The Relationship Between Family Stress and Behavioral Health Among African American Adolescents
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African American youth, especially those who live in low-income communities, are at increased risk for experiencing higher juvenile justice involvement, poorer mental health, low school engagement, higher illicit drug use, and STIs, relative to their higher income peers and those from other ethnic backgrounds. However, few studies have examined the relationship between family stressors and these multiple youth concerns. This study examines the relationship between family stress (i.e., having an adult in the home with a history of mental illness, substance use, and incarceration) and youth concerns such as substance use, mental health challenges, low school engagement, juvenile justice involvement, and STI risk behaviors. A total of 638 African American adolescents living in predominantly low-income, urban communities participated in the study by completing self-report measures on the above constructs. Logistic regressions controlling for age, gender, socioeconomic status, and sexual orientation indicated that adolescents who reported higher rates of family stress were significantly more likely to report mental health problems, delinquent behaviors, juvenile justice involvement, drug use, risky sex, and lower school engagement factors. Findings suggest that attending to the developmental concerns of youth also requires addressing the needs of the family unit.
KeywordsFamily stress Mental health Delinquency School engagement Substance use Sexual behaviors African American youth
Funding for this study was supported by the Center for Health Administration Studies and the STI/HIV Intervention Network at the University of Chicago.
Compliance with Ethical Standards
Conflict of interest
All authors disclose that there are no potential conflict of interests.
Human and Animal Rights
Research involving human subjects received University Internal Review Board Approval.
All youth provided informed assent prior to study enrollment.
- Alexander, M. (2012). The new Jim Crow. New York, NY: The New Press.Google Scholar
- American Civil Liberties Union. (2013). The war on marijuana in black and white. New York, NY: American Civil Liberties Union. Retrieved from https://www.aclu.org/files/assets/aclu-thewaronmarijuana-rel2.pdf.
- Center for Disease Control and Prevention. (2012). STD surveillance racial and ethnic minorities. Retrieved from http://www.cdc.gov/std/stats12/minorities.htm.
- Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (CDC). (2015, April). Web-based injury statistics query and reporting system (WISQARS). Retrieved from http://www.cdc.gov/injury/wisqars.
- Derogatis, L. R. (2000). The Brief Symptom Inventory-18 (BSI-18): Administration, scoring, and procedures manual (3rd ed.). Minneapolis, MN: National Computer Systems.Google Scholar
- Fleming, C. B., Catalano, R. F., Haggerty, K. P., & Abbott, R. D. (2010). Relationships between level and change in family, school, and peer factors during two periods of adolescence and problem behavior at age 19. Journal of Youth and Adolescence, 39, 670–682.CrossRefPubMedPubMedCentralGoogle Scholar
- Hockenberry, S., & Puzzanchera, C. (2014, July). Juvenile court statistics 2011. National Center for Juvenile Justice. Retrieved from http://ojjdp.gov/ojstatbb/njcda/pdf/jcs2011.pdf.
- Kamalu, N. C., Coulson-Clark, M., & Kamalu, N. M. (2010). Racial disparities in sentencing: Implications for the criminal justice system and the African American community. African Journal of Criminology & Justice Studies, 4(1), 1–31.Google Scholar
- Kline, R. B. (1998). Principles and practices of structural equation modeling. New York: The Guilford Press.Google Scholar
- Nebbitt, V., Tirmazi, T. M., Lombe, M., Cryer-Coupet, Q., & French, S. (2014). Correlates of the sex trade among African-American youth living in urban public housing: Assessing the role of parental incarceration and parental substance use. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 91(2), 383–393.CrossRefGoogle Scholar
- Office of Minority Health (OMH). (2014, September). Mental health and African Americans. Retrieved from http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=24.
- Ruiz, D. S., & Kopak, A. (2014). The consequences of parental incarceration for African American mothers, children, and grandparent caregivers. Journal of Pan African Studies, 7(6), 9–25.Google Scholar
- Smedley, B. D., Tegeler, P., King, M., Hitov, S., Anderson, K., Eady, V., et al. (2008). Unequal health outcomes in the United States. Retrieved from http://opportunityagenda.org/files/field_file/Final%20CERD%20Health%20Working%20Group%20Report.pdf.
- Stahl, A. L., Finnegan, T., & Kang, W. (2006). Easy access to juvenile court statistics: 1985–2003. National Center for Juvenile Justice. Retrieved from http://ojjdp.ncjrs.gov/ojstatbb/ezajcs/.
- Substance Abuse and Mental Health Services Administration. (2013). Results from the 2013 National Survey on Drug Use and Health: Summary of national findings (Publication no. SMA 14-4863). Retrieved from http://www.samhsa.gov/data/sites/default/files/NSDUHresultsPDFWHTML2013/Web/NSDUHresults2013.pdf.
- Swaine, J., Laughland, O., & Lartey, J. (2016, February 1). The counted. The Guardian. Retrieved from http://www.theguardian.com/us-news/ng-interactive/2015/jun/01/the-counted-police-killings-us-database.
- U.S. Department of Education. (2012). National Center for Education Statistics Common Core of Data state dropout and graduation rate data file: School year 2011–12. Retrieved from https://nces.ed.gov/ccd/tables/AFGR0812.asp.
- U.S. Department of Education, Institute of Education Sciences. (2015). The condition of education 2015 (Report no. NCES 2015-144). Retrieved from https://nces.ed.gov/fastfacts/display.asp?id=27.
- U.S. Department of Health and Human Services, National Institutes of Health. (2003). Drug use among racial/ethnic minorities (Report no. 03-3888). Bethesda, MD. Retrieved from http://archives.drugabuse.gov/pdf/minorities03.pdf.
- Vanneman, A., Hamilton, L., & Anderson, J. B. (2009, July). Achievement gaps: How Black and White students in public schools perform in mathematics and reading on the National Assessment of Educational Progress. National Center for Education Statistics, U.S. Department of Education. Retrieved from http://nces.ed.gov/nationsreportcard/pdf/studies/2009455.pdf.
- Wadsworth, M. E., Santiago, C. D., Einhorn, L., Etter, E. M., Rienks, S., & Markman, H. (2010). Preliminary efficacy of an intervention to reduce psychosocial stress and improve coping in low-income families. American Journal of Community Psychology, 48(3–4), 257–271.Google Scholar