Perceived racial discrimination and polysubstance use among racial/ethnic minority adolescents in the United States

Baiden, Philip; Onyeaka, Henry; Aneni, Kammarauche; Wood, Bethany; LaBrenz, Catherine A.; Muoghalu, Chioma; Peoples, JaNiene; Szlyk, Hannah S.; Gobodzo, Edinam C.; Baiden, John F.; Adeku, Yvonne; Mets, Vera E.; Brown, Fawn A.; Cavazos‐Rehg, Patricia A.

doi:10.1016/j.drugalcdep.2023.109894

Cited by 5 publications

(2 citation statements)

References 103 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Within a family context, research has indicated that the more internal and external family stress that youths experience, the more elevated their mental health problems, use of drugs, and sexual risk behavior [7]. In addition, racism that Black youths and families experience can be a risk factor in Black families and a mental health stressor that can lead to substance use [23][24][25][26]. Little is known about the intersection of Black parent-child drug use communication and its influence on substance use outcomes in children.…”

Section: Challenges Within Black Familiesmentioning

confidence: 99%

Brief Parent-Child Substance Use Education Intervention for Black Families in Urban Cities in New Jersey: Protocol for a Formative Study Design

Opara,

Pierre,

Cayo

et al. 2024

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

Background Substance use continues to remain a public health issue for youths in the United States. Black youths living in urban communities are at a heightened risk of poor outcomes associated with substance use and misuse due to exposure to stressors in their neighborhoods, racial discrimination, and lack of prevention education programs specifically targeting Black youths. Many Black youths, especially those who live in urban communities, do not have access to culturally tailored interventions, leaving a critical gap in prevention. Since family is a well-known protective factor against substance misuse for Black youths, it is essential to create sustainable and accessible programming that incorporates Black youths’ and their families’ voices to develop a suitable prevention program for them. Objective We aim to understand the cultural and environmental level factors that influence substance use among Black youths and develop a prevention program to increase parent-child substance use education among Black families. Methods This study will take place within urban cities in New Jersey such as Paterson and East Orange, New Jersey, which will be the main study sites. Both cities have a large population of Black youths and this study’s team has strong ties with youths-serving organizations there. A formative, qualitative study will be conducted first. Using the first 3 steps of the ADAPT-ITT (Assessment, Decision, Adaptation, Production, Topical Experts, Integration, Training, and Testing) framework we begin the development of an intervention for Black families. Three aims will be described: aim 1, collect qualitative data from Black parents and youths aged 11-17 years from parent-child dyads (N=20) on the challenges, barriers, and facilitators to communicating about substance use; aim 2, adapt a selected evidence-based intervention for Black families and develop a family advisory board to guide the adaptation; and aim 3 assess the feasibility of the intervention through theater testing, involving the family and community advisory board. Results This study is part of a 2-year research pilot study award from the National Institutes of Drug Abuse. Data collection began in May 2023, and for aim 1, it is 95% complete. All aim 1 data collection is expected to be complete by December 30, 2023. Data analysis will immediately follow. Aim 2 activity will occur in spring 2024. Aim 3 activity may begin in fall 2024 and conclude in 2025. Conclusions This study will be one of the few interventions that address substance use among youths and uses parents and families in urban communities as a protective factor within the program. We anticipate that the intervention will benefit Black youths not only in New Jersey but across the nation, working on building culturally appropriate, community-specific prevention education and building on strong families’ relationships, resulting in a reduction of or delayed substance use. International Registered Report Identifier (IRRID) DERR1-10.2196/55470

show abstract

Section: Challenges Within Black Familiesmentioning

confidence: 99%

Brief Parent-Child Substance Use Education Intervention for Black Families in Urban Cities in New Jersey: Protocol for a Formative Study Design

Opara,

Pierre,

Cayo

et al. 2024

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

show abstract

“…This study examined the intersection of adolescent substance use and CPS involvement that has not been extensively examined in previous research. Notably, we examined such association while accounting for contextual factors which have been recently recognized as factors of adolescent health and well-being, including substance use initiation (Baiden et al, 2023;Lery, 2009;Scott & Pinderhughes, 2019).…”

Section: Implications and Conclusionmentioning

confidence: 99%

Adolescents with substance use referred to child protective services: Does substance use treatment prevent foster care entry?

LaBrenz,

Ohri,

Kim

et al. 2023

Child & Family Social Work

Self Cite

View full text Add to dashboard Cite

Adolescent substance use has been linked to several negative outcomes, which can be exacerbated by exposure to adversity such as child maltreatment. However, few studies have examined the intersection of adolescent substance use and child protective service (CPS) involvement. This study examined the relationship between substance use treatment and entries into foster care among adolescents referred to CPS for maltreatment. Data for this study came from the National Child Abuse and Neglect Data System (NCANDS), an annually reported database that contains information on all CPS reports screened for investigation. NCANDS was merged with county‐level data from the American Community Survey to explore the relationship between treatment and foster care entry while adjusting for contextual factors. Our sample included 2326 adolescents who were referred to CPS in fiscal year (FY) 2018 and were followed until FY 2019 to examine correlates of foster care entry. A series of multilevel logistic regressions were conducted. Approximately 1 in 20 adolescents entered foster care during the study period and 1 in 10 used treatment services prior to foster care entry. Substance use treatment increased the odds of foster care entry (adjusted odds ratios = 2.30, p < 0.05), while adolescents residing in counties with higher percentages of non‐Hispanic White residents had lower odds of foster care entry (adjusted odds ratios = 0.67, p < 0.05). Among adolescents with substance use referred to CPS, substance use treatment increases the likelihood of foster care entry. This may highlight the need to provide services earlier and to ensure that adolescents can access treatment without entering state custody. Future research should explore these relationships in more depth.

show abstract

Exposure to Neighborhood Violence and Suicidal Thoughts and Behaviors Among Adolescents in the USA: Findings from a Population-Based Study

Baiden,

LaBrenz,

Harrell

et al. 2024

School Mental Health

View full text Add to dashboard Cite

Perceived racial discrimination and polysubstance use among racial/ethnic minority adolescents in the United States

Cited by 5 publications

References 103 publications

Brief Parent-Child Substance Use Education Intervention for Black Families in Urban Cities in New Jersey: Protocol for a Formative Study Design

Brief Parent-Child Substance Use Education Intervention for Black Families in Urban Cities in New Jersey: Protocol for a Formative Study Design

Adolescents with substance use referred to child protective services: Does substance use treatment prevent foster care entry?

Exposure to Neighborhood Violence and Suicidal Thoughts and Behaviors Among Adolescents in the USA: Findings from a Population-Based Study

Contact Info

Product

Resources

About