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1.
Am J Community Psychol ; 73(1-2): 144-158, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37016921

ABSTRACT

Scholarship on girlhood-especially for girls of Color-is often relegated to studying risk and emphasizing individual deficits over humanizing girls and centering their voices. This approach to generating scholarship renders oppressive systems and processes invisible from inquiry and unaddressed by practice, with particularly insidious consequences for youth in the legal system. Critical youth participatory action research (YPAR) is acknowledged as an antidote to these conceptualizations because it resists deficit-oriented narratives circling systems-impacted youth by inviting them to the knowledge-generating table. In this paper, we present an empirical analysis of the promises and perils that emerged as we conducted a year-long critical YPAR project alongside five system-impacted girls of Color. Our thematic analysis of process notes (30 meetings, 120 h) documents the stories posited by girls, in a democratized space, about the injustices of interconnected institutions, and unearths a complicated tension for both youth and adult coresearchers around the promises and perils of engaging in YPAR within the academy. These findings underscore the importance of using intersectional, collaborative research to challenge perceptions around how we legitimize knowledge. We describe lessons learned in conducting YPAR in academic settings and highlight recommendations to grow youth-adult partnerships within oppressive systems to share power.


Subject(s)
Rosa , Adult , Female , Humans , Adolescent , Community-Based Participatory Research , Academies and Institutes , Concept Formation , Health Services Research
2.
J Am Vet Med Assoc ; 262(1): 93-99, 2024 Jan 01.
Article in English | MEDLINE | ID: mdl-38103381

ABSTRACT

OBJECTIVE: To investigate the prevalence and seropositivity of SARS-CoV-2 in companion and exotic animals in a veterinary healthcare system. SAMPLE: A total of 341 animals were sampled by a combination of oral and nasal swabs. Serum from whole blood was collected from a subset of animals (86 canines, 25 felines, and 6 exotic animals). METHODS: After informed owner consent, convenience samples from client-owned animals and the pets of students and staff members associated with Colorado State University's Veterinary Health System were collected between May 2021 and September 2022. Study samples were collected by trained veterinarians, Veterinary Health System staff, and veterinary students. RESULTS: SARS-CoV-2 RNA was detected by reverse transcription PCR in 1.6% (95% CI, 0.5% to 4.6%) of domestic canines and 1.1% (95% CI, 0.2% to 6.1%) of domestic felines. No RNA was detected in any of the exotic animal species tested (n = 66). Plaque reduction neutralization tests indicated that 12.8% (95% CI, 7.3% to 21.5%) of canines and 12.0% (95% CI, 4.2% to 30.0%) of felines had neutralizing antibodies against SARS-CoV-2. CLINICAL RELEVANCE: This study provides insight regarding SARS-CoV-2 spillover in domestic companion and exotic animals and contributes to our understanding of transmission risk in the veterinary setting.


Subject(s)
COVID-19 , Cat Diseases , Dog Diseases , Humans , Animals , Cats , Dogs , COVID-19/epidemiology , COVID-19/veterinary , RNA, Viral , SARS-CoV-2 , Colorado/epidemiology , Health Personnel
3.
Am J Orthopsychiatry ; 94(2): 222-234, 2024.
Article in English | MEDLINE | ID: mdl-38127512

ABSTRACT

A growing body of theory and research suggests that racial identity invalidation (RII)-the active denial of a person's racial identity and/or belonging to the racial group(s) they identify with-may play an important role in the mental health problems that Biracial Black-White youth face. However, research has yet to explore this empirically. The purpose of this study was to address this gap by examining whether RII was associated with depressive symptoms among Biracial Black-White adolescents and emerging adults (N = 713; 61% male; M = 18.40, SD = 3.71). From an intersectional and strengths-based lens, we also explore if (a) Biracial and Black pride individually or collectively moderate the relationship between RII and depressive symptoms and (b) if any of these associations differ by gender. The analyses included two hierarchical linear regressions (one for girls and one for boys) that were conducted using Model 3 of the PROCESS Macro in SPSS. The results indicated that RII was associated with depression symptoms for all participants. We also found several significant interaction effects illustrating that Biracial and Black pride both played a meaningful role in the relationship between RII and the mental health of the participants, but different patterns emerged for girls and boys. Collectively, the results position RII as a salient risk factor for Biracial Black-White adolescents and emerging adults while also illuminating the promotive and protective power of racial pride. The implications for research and practice are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Subject(s)
Depression , Social Identification , Adult , Female , Adolescent , Humans , Male , Depression/psychology , Racial Groups/psychology , Emotions , Gender Identity
4.
Int J Mol Sci ; 24(13)2023 Jun 21.
Article in English | MEDLINE | ID: mdl-37445615

ABSTRACT

The transient receptor potential, the melastatin (TRPM) subfamily, which consists of eight known members, appears to have significant importance in melanoma progression, treatment, and prognosis. As several members were originally cloned from cancerous tissue, initial studies aimed towards identifying TRPM involvement in cancer progression and tumorigenesis. For relevance in skin cancer, previous research has shown roles for several TRPM members in skin cancer progression, growth, and patient prognosis. One unique member, TRPM2, appears to have notable therapeutic potential in the treatment of melanoma. Previous and recent studies have demonstrated increased TRPM2 expression levels in melanoma, as well as important roles for TRPM2 in melanoma growth, proliferation, and survival. TRPM2 is thus an emerging target in the treatment of melanoma, where TRPM2 antagonism may offer an additional treatment option for melanoma patients in the future.


Subject(s)
Melanoma , Skin Neoplasms , TRPM Cation Channels , Humans , TRPM Cation Channels/genetics , TRPM Cation Channels/metabolism , Melanoma/drug therapy , Melanoma/genetics , Skin Neoplasms/drug therapy , Skin Neoplasms/genetics
5.
Fam Process ; 62(3): 1075-1092, 2023 09.
Article in English | MEDLINE | ID: mdl-37257845

ABSTRACT

Scholars have spent the last four decades expanding the theoretical understanding of parental racial socialization-or parent-child communication about race. What is largely absent from existing conceptualizations, however, is a consideration for how the practice manifests in Multiracial families. The interracial structure of Multiracial families complicates racial socialization in ways that are not being captured in empirical research due to the overreliance on universal frameworks. It is imperative that we close this theoretical gap as the proportion of Multiracial families in the United States is expanding at record rates. Accordingly, we present the Multiracial-Black Socialization Model (MRB-SM) in this paper. The MRB-SM is designed explicitly for Multiracial-Black families, one of the fastest-growing sub-groups of Multiracial families. The model builds upon the strengths of universal socialization theories by outlining the content, process, and context components of racial socialization in Multiracial-Black families. The implications for research are discussed.


Subject(s)
Black or African American , Socialization , Humans , United States , Social Identification , Racial Groups , Parent-Child Relations
6.
Cultur Divers Ethnic Minor Psychol ; 29(4): 482-492, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37213170

ABSTRACT

OBJECTIVE: To explore the influences of Black-White biracial adolescents' choice to racially identify with Blackness, parental ethnic-racial socialization (ERS) messages, parental race, and perceived parental closeness were examined. Specifically, this study investigated how messages that promote monoracial Black pride and messages that prepare youth for monoracial Black bias may be related to adolescents' identification with Blackness, and whether parental race or parental closeness moderated these relationships. METHOD: Three hundred thirty Black-White biracial adolescents (Mage = 14.82) were recruited across the United States via social media. Participants completed the Racial Socialization Questionnaire for Biracial Adolescents and a demographic questionnaire to indicate how close they felt to each parent. The analytic sample (n = 280) included respondents who racially identified as exclusively Black, blended Black, or exclusively biracial. RESULTS: Multinomial logistic regression analyses revealed significant differences in the association between ERS messages and adolescent racial identification based on the race of the parent socializer. Further moderation analyses indicated that parental closeness, particularly regarding fathers, amplifies these findings. CONCLUSION: Maternal and paternal ERS messages are differentially associated with biracial adolescents' choice of racial identification toward Blackness. interestingly, ERS messages from White parents seem to significantly influence racial identification compared to Black parents. Parental closeness further elucidates these findings. (PsycInfo Database Record (c) 2023 APA, all rights reserved).


Subject(s)
Social Identification , Socialization , White , Adolescent , Humans , Parents , United States , Black or African American
7.
J Clin Microbiol ; 61(7): e0161022, 2023 07 20.
Article in English | MEDLINE | ID: mdl-37098970

ABSTRACT

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is notable both for its impact on global public health as well as its well-publicized transmissibility to other species of animals. Infection of incidental animal hosts is concerning because of possible emergence of novel variants due to viral mutation. Species that are susceptible to SARS-CoV-2 include domestic and nondomestic cats, domestic dogs, white-tailed deer, mink, and golden hamsters, among others. We detail possible origins of transmission of SARS-CoV-2 to humans, as well as the ecological and molecular mechanisms needed for the virus to establish infection in humans from animals. We highlight examples of SARS-CoV-2 spillover, spillback, and secondary spillover, demonstrating the breadth in the variability of hosts and current transmission events that have been documented in domestic, captive, and wild animals. Lastly, we turn our focus to the importance of animal hosts as potential reservoirs and sources of variant emergence that can have profound effects on the human population. We note that a One Health approach emphasizing surveillance of animals and humans in certain environments using interdisciplinary collaboration is encouraged to manage disease surveillance, regulation on animal trade and testing, and animal vaccine development that will mitigate further disease outbreaks. These efforts will minimize the spread of SARS-CoV-2 and advance knowledge to prevent the spread of future emerging infectious diseases.


Subject(s)
COVID-19 , Deer , One Health , Animals , Humans , Dogs , COVID-19/epidemiology , SARS-CoV-2 , Zoonoses , Pandemics/prevention & control
8.
J Clin Child Adolesc Psychol ; 52(3): 376-395, 2023.
Article in English | MEDLINE | ID: mdl-36862081

ABSTRACT

OBJECTIVE: Toward the overall goal of interrogating systems that contribute to racial inequity in child and adolescent psychology, we examine the role and function of Residential Treatment Centers (RTCs) in creating or exacerbating race and gender inequities using the language of mental health and the logic that treatment intentions justify children's confinement. METHODS: In Study 1, we conduct a scoping review to investigate the legal consequences of RTC placement, attending to race and gender in 18 peer-reviewed articles, encompassing data for 27,947 youth. In Study 2, we use a multimethod design focusing on RTCs in one large mixed-geographic county to examine which youth are formally charged with a crime while in RTCs, and the circumstances under which these charges occur, attending to race and gender (N = 318, 95% Black, Latine, Indigenous youth, mean age = 14, range = 8-16). RESULTS: Across studies, we find evidence for a potential treatment-to-prison pipeline through which youth in RTCs incur new arrests and are charged with crimes during and following treatment. This pattern is pronounced for Black and Latine youth and especially girls, for whom use of physical restraint and boundary violations are recurring challenges. CONCLUSIONS: We argue that the role and function of RTCs via the alliance between mental health and juvenile legal systems, however passive or unintentional, provides a critical exemplar of structural racism; and thus invite a different approach that implicates our field to publicly advocate to end violent policies and practices and recommend actions to address these inequities.


Subject(s)
Prisons , Residential Treatment , Child , Female , Humans , Adolescent
9.
Geobiology ; 21(3): 341-354, 2023 05.
Article in English | MEDLINE | ID: mdl-36567458

ABSTRACT

Oceanic Anoxic Events (OAEs) are conspicuous intervals in the geologic record that are associated with the deposition of organic carbon (OC)-rich marine sediment, linked to extreme biogeochemical perturbations, and characterized by widespread ocean deoxygenation. Mechanistic links between the marine biological carbon pump (BCP), redox conditions, and organic carbon burial during OAEs, however, remain poorly constrained. In this work we reconstructed the BCP in the western Tethys Ocean across OAE1a (~120 Mya) using sediment geochemistry and OC mass accumulation rates (OCAcc ). We find that OCAcc were between 0.006 and 3.3 gC m-2  yr-1 , with a mean value of 0.79 ± 0.78 SD gC m-2  yr-1 -these rates are low and comparable to oligotrophic regions in the modern oceans. This challenges longstanding assumptions that oceanic anoxic events are intervals of strongly elevated organic carbon burial. Numerical modelling of the BCP, furthermore, reveals that such low OC fluxes are only possible with either or both low to moderate OC export fluxes from ocean surface waters, with rates similar to oligotrophic (nutrient-poor, <30 gC m-2  yr-1 ) and mesotrophic (moderate-nutrients, ~50-100 gC m-2  yr-1 ) regions in the modern ocean, and stronger than modern vertical OC attenuation. The low OC fluxes thus reflect a relatively weak BCP. Low to moderate productivity is further supported by palaeoecological and geochemical evidence and was likely maintained through nutrient limitation that developed in response to the burial and sequestration of phosphorus in association with iron minerals under ferruginous (anoxic iron-rich) ocean conditions. Without persistently high productivity, ocean deoxygenation during OAE1a was more likely driven by other physicochemical and biological factors including ocean warming, changes in marine primary producer community composition, and fundamental shifts in the efficiency of the BCP with associated effects and feedbacks.


Subject(s)
Carbon , Oxygen , Carbon/analysis , Oxygen/analysis , Oceans and Seas , Geologic Sediments/chemistry , Iron
10.
Front Psychol ; 13: 933476, 2022.
Article in English | MEDLINE | ID: mdl-35959072

ABSTRACT

While educational settings may be envisioned as safe spaces that facilitate learning, foster creativity, and promote healthy development for youth, research has found that this is not always true for Black girls. Their negative experiences within educational settings are both gendered and racialized, often communicating broader societal perceptions of Black girls that ultimately shape their identity development. Utilizing semi-structured interviews with adolescent Black girls (n = 12), the current investigation explored Black girls' educational experiences, their meaning making of Black girlhood, and the role of parents in their positive development. By centering Black girls' voices, this study illuminated how Black girls negotiate their multiple marginalized identities and how their identities are shaped by their home and school environments. Findings revealed that Black girls are aware of the difficulties in navigating educational settings for Black girls, but this awareness was coupled with parental support that promoted positive gendered racial identities for Black girls in middle school and high school. This investigation advanced current knowledge of Black girls' identity development and highlighted the protective role of parental socialization. Future research directions and implications are also discussed.

11.
J Youth Adolesc ; 51(12): 2340-2354, 2022 Dec.
Article in English | MEDLINE | ID: mdl-35976560

ABSTRACT

Multiracial-Black youth are one of the fastest-growing populations in the U.S., but little is known about their racialized developmental experiences. This study uses Latent Profile Analysis to identify patterns of parental racial socialization among Biracial Black-White adolescents and explore whether those profiles relate to demographics and racial identity outcomes. The sample consisted of 330 Biracial Black-White adolescents living in the U.S. (67% boys; Mage = 14.8, SD = 1.5). The analysis yielded a four-profile solution based on (1) the frequency of socialization messages youth received and (2) the concordance of those messages across both of their parents (i.e., whether socialization frequency is similar or different between Black and white parents). Profile membership differed based on youth gender and racialized appearance (i.e., whether youth presented physically as Black, white, or racially ambiguous). Ultimately, adolescents in the profile with the highest frequency and concordance of parental racial socialization reported more adaptive racial identity attitudes including a sense of pride in being Black and Biracial. Youth in that profile also felt the most comfortable navigating the intersections of their racial identities, which coupled with racial pride has promising implications for their development and wellbeing.


Subject(s)
Social Identification , Socialization , Male , Adolescent , Humans , Female , Black or African American , Parents , Black People
12.
Child Youth Serv Rev ; 1362022 May.
Article in English | MEDLINE | ID: mdl-35370335

ABSTRACT

Girls involved in the juvenile legal system are at among the highest risk for sexual and reproductive health (SRH) challenges. Yet, few studies focus on girls or examine multiple predictors of their SRH in tandem. In addition to individual and familial-level risk factors (e.g., trauma, substance use, parental monitoring), this study also examines the influence of structural disadvantage on girls' SRH by assessing the degree to which girls' self-identified resource needs and access challenges across multiple areas (e.g., housing, employment, healthcare) predict SRH risk. Cross-sectional data collected from 269 girls involved in the legal system and their caregivers were analyzed using hierarchical regression analyses. Findings suggest that, over and above individual and familial level predictors, resource access challenges significantly predict girls' SRH, while high resource needs and access challenges predict Black girls' SRH specifically. Implications for programming, policy, and research are delineated.

13.
J Res Adolesc ; 32(1): 41-48, 2022 03.
Article in English | MEDLINE | ID: mdl-34874089

ABSTRACT

The current study explored parental racial socialization and racial regard as moderators of the effects of cultural racism on depression symptoms among Black adolescents (N = 604, Mage = 15.44). When adolescents reported lower private regard and lower cultural pride messages or higher public regard and lower alertness to discrimination messages, the negative effects of cultural racism on depression symptoms were exacerbated. When adolescents reported higher private regard and more cultural pride messages, the negative effects of cultural racism on depression symptoms were attenuated. Findings suggest that racial messages transmitted to Black adolescents combined with their own racial attitudes can alter the effect of cultural racism on depression symptoms.


Subject(s)
Racism , Socialization , Adolescent , Black People , Depression , Humans , Parents
14.
J Fam Psychol ; 36(2): 318-323, 2022 Mar.
Article in English | MEDLINE | ID: mdl-34081502

ABSTRACT

Parents can promote the sexual health of adolescents in a number of well-established ways, such as through sexual communication and parental monitoring. Another unexplored avenue through which parents might influence sexual decision-making among Black girls is gendered-racial socialization-the process through which parents send messages to their Black daughters about what it means to be a Black girl, in part, to improve their self-esteem. In a national, U.S.-based sample of 287 Black girls (Mage = 15.4) and their parents (87.8% female), we examine how two dimensions of gendered-racial socialization (gendered-racial pride socialization; gendered-racial oppression socialization): (a) are related to adolescents' intentions to have early sex and (b) moderate the association of parental communication and monitoring with adolescents' intentions to have early sex. We found Black girls who are exposed to more empowering messages about Black girls and women are less likely to intend to have early sex. Additionally, gendered-racial pride socialization moderated the relationship between parental monitoring and intentions to have sex, such that more monitoring was associated with lower intentions to have early sex among girls low in gendered-racial pride socialization. For girls high in gendered-racial pride socialization, there was no relationship between parental monitoring and sexual intentions. Gendered-racial pride socialization is an important asset in Black families, which can be leveraged to improve the sexual health of Black girls. Future studies are needed to examine the causal, temporal pathways between gendered-racial socialization and sexual health. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Subject(s)
Racism , Socialization , Adolescent , Black or African American , Female , Humans , Intention , Male , Parent-Child Relations , Parents , Social Identification
15.
Am J Orthopsychiatry ; 91(4): 487-498, 2021.
Article in English | MEDLINE | ID: mdl-34338546

ABSTRACT

Black adolescents face the stressful experience of racism in their everyday lives, which has negative implications for their health and well-being. In the current study, we explored experiences of individual, institutional, and cultural racism in relation to anticipatory racism-related stress responses (e.g., prolonged negative thinking, arousal in expectation of future racism) among Black adolescents (N = 442). We also examined whether three dimensions of racial identity, centrality, private regard, and public regard, moderate those relationships. We found that more experiences of racism at each level were related to greater anticipatory racism-related stress responses, measured as more cognitive activation of racial stressors, appraisal of coping strategies, and anticipation of future racism. We also found that some relationships between experiences of racism and anticipatory stress varied by regard. The positive relation between individual racism and perseverative cognition was stronger for those with low public regard. Similarly, the positive association between cultural racism and psychological anticipation was stronger for those with low public regard. The positive association between institutional racism and physiological anticipation of future racism was stronger for those with higher private regard. These findings contribute to the growing literature on the pervasiveness of racism in the lives of Black youth and the utility of racial identity to reduce harm from racism. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Subject(s)
Racism , Adaptation, Psychological , Adolescent , Black or African American , Cognition , Humans
16.
Am J Community Psychol ; 67(1-2): 64-75, 2021 03.
Article in English | MEDLINE | ID: mdl-33249601

ABSTRACT

Scholarship identifies critical consciousness as a key developmental asset in promoting the well-being of adolescents experiencing multiple socio-structural axes of oppression. Girls of color at acute risk for legal system involvement or re-involvement are absent from this literature. They are a critical population in which to examine this construct given their experiences of oppression and the myriad benefits of critical consciousness. The current study addresses this gap by examining traumatic incidents and experiences of racism and sexism as correlates of critical reflection and action among a sample of girls (N = 220; Mean age = 14.5 years; SD = 1.3 years). Using path analysis and multigroup modeling, we examine direct associations between these three manifestations of structural oppression and critical consciousness and explore the interplay of traumatic incidents, and racism and sexism in girls' critical consciousness development. Findings suggest that experiences of sexism and racism, uniquely and positively predict critical action, but not critical reflection. Surprisingly, girls' experiences of traumatic incidents do not predict reflection or action. Finally, multigroup analyses show no evidence that these associations vary by the interplay of traumatic incidents, racism, and sexism. Implications for community psychology values and juvenile legal system practice and policy are discussed.


Subject(s)
Racism , Adolescent , Consciousness , Female , Humans , Sexism
17.
J Youth Adolesc ; 49(11): 2175-2189, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32955702

ABSTRACT

Racial socialization is an important predictor of wellbeing among Black youth. Scholars have theorized that Black girls could benefit from gendered racial socialization or messages about being Black girls. However, this has not been examined empirically. The current study investigates the role of general and gendered racial socialization and racial identity attitudes on depressive symptoms among 287 Black girls between the ages of 13-17 (Mage = 15.4) in the U.S. Path analysis results demonstrated that general and gendered racial socialization about pride were directly associated with positive feelings about being Black which were negatively associated with depressive symptoms. Oppressive messages about Black women were related to negative feelings about being Black and more depressive symptoms. The implications of general and gendered racial socialization on the psychological wellbeing of Black girls are discussed.


Subject(s)
Depression , Socialization , Adolescent , Black or African American , Female , Gender Identity , Humans , Social Identification
18.
Dev Psychol ; 56(8): 1484-1495, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32790447

ABSTRACT

The current study examines how race-related stress, physiological and psychological anticipation of racism, relates to low-risk and high-risk activism orientations for Black adolescent boys and emerging adult men (N = 286). We investigate whether patterns of racial identity and age moderate those relationships. We found that physiological and psychological anticipation of racism were related to low-risk Black community activism orientation, and those relationships varied by age and racial identity. The relationship between physiological anticipation of racism and high-risk activism orientation was moderated by racial identity profiles. For Black adolescent boys and emerging adult men with racial identity profiles that support individual and communal value of Blackness, more physiological anticipation was related to a greater likelihood of engaging in risky activism in the future. Findings highlight the importance of understanding how stress responses to racism influence youth commitments to future activism. These findings also underscore heterogeneity of racial identity among Black adolescent boys and emerging adult men, and how patterns of racial identity and age differentially influence orientations toward activism against racial oppression. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Subject(s)
Black or African American/psychology , Political Activism , Racism/psychology , Social Identification , Adolescent , Adult , Humans , Male , Young Adult
19.
J Community Psychol ; 48(5): 1660-1676, 2020 07.
Article in English | MEDLINE | ID: mdl-32301511

ABSTRACT

The Critical Consciousness Scale (CCS) is a recently developed and validated measure for use with low-income, diverse adolescents. However, research on the psychometric properties of this scale with juvenile legal system-involved youth is lacking. This study examines the psychometric properties of the critical reflection subscales of the CCS in a cross-sectional sample of 206 youth (48% girls) involved in the juvenile legal system to investigate (a) the factor structure of the critical reflection subscales of the CCS compared to existing adolescent samples, and (b) the extent to which critical reflection demonstrates measurement equivalence between boys and girls. Findings indicate (a) congruence with the previous literature on critical reflection but for system-involved girls, and (b) a difference in the structural relationships between perceived inequality and egalitarianism by gender. This study contributes to the nascent, psychometric literature on measures of critical consciousness in an underrepresented and unique adolescent population.


Subject(s)
Consciousness , Juvenile Delinquency/psychology , Adolescent , Child , Cross-Sectional Studies , Factor Analysis, Statistical , Female , Humans , Juvenile Delinquency/legislation & jurisprudence , Male , Psychometrics , Thinking
20.
JAMA Pediatr ; 174(7): 676-689, 2020 07 01.
Article in English | MEDLINE | ID: mdl-32310261

ABSTRACT

Importance: Black adolescents are at increased risk of contracting HIV and other sexually transmitted infections (STIs) and experiencing unplanned pregnancy. Although sexual health interventions aimed at decreasing these risks exist, evidence of the association between sexual health interventions and the sexual behavior of black adolescents has not been synthesized to our knowledge. Objective: To examine the associations between sexual health interventions and behavioral, biological, and psychological outcomes. Data Sources: For this systematic review and meta-analysis, a systematic search was conducted of studies published through January 31, 2019, using the PubMed, PsycINFO, and CINAHL databases and relevant review articles. The following key words were used: youth, adolesc* or teen*; sexual health or safe* sex or sexually transmitted disease or sexually transmitted infection or STD or STI or HIV or AIDS or pregnancy or reproductive health or condom* or contracept* or unprotected sex or abstinence; intervention or program or education or prevention or promotion or trial; latino* or latina* or latinx* or minorit* or ethnic* or hispanic or african american* or black* or race or racial or biracial. Study Selection: Studies were included if they included a US-based sample of black adolescents, evaluated a sexual health intervention using experimental or quasi-experimental designs, included a behavioral outcome, and were published in English. Data Extraction and Synthesis: Standardized mean differences and 95% CIs were extracted and meta-analyzed using random-effects models. Main Outcomes and Measures: Behavioral outcomes were abstinence, condom use, and number of sex partners. Biological outcomes were pregnancy and STI contraction. Psychological outcomes were sexual health intentions, knowledge, and self-efficacy. Results: Across 29 studies including 11 918 black adolescents (weighted mean age, 12.43 years), there was a significant weighted mean association of sexual health interventions with improvements in abstinence (Cohen d = 0.14; 95% CI, 0.05-0.24) and condom use (Cohen d = 0.25; 95% CI, 0.11-0.39). No significant mean association of these interventions with number of sex partners, pregnancy, or STI contraction was found. Sexual health interventions were significantly associated with improvements in psychological outcomes: sexual health intentions (Cohen d = 0.17; 95% CI, 0.05-0.30), knowledge (Cohen d = 0.46; 95% CI, 0.30-0.63), and self-efficacy (Cohen d = 0.19; 95% CI, 0.09-0.28). Intervention effect sizes were consistent across factors, such as participant sex and age and intervention dose. Conclusions and Relevance: The findings suggest that sexual health interventions are associated with improvements in sexual well-being among black adolescents. There appears to be a need for wide-scale dissemination of these programs to address racial disparities in sexual health across the US.


Subject(s)
Black or African American , Outcome Assessment, Health Care , Safe Sex/ethnology , Sexual Behavior/psychology , Sexual Health/statistics & numerical data , Sexually Transmitted Diseases/ethnology , Adolescent , Humans , Morbidity/trends , Sexually Transmitted Diseases/prevention & control , United States/epidemiology
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