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The Relationship Between Family Stress and Behavioral Health Among African American Adolescents

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Abstract

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.

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References

  • 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.

  • Barone, C., Weissberg, R. P., Kasprow, W. J., Voyce, C. K., Arthur, M. W., & Shriver, T. P. (1995). Involvement in multiple problem behaviors of young urban adolescents. Journal of Primary Prevention, 15(3), 261–283.

    Article  PubMed  Google Scholar 

  • Brady, S. S., Margaret, M., Harper, G. W., & Pollack, L. M. (2009). Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Health Psychology, 28(2), 238–248.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brakefield, T., Wilson, H., & Donenberg, G. (2012). Maternal models of risk: Links between substance use and risky sexual behavior in African American female caregivers and daughters. Journal of Adolescence, 35(4), 959–968.

    Article  PubMed  PubMed Central  Google Scholar 

  • Caldwell, C. L., Horne, A. M., Davidson, B., & Quinn, W. H. (2006). Effectiveness of a multiple family group intervention for juvenile first offenders in reducing parent stress. Journal of Child and Family Studies, 16(3), 443–459.

    Article  Google Scholar 

  • 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.

  • Chen, P., Voisin, D. R., & Jacobson, K. C. (2013). Community violence exposure and adolescent delinquency: Examining a spectrum of promotive factors. Youth & Society, 48(1), 33.

    Article  Google Scholar 

  • Conger, R. D., Wallace, L. E., Sun, Y., Simons, R. L., McLoyd, V. C., & Brody, G. H. (2002). Economic pressure in African American families: A replication and extension of the family stress model. Developmental Psychology, 38(2), 179–193.

    Article  PubMed  Google Scholar 

  • Cooper, L. A., Gonzales, J. J., Gallo, J. J., Rost, K. M., Meredith, L. S., & Rubenstein, L. V. (2003). The acceptability of treatment for depression among African American, Hispanic, and White primary care patients. Medical Care, 41, 479–489.

    PubMed  Google Scholar 

  • Cooper, M. L., Shapiro, C. M., & Powers, A. M. (1998). Motivations for sex and risky sexual behavior among adolescents and young adults: A functional perspective. Journal of Personality and Social Psychology, 75(6), 1528.

    Article  PubMed  Google Scholar 

  • 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 

  • Elkington, K. S., Bauermeister, J. A., & Zimmerman, M. A. (2011). Do parents and peers matter? A prospective socio-ecological examination of substance use and sexual risk among African American youth. Journal of Adolescence, 34(5), 1035–1047.

    Article  PubMed  Google Scholar 

  • Evans, G. W., Gonnella, C., Marcynyszyn, L. A., Gentile, L., & Salpekar, N. (2005). The role of chaos in poverty and children’s socioemotional adjustment. Psychological Science, 16(7), 560–565.

    Article  PubMed  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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gorman-Smith, D., Henry, D. B., & Tolan, P. H. (2004). Exposure to community violence and violence perpetration: The protective effects of family functioning. Journal of Child Clinical and Adolescent Psychology, 33, 439–449.

    Article  Google Scholar 

  • Gutman, L. M., McLoyd, V. C., & Tokoyawa, T. (2005). Financial strain, neighborhood stress, parenting behaviors, and adolescent adjustment in urban African American families. Journal of Research on Adolescence, 15(4), 425–449.

    Article  Google Scholar 

  • Hammack, P. L., Richards, M. H., Luo, Z., Edlynn, E. S., & Roy, K. (2004). Social support factors as moderators of community violence exposure among inner-city African American young adolescents. Journal of Clinical Child and Adolescent Psychology, 33, 450–462.

    Article  PubMed  Google 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 

  • Klem, A. M., & Connell, J. P. (2004). Relationships matter: Linking teacher support to student engagement and achievement. Journal of School Health, 74, 262–273.

    Article  PubMed  Google Scholar 

  • Kline, R. B. (1998). Principles and practices of structural equation modeling. New York: The Guilford Press.

    Google Scholar 

  • Kumpfer, K. L., & Alvarado, R. (2003). Family-strengthening approaches for the prevention of youth problem behaviors. American Psychologist, 58(6–7), 457.

    Article  PubMed  Google Scholar 

  • Landers-Potts, M. A., Wickrama, K. A. S., Simons, L. G., Cutrona, C., Gibbons, F. X., Simons, R. L., & Conger, R. (2015). An extension and moderational analysis of the family stress model focusing on African American adolescents. Family Relations, 64(2), 233–248.

    Article  Google Scholar 

  • McMahon, S. D., Grant, K. E., Compas, B. E., Thurm, A. E., & Ey, S. (2003). Stress and psychopathology in children and adolescents: Is there evidence of specificity? Journal of Child Psychology and Psychiatry, 44(1), 107–133.

    Article  PubMed  Google Scholar 

  • McNeely, C., & Falci, C. (2004). School connectedness and the transition into and out of health risk behavior among adolescents: A comparison of social belonging and teacher support. Journal of School Health, 74, 284–292.

    Article  PubMed  Google Scholar 

  • Mukku, V. K., Benson, T. G., Alam, F., Richie, W. D., & Bailey, R. K. (2012). Overview of substance use disorders and incarceration of African American males. Frontiers in Psychiatry, 3, 98.

    Article  PubMed  PubMed Central  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.

    Article  Google Scholar 

  • Newman, B. M., Newman, P. R., Griffen, S., O’Connor, K., & Spas, J. (2007). The relationship of social support to depressive symptoms during the transition to high school. Adolescence, 42(167), 441–459.

    PubMed  Google 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.

  • Parke, R. D., Coltrane, S., Duffy, S., Buriel, R., Dennis, J., Powers, J., & Widaman, K. F. (2004). Economic stress, parenting, and child adjustment in Mexican American and European American families. Child Development, 75(6), 1632–1656.

    Article  PubMed  Google Scholar 

  • 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 

  • Schneider, J. A., Voisin, D. R., Michaels, S., Ostrow, D., & Laumann, E. O. (2011). Evaluation of sexual networks as a cause for disparate HIV prevalence between Blacks and Whites: More questions than answers. AIDS, 25(15), 1933–1934.

    Article  PubMed  Google Scholar 

  • Serbin, L. A., & Karp, J. (2004). The intergenerational transfer of psychosocial risk: Mediators of vulnerability and resilience. Annual Review of Psychology, 55(1), 333–363.

    Article  PubMed  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/.

  • Stein, M., Walker, J., Hazen, A., & Forde, D. (1997). Full and partial posttraumatic stress disorder. American Journal of Psychiatry, 154, 1114–1119.

    Article  PubMed  Google Scholar 

  • Steinberg, L., & Morris, A. S. (2001). Adolescent development. Journal of Cognitive Education and Psychology, 2(1), 55–87.

    Article  Google Scholar 

  • 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 201112. 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.

  • Voisin, D. R. (2002). Family ecology and HIV sexual risk behaviors among African American and Puerto Rican adolescent males. American Journal of Orthopsychiatry, 72, 294–302.

    Article  PubMed  Google Scholar 

  • Wadsworth, M. E., & Berger, L. E. (2006). Adolescents coping with poverty-related family stress: Prospective predictors of coping and psychological symptoms. Journal of Youth and Adolescence, 35(1), 54–67.

    Article  Google Scholar 

  • 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 

  • Wallace, J. M., & Muroff, J. R. (2002). Preventing substance abuse among African American children and youth: Race differences in risk factor exposure and vulnerability. The Journal of Primary Prevention, 22, 235–261.

    Article  Google Scholar 

  • Wilson, H. W., Woods, B. A., Emerson, E., & Donenberg, G. R. (2012). Patterns of violence exposure and sexual risk in low-income, urban African American girls. Psychology of Violence, 2, 194–207.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zimmerman, M. A., & Schmeelk-Cone, K. H. (2003). A longitudinal analysis of adolescent substance use and school motivation among African American youth. Journal of Research on Adolescence, 13, 185–210.

    Article  Google Scholar 

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Acknowledgments

Funding for this study was supported by the Center for Health Administration Studies and the STI/HIV Intervention Network at the University of Chicago.

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Correspondence to Dexter R. Voisin.

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Voisin, D.R., Elsaesser, C., Kim, D.H. et al. The Relationship Between Family Stress and Behavioral Health Among African American Adolescents. J Child Fam Stud 25, 2201–2210 (2016). https://doi.org/10.1007/s10826-016-0402-0

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