Validity of the Self-Harm Behavior Questionnaire with Diverse Adolescents

Suicide and non-suicidal self-injurious behavior (NSSI) continue to be significant health problems for adolescents. Although there are many instruments available to assess self-harm behaviors, few have been validated for use with adolescents, and even fewer have been validated for use with different racial/ethnic groups. The Self-Harm Behavior Questionnaire (SHBQ) assesses NSSI, suicidal ideation, suicide threats, and past suicide attempts. Data from 1,386 racially/ethnically diverse adolescents (57.5% minority) were collected to examine the validity of the SHBQ in this age group. Analyses supported the four-factor structure, revealed the SHBQ is internally consistent, and provided evidence for convergent validity within Caucasian, African American, and Hispanic adolescents. However, slight differences were noted. Overall, the findings suggest the SHBQ is a useful assessment tool appropriate for use with Caucasian, African American, and Hispanic adolescents.     

Is there a Relationship between Family Structure and Substance Use among Public Middle School Students?

We investigated the relationship between family structure and substance use in a sample of 2,138 public middle school students in a southern state. The CDC Middle School Youth Risk Behavior Survey was utilized and adjusted logistic regression models were created separately for four race/gender categories (African American females/males, and Caucasian females/males) to examine associations among selected drug use variables (tobacco, alcohol, marijuana and inhalants). Analyses were adjusted for social economic status. Results suggested differences (p ≤ .05) among race/gender groups for the protective effect of living in an intact family (both mother and father, real or adoptive) regarding substance use among middle school students. In addition, family structure appeared to have a stronger relationship with substance use for Caucasians as opposed to African American adolescents. Caucasian adolescents living in cohabitated family households were more likely to report substance use, when compared to those living in intact two-parent households. Adolescents who are undergoing parental divorce may need special attention as they transition into new family structures.     

The Relationship Between Perceptions of Neighborhood Characteristics and Substance Use Among Urban African American Adolescents

Although the neighborhood microsystem is recognized as an important domain for adolescent development, relative to the family and peer contexts, neighborhood factors have been understudied in relation to adolescent substance abuse. In addition, recent research suggests that risk factors for adolescent substance use may differ for African Americans when compared to Caucasian youth. This study investigated the association between perceived neighborhood disorganization and later substance use, as well as possible mediators of that association, among a community sample of urban African American adolescents. Perceptions of neighborhood disorganization (i.e., violence/safety and drug activity) in grade 7 were associated with increased tobacco, alcohol, and marijuana use in grade 9. For females, this association was mediated by attitudes about drug use and perceptions of drug harmfulness. Findings highlight the importance of neighborhood contextual variables for African American substance use. Implications and directions for future research are presented.     

Gender and ethnic differences in body image and opposite sex figure preferences of rural adolescents

This study examined whether rural adolescents would report gender and ethnic differences in body image similar to those that have been observed in urban samples. Data were analyzed for 384 rural adolescents (57% African American, 43% Caucasian, mean age 13 years) to determine gender and ethnic differences in body dissatisfaction, body size discrepancy, and current and ideal figure ratings. Females wanted to be smaller and reported more body dissatisfaction than did males. Caucasian females reported the most body dissatisfaction. African Americans reported larger current and ideal figure ratings than did Caucasians. African Americans preferred larger opposite sex figures than did Caucasians. Both African American and Caucasian males selected a larger female figure as ideal than was selected by females. Results demonstrated that gender and ethnic differences exist in body image for rural adolescents. This frequently overlooked population may benefit from further study. Implications of findings and limitations of the study are also discussed.     

Adolescent alcohol use in context: the role of parents and peers among African American and European American youth

African American youth are less likely to use alcohol than their European American counterparts; however, the greater consequences of use for African American youth highlight the need for greater research attention to this group. Two social contexts that have been linked with adolescent alcohol use are parents and peers, yet these studies have rarely included African American youth or failed to examine potential racial differences. This study examined the main and interactive effects of parents and peers, as well as the moderating role of race on alcohol use, in African American and European American rural adolescents (n=71) identified as at high-risk for alcohol use. Contrary to study hypotheses, however, parents were not a more robust moderator for African American than European American youth. Clinical implications for prevention and intervention programming for both African American and European American youth are discussed.     

Friendship similarity during early adolescence: gender and racial patterns.

We studied the relationship of reciprocity, gender, and racial composition (Caucasian, African American, cross-race) of adolescent friendship dyads to similarity and proximity in 136 young adolescents. We found that adolescents selected friends who were of the same gender and race and that female dyads were more similar than male dyads on verbal achievement and several personality dimensions. Caucasian dyads were more similar than African American dyads on verbal achievement, mental alertness, and dominance. African American adolescents had more contact with their best friends outside school, whereas Caucasian adolescent friends had more in-school contact. African American students had fewer reciprocal relationships than the Caucasian students. Cross-race friendships were less reciprocal than same-race friendships. Race and gender were important in determining friendship patterns. Similarity and proximity were more important than reciprocity in understanding early adolescent friendships.     

Friendship Similarity During Early Adolescence: Gender and Racial Patterns

We studied the relationship of reciprocity, gender, and racial composition (Caucasian, African American, cross-race) of adolescent friendship dyads to similarity and proximity in 136 young adolescents. We found that adolescents selected friends who were of the same gender and race and that female dyads were more similar than male dyads on verbal achievement and several personality dimensions. Caucasian dyads were more similar than African American dyads on verbal achievement, mental alertness, and dominance. African American adolescents had more contact with their best friends outside school, whereas Caucasian adolescent friends had more in-school contact. African American students had fewer reciprocal relationships than the Caucasian students. Cross-race friendships were less reciprocal than same-race friendships. Race and gender were important in determining friendship patterns. Similarity and proximity were more important than reciprocity in understanding early adolescent friendships.     

Religious Activity and Risk Behavior Among African American Adolescents: Concurrent and Developmental Effects

This study examines how religious activity is associated with risk behaviors, concurrently and developmentally among urban African American adolescents. Seven hundred and five African American youths were interviewed annually during high school. Retention rates for the study exceeded 90%. Frequency of religious activity, sexual intercourse, and alcohol, cigarette, and marijuana use were assessed at each wave. Growth curve analyses found negative concurrent associations between religious activity and each of the four risk behaviors. The developmental effects of religious activity varied by gender. Higher levels of religious activity in 9th grade predicted smaller increases in marijuana use among males and cigarette use among females. In addition, larger decreases in religious activity during high school were associated with greater increases in alcohol use among males and sexual intercourse among females. During high school, religious activity limits the development of certain types of risk behavior among African American youth, even after controlling for reciprocal effects.     

Peer status in an ethnic context: Associations with African American adolescents' ethnic identity

This investigation examined the association between ethnic identity centrality and peer status for African American adolescents who represented a sizable proportion, yet numerical minority within a high school context. Initial analyses indicated that a traditional sociometric nomination procedure did not adequately characterize peer status for African American adolescents. A modified nomination procedure varying the ethnicity of nominators yielded measures of African American adolescents' peer acceptance/rejection and perceived popularity as rated by African American or European American peers. Results suggest that high levels of peer acceptance and popularity as rated by African American peers were associated with high ethnic identity centrality; however, acceptance and popularity as rated by European American peers were unrelated to ethnic identity centrality among African American adolescents. Findings suggest the importance of examining peer status of African American adolescents with consideration given to ethnicity as a relevant context.     

Early Pubertal Timing as a Vulnerability to Depression Symptoms: Differential Effects of Race and Sex

Robust evidence supports that girls and boys who experience early pubertal timing, maturing earlier than one’s peers, are vulnerable to developing symptoms of depression. However, it has yet to be clarified whether early pubertal timing confers vulnerability to African American as well as to Caucasian adolescents and whether this vulnerability is specific to depressive symptoms or can be generalized to symptoms of social anxiety. In previous studies, one race or one sex was examined in isolation or sample sizes were too small to examine racial differences. Our longitudinal study consisted of a sample of 223 adolescents (M_age?=?12.42, 54.3 % female, 50.2 % African American, and 49.8 % Caucasian). At baseline, depressive symptoms, social anxiety symptoms, and pubertal timing were assessed by self-report. Nine months later, we assessed depressive symptoms, social anxiety symptoms, body esteem, and stressful life events that occurred between baseline and follow-up. Analyses indicated that early pubertal timing interacted with stressful life events to predict increased symptoms of depression, but only for Caucasian girls and African American boys. Results were found to be specific to depressive symptoms and did not generalize to symptoms of social anxiety. Additionally, there was a significant positive indirect effect of pubertal timing on symptoms of depression through body esteem for Caucasian females.     

A longitudinal study of the relationship between depressive symptoms and cigarette use among African American adolescents.

The relationship between depressive symptoms and cigarette use was examined in a sample of 623 African Americans during adolescence and transition to adulthood by using hierarchical linear modeling. Participants in the study were interviewed across 6 occasions over 8 years. Results indicate that depressive symptoms tend to decrease over time, whereas cigarette use tends to increase for both female and male adolescents. The results also suggest that depressive symptoms predict later cigarette use. Male adolescents who reported more depressive symptoms were more likely than female adolescents to use cigarettes as a way to cope with their mood. These results suggest that depressive symptoms may be important to consider when developing smoking cessation interventions for African American youth.     

Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity

A large body of research has examined the development of internalizing and externalizing symptoms in childhood and early adolescence. Notably, there is significant concomitant impairment associated with early adolescent symptomatology, as well as association of these symptoms with future development of psychopathology, poor physical health, self-destructive thoughts and behaviors, criminal behavior, and HIV risk behaviors. Drawing on negative reinforcement theory, the current study sought to examine the potential role of distress tolerance, defined as the ability to persist in goal-directed activity while experiencing emotional distress, as a potential mechanism that may underlie both internalizing and externalizing symptoms among 231 Caucasian and African American youth (M age = 10.9 years; 45.5% female; 54.5% Caucasian ethnicity). A series of regressions resulted in significant moderated relationships, such that low distress tolerance conferred increased risk for alcohol use among Caucasians, delinquent behavior among African Americans, and internalizing symptoms among females. Clinical implications, including the potential role of negative reinforcement models in early intervention with young adolescents, are discussed.     

Thriving Among African‐American Adolescents: Religiosity,Religious Support,and Communalism

While research has identified some positive factors in the lives of African‐American adolescents, there is limited, yet growing, empirical research examining how positive factors foster thriving for these youth. Using a positive youth development framework, we examined naturally occurring factors that promote thriving among African‐American adolescents. This cross‐sectional study included 152 youth who were surveyed at five Black churches in a large Midwestern city. Using MPlus, the structural regression model results revealed support for a model that demonstrated religiosity, religious support, and communalism are significantly and directly related to thriving among African‐American adolescents. Implications for theory, research and practice are discussed. Moving from a deficit lens to a strengths‐based approach can facilitate understanding of developmental processes and provide a foundation for supporting and enhancing positive outcomes among African‐American adolescents.     

Factor structure of the Bulimia Test--Revised in college women from four ethnic groups

The factor structure of the Bulimia Test--Revised (BULIT-R) was investigated using confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). The sample consisted of 2,671 female college students (African American, Asian American, Caucasian American, and Latino American). Reliability coefficients were excellent across groups. African Americans scored significantly lower on the BULIT-R than Caucasian Americans. Across groups, CFA and EFA results suggest a six-factor solution is most appropriate. Consistent across groups were factors representing bingeing, body image, purging, and extreme weight loss behaviors, while few differences were observed across groups. These findings suggest that the measure is reliable and valid for use with diverse ethnic groups. Future research should focus on culturally salient psychological correlates of disordered eating in diverse ethnic groups.     

The development of ethnic identity during adolescence

The development of ethnic identity is a critical facet of adolescence, particularly for adolescents of color. In order to examine the developmental trajectory of ethnic identity, African American, Latino American, and European American early and middle adolescents (N = 420) were assessed over 3 years. Two components of ethnic identity were assessed--group-esteem was found to rise for both early and middle adolescents; exploration rose for middle adolescents. African Americans and Latino Americans were lower in group-esteem but have greater increases than European Americans, particularly across a school transition. The course of ethnic identity development during early and middle adolescence, the role of school context, and the variability in developmental trajectories among racial and ethnic groups are discussed.     

Home Versus School Environments and their Influences on the Affective and Behavioral States of African American,Hispanic, and Caucasian Juvenile Offenders

We examined and compared the influence of home and school environments to the affective (anxiety and depression) and behavioral (impulsivity and compliance) states of 626 African American, Caucasian, and Hispanic adjudicated juvenile offenders. African Americans showed the strongest relationship between their home environment and compliance. Caucasian and Hispanic males exhibited increased home and school environment problems associated with affective states. Among females, African American and Caucasian females exhibited the strongest relationships between their home environment and behavioral states, whereas Caucasian and Hispanic males revealed increased school environment problems related to affective states with Hispanic males showing the strongest relationships. In addition, the school environment was more predictive of the affective and behavioral states of the adolescents, particularly females.     

Active and Avoidant Coping and Coping Efficacy as Mediators of the Relation of Maternal Involvement to Depressive Symptoms among Urban Adolescents

Our study tested an extension of the social resource model in an urban sample of 129 African American and 114 European American adolescents. Maternal involvement was positively related to the use of active and avoidant coping strategies among youth of both ethnicities. Additionally, use of active coping strategies was related to greater coping efficacy, which, in turn, was associated with less depressive symptomatology. For African Americans, avoidant coping was related to greater coping efficacy, which, in turn, was associated with less depressive symptoms. For European Americans, avoidant coping was not significantly related to coping efficacy. Our findings underscore the importance of examining developmental models across ethnic/racial groups and suggest that adolescent mental health programs may benefit from culturally sensitive attention to coping beliefs and practices.     

Do African American Male and Female Adolescents Differ in Technological Engagement?: The Effects of Parental Encouragement and Adolescent Technological Confidence

African Americans, especially African American women, remain one of the most underrepresented groups in technology-based degrees and careers. However, little is known about whether gender differences permeate African American adolescents’ engagement in technology in earlier development, such as in middle and high school (ages 12–18). Drawing on an ecological and intersectional framework, we examined if African American male and female adolescents differed in technological engagement and what contextual factors affected their engagement. We hypothesized that parental encouragement would be associated with greater technological confidence in adolescents, which would be linked to more experiences with and interests in technology. Further, we investigated if these associations would vary by adolescents’ and parents’ gender. Survey data from 1041 African American parent-adolescent dyads highlighted that adolescents had less experience and interest with technical activities than with creative activities, especially among female adolescents. More parents encouraged adolescent sons but limited daughters to use technology, yet female adolescents reported greater technological confidence. Moderated mediation analyses revealed that adolescents’ technological confidence mediated the positive association between parental encouragement and adolescents’ technological engagement across all parent-adolescent dyads, but with some nuances. Our findings suggest that prospective gender studies and educational programs should consider the influences of parenting and gender on promoting African American adolescents’ technological involvement and confidence.

     

The impact of depressive symptomatology on risky sexual behavior and sexual communication among African American female adolescents

Adolescents, particularly African American adolescents, are at high risk for sexually transmitted infections (STIs). The association between psychosocial factors and risky sexual behavior has been well established. However, only a small number of studies have examined the relationship between depressive symptomatology among African American female adolescents, specifically over time. The present study examined depressive symptoms as a predictor of risky sexual behavior, sexual communication, and STIs longitudinally among African American female adolescents between the ages 15 and 21. Binary generalized estimating equation models were conducted assessing the impact of depressive symptoms at baseline on risky sexual behavior and STIs over six- and 12-months follow-up. Age, intervention group, and baseline outcome measures were entered as covariates. The results indicated that high levels of depressive symptoms predicted no condom use during last sexual encounter and multiple sexual partners over six-months follow-up. Depressive symptoms also predicted having a main partner with concurrent partners, high fear of communication about condoms, and sex while high on alcohol or drugs over six- and 12-months follow-up. These findings could be used to inform HIV/STI prevention intervention programs and clinicians providing regular health care maintenance to African American female adolescents engaging in risky sexual behavior.     

Psychometric properties of the Sutter-Eyberg Student Behavior Inventory with rural middle school and high school children

This study examined the psychometric properties of the Sutter-Eyberg Student Behavior Inventory (SESBI) in a rural sample of children and adolescents. Thirty-eight 5th- through 12th-grade teachers completed the SESBI on 726 children in their classrooms. High Cronbach's alphas supported the reliability of the SESBI scales in this population. Higher SESBI scores were obtained by boys than girls and by African American students than Caucasian students, more so at lower grades. Teacher's race did not affect SESBI scores. In contrast to children with developmental delay, children with learning disabilities obtained higher scores than others on the SESBI Intensity scale but not on the Problem scale. This suggests that teachers of children with learning disabilities recognize the higher frequency of problem behaviors in their students but do not consider these behaviors to be problems for themselves. On both SESBI scales, children with developmental delay were not distinguishable from peers without developmental delays.