Journal of prevention and health promotion最新文献

Psychometric properties of a revised version of a previously developed parental monitoring measure were examined. Previously, Stattin and Kerr developed an expanded measure of parental monitoring that included sources of parental knowledge. Their scales were shortened and simplified for reading ability and brevity. Data were obtained from 41 schools surveyed during the 2018 and 2019 school years. The schools were part of an ongoing study (Our Youth, Our Future) of substance use among American Indian students who attend schools on or near reservations. Students who self-identify as American Indian (n = 3,673) or White (n = 903) completed online surveys that included nine items related to sources of parental knowledge (parental control, child disclosure/parental solicitation) and four items that measure parental knowledge. Exploratory and confirmatory factor analysis, tests of measurement invariance, and correlations between latent means and correlations with substance use measures were used to assess the scale. Factor analysis results confirmed a three-factor solution. These three factors (parental knowledge, parental control, parental solicitation/child disclosure) exhibited measurement invariance across sex, grade level, and ethnicity. Factor scales were reliable and negatively related to substance use. This revised scale of parental monitoring provides a useful measure to assess this construct across subgroups of youths. Further work among other ethnic groups of youths will determine the scale's breadth of utility. The revised scale with improved readability will allow researchers to more quickly assess this important parent-child measure.

Complicated grief is both a cause and a consequence of health inequities in Native (American Indian/Alaska Native [AI/AN]) communities. Given disproportionately high rates of physical (e.g., cancer, diabetes, and heart disease) and mental health problems (e.g., substance use disorder, posttraumatic stress disorder) in Native communities, it is common for AI/AN people to suffer many losses each year. Experiences of traumatic or repeated losses may lead to the development of maladaptive grief, often known as complicated grief. The aim of the current study was to understand the perspectives of community members on grief and its connection with health inequities among AI people who have experienced the loss of a person with whom they were close. Using a community-based participatory research framework, we conducted semi-structured interviews with 12 AI adults from a rural reservation community. The ages of the participants ranged from 32 to 80 years (M = 54.33, SD = 14.46) and women (n = 7, 58.3%) and men (n = 5, 41.7%) were included. The participants reported many barriers to healthy grieving and linked chronic, complicated grief with the development of multifaceted health problems, which were seen as exacerbating health disparities and leading to additional losses and grief. While coping with loss was difficult, many people were able to heal from extraordinary losses through community support and cultural practices. Future research with AI/AN communities is needed to develop, implement, and evaluate culturally responsive therapeutic grief treatments. There is also a pressing need to address current physical and mental health inequities to reduce the mortality rate and, thus, complicated grief in AI/AN communities.

African American adolescents face persistent disparities in depression and related behavioral health outcomes, which have been attributed to experiences with discrimination. The integrative model for the study of stress in Black American families provides a comprehensive perspective on how historical and current discrimination has direct and indirect effects on child behavioral health. Culturally based protective mechanisms (e.g., racial socialization) have been demonstrated to buffer adolescents from the negative effects of discrimination. The Pathways for African American Success (PAAS) program was developed as a scalable eHealth preventive intervention to facilitate parents' use of strategies to protect their children from exposure to racism and the disproportionate consequences of risk behaviors, which we label as racial equity-informed parenting. Using data from a randomized effectiveness trial of PAAS and following stress and resilience approaches, we tested multiple hypotheses about the nature of discrimination as a source of risk, as well as program-driven improvements in adolescent racial pride as a source of protection. Our risk model indicated adolescent depression was associated with their own (direct) and their parents' (indirect) experience of discrimination. Mediation analyses showed that program-driven improvements in adolescent racial pride served as a risk reducer/compensatory factor. Findings of moderation analyses, however, showed the negative effects of discrimination, even when racial pride was high. Implications for theory and cultural tailoring of evidence-based preventive interventions are presented.