Mental Health During Early Adolescence and Later Cardiometabolic Risk: A Prospective Study of US Latinx Youth

PURPOSE

Rising rates of cardiometabolic risk and mental health problems are serious public health concerns for US adolescents, particularly those of Latinx origin. This research examines how Latinx youth's internalizing symptoms during early adolescence are related to sleep problems, overweight/obesity, sedentary behavior, physical activity, healthy diet, and hypertension or diabetes risk during middle and late adolescence.

METHODS

Participants included 547 adolescents listed as "Hispanic" on 2017-18 middle school enrollment lists in a suburban Atlanta, GA school district. Survey data collected at baseline (2018) and four years later (2022) were analyzed using Structural Equation Model. Path estimates from baseline internalizing symptoms to later health behaviors and physical health outcomes adjusted for demographics, the follow-up measure of internalizing symptoms, and correlations among outcome variables. Missing data were handled using Full Information Maximum Likelihood.

RESULTS

At baseline, the 244 (44.6%) male and 303 (55.4%) female participants had a mean (standard deviation) age in years of 13.31 (0.97). Early adolescent internalizing symptoms were associated positively with later sleep problems (ß = 0.36 [95% confidence interval (CI), 0.24-0.48]), overweight/obesity (adjusted odds ratio, 2.57; 95% CI, 1.29-5.15), sedentary behavior (ß = 0.19 [95% CI, 0.09-0.30]), and internalizing symptoms (ß = 0.48 [95% CI, 0.39-0.56]) and inversely with later physical activity (ß = -0.16 [95% CI, -0.27 to -0.05]) and a healthy diet (ß = -0.21 [95% CI, -0.32 to -0.09]).

DISCUSSION

Latinx youth's internalizing symptoms during early adolescence not only track into later adolescence, but they also relate to health behaviors and outcomes underlying cardiometabolic risk during middle and late adolescence.

Familism values and psychological adjustment of Latinx adolescents in an emerging immigrant community: A five wave longitudinal study

This study examined the relations between normative developmental changes of familism values and later internalizing and externalizing behaviors in Latinx adolescents from an emerging immigrant community. The sample included 547 Latinx adolescents (55.4% female; baseline M_age = 12.80; SD = 1.03) residing in the Southeastern United States. Results from latent growth models indicated that higher initial levels of familism values (intercept) and slower declines (slope) in familism values across adolescence predicted lower internalizing and externalizing behaviors at a later time. These associations generalized across adolescent gender (boys and girls) and ethnic background (Mexican-origin vs. other Latinx-origin). This work highlights the impact of variation in normative developmental changes in familism values on adjustment among Latinx adolescents in an emerging immigrant community context. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Parental Warmth and Developmental Change in Familism Values: Latinx Adolescents in an Emerging Immigrant Community

This study examined the developmental changes of familism values across adolescence among Latinx adolescents from an emerging immigrant community, and how changes in parental warmth were associated with changes in familism values. The sample included 547 Latinx adolescents. Multilevel model results indicated that familism values showed a linear decline from 6th to 10th grade. Between-person analyses showed that parental warmth was related to the higher initial levels of familism values but unrelated to changes in familism values. At the within-person level, on the occasions when adolescents report higher parental warmth, they also report higher familism values. This work highlights the importance of parental warmth for socializing developmental changes in Latinx adolescents' familism values in an emerging immigrant community context.

The Mediating Role of Home-School Dissonance in Linking Maternal Discrimination to Latin American-Origin Adolescent Academic Performance

Latin American-origin parents play an important role in supporting the formal education of their youth, but cultural, linguistic, and systemic barriers make parent involvement difficult. The aim of the present study was to examine how Latina mothers' experiences with discrimination were associated with short-term changes in their adolescent children's academic performance, directly and indirectly through mothers' appraisal of home-school dissonance. Data were drawn from an ongoing longitudinal study of 547 mother-youth dyads in suburban Atlanta. Results showed a significant indirect relationship between mothers' experiences of discrimination and declines in adolescents' grade point average by way of increased home-school dissonance. Thus, Latina mothers' discriminatory experiences may have spillover effects on adolescent academic achievement through increasing proximal barriers to parent involvement.

School racial-ethnic discrimination, rule-breaking behaviors and the mediating role of trauma among Latinx adolescents: Considerations for school mental health practice

Much of the literature linking adversity to trauma fails to account for racialized experiences, including racial-ethnic discrimination, which is a highly prevalent form of adversity for youth of color in the U.S. Adversity and trauma often result in students experiencing elevated rule-breaking behaviors, exacerbating existing racial-ethnic disparities in disproportionate school discipline. Drawing from race-based trauma theory, the present study explored trauma as a mediator of the longitudinal association between racial-ethnic discrimination from teachers, other adults, and students in schools and rule-breaking behaviors among Latinx youth. Data were from a longitudinal study of 547 Latinx students in a southeastern U.S. state. Across gender and nativity groups, school racial-ethnic discrimination and trauma positively predicted later rule-breaking behaviors. Additionally, for girls only, increased levels of trauma partially explained the association between school racial-ethnic discrimination and rule-breaking behaviors. The study highlights the importance of addressing school racial-ethnic discrimination and trauma in equitable school metal health systems. Indeed, efforts aimed at reducing disproportionate school discipline among Latinx students should focus on reducing their exposure to school racial-ethnic discrimination and increasing access to trauma-informed and restorative justice approaches.

The reciprocal relationships of social norms and risk perceptions to cigarette, e-cigarette, and cannabis use: Cross-lagged panel analyses among US young adults in a longitudinal study

INTRODUCTION

Given the distinct and evolving social norms, research on health implications, and regulations regarding cigarettes, e-cigarettes, and cannabis, it is important to understand the interplay between social norms, risk perceptions, and use of these products.

METHODS

We analyzed 3 waves of longitudinal data (Fall 2018, 2019, 2020) from 3006 young adults (Mage=24.56, 54.8% female, 31.6% sexual minority, 39.6% racial/ethnic minority) from 6 US metropolitan statistical areas. Cross-lagged panel models (CLPMs) examined reciprocal relationships of (a) perceived social norms (i.e., peer use, social acceptability) and risk perceptions (i.e., harm, addictiveness) to (b) number of days of cigarette, e-cigarette, and cannabis use in the past 30 days, respectively.

RESULTS

At baseline, lifetime and past 30-day use prevalence was: 61.8% and 26.9% for cigarettes, 57.7% and 37.7% for e-cigarettes, and 70.7% and 39.2% for cannabis. Perceived social norms and use of cigarettes and e-cigarettes decreased over time, and risk perceptions increased (except cigarettes showed stable perceived harm). Regarding cannabis, perceived social norms and use increased, yet perceived harm and addictiveness also increased. CLPM indicated that greater perceived social norms predicted greater cigarette, e-cigarette, and cannabis use over time, and vice versa. While greater perceived risk predicted less e-cigarette and cannabis use and vice versa, this did not hold true for cigarettes: use predicted lower perceived risk, but risk perceptions did not predict later use.

CONCLUSIONS

Tobacco and cannabis intervention and regulatory efforts should address health risks of use, particularly of e-cigarettes and cannabis, as well as denormalizing use.

Familism Values, Family Assistance, and Prosocial Behaviors Among U.S. Latinx Adolescents

Among U.S. Mexican adolescents living in established immigrant communities, high familism values are positively associated with compliant, emotional, and dire prosocial behaviors via sociocognitive and cultural psychological mechanisms. Less is known about the behavioral mechanisms that may explain these associations, or about prosocial behaviors among U.S. Latinxs residing in emerging immigrant destinations. We examined the cross-sectional, intervening variable associations among familism values, family assistance behaviors, and culturally salient prosocial behaviors among 547 U.S. Latinx adolescents residing in an emerging immigrant destination (M age = 12.8 years; 55.4% girls). Familism values and family assistance behaviors promoted emotional and dire prosocial behaviors for boys and girls, and promoted compliant prosocial behaviors for boys only. Familism also had direct associations with all three prosocial behaviors for boys and girls. Family assistance behaviors may be a mechanism via which adolescents develop compliant, emotional, and dire prosocial behaviors.

Peer Discrimination, Deviant Peer Affiliation, and Latino/a Adolescent Internalizing and Externalizing Symptoms: A Prospective Study

OBJECTIVE

U.S. Latino/a adolescents experience high levels of ethnic discrimination, particularly in new immigrant destinations. Due to the salience of peers during adolescence, this study examined how peer discrimination related directly and indirectly, through deviant peer affiliation, to changes in Latino/a adolescents' internalizing and externalizing symptoms. Culture-specific moderators hypothesized to buffer discrimination impacts on adolescent symptomology included Spanish language enculturation and adolescents' social ties to relatives in the family's country-of-origin.

METHOD

The sample of 547 Latino/a adolescent participants from the Caminos al Bienestar study (55.4% female; age M = 12.8, range = 11-16) was selected at random from middle schools in a large, suburban school district in Atlanta, Georgia. Three time points of survey data spaced roughly 6 months apart were collected during 2018 and 2019.

RESULTS

Results from longitudinal structural equation models revealed that peer discrimination was associated indirectly with increased externalizing symptoms, through increases in affiliation with deviant peers (β = 0.05; SE = 0.02; B = 0.02; 95% CI = 0.01, 0.09). We did not observe direct or indirect effects of peer discrimination on changes in internalizing symptoms, and we found no significant protective effects of either Spanish language enculturation or social ties with the country-of-origin.

CONCLUSIONS

Ethnic discrimination by peers may lead to deviant peer affiliation and, in turn, increased externalizing behaviors. Future research identifying protective factors that buffer discrimination impacts on deviant peer affiliation is needed to inform the development of interventions that can prevent Latino/a adolescents' externalizing symptoms.

A longitudinal test of acculturative family distancing theory explaining latino/a/x adolescents' adjustment

According to acculturative family distancing theory, adolescents' perceptions of cultural incongruencies with parents can diminish the quality of parent-adolescent relationships and, as a result, harm adolescent adjustment. Using four time points of data for a sample of 547 diverse Latino/a/x adolescents, this study examined how parent-adolescent relationship quality and acculturative family distancing were associated with changes in adolescent school performance and internalizing symptoms. At baseline, the school-based sample ranged from 11- to 14-years-old (M = 12.78) and included slightly more females (55%) than males (45%). Cross-lagged structural equation model results indicated that adolescent reports of greater acculturative family distancing were associated with adolescent perceived increases in parent-adolescent conflict and decreases in parental support. Conflict mediated associations between acculturative family distancing and decreased school performance. Associations between parent-child relationship qualities and Latino/a/x adolescent adjustment were bidirectional.

Discrimination in Latinx families' linked lives: Examining the roles of family process and youth worries

Our goal was to test a prospective indirect effects model to examine whether maternal and youth exposures to discrimination were linked to adolescent adjustment (i.e., grade point average [GPA], internalizing symptoms and externalizing symptoms) via maternal warmth and family anti-immigrant behavior modifications and whether youth anti-immigrant worries qualified these relations. Prior research has demonstrated that individual exposures to ethnic-racial discrimination are associated with poor adjustment among Latinx adolescents. Less research has evaluated the impact of discrimination from a family lens or focused on identifying the mechanism via which discrimination impacts adolescent adjustment. Data from a school-based sample of 547 Latinx adolescents (55% female; 88.1% U.S. born) across 2 years were used. Study hypotheses were tested using structural equation modeling (SEM) in Mplus. Whereas adolescents' discrimination exposures were associated with poorer adjustment via disruptions to maternal warmth, mothers' discrimination exposures were associated with lowered adolescent internalizing symptoms via family anti-immigrant behavior modifications. Further, prospective negative relations between warmth and internalizing and GPA were attenuated in the context of adolescents' greater anti-immigrant worries. By exploring discrimination in the family context and examining mechanisms via which discrimination impacts adolescent adjustment, the study offers a more comprehensive picture of the pernicious toll discrimination can have on the family lives of Latinx youth. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Predictors of latent class trajectories of depressive symptoms in Latina mothers

Guided by the Family Stress Model (FSM) for minority families, the present study examined culture-specific (i.e., stress responses to anti-immigration actions and news, home-school dissonance) and general (i.e., financial strain, social support) risk and promotive factors as longitudinal predictors of Latina mothers' depressive symptom trajectories. Participants included 271 Latina mothers of early adolescents living in a new immigrant area in the southeast part of the United States, followed prospectively across four time points spanning 2 years. Mothers reported on their depressive symptoms at all four time points; risk and promotive factors were measured at Time 1 (T1). Latent class growth curve models identified three classes of mothers based on their depressive symptom trajectories. Roughly half of mothers reported low and decreasing symptoms, a third indicated moderate and increasing symptoms, and 10% displayed high and increasing symptoms. As expected, higher levels of stress responses to anti-immigration actions and news, home-school dissonance, and financial strain predicted membership in increasing symptom classes, whereas higher social support predicted membership in the decreasing symptom class. By adapting prevention and intervention efforts to the unique cultural and social contexts experienced by Latina mothers in new immigrant areas, practitioners may be better able to protect this segment of the population from experiencing depressive symptoms. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

COVID-19 Stressors and Latinx Adolescents' Mental Health Symptomology and School Performance: A Prospective Study

This study addressed the need for research examining impacts of the Coronavirus-19 (COVID) pandemic on Latinx adolescents’ adjustment. Survey data for a probability sample of 547 Latinx adolescents (M_age = 13.71, SD = 0.86; 55.2% female) were collected from 2018 to 2021, including two times both prior to, and during, COVID. Independent variables assessed COVID-related household hospitalization, job/income loss, and adolescents’ increased childcare responsibility. Structural Equation Model results indicated that COVID-related increases in adolescent childcare responsibility were associated with increased internalizing and externalizing symptoms and declines in school performance. COVID hospitalization and job/income loss were associated indirectly, through childcare responsibilities, to worse adolescent outcomes. Family adversities may harm adolescents’ adjustment by burdening adolescents with responsibilities such caring for children.

"I am affected in all the ways … ": A phenomenographic analysis of Latinx adolescents' perceptions of family separations at the border

OBJECTIVES

This phenomenographic analysis examines how news of family separations at the U.S.-Mexico border shaped variations of experience and perceptions among U.S. Latinx adolescents across parental residency status.

METHOD

In 2018-2019, 340 15-18-year-old Latinx adolescents in the Washington D.C. area participated in a study on immigration actions and responded to an open-ended question detailing how news of family separations at the border affected them and their families. The sample was comprised of equivalent numbers of adolescents whose parents had U.S. citizenship, permanent residency, temporary protected status, or were undocumented. Utilizing a phenomenographic analysis, we compared data across the participants' parental residency status.

RESULTS

Three categories captured the complex influences that news of family separations had on Latinx adolescents not directly affected. Perceptual Experiencing described the sympathetic and vicarious emotions produced by the news of family separations. Lived Experiencing described the tangible effects experienced by participants, including incidents of increased racism and fear. Catalyzing effects described spillover effects of the first two themes where internalized feelings induced fear and catalyzed family behaviors. All themes were noted across residency status; however, the third was most strongly supported by those whose parents had precarious statuses.

CONCLUSIONS

Findings suggest Latinx families across residency statuses can be negatively affected by news of the adversities experienced by a subgroup. Service and healthcare providers, and educators must be prepared to support Latinx youth faced with fear, discrimination, and isolation arising from exposure to news on immigration actions. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Predictors of Latent Class Trajectories of Internalizing Symptoms in Latinx Adolescents

Guided by ecodevelopmental theories, the present study examined how both culture-specific and general risk and protective factors across contexts predicted trajectories of Latinx youth's internalizing symptoms during early and middle adolescence. Participants included 547 Latinx youth (M age = 12.80; 55% females) recruited in middle school and followed prospectively across four time points spanning two years. Youth reported on their internalizing symptoms at all four time points, and risk and protective factors were measured at Time 1 (T1). Latent class growth curve modeling was used to examine heterogenous trajectories of change in internalizing symptoms separately for females and males, and risk and protective factors were examined as predictors of class membership. Three classes based on symptom trajectories emerged for both females and males, with most adolescents falling into classes characterized by low symptoms that remained stable or decreased over time. Risk and protective factors were predictive of class membership in theoretically meaningful ways. Some predictors of internalizing symptom trajectories differed between females and males. Findings inform our understanding of factors that influence developmental trajectories in Latinx youth and can contribute to the refinement of prevention and intervention efforts to help ensure the well-being of this population.

Recent immigration actions and news and the adjustment of U.S. Latino/a adolescents

OBJECTIVES

This research describes how family immigrant statuses are related to Latino/a adolescents' responses to recent immigration actions and news and, in turn, adolescent adjustment.

METHOD

Study 1 included a school-based sample of 11- to 15-year-olds in suburban Atlanta, Georgia (N = 547); Study 2 included a convenience sample of 15- to 18-year-olds in the Washington, DC area (N = 340). Family immigrant status was defined by adolescents' immigrant generation status in Study 1 and by parent residency status in Study 2. In both studies, a 14-item measure assessed responses to recent immigration actions and news, including psychological worries and behavioral withdrawal. Dependent variables included internalizing and externalizing symptoms, suicidal ideation, e-cigarette use, and alcohol use (Study 1), and alcohol use and depressive symptoms (Study 2).

RESULTS

Psychological worry and behavioral withdrawal responses to immigration actions and news were significantly greater among adolescents with foreign-born, compared to U.S.-born, parents (Study 1), and among adolescents with undocumented, Temporary Protected Status (TPS), or permanent resident parents, as compared to citizen parents (Study 2). Results from tests of indirect effects indicated that these worries and behavioral withdrawal responses were, in turn, associated with higher levels of adolescent internalizing and externalizing symptoms, a higher odds of substance use and suicidal ideation (Study 1), and higher levels of adolescent depressive symptoms (Study 2).

CONCLUSIONS

As 1-quarter of the U.S. child population is Latino/a, there is a need to address immigration threats jeopardizing the adjustment of Latino/a teenagers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Family Strengths and Latinx Youth Externalizing Behavior: Modifying Impacts of an Adverse Immigration Environment

In recent years, the federal administration has ramped up efforts to curb and enforce immigration laws, in essence redefining how immigration, particularly in the Latinx population, is viewed and dealt with in the United States. The aim of the present study was to examine Latinx family strengths in relation to youth externalizing behavior, considering the modifying impacts of the current anti-immigration environment. Data were drawn from a study of 547 mother-adolescent dyads. Adolescents were 12.80 years old (SD = 1.03) on average and 55% female; 88% were U.S. born. Adolescents completed measures of family strengths, including parental behavioral control, parental support, and respeto. They also reported on their own externalizing behavior. Mothers completed a measure of their affective and behavioral responses to immigration actions and news. Results showed that in families of mothers who reported adverse responses to the immigration context, parental behavioral control, parental support (boys only), and respeto were more strongly related to youth behavior. Results align with the family compensatory effects model, in which strengths at the family level help to offset adversities outside the home. Discussion focuses on ways to support families in establishing and maintaining high levels of protective processes and on the need to challenge anti-immigration rhetoric, practices, and policies that undermine healthy youth development in the Latinx population.

"Tenemos que ser la voz": Exploring Resilience among Latina/o Immigrant Families in the Context of Restrictive Immigration Policies and Practices

Research investigating associations between immigration policies and practices and indicators of mental health among Latina/o immigrant families has identified a number of risk factors for this population, such as family separation. The role of protective factors tied to the mental health of Latina/o immigrants, however, often has been neglected. This study explored internal and external sources of resilience that may protect Latina/o immigrant families against the potentially negative effects of restrictive immigration policies and practices on psychological well-being. Six focus groups (N = 50) were conducted with Latina/o immigrant parents of varying residency statuses (i.e., undocumented, permanent residents, Temporary Protected Status beneficiaries, and U.S. citizens). Data were analyzed using thematic analysis. Three themes were identified: Social Support, Faith, and Civic Commitment and Action. Across groups, Latina/o parents referenced family, peer, and community support, as well as their spiritual faith and involvement in advocacy efforts as coping mechanisms. Overall, results suggest that Latina/o immigrant parents of varying residency statuses rely on both internal and external sources of resilience to protect themselves and their families when navigating restrictive immigration policies and practices. This research is particularly timely in light of the increasingly restrictive nature of immigration policies in the U.S. and the growing literature on the influence these may have on immigrant wellbeing. Intervention efforts should build upon existing strengths, such as providing opportunities for Latina/o immigrant families to participate in political activism.

Barriers to Firearm Injury Research

INTRODUCTION

Firearm injuries and motor vehicle injuries are 2 leading causes of fatal injury in the U.S., each accounting for approximately 35,000 deaths annually. Research on firearm injuries is under-represented compared with research on motor vehicle collisions. This study seeks to identify perceived barriers to firearm injury research versus motor vehicle injury research.

METHODS

This was a mixed-methods survey of corresponding authors of a minimum of 1 study, archived in PubMed, related to firearm injury or motor vehicle injury between 2014 and 2018. Analyses were performed in 2019. Electronic surveys included both closed- and open-ended questions to assess barriers to research. Bivariable and multivariable logistic regression was performed to identify differences in perceptions to barriers between the 2 groups. Qualitative analysis of free-text responses was performed through inductive derivation of themes.

RESULTS

Surveys were distributed to 113 firearm injury researchers (42% response rate) and 241 motor vehicle injury researchers (31.5% response rate). After adjustment, firearm injury researchers were less likely to cite institutional support (AOR=0.3, 95% CI=0.1, 0.8) as a factor contributing to their success, than motor vehicle injury researchers. Firearm injury researchers were more likely to report fear of personal threats (AOR=10.4, 95% CI=2.4, 44.4) and experiencing personal threats (AOR=16.1, 95% CI=1.6, 165.4). Thematic analysis revealed 4 themes: career, political, funding, and harassment.

CONCLUSIONS

When compared with motor vehicle injury researchers, firearm injury researchers are significantly more likely to report limited support and threats to personal safety as barriers to research. Further research to understand the impact of these barriers and methods to overcome them is needed.

Association of Family Member Detention or Deportation With Latino or Latina Adolescents' Later Risks of Suicidal Ideation, Alcohol Use, and Externalizing Problems

IMPORTANCE

Policy changes since early 2017 have resulted in a substantial expansion of Latino or Latina immigrants prioritized for deportation and detention. Professional organizations, including the American Academy of Pediatrics, American Medical Association, and Society for Research in Child Development, have raised concerns about the potentially irreversible mental health effects of deportations and detentions on Latino or Latina youths.

OBJECTIVE

To examine how family member detention or deportation is associated with Latino or Latina adolescents' later mental health problems and risk behaviors.

DESIGN, SETTING, AND PARTICIPANTS

Survey data were collected between February 14 and April 26, 2018, and between September 17, 2018, and January 13, 2019, and at a 6-month follow-up from 547 Latino or Latina adolescents who were randomly selected from grade and sex strata in middle schools in a suburban Atlanta, Georgia, school district. Prospective data were analyzed using multivariable, multivariate logistic models within a structural equation modeling framework. Models examined how family member detention or deportation within the prior 12 months was associated with later changes in suicidal ideation, alcohol use, and clinical externalizing symptoms, controlling for initial mental health and risk behaviors.

EXPOSURE

Past-year family member detention or deportation.

MAIN OUTCOMES AND MEASURES

Follow-up reports of suicidal ideation in the past 6 months, alcohol use since the prior survey, and clinical level of externalizing symptoms in the past 6 months.

RESULTS

A total of 547 adolescents (303 girls; mean [SD] age, 12.8 [1.0] years) participated in this prospective survey. Response rates were 65.2% (547 of 839) among contacted parents and 95.3% (547 of 574) among contacted adolescents whose parents provided permission. The 6-month follow-up retention rate was 81.5% (446 of 547). A total of 136 adolescents (24.9%) had a family member detained or deported in the prior year. Family member detention or deportation was associated with higher odds of suicidal ideation (38 of 136 [27.9%] vs 66 of 411 [16.1%]; adjusted odds ratio, 2.37; 95% CI, 1.06-5.29), alcohol use (25 of 136 [18.4%] vs 30 of 411 [7.3%]; adjusted odds ratio, 2.98; 95% CI, 1.26-7.04), and clinical externalizing behaviors (31 of 136 [22.8%] vs 47 of 411 [11.4%]; adjusted odds ratio, 2.76; 95% CI, 1.11-6.84) at follow-up, controlling for baseline variables.

CONCLUSION AND RELEVANCE

This study suggests that recent immigration policy changes may be associated with critical outcomes jeopardizing the health of Latino or Latina adolescents. Since 95% of US Latino or Latina adolescents are citizens, compromised mental health and risk behavior tied to family member detention or deportation raises concerns regarding the association of current immigration policies with the mental health of Latino and Latina adolescents in the United States.

Effects of Family Demographics and the Passage of Time on Parents' Difficulty with Their Lesbian, Gay, or Bisexual Youth's Sexual Orientation

Parents' responses to a child's sexual orientation are critical to shaping lesbian, gay, and bisexual (LGB) adolescents' health, but we know little about which families struggle most with having an LGB child. This study explored how parent responses to their LGB child varied by parent characteristics, child characteristics, and time passing. Parents of LGB youth aged 10-25 years (n = 1195) completed questions about themselves, their children, and their difficulty with having an LGB child. Parents with older children and African American and Latino parents reported the most difficulty. Parents who had known about a child's sexual orientation for more time reported less difficulty. However, these decreases in difficulty were only observed after 2 years, and parents reporting they had known for between 2 months and 2 years all reported similarly high levels of difficulty. Findings point to families most in need of intervention to improve parent responses and reduce adolescent risk.

Parenting Processes and Adolescent Adjustment in Immigrant Latino Families: The Use of Residual Centering to Address the Multicollinearity Problem

Family cohesion and parental monitoring promote Latino adolescents' positive adjustment. For Latino immigrant families, these parenting processes tend to be interdependent due to shared roots in cultural values emphasizing family togetherness and parental authority. This covariance poses a significant methodological problem with respect to multicollinearity. The present article uses a novel technique-residual centering-to remove shared variance among family cohesion and parental monitoring constructs and, in turn, to identify how the unique variance of each is associated with Latino adolescent adjustment. Participants include 249 9th and 10th graders in Mexican and Central American immigrant families. We compared findings from structural equation models in which parenting constructs were examined simultaneously with residual-centered models, in which shared variance among parenting constructs was removed for each parenting variable. Findings from residual-centered models revealed that parents' monitoring of youth's daily activities was associated with less alcohol use and fewer youth depressive symptoms, and that parents' monitoring of youth's peer activities outside the home was associated with less marijuana use and more depressive symptoms. Family cohesion was unrelated to Latino youth outcomes in residual-centered models. By isolating specific, "pure" parenting effects, residual centering can clarify the ways in which family cohesion and parental monitoring behaviors matter for Latino adolescents' adjustment.

Impacts of Immigration Actions and News and the Psychological Distress of U.S. Latino Parents Raising Adolescents

PURPOSE

U.S. Latino parents of adolescents face unprecedented threats to family stability and well-being due to rapid and far-reaching transformations in U.S. immigration policy.

METHODS

Two hundred thirteen Latino parents of adolescents were recruited from community settings in a suburb of a large mid-Atlantic city to complete surveys assessing parents' psychological distress and responses to immigration actions and news. Univariate and bivariate analyses were conducted to describe the prevalence of parents' responses to immigration news and actions across diverse residency statuses. Multiple logistic regression models examined associations between immigration-related impacts and the odds of a parent's high psychological distress.

RESULTS

Permanent residents, temporary protected status, and undocumented parents reported significantly more negative immigration impacts on psychological states than U.S. citizens. Parents reporting frequent negative immigration-related impacts had a significantly higher likelihood of high psychological distress than did other parents, and these associations were maintained even when accounting for parents' residency status, gender, education, and experience with deportation or detention. The odds of a parent reporting high psychological distress due to negative immigration impacts ranged from 2.2 (p < .05) to 10.4 (p < .001).

CONCLUSIONS

This is one of the first empirical accounts of how recent immigration policy changes and news have impacted the lives of Latino families raising adolescent children. Harmful impacts were manifest across a range of parent concerns and behaviors and are strong correlates of psychological distress. Findings suggest a need to consider pathways to citizenship for Latina/o parents so that these parents, many of whom are legal residents, may effectively care for their children.

Acculturation Gap Distress among Latino Youth: Prospective Links to Family Processes and Youth Depressive Symptoms, Alcohol Use, and Academic Performance

Latino youth have higher rates of educational and mental health difficulties compared to peers from other racial/ethnic groups. To understand the factors related to such maladjustment, a mediational model linking youth report of parent-youth acculturation gaps to prospective changes (from spring to fall semester) in youth report of academic performance, depressive symptoms and alcohol use via youth report of parent-youth conflict and family cohesion, was studied in a sample of 248 U.S.-and foreign-born Latino youth (Mage = 15.21 years; 50% female; 67% U.S.-born). Parent-youth acculturation gaps were associated with changes in youth academic performance across two semesters via their negative impact on family functioning. For U.S.-born youth, parent-youth acculturation gaps were also linked to changes in alcohol use via parent-adolescent conflict. Results provide some support for the acculturative gap hypotheses while unique findings across nativity groups suggest that such individual-level characteristics may serve as important sources of variation for Latino youth.

Longitudinal Pathways to Educational Attainment for Youth in Mexican and Central American Immigrant Families

Mexican and Central American-origin youth in immigrant families, the fastest growing segment of the K-12 school population, experience considerably worse educational outcomes than do youth from other Latino national origins and other racial and ethnic backgrounds. Socioeconomic factors, as well as length of U.S. residence, have important implications for youth's academic success. The present study uses longitudinal structural equation modeling techniques to identify how parents' socioeconomic status (SES) and youth's length of U.S. residence are associated with adolescent academic outcomes and, in turn, educational attainment in adulthood. The sample included 1,207 Mexican- and Central American-origin youth participants in the Children of Immigrants Longitudinal Study (CILS). Youth completed surveys at times corresponding roughly to ages 13 to 15 (Time 1), 16 to 18 (Time 2), and 23 to 25 (Time 3). When compared with youth with a longer duration of U.S. residence, young people who had lived in the U.S. for less than 5 years at Time 1 reported higher educational attainment at Time 3 by way of a better grade-point average (GPA) and higher educational expectations at Time 1. Parent SES was associated directly and indirectly with higher educational attainment through youth's greater educational expectations at Times 1 and 2. Although recent immigrant youth experienced sharper declines in GPA and educational expectations from Time 1 to Time 2 than youth with a longer duration of U.S. residence, newcomer youth's early academic success appears to have lasting benefits for educational attainment.

National Institutes of Health Pathways to Prevention Workshop: Advancing Research to Prevent Youth Suicide

The National Institutes of Health (NIH) Pathways to Prevention Workshop "Advancing Research to Prevent Youth Suicide" was cosponsored by the NIH Office of Disease Prevention, National Institute of Mental Health, National Institute on Drug Abuse, and National Center for Complementary and Integrative Health. A multidisciplinary working group developed the agenda, and an evidence-based practice center prepared an evidence report that addressed data systems relevant to suicide prevention efforts through a contract with the Agency for Healthcare Research and Quality. During the workshop, experts discussed the evidence and participants commented during open forums. After considering the data from the evidence report, expert presentations, and public comments, an independent panel prepared a draft report that was posted on the NIH Office of Disease Prevention Web site for 5 weeks for public comment. This abridged version of the final report provides a road map for optimizing youth suicide prevention efforts by highlighting strategies for guiding the next decade of research in this area. These strategies include recommendations for improving data systems, enhancing data collection and analysis methods, and strengthening the research and practice community.

The dynamic interdependence between family support and depressive symptoms among adolescents in Ghana

OBJECTIVES

This study identified temporal sequencing in the associations between family support and depressive symptoms over the course of adolescence for youth in Ghana.

METHODS

Data derived from a longitudinal cohort study of 718 Ghanaian adolescents (58 % female) who were, on average, 13.84 years at Wave 1. Youth completed surveys at three time points separated by an 18-month time lag from early through late adolescence. Latent growth curve techniques were used to investigate the degree to which family support predicts changes in youth depressive symptoms and/or depressive symptoms precede changes in family support from early through late adolescence.

RESULTS

Youth in Ghana experience declines in family support and increases in depressive symptoms over the course of adolescence. The associations between lower family support and higher depressive symptoms are recursive or bidirectional over time.

CONCLUSIONS

Study results suggest the value of promoting family support and reducing youth's depressive symptomology as a way of interrupting a recursive cycle of declining family support and increasing depressive symptomology from early through late adolescence.

Mother-adolescent relationship quality as a moderator of associations between racial socialization and adolescent psychological adjustment

Parents' racial socialization messages, including messages focused on awareness, preparation, and strategies for managing racial discrimination, are necessary to help African American youth successfully navigate their daily lives. However, mixed findings regarding the utility of preparation for bias messages for African American youth's mental health adjustment raise questions about the conditions under which these protective racial socialization messages are most beneficial to African American youth. The current study examined the degree to which communication and trust as well as anger and alienation in the mother-adolescent relationship moderated associations between 2 types of preparation for bias messages, cultural alertness to discrimination and cultural coping with antagonism, and adolescent mental health. Participants were 106 African American adolescents (57% female; mean age = 15.41) who reported about their receipt of racial socialization messages, mother-adolescent relationship quality, and depressive symptoms. Hierarchical regression analyses indicated that positive associations between cultural alertness to racial discrimination and youth depressive symptoms were weaker for boys in the context of higher mother-adolescent communication and trust; communication and trust were not similarly protective for girls. For boys, the positive associations between cultural coping with antagonism messages and depressive symptoms were stronger in the context of high anger and alienation in the mother-adolescent relationship. Findings suggest that qualities of the mother-adolescent relationship, in which preparation for bias messages are delivered, are important for understanding the mental health adjustment of African American adolescents.

Cultural orientations, parental beliefs and practices, and latino adolescents' autonomy and independence

Despite the salience of behavioral autonomy and independence to parent-child interactions during middle adolescence, little is known about parenting processes pertinent to youth autonomy development for Latino families. Among a diverse sample of 684 Latino-origin parent-adolescent dyads in Houston, Texas, this study examines how parents' cultural orientations are associated directly and indirectly, through parental beliefs, with parenting practices giving youth behavioral autonomy and independence. Informed by social domain theory, the study's parenting constructs pertain to youth behaviors in an "ambiguously personal" domain-activities that adolescents believe are up to youth to decide, but which parents might argue require parents' supervision, knowledge, and/or decision-making. Results for latent profile analyses of parents' cultural identity across various facets of acculturation indicate considerable cultural heterogeneity among Latino parents. Although 43% of parents have a Latino cultural orientation, others represent Spanish-speaking/bicultural (21%), bilingual/bicultural (15%), English-speaking/bicultural (15%), or US (6%) cultural orientations. Structural equation modeling results indicate that bilingual/bicultural, English-speaking/bicultural, and US-oriented parents report less emphasis on the legitimacy of parental authority and younger age expectations for youth to engage in independent behaviors than do Latino-oriented parents. Parental beliefs endorsing youth's behavioral independence and autonomy, in turn, are associated with less stringent parental rules (parental report), less parental supervision (parental and youth report), and more youth autonomy in decision-making (parental and youth report). Evidence thus supports the idea that the diverse cultural orientations of Latino parents in the US may result in considerable variations in parenting processes pertinent to Latino adolescents' development.

Understanding links between punitive parenting and adolescent adjustment: The relevance of context and reciprocal associations

There is considerable debate regarding the extent to which punitive parenting adversely impacts youth well being. Using an ecological-transactional model of human development, we examined reciprocity and contextual variability in associations between maternal punitive discipline and adolescent adjustment among 1,147 low-income, urban youth followed through adolescence. Longitudinal SEM results indicated that delinquency and depressive symptoms during pre- and early adolescence (Time 1) were associated with increased punitive discipline about a year later (Time 2). When mothers reported less Time 2 neighborhood disorder, punitive discipline at Time 2 was associated with increased delinquency (for boys) and depressive symptoms (for girls) during mid- to late adolescence (Time 3). The costs of punitive discipline for adolescent adjustment are best understood considering the dynamic, transactional, and contextual nature of development.

Beyond neighborhood poverty: family management, neighborhood disorder, and adolescents' early sexual onset

The authors examined how neighborhood disorder modifies associations between family management practices and youth transitions to sex among low-income African American and Latino urban families. The sample included 846 young adolescents and their mothers who participated in Welfare, Children and Families: A Three-City Study. Results from multilevel logistic regression models indicated no main effects of family management practices or neighborhood-level conditions on transitions to sex once accounting for demographics. However, higher levels of family routines and parental knowledge (i.e., awareness of youths' friends, whereabouts, and activities) were more strongly associated with a lower probability of youth sexual onset as neighborhood disorder increased. Results provide further evidence for the contextually specific nature of parenting impacts on adolescent adjustment.

A quantitative examination of park characteristics related to park use and physical activity among urban youth

PURPOSE

Although several studies have identified a positive association between recreational facility availability and physical activity, few have examined facility attributes beyond availability and involved minority adolescents. This study examines how both objective and perceived measures of the facility environment are associated with urban adolescents' use of parks and physical activity.

METHODS

Study participants included 329 adolescents from two high schools in Baltimore, Maryland, the majority (69%) of whom was African American. A Web-based survey assessed park use, neighborhood crime, and park availability, quality, and use by friends and family. Geographical Information Systems data were used to develop objective measures of park availability and crime. Physical activity data were obtained from 316 participants using accelerometers. Hypotheses regarding environmental correlates of park use and physical activity were tested using logistic regression models (for park use) and linear regression models (for physical activity).

RESULTS

Perceptions of greater park availability, quality, and use by friends were associated with a significantly greater likelihood of an adolescents' park use. Perceptions of more park availability was associated with higher levels of physical activity, although this association was marginally significant. Objective measures of park availability and objective and subjective measures of crime were not associated with either park use or physical activity.

CONCLUSIONS

Efforts to promote park use for physical activity among urban youth should increase awareness of park availability, improve perceptions of park quality, and utilize social networks.

The Environment and Urban Adolescents' Use of Recreational Facilities for Physical Activity: A Qualitative Study

Purpose.

Investigate environmental factors influencing the use of recreational facilities for physical activity by urban African-American adolescents.

Design.

Qualitative in-depth interviews and direct observation.

Setting.

Two public high schools and 24 public recreational facilities in Baltimore, Maryland.

Participants.

Forty-eight African-American adolescents aged 14 to 18 years.

Methods.

Data from 48 in-depth interviews and 26 observations were coded using NVivo software and analyzed using the constant comparative method.

Results.

Facility use is influenced by characteristics of the physical, social, organizational, and economic environments. Adolescents are attracted to low-cost, well-maintained facilities that offer preferred activities and that are within close proximity to home. Adolescents with limited access to facilities use alternative play spaces, like the streets or vacant lots, where they risk injury from falling or being hit by a car. They are drawn to facilities where they find active adolescents, and they avoid those where young people are engaged in drug or gang activity. Concerns about facility safety largely determine use, particularly for adolescent girls.

Conclusion.

Previous research points to the importance of increasing facility availability as a means of promoting physical activity, particularly in minority communities in which availability is disproportionately limited. This study shows that, while availability is important, additional facility characteristics should be considered when using environmental change to promote facility use for physical activity.

Sexual victimization and reproductive health outcomes in urban youth

OBJECTIVE

Adolescents and adults with a history of sexual victimization (SV) are at increased risk of engaging in sexual risk behaviors. This study seeks to examine race- and gender-based differences in SV as well as the association between SV and reproductive health outcomes (pregnancy and sexually transmitted infections [STIs]) among young adults from an urban community with high rates of both outcomes.

METHODS

This study used cross-sectional data from the Young Adult Survey of the Baltimore Prevention Program's intervention trials. Participants initially enrolled as first graders were interviewed for the Young Adult Survey as they entered adulthood. A total of 1698 participants were asked about SV, pregnancy, and STIs. Data were analyzed by logistic regression analysis.

RESULTS

History of SV did not vary by racial background, but female participants were more likely to report SV than their male peers. Results for models predicting STIs revealed a significant interaction between gender and SV. Adolescent girls who reported a SV were significantly more likely to have an STI than adolescent girls who did not report victimization. Both adolescent boys and girls who reported SV were more likely to report involvement in a pregnancy.

CONCLUSIONS

Youth in urban communities with a history of SV are far more likely than those without victimization histories to have a pregnancy or STI before young adulthood. Further research is needed to explore the mediators of these outcomes and the value of sexual safety and child protection programs for pregnancy and STI prevention in urban environments.

Effects of Out-of-School Care on Sex Initiation Among Young Adolescents in Low-Income Central City Neighborhoods

OBJECTIVE

To examine the association between patterns of out-of-school care over time and the initiation of sex among young adolescents living in low-income urban families.

DESIGN

A prospective cohort study (using a 16-month follow-up) examining the predictive value of changes in out-of-school-care arrangements on early sex initiation.

SETTING AND PARTICIPANTS

By using a multistage stratified area probability sampling strategy, we selected 494 subjects aged 11 to 13 years living in low-income central city neighborhoods who did not report having had sexual intercourse by time 1.

MAIN OUTCOME MEASURE

Adolescent report of having had sexual intercourse by time 2.

RESULTS

Bivariate results suggested that being at home with an adult during out-of-school hours was related to less sex initiation than self-care, care at another person's home, and attendance at an organized/supervised activity. Adjusting for demographic attributes, parental monitoring, parental curfews, and family routines, remaining in out-of-home care or self-care was associated with a 2.5 times (95% confidence interval, 1.3-5.1 times) increase in the likelihood of initiating sexual intercourse when compared with being at home with an adult at both assessment times.

CONCLUSION

Policies and programs that enable young adolescents to spend their out-of-school hours at home with an adult may help reduce the risk of early sex initiation among youth in low-income urban areas.

The social context of smoking among African-American and white adolescents in Baltimore City

OBJECTIVE

To describe and understand variations in social influences on smoking behavior among African-American and white male and female adolescents in Baltimore City, USA.

DESIGN

A qualitative study where adolescents, both smokers and non-smokers, were interviewed individually (n = 21) and participated in focus groups (n = 18 focus groups, 3-10 participants per group).

RESULTS

Social contexts emerged as most relevant and salient themes related to smoking behavior. White females perceived the most permissive parental messages around smoking, while males, especially African-American males, reported receiving the strictest parental sanctions. Females' need to fit in with peers contrasted with males' being coerced to smoke. Possible reasons for African-Americans' non-use of cigarettes include a desire not to disrespect parents and being turned off by parental addiction to nicotine. All adolescents cited the school's lax anti-smoking policy as a reason teens smoke at school.

CONCLUSION

Interventions targeted at schools and families offer promise for reducing adolescent cigarette use.

Identification of multiple and distinct CD8+ T cell suppressor activities: dichotomy between infected and uninfected individuals, evolution with progression of disease, and sensitivity to gamma irradiation

Using an in vitro model system that reflects the cellular interactions occurring in the microenvironment of lymphoid organs (i.e., the interaction between dendritic cells (DC) and CD4+ T lymphocytes), the ability of CD8+ T cells to inhibit HIV replication was investigated. DC, the most potent APC in the paracortical region of lymphoid organs, were cocultured with autologous, unstimulated CD4+ T cells resulting in viral replication in the absence of exogenous stimulation. Using two variations of DC cocultures, one an acute infection system and the other an endogenous infection system, two sets of activities were identified. One activity was expressed in both HIV-infected and -uninfected individuals, and a second was found only in HIV-infected individuals. These activities can be differentiated further by their evolution or lack thereof with disease progression in infected individuals and their sensitivity to gamma irradiation. Furthermore, the results indicate that CD8+ T cell modulation of HIV replication in CD4+ T cells is a multifactorial phenomenon involving both inhibitory and stimulatory effects on HIV replication.

Identification of multiple and distinct CD8+ T cell suppressor activities: dichotomy between infected and uninfected individuals, evolution with progression of disease, and sensitivity to gamma irradiation

Using an in vitro model system that reflects the cellular interactions occurring in the microenvironment of lymphoid organs (i.e., the interaction between dendritic cells (DC) and CD4+ T lymphocytes), the ability of CD8+ T cells to inhibit HIV replication was investigated. DC, the most potent APC in the paracortical region of lymphoid organs, were cocultured with autologous, unstimulated CD4+ T cells resulting in viral replication in the absence of exogenous stimulation. Using two variations of DC cocultures, one an acute infection system and the other an endogenous infection system, two sets of activities were identified. One activity was expressed in both HIV-infected and -uninfected individuals, and a second was found only in HIV-infected individuals. These activities can be differentiated further by their evolution or lack thereof with disease progression in infected individuals and their sensitivity to gamma irradiation. Furthermore, the results indicate that CD8+ T cell modulation of HIV replication in CD4+ T cells is a multifactorial phenomenon involving both inhibitory and stimulatory effects on HIV replication.