Links between perceived discrimination, substance use, and sexual risk among Afri

非洲人感知到的歧视、药物使用和性风险之间的联系

• 批准号: 8701597
• 负责人: Aerika Brittian Loyd
• 金额: $ 7.99万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-15 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8701597
• 关键词: Achievement; Address; Adolescent; African American; Alcohol consumption; Alcohol or Other Drugs use; Chicago; Color; Communities; Cultural Characteristics; Data; Development; Discrimination; Drug usage; Ethnic group; Event; Female; Fostering; Funding; Health; Individual; Intervention Studies; Justice; Link; Mediating; Mental Health; Mental disorders; Outcome; Population; Prevention; Prevention program; Preventive Intervention; Problem behavior; Public Health; Reporting; Request for Proposals; Research; Research Design; Resources; Risk; Role; Sampling; Stress; Testing; Time; Youth; coping; cultural values; ethnic minority population; experience; health disparity; high risk sexual behavior; intervention effect; intervention program; juvenile delinquent; juvenile justice system; male; offender; physical conditioning; probation; public health relevance; racial and ethnic; racial discrimination; resilience; self esteem; sexual risk taking; social; social skills; stressor; young man

DESCRIPTION (provided by applicant): African American (AA) adolescents in an urban context experience significant mental health disparities compared to the national average, and they are overrepresented in the juvenile justice system. Mental health disorders among juvenile offenders (JO) are three times higher than community samples, yet JO on probation are unlikely to receive treatment. Exacerbating negative outcomes, JO report more risky sexual behavior, drug and alcohol use, and are more likely to test positive for STIs than non-offending youth. AA males are disproportionately involved in the juvenile justice system and particularly vulnerable to stress and poor health outcomes. This study will focus on males given that males overwhelmingly outnumber females in the juvenile justice system, especially males of color. Societal determinants, such racial discrimination, can negatively impact mental and physical health. However, the impact of perceived discrimination on young offenders' mental health outcomes is not well understood. Studies on perceived discrimination and other types of problem behaviors among youth offenders (substance use and risky sexual behavior) are virtually nonexistent. Moreover, the role of perceived discrimination is rarely addressed in prevention and intervention programs involving ethnic minority youth. Poor understanding of social stressors, such as perceived discrimination, may contribute to the lack of sustained prevention and intervention effects for AA JO. This analysis of secondary data will examine the impact of perceived discrimination on comorbity (mental health, substance use, and risky sexual behavior), and positive development (self-esteem and social competence) among African American male juvenile offenders in Chicago who participated in larger intervention study designed to reduce risky sexual behavior and substance use among JO in Chicago (R01MD005861; Donenberg, PI). Using a culturally informed theoretical framework, the proposed study will examine how resilience transpires among AA male JO, namely the protective and promotive value of both dispositional and event-specific coping and the protective and promotive value of cultural resources (e.g., ethnic-racial identity) on adjustment. Research on resilience is essential to understanding how these young men's developmental trajectories may be changed.

描述（由申请人提供）：与全国平均水平相比，城市背景下的非裔美国人（AA）青少年经历了显著的心理健康差异，他们在少年司法系统中的比例过高。青少年罪犯（JO）的精神健康障碍是社区样本的三倍，但缓刑的JO不太可能接受治疗。更糟糕的是，与没有犯罪行为的青少年相比，女性报告的危险性行为、吸毒和酗酒情况更多，性传播感染检测呈阳性的可能性更大。嗜酒者互诫会的男性在青少年司法系统中所占的比例不成比例，尤其容易受到