scholarly journals Pathways for African American Success: Results of Three-Arm Randomized Trial to Test the Effects of Technology-Based Delivery for Rural African American Families

2019 ◽  
Vol 44 (3) ◽  
pp. 375-387 ◽  
Author(s):  
Velma McBride Murry ◽  
Cady Berkel ◽  
Misha N Inniss-Thompson ◽  
Marlena L Debreaux
Keyword(s):  
Substance Use ◽  
African American ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Sexual Risk Behavior ◽  
Structural Equation ◽  
Risky Behaviors ◽  
Equation Modeling ◽  
Group Condition

Abstract Objective The objective of this study was to test the effectiveness of a technology-based program to avert risky behaviors among rural African American youth. We hypothesized that the technology-based and group-based formats of the Pathways for African Americans Success (PAAS) program would lead to improvements in primary outcomes, and that the technology condition would perform at least as well as the group condition. Methods A three-arm Randomized Control Trial (RCT) ([N = 141] technology-based delivery, [N = 141] small group delivery, and [N = 136] literature control) was conducted with 421 sixth graders and their caregivers, Summer 2009–Fall 2012. Families were recruited from five rural counties in Tennessee and completed baseline, posttest [M = 14.5 (4.4) months after pretest] and long-term follow-up [M = 22.6 (3.7) months after posttest]. Structural Equation Modeling (SEM) was used to test intervention-induced changes in both parents and youths’ primary outcomes (pretest to posttest) and on secondary targeted outcome, youth sexual risk, and substance use patterns (pretest to follow-up). Results Parents in the technology condition reported significant increases in strategies to reduce risk. Youth in the technology condition experienced a significant decline in intent to engage in risk behaviors and reduction in substance use and sexual risk behavior. Youth in the group condition experienced a significant increase in affiliation with deviant peers. Conclusions This study provides evidence of the ability of eHealth to improve parenting and reduce adolescent engagement in substance use and sexual risk behavior. Suggestions for dissemination in schools and health-care systems are offered.

The Effects of Father-Perpetration of Maltreatment on Adolescent Health Risk

2021 ◽  
pp. 088626052110014
Author(s):  
Julia M. Kobulsky ◽  
Susan H. Yoon ◽  
Rachel Wildfeuer ◽  
Peter Simonsson ◽  
Sunny H. Shin
Keyword(s):  
Substance Use ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Adolescent Health ◽  
Sexual Risk Behavior ◽  
Mental Health Problems ◽  
Well Being ◽  
Equation Modeling ◽  
Future Research

Maltreatment perpetrated by fathers may entail distinct characteristics and threats, and therefore differing effects from maltreatment perpetrated by mothers alone. This study examines the extent to which father perpetration of maltreatment is associated with variability in subsequent adolescent health outcomes relative to mother-alone maltreatment. A sample of youth ( N = 377) with recently completed Child Protective Services investigations concerning reports of maltreatment attributed to fathers and/or mothers was drawn from the second National Survey of Child and Adolescent Well-being. Youth were 11-17 years old ( M = 13.8, SD = 2) at 18-month follow-up. Predictor variables (baseline) included caseworker-reported perpetrator (father vs mother alone), maltreatment type and severity, and co-occurring risk factors (prior reports of maltreatment, caregiver substance use, serious mental health problems, and recent arrest or detention, and intimate partner violence). Outcome measures were youth-reported sexual risk behavior (the number of past-year sexual partners), substance use severity (use of illicit drugs other than marijuana, number of substances used, and CRAFFT raw scores), and parent-to-adolescent physical aggression (minor, moderate, and severe) at 18-month follow-up. Structural equation modeling assessed the effects of father perpetration on outcomes. Father perpetration was prospectively associated with more parent-to-adolescent aggression ( β = 0.16, p = .034) and less sexual risk behavior ( β = −0.17, p = .017) than mother-alone perpetration. Findings suggest protective effects of father perpetration relative to mother-alone perpetration on sexual risk taking but greater risk on further victimization by parents. Future research is needed to replicate findings and examine potential youth gender differences.

scholarly journals Age-related associations between substance use and sexual risk behavior among high-risk young African American women in the South

2019 ◽  
Vol 96 ◽  
pp. 110-118
Author(s):  
Andrea Swartzendruber ◽  
Jennifer L. Brown ◽  
Jessica M. Sales ◽  
Michael Windle ◽  
Regine Haardörfer
Keyword(s):  
Substance Use ◽  
African American ◽  
High Risk ◽  
African American Women ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Sexual Risk Behavior ◽  
The South ◽  
American Women ◽  
Age Related

scholarly journals Elevated Sexual Risk Behaviors Among Postincarcerated Young African American Males in the South

2014 ◽  
Vol 9 (2) ◽  
pp. 132-138 ◽  
Author(s):  
JaNelle M. Ricks ◽  
Richard A. Crosby ◽  
Ivy Terrell
Keyword(s):  
African American ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Risk Behaviors ◽  
Sexual Risk Behavior ◽  
African American Males ◽  
African American Men ◽  
History Of ◽  
Incarceration History

The dramatic racial disparities in the rates of HIV/STIs(sexually transmitted infections) among African Americans make understanding broader structural factors that increase the risk for HIV/STIs crucial. The current study of young 564 African American men attending STI clinics investigated whether those who had ever been incarcerated reported recent sexual behaviors relatively more risky than their counterparts who had never been incarcerated. Participants were recruited from clinics treating STIs in three southern U.S. cities. Males 15 to 23 years of age who identified as Black/African American and reported recent (past 2 months) sexual activity were eligible. Linear mixed-effects models and generalized estimating equation models were used to assess associations between baseline incarceration history and sexual risk behavior over a 6-month follow-up period. Mean age was 19.6 years ( SD = 1.87). At baseline, 240 (42.6%) men reported history of incarceration. Incarceration history predicted several risk behaviors over a 6-month follow-up period. Compared with those with no incarceration history, men previously incarcerated reported a desire to conceive a pregnancy (β = .40, p = .02), were less likely to have used a condom at last sex act (odds ratio = .91, p = .02) and were more likely to have used drugs and alcohol before sex in the past 2 months (β = .69, p < .001; β = .41, p < .001). A history of incarceration may influence the sexual risk behavior of young African American males. Prevention programs and interventions should intensify support for postincarceration African American males to help mitigate this behavior.

Adolescent Girls in Out-of-Home Care: Associations Between Substance Use and Sexual Risk Behavior

2016 ◽  
Vol 25 (5) ◽  
pp. 409-416 ◽  
Author(s):  
Cheryl L. Somers ◽  
Angelique Day ◽  
Leann Decker ◽  
Aamena B. Saleh ◽  
Beverly A. Baroni
Keyword(s):  
Substance Use ◽  
Home Care ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Adolescent Girls ◽  
Sexual Risk Behavior ◽  
Out Of Home Care

scholarly journals The Relationship of Manic Episodes and Drug Abuse to Sexual Risk Behavior in Patients with Co-Occurring Bipolar and Substance Use Disorders: a 15-Month Prospective Analysis

2010 ◽  
Vol 15 (8) ◽  
pp. 1829-1833 ◽  
Author(s):  
Christina S. Meade ◽  
Garrett M. Fitzmaurice ◽  
Amy K. Sanchez ◽  
Margaret L. Griffin ◽  
Leah J. McDonald ◽  
...  
Keyword(s):  
Substance Use ◽  
Drug Abuse ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Substance Use Disorders ◽  
Sexual Risk Behavior ◽  
Prospective Analysis ◽  
Relationship Of ◽  
The Relationship

scholarly journals Development and Validation of the Masculine Attributes Questionnaire

2017 ◽  
Vol 11 (4) ◽  
pp. 941-951 ◽  
Author(s):  
Junhan Cho ◽  
Steven M. Kogan
Keyword(s):  
African American ◽  
Risk Behavior ◽  
Sexual Risk ◽  
Sexual Risk Behavior ◽  
Discriminant Validity ◽  
African American Men ◽  
Self Regulation ◽  
Multiple Sexual Partners ◽  
Concurrent Sexual Partnerships ◽  
Development And Validation

The present study describes the development and validation of the Masculine Attributes Questionnaire (MAQ). The purpose of this study was to develop a theoretically and empirically grounded measure of masculine attributes for sexual health research with African American young men. Consistent with Whitehead’s theory, the MAQ items were hypothesized to comprise two components representing reputation-based and respect-based attributes. The sample included 505 African American men aged 19 to 22 years ( M = 20.29, SD = 1.10) living in resource-poor communities in the rural South. Convergent and discriminant validity of the MAQ were assessed by examining the associations of masculinity attributes with psychosocial factors. Criterion validity was assessed by examining the extent to which the MAQ subscales predicted sexual risk behavior outcomes. Consistent with study hypotheses, the MAQ was composed of (a) reputation-based attributes oriented toward sexual prowess, toughness, and authority-defying behavior and (b) respect-based attributes oriented toward economic independence, socially approved levels of hard work and education, and committed romantic relationships. Reputation-based attributes were associated positively with street code and negatively related to academic orientation, vocational engagement, and self-regulation, whereas respect-based attributes were associated positively with academic and vocational orientations and self-regulation. Finally, reputation-based attributes predicted sexual risk behaviors including concurrent sexual partnerships, multiple sexual partners, marijuana use, and incarceration, net of the influence of respect-based attributes. The development of the MAQ provides a new measure that permits systematic quantitative investigation of the associations between African American men’s masculinity ideology and sexual risk behavior.

scholarly journals A cascade model connecting life stress to risk behavior among rural African American emerging adults

2010 ◽  
Vol 22 (3) ◽  
pp. 667-678 ◽  
Author(s):  
Gene H. Brody ◽  
Yi-Fu Chen ◽  
Steven M. Kogan
Keyword(s):  
African American ◽  
Emerging Adults ◽  
Risk Behavior ◽  
Life Stress ◽  
Structural Equation ◽  
Negative Emotions ◽  
Cascade Model ◽  
Equation Modeling ◽  
Deviant Peers ◽  
Increases In Risk

AbstractA three-wave cascade model linking life stress to increases in risk behavior was tested with 347 African American emerging adults living in the rural South. Data analyses using structural equation modeling and latent growth curve modeling demonstrated that life stress was linked to increases in risk behavior as African Americans transitioned out of secondary school. The cascade model indicated that life stress fostered increases in negative emotions. Negative emotions, in turn, were linked to increases in affiliations with deviant peers and romantic partners; this forecast increases in risk behavior. The findings supported a stress proliferation framework, in which primary stressors affect increases in secondary stressors that carry forward to influence changes in risk behaviors that can potentially compromise mental health.

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