Addressing intergenerational trauma in Black families: Trauma‐informed socioculturally attuned family therapy

Lee, Aiesha T.; Chin, Philippa; Nambiar, Aishwarya; Haskins, Natoya

doi:10.1111/jmft.12632

Cited by 4 publications

(3 citation statements)

References 55 publications

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“…Black communities not only experience traumatic events at a higher rate, but also face race-based and historical traumas that other groups may not experience. 75,76 Therefore, a one-size-fits-all approach to being trauma informed is likely to be less effective for AAs.…”

Section: Discussionmentioning

confidence: 99%

Motivations for Misusing Opioids Among African Americans

Rigg,

Kusiak,

Rigg

2024

Substance Use & Addiction Journal

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Background: A wide range of opioid misuse motives have been documented in the literature, including to relieve physical pain, feel good/get high, relax, manage feelings/emotions, sleep, and moderate the effects of other substances. Despite a rise in opioid misuse among African Americans over the last 2 decades, their motivations for misuse remain unclear. Much of the research on opioid misuse motivations either rely on samples with little racial diversity or do not stratify their findings by race. As a result, less is known about the specific reasons why African Americans engage in opioid misuse. The objective of this study, therefore, was to identify and explain the most common motives for misusing opioids among African Americans. Qualitative interview data are also presented to explain/contextualize the most prevalent motivations. Methods: This study used data from the Florida Minority Health Survey, a mixed-methods project that included online surveys (n = 303) and qualitative in-depth interviews (n = 30) of African Americans. Data collection was conducted from August 2021 to February 2022 throughout Southwest Florida. Results: Analyses revealed that while some (33.9%) misused opioids for purposes of recreation/sensation seeking (eg, feel good/get high), the majority (66.1%) were attempting to self-treat perceived medical symptoms (eg, physical pain, anxiety/trauma, withdrawals, insomnia). Conclusions: This study contributes to a better understanding of why some African Americans engage in opioid misuse and findings highlight the need for interventions to be trauma informed and address unmanaged physical pain among African Americans. Given that most studies on motivations are quantitative in nature, the study contributes to the literature by capturing the voices of African Americans who use drugs.

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Section: Discussionmentioning

confidence: 99%

Motivations for Misusing Opioids Among African Americans

Rigg,

Kusiak,

Rigg

2024

Substance Use & Addiction Journal

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“…Such harm, manufactured by the healthcare industry has deeply impacted the community, causing widespread distrust towards healthcare institutions, including STI testing and treatments. Understanding this historical context is crucial for understanding barriers to STI testing [24], yet very few health theories or interventions have attempted to link historical trauma and preventative sexual health behaviour among Black young people in the present day [13]. Future interventions are recommended to target these factors.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-five participants were recruited: 19 Black Caribbean young adults (aged [19][20][21][22][23][24][25] and six sexual healthcare professionals. Of the young adults, 16 took part in individual interviews and five in the follow-up focus group.…”

Section: Participantsmentioning

confidence: 99%

Barriers to engagement with testing for sexually transmitted infections within a UK-based young adult Black Caribbean community: a qualitative study

Heath,

Kaur,

Farrow

et al. 2024

Sex. Health

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Background The Black Caribbean population have a disproportionately high burden of sexually transmitted infections (STIs) compared with other ethnic groups. The aim of this study was to explore barriers to engagement with STI testing within a UK-based young adult Black Caribbean community. Methods Semi-structured interviews were carried out with 14 young adults from the Black Caribbean community and six sexual healthcare professionals. Data were analysed thematically. A focus group of five young adults was conducted to refine themes. Results Data analysis generated three themes: (1) culturally embedded stigma; (2) historically embedded mistrust; and (3) lack of knowledge. Perceived as ‘dirty’, particularly for females, infection with STIs was stigmatised by religious conceptions of ‘purity’ and shame. This presented challenges in terms of cultural acceptability of talking about STI testing with partners, friends, and family. Legacies of colonialism, medical racism and malpractice compromised young people’s trust in medical intervention and confidentiality of data management. A lack of knowledge related to STIs and their treatment, and in how to access and perform STI tests further served as a barrier. Culturally tailored interventions targeting these factors and delivered by radio, podcasts and social media were highlighted as having potential to improve engagement with STI testing. Discussion Engagement with STI testing by young adults from the Black Caribbean community is impacted by historically and culturally embedded teachings, practices and beliefs inherited through generations. Targeting these factors within culturally tailored interventions may be effective for increasing STI-testing, and thus reducing rates of STI-infection in this population.

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From Susceptibility to Immunity: The Pandemic of Homicide Grief

Sharpe,

Bailey,

Richardson

2024

Homicide Studies

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Grief from homicide is a global phenomenon. A pattern of structural racism and systemic inequities have shaped Black homicide deaths and have increased the prevalence, susceptibility, spread, and impact of homicide grief for Black communities throughout the global diaspora. A complex interplay of structural vulnerabilities has constituted a worldwide pandemic of homicide grief for Black communities. In this paper, homicide grief is conceptualized as a pandemic. Historical and structural factors that create vulnerability to homicide loss, enhance susceptibility, and facilitate the spread of homicide grief for Black communities is described. A public health framework incorporating prevention, protection, and mitigation strategies is critical to addressing pandemics. A public health framework that incorporates anti-Black racism and other sociopolitical factors that render Black communities disproportionately vulnerable to homicide grief is proposed. Recommendations for reducing the prevalence and interrupting the inequitable spread of homicide grief within Black communities is discussed, including improved access to culturally responsive grief and bereavement services, influencing policy structures, and increasing culturally attuned research efforts.

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Addressing intergenerational trauma in Black families: Trauma‐informed socioculturally attuned family therapy

Cited by 4 publications

References 55 publications

Motivations for Misusing Opioids Among African Americans

Motivations for Misusing Opioids Among African Americans

Barriers to engagement with testing for sexually transmitted infections within a UK-based young adult Black Caribbean community: a qualitative study

From Susceptibility to Immunity: The Pandemic of Homicide Grief

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