father's awareness buffered the positive association between bullying victimization and psychosomatic symptoms for Hispanic adolescents. A higher child's perception of their father's awareness was related to lower bullying victimization for adolescents of both sexes. The child's perception of their father's awareness and their perceived ease of communication with their father were found to be associated with a decreased risk of psychosomatic symptoms for both sexes. Overall, the results support the importance of relationship quality with fathers as a protective factor against bullying victimization.

Kinship navigation: Facilitating permanency and equity for youth in child welfare

Kinship care has come to be seen as a way to potentially minimize some risks of traditional foster care, provide an opportunity for youth to remain connected to their extended families, and facilitate ongoing relationships and development. Previous work has suggested potential benefits of kinship placements for youth, but also challenges in identifying viable kin caregivers and providing adequate supports and guidance for these families. Kinship Navigation has been developed to formally and systematically assure placement options and supports for caregivers. At present, however, there is relatively little empirical work on the benefits and outcomes of Kinship Navigation programs.This manuscript examines permanency outcomes for youth served by one kinship care agency: A Second Chance, Inc. (ASCI). Countywide data are used to compare episode-of-care permanency outcomes for youth served by ASCI’s Kinship Navigator program with those served by other agencies without Kinship Navigation, who were removed from their homes during the same 27-month period (January 2017 – March 2020). The sample includes 1108 youth (471 served via ASCI KN; 637 in non-KN programs). Kinship Navigation was associated with significantly higher rates of Permanent Legal Custodianship and decreased disparities in outcomes between African American and White youth. These results suggest that ASCI’s Kinship Navigator program is promising for securing family-centered permanency and increasing positive outcomes for African American children and adolescents. Additional work is needed to more fully explore the key processes, families’ experiences, and broader outcomes.

Racial disparities in triage of adolescent patients after bullet injury.

While pediatric trauma centers (PTCs) and adult trauma centers (ATCs) exhibit equivalent trauma mortality, the optimal care environment for traumatically injured adolescents remains controversial. Race has been shown to effect triage within emergency departments (EDs) with people of color receiving lower acuity triage scores. We hypothesized that African-American adolescents were more likely triaged to an ATC than a PTC compared with their White peers. Institutional trauma databases from a neighboring, urban Level I PTC and ATC were queried for gunshot wounds in adolescents (15-18 years) presenting to the ED from 2015 to 2017. The PTC and ATC were compared in terms of demographics, services, and outcomes. Results were analyzed using univariate analysis and logistic regression. Among 316 included adolescents, 184 were treated in an ATC versus 132 in a PTC. Patients at the PTC were significantly more likely to be younger (16.1 vs. 17.5 years; p < 0.001), White (16% vs. 5%; p = 0.001), and privately insured (41% vs. 30%; p = 0.002). At each age, the proportion of Whites treated at the PTC exceeded the proportion of African-Americans. At the PTC, patients were more likely to receive inpatient and outpatient social work follow-up (89% vs. 1%, p < 0.001). Adolescents treated at the PTC were less likely to receive opioids (75% vs. 56%, p = 0.001) at discharge and to return to ED within 6 months (25% vs. 11%, p = 0.005). On multivariate logistic regression, African-American adolescents were less likely to be treated at a PTC (odds ratio, 0.30; 95% confidence interval, 0.10-0.85; p = 0.02) after controlling for age and Injury Severity Score. Disparities in triage of African-American and White adolescents after bullet injury lead to unequal care. African-Americans were more likely to be treated at the ATC, which was associated with increased opioid prescription, decreased social work support, and increased return to ED. Therapeutic/Care Management, Level IV.

Beyond the Binary: Intraracial Diversity in Family Organization and Black Adolescents’ Educational Performance

Abstract Using a nationally representative sample of African American adolescents from the National Survey of American Life Adolescent supplement (NSAL-A), this study examines intraracial diversity in two key dimensions of family organization—family structure and family integration—and assesses their relationship with youths’ educational performance, namely, grades, grade repetition, and number of suspensions. Results show that there is substantial within-group heterogeneity in family organization among African Americans, and that patterns of organization vary systematically by level of household resources, specifically household income. Results also indicate that the relationship between family structure and family integration and Black adolescents’ educational performance differs by resource level. These factors are generally unrelated to the grades, grade repetition, and number of suspensions of adolescents from low-income households, but they are associated with these outcomes for adolescents from the most economically advantaged households. Irrespective of household income, findings demonstrate that the substantive impact of family organization on Black youths’ educational outcomes is small, which suggests that family organization has a more limited relationship with Black Americans’ life chances than previously theorized.

Traditional risk and cultural protection: Correlates of alcohol and cannabis co-use among African-American adolescents.

Previous work indicates that African-American adolescents are at high risk for concurrent alcohol and cannabis use. The present study examines the associations of traditional ecological predictors of substance use with concurrent alcohol and cannabis use among African-American adolescents. It also examines whether racial identity, a culturally relevant factor, is associated with concurrent use beyond the influence of traditional factors. Secondary analyses were conducted based on a large survey of high school adolescents. Responses on self-report measures of substance use and psychosocial determinants of health were examined for those respondents in grades 9-12 who identified as African American (N = 465; 59.8% female). Findings demonstrated that traditional risk and resilience factors, including externalizing symptoms and substance use beliefs, were related to alcohol and cannabis co-use relative to other patterns of use among African-American adolescents. Racial identity dimensions were also associated with alcohol and cannabis co-use beyond the influence of traditional factors. However, the direction of these associations varied by dimension. Findings from the present study assist in advancing the current knowledge base by identifying potential risk and protective factors for alcohol and cannabis co-use among African-American youth, who face increasing rates of this substance use pattern. They also underscore the importance of accounting for cultural variability in models of adolescent substance use among this population. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Bullying Victimization and STIs: Parental Communication and Parental Sexual Communication as Moderators

Purpose: Informed by attachment theory, the current study explores whether the association between bullying victimization and STIs acquisition among African American youth is moderated by general parental communication or parental communication about sex. Method: Data were collected from 546 African American adolescents in four neighborhoods in Chicago’s South Side. Univariate analyses, Spearman’s rank-order correlation analyses, and hierarchical logistic regression analyses were conducted. Results: A positive association between bullying victimization and STIs acquisition was found. General parental communication did not moderate the association between bullying victimization and STIs acquisition. However, parental communication about sex did moderate the association between bullying victimization and youth STIs acquisition. Discussion: The study has important implications for developing interventions to address the adverse consequences of bully victimization that emphasize parental communication about sex as a major component.

Minority Adolescent Mental Health Diagnosis Differences in a National Sample.

Mental health disparities and differences have been identified amongst all age groups, including adolescents. However, there is a lack of research regarding adolescents within the Military Health System (MHS). The MHS is a universal health care system for military personnel and their dependents. Research has indicated that the MHS removes many of the barriers that contribute to health disparities. Additional investigations with this population would greatly contribute to our understanding of disparities and health services delivery without the barrier of access to care. This study analyzed the diagnostic trends of anxiety, depression, and impulse control disorders and differences within a national sample of adolescents of active-duty military parents. The study utilized 2006 to 2014 data in the MHS Data Repository for adolescents ages 13-18. The study identified 183,409 adolescents with at least one diagnosis. Multivariable logistic regressions were conducted to assess the differences and risks for anxiety, depression, and impulse control disorders in the identified sample. When compared to White Americans, minority patients had a higher likelihood of being diagnosed with an impulse control disorder (odds ratio [OR] = 1.43; confidence interval [CI] 1.39-1.48) and a decreased likelihood of being diagnosed with a depressive disorder (OR = 0.98; CI 0.95-1.00) or anxiety disorder (OR = 0.80; CI 0.78-0.83). Further analyses examining the subgroups of minorities revealed that, when compared to White Americans, African American adolescents have a much higher likelihood of receiving a diagnosis of an impulse control disorder (OR = 1.66; CI 1.61-1.72) and a lower likelihood of receiving a diagnosis of a depressive disorder (OR = 0.93; CI 0.90-0.96) and an anxiety disorder (OR = 0.75; CI 0.72-0.77). This study provides strong support for the existence of race-based differences in adolescent mental health diagnoses. Adolescents of military families are a special population with unique experiences and stressors and would benefit from future research focusing on qualitative investigations into additional factors mental health clinicians consider when making diagnoses, as well as further exploration into understanding how best to address this special population's mental health needs.

Far from a monolith: a typology of externalizing behavior among African American youth.

Previous studies have examined externalizing behaviors among African American youth using variable-centered approaches that study aggression and delinquency separately. However, aggression and delinquency often operate together in shaping adolescent behavior. For this reason, person-centered approaches are essential for identifying subgroups of African American youth using multiple indicators of aggression and delinquency to model the behavioral heterogeneity within this population. We examined the relationship between interpersonal, school, and parenting factors and externalizing behaviors among African American youth. Drawing from the National Survey on Drug Use and Health 2015-2018, we conducted latent class analysis based on 5 externalizing behavior indicator variables (i.e., serious fight, attack to harm, stealing, drug selling, handgun carrying) using a sample of 7,236 African American adolescents, aged 12-17. We identified a three class solution: Class #1-No Involvement (74.4%), characterized by very low levels of involvement in all of the externalizing behaviors examined; Class #2-Serious fight (23.3%), which is characterized by near-universal involvement in a serious fight, far lower levels of attack to harm, and negligible levels of stealing, drug selling, and handgun caring; and Class #3-Multidimensional externalizing (2.3%), characterized by very high levels of involvement in all of the externalizing variables examined. Most African American youth are not involved in externalizing behaviors. It is vital to support both the large majority of African-American youth who are abstaining from externalizing behaviors and to develop/implement programs to address the contextual and interpersonal needs of youth at elevated risk for consequences related to externalizing.

Cultural and Universal Parenting, Ethnic Identity, and Internalizing Symptoms Among African American Adolescents

The present study tested a path model that addressed two questions regarding the connection between one aspect of racial socialization (cultural pride reinforcement), communication between mothers and their adolescent children, adolescent ethnic identity, and mental health. First, we tested whether quality of communication moderated the relationship between cultural pride reinforcement and ethnic identity affirmation and anxiety/depressive/withdrawn symptoms. Then, we examined whether cultural pride reinforcement and quality of communication with mothers were directly linked to increased ethnic identity affirmation and in turn lower anxiety/depressive symptoms and withdrawn behaviors. Our sample included 111 African American adolescents (58.2% female; ages 14–17) in the mid-Atlantic region. Results of the path analysis indicated that cultural pride reinforcement and quality of communication independently and uniquely related to internalizing symptoms through ethnic identity affirmation. Findings contribute to a novel understanding of how both cultural (cultural pride reinforcement) and universal (quality of communication) are important factors to foster African American adolescents’ healthy adjustment and sense of self.

Weight Misperception among African American Adolescents: The Jackson Heart KIDS Pilot Study

Weight misperception is a common problem among adolescents; however, few studies have examined contributing factors among an exclusively African American population. The purpose of this study was to examine factors associated with weight misperception among 12- to 19-year-old participants in the Jackson Heart KIDS Pilot Study (JHS-KIDS). Data were drawn from JHS-KIDS, a prospective, observational examination of cardiovascular-related risk factors among African American adolescents who were children or grandchildren of participants in the Jackson Heart Study. Adolescent weight misperception - discordance between measured weight status and perceived weight status - was the primary outcome of interest. Self-reported weight control behaviors, parent concerns about adolescents' weight, parent-perceived responsibility for adolescent's weight and daily hassles were the primary independent variables of interest. The analytic sample was equally divided by females (n=107) and males (n=105) and one third of study participants (33.5%) had discordance between their actual and perceived weight. Results from fully adjusted sex-stratified modified Poisson regression models indicated that weight behavior control was significant among females (PR = .66, 95%CI:1.20-2.30). Parental concerns about child weight were significant for males. Each additional point increase in the parent's concern about their weight score was associated with a 9% increase in the adjusted prevalence of weight misperception among males (95%CI: 1.03-1.16). The sex-specific patterns in this study highlight heterogeneity among African American adolescents and an urgent need to consider sex and gender when developing targeted interventions for youth who are at high risk for weight misperceptions and unhealthy weight control practices.

Social and Behavioral Factors Associated with BMI and Waist Circumference among Adolescents: The Jackson Heart KIDS Pilot Study.

African American children and adolescents make up a disproportionately large segment of those classified as overweight and obese. The purpose of this study was to examine social and behavioral factors associated with accelerated accumulation of weight and adiposity among this group. The data for this cross-sectional study were drawn from the Jackson Heart KIDS Pilot Study - an offspring cohort study comprising 12- to 19-year-old descendants of Jackson Heart Study participants (N=212). Body mass index (BMI) and waist circumference were the outcomes of interest. Daily hassles, fruit and vegetable consumption, physical activity, television watching, parent/grandparent weight status and participant birth weight, age and sex were the independent variables included in the analyses. Males and females were equally represented in the study and the mean BMI and waist circumference for adolescents in the study was 25.81±7.78 kg/m2 and 83.91 ± 19.81 cm, respectively. Fully adjusted linear regression models for the total sample produced results indicating that age, television viewing, weight control, and parental weight status were positively associated with BMI and waist circumference, respectively. Findings from sex-stratified models for BMI and waist circumference indicated that the significance of coefficients for age, television viewing, and parent/grandparent weight status varied by sex. Knowledge is limited about how sex or gender interact with social and behavioral factors to influence African Americans' health and additional studies are needed to specify how these factors interact to accelerate weight gain and adipose tissue accumulation over the life course.

African American adolescents intentions to have sex: the influences of youth assets and knowledge of HIV-related sexual risk behaviors

ABSTRACT This cross-sectional study sought to identify factors associated with sexual intentions among a sample of 252 African American high school adolescents who participated in a teen pregnancy prevention program in a large urban city. Participants completed surveys that included measures of youth assets and knowledge of HIV-related sexual risk behaviors. A series of data analyses included descriptive statistical analyses, t-tests, chi-square, and ordinal regression. Study results demonstrate that older age, male gender, and lower levels of youth assets predicted intentions to have sex in the future. Findings also suggest youth assets may serve as a protective factor against the transmission of HIV for African American adolescents in the context of theory regarding intentions to have sex. Surprisingly, more accurate knowledge about HIV-related sexual risk behaviors was associated with intentions to engage in sexual intercourse within the next six months, calling into question subjects’ confidence in or perceived self-efficacy about safely engaging in sexual activity.

Exploration of bidirectionality in African American and Latinx adolescents' offline and online ethnic-racial discrimination.

The objective of the present study was to examine longitudinal relations between adolescents' reports of offline (i.e., in-person) ethnic-racial discrimination and adolescents' reports of online ethnic-racial discrimination. The study was conducted among a sample of 570 African American and Latinx adolescents (58% female; 10-18 years) over three waves of assessments occurring at yearly intervals. Autoregressive cross-lagged analyses examined potential bidirectional relations of offline ethnic-racial discrimination and online ethnic-racial discrimination. Results indicated that adolescents' more frequent experiences of offline ethnic-racial discrimination predicted more frequent experiences of online ethnic-racial discrimination across time, but that the opposite direction was not supported. Findings may be used to redefine current theoretical frameworks that assert the bidirectional nature of online and offline experiences, particularly in the domain of ethnic-racial discrimination. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A Qualitative Study of Stress and Coping to Inform the LEADS Health Promotion Trial for African American Adolescents with Overweight and Obesity.

The purpose of this study was to conduct in-depth individual interviews with 30 African American adolescents with overweight and obesity and their families (caregiver/adolescent dyads) to gain a better understanding of how to integrate stress and coping essential elements into an existing family-based health promotion program for weight loss. Interview data from 30 African American adolescents with overweight and obesity (Mage = 15.30 ± 2.18; MBMI%-ile = 96.7 ± 3.90) were transcribed and coded for themes using inductive and deductive approaches by two independent coders. Inter-rater reliability was acceptable (r = 0.70–0.80) and discrepancies were resolved to 100% agreement. The themes were guided by the Relapse Prevention Model, which focuses on assessing barriers of overall coping capacity in high stress situations that may undermine health behavior change (physical activity, diet, weight loss). Prominent themes included feeling stressed primarily in response to relationship conflicts within the family and among peers, school responsibilities, and negative emotions (anxiety, depression, anger). A mix of themes emerged related to coping strategies ranging from cognitive reframing and distraction to avoidant coping. Recommendations for future programs include addressing sources of stress and providing supportive resources, as well as embracing broader systems such as neighborhoods and communities. Implications for future intervention studies are discussed.

Caregiver Perceptions of Adolescent Self-Management Skills Predicts Higher Disease Knowledge Among Adolescents with SCD

Introduction: The increased survivorship of children with sickle cell disease (SCD) into adulthood requires sufficient readiness to transition to adult healthcare. Transition readiness encompasses the necessary skills to successfully transition to adult healthcare, including self-care, decision-making (i.e., self-management), and self-advocacy. Disease education improves self-management in populations with chronic illnesses, but the relationship between disease knowledge and self-management in the adolescent SCD population during healthcare transition is unknown. We hypothesize that disease knowledge is associated with self-management and engagement in adult healthcare.Methods: Adolescents with SCD and their caregivers completed a disease self-management skills checklist (SMSC) in early adolescence. The SMSC was modified from the validated Transition Readiness Assessment Questionnaire (J Pediatr Psychol. 2011 Mar; 36(2): 160-171.). The 21-item SMSC assesses perceived disease knowledge and self-management skills. At age 17, adolescents were invited to visit adult providers prior to leaving pediatric care (J Pediatr Health Care. 2012 Nov-Dec;26(6):e45-9.) At their last pediatric visit, adolescents completed the disease knowledge quiz, which tested their actual knowledge of SCD pathophysiology and complications. The disease knowledge quiz is a new instrument with 97% content validity as assessed by six pediatric and adult SCD experts. Association of SCD knowledge and perceived caregiver and adolescent self-management skills were evaluated by Pearson correlations if normally distributed; otherwise by Spearman correlation. Univariate linear regression tested associations between disease knowledge and SMSC. Univariate logistic regression tested associations between disease knowledge, visitation to adult provider, and completion of first adult visit.Results: Thirty-six African-American adolescents (18 males; 18 females) with SCD and their caregivers completed the SMSC at a median age of 16 years and actual disease knowledge 2 years later at the last pediatric visit. Thirty-two visited adult care prior to leaving pediatrics and thirty-two completed the first adult visit. Predictors of actual adolescent knowledge immediately prior to leaving pediatrics were caregiver's early perception of their adolescent's self-management skills (Figure). Disease knowledge associated with higher likelihood of meeting adult providers during pediatric care (Figure). Neither self-management assessments nor disease knowledge associated with completion of first adult visit (Figure).Conclusion: Caregivers are better evaluators of their adolescent's transition readiness than adolescent themselves, as demonstrated by a significant relationship between caregiver perceptions of their adolescent's self-management early in the transition process and adolescents' disease knowledge preceding departure for adult care. Adolescents' SCD knowledge level predicted future desire to engage in adult healthcare, demonstrated by the higher likelihood of visiting adult providers while in pediatric care. The lack of relationship between self-management and disease knowledge with completion of first adult visit indicates other possible barriers curtailing successful adult care transfer. Collectively, our findings support early engagement of caregivers in measuring adolescent transition readiness to guide subsequent transition programming in the SCD population. [Display omitted] DisclosuresPorter:NHLBI: Research Funding.

Assessing the Modified Neighborhood Cohesion Index Among African American Adolescents Living in Public Housing: An Exploratory and Confirmatory Factor Analysis.

African American youth are disproportionately overrepresented in low-resourced segregated urban neighborhoods. Consequently, they experience greater exposure to neighborhood risks and subsequent depressive symptoms. Neighborhood cohesion represents a protective factor for youth in such environments. However, the concept remains underexplored among African American youth. This study examines the psychometric properties of a modified version of the Neighborhood Cohesion Index (NCI) among African American youth living in public housing. Psychometric properties were assessed through exploratory and confirmatory factor analyses using data from African American youth (N = 235) living in public housing in two large northeastern cities. The EFA resulted in the use of a single-factor structure with two dropped items and good internal validity. Findings from the CFA indicated that model fit indices were unacceptable for chi-square and RMSEA (χ2 [62; N = 235] = 170.19, p < .001); RMSEA = 0.09 [90% CI: 0.071, 0.102]) but were acceptable for SRMR and CFI (SRMR = 0.06; CFI = 0.91) with three error covariances. The modified NCI is not ideal for assessing neighborhood cohesion among this understudied population. Future research should prioritize psychometric testing alongside cognitive interviewing, to provide a contextualized measure of neighborhood cohesion for this population.

Racial/Ethnic Bullying Subtypes and Alcohol, Tobacco, and Marijuana Use Among US Adolescents.

The study examines the rate of alcohol, tobacco, and marijuana use among White, African American, and Latino adolescents and whether racial/ethnic bullying subtypes (victim-only, bullies-only, and bully/victim) are related to alcohol, tobacco, and marijuana use. We used data from the 2009-2010 Health Behaviour in School-aged Children study (n = 9863) to examine differences in alcohol, tobacco, and marijuana use among White, African American, and Latino adolescents in the USA, and assessed whether racial/ethnic bullying involvement was associated with alcohol, tobacco, and marijuana use among these adolescents. Adolescents were categorized into four groups based on whether they had experienced racial bullying perpetration, victimization, both perpetration, and victimization, or neither perpetration nor victimization. Descriptive statistics were conducted to examine the distributions of the study variables and describe the samples. Spearman's rank-order correlation analyses were used to examine the relationships among the variables. Multinomial logistic regression was conducted to examine alcohol, tobacco, and marijuana use among the racial bully victimization, perpetration, and victimization-perpetration groups compared to the non-involved group by race/ethnicity. The White victim-only group was more likely to use alcohol but less likely to use tobacco. The African American victim-only group was more likely to use alcohol, and the bully/victim group was more likely to use marijuana. The Latino victim-only group was more likely to use alcohol, whereas the bully/victim group was more likely to use tobacco. Our findings have implications for the development and implementation of prevention and intervention programs across different racial/ethnic adolescent groups.

Patterns of Community Violence Exposure among African American Adolescents Living in Low-Resourced Urban Neighborhoods.

African American adolescents living in neighborhoods with concentrated economic disadvantage are disproportionately exposed to community violence. This study builds upon previous research and examines patterns, severity, and chronicity of violence exposure, within a sample of African American adolescents living in low-resourced, urban neighborhoods (n=327). The influence of both individual- and contextual-level factors on community violence exposure (CVE) is examined.Data were collected across four time points at 6-month intervals. Latent transition analysis identified three patterns of CVE at each time point: low witnessing and low victimization (LW-LV), high witnessing and low victimization (HW-LV), and high witnessing and high victimization (HW-HV), as well as transitions between each class. Although a stable LW-LV class membership over time was the most prevalent pattern, most adolescents experienced some change in exposure. Nearly one-third of the participants were classified in the HW-HV group at some point in time. Analyses on individual- and contextual-level factors revealed that more depressive symptoms, community problems (e.g., drugs, graffiti, noise), or community resources (e.g., schools, parks, recreational facilities) were associated with an increased likelihood of experiencing high levels of violent victimization. Implications for intervention and prevention of CVE are discussed.

Family Stress and Rural African-American Adolescents' Depressive Symptoms

PurposeLimited longitudinal research investigates the effects of family stress on the development of depressive symptoms among African-American adolescents. This study tests a developmental model of the family and intrapersonal processes linking family stress to depressive symptoms from the ages of 11 to 15 years. We hypothesized that family stress would predict increases in caregiver-youth conflict, which in turn would predict decreases in adolescents' self-control, a proximal predictor of increases in depressive symptoms. MethodsThe sample consisted of 472 African-American youths and their primary caregivers from eight rural counties in southern Georgia who provided data at four time points (youth of ages 11–15 years). Hypotheses were tested with structural equation modeling. ResultsResults were consistent with study hypotheses. Family stress significantly predicted depressive symptoms via intermediate effects on caregiver-youth conflict and adolescent self-control. The indirect influence of family stress via these intermediate processes was significant. ConclusionsFindings suggest tha, when families experience stress, caregiver-youth conflict increases, which may lead to the development of poor self-control in youth, a proximal predictor of increases in depressive symptoms. Findings have implications for the development of prevention programs for rural African-American adolescents.