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To examine the association between recent experiences of discrimination and depressive symptom presentation and severity among a U.S. sample of older Black and African American adults. A cross-sectional survey of 124 Black and African American adults aged 50 and older in the United States was conducted assessing interpersonal discrimination and depressive symptoms. The Perceived Ethnic Discrimination Questionnaire assessed four forms of interpersonal discrimination. A measure of heightened vigilance to bias assessed anticipatory coping with discrimination experiences. Past-month affective and somatic symptoms of depression were assessed using the Depressive and Somatic Symptoms Scale. All forms of interpersonal racial discrimination were positively associated with greater affective symptom severity. Being avoided, devalued, and threatened or actively physically harmed were associated with greater somatic symptom severity. Vigilant coping was positively associated with affective symptom severity but not somatic symptom severity. Racial discrimination is linked to depression severity among older Black and African American and varies by symptom. This study helps inform work on processes linking discrimination with poorer psychological outcomes and will allow for more effective interventions and prevention efforts that are tailored to older minority populations. [ABSTRACT FROM AUTHOR]

Suicide deaths among Black youth in the US have increased rapidly over the past decade. Direct or vicarious racial trauma experienced through exposure to police brutality may underlie these concerning trends. We obtained nationally aggregated monthly counts of suicides for non-Hispanic Black and White youth (age ≤ 24 years) and adults (age > 24 years) from the National Mortality Vital Statistics restricted-use data files provided by the Centers for Disease Control and Prevention, from 2013 to 2019. Monthly counts of Black youth suicides constituted our main outcome. We defined our exposure as the monthly counts of police killings of unarmed Black persons over 84 months (2013 to 2019), retrieved from the Mapping Police Violence database. We used ARIMA (AutoRegressive Integrated Moving Average) time-series analyses to examine whether Black youth suicides increased within 0 to 3 months following police killings of unarmed Black persons, controlling for autocorrelation and corresponding series of White youth suicides. Suicides among Black youth increase by ∼1 count three months following an increase in police killings of unarmed Black persons (exposure lag 0 coefficient = 0.16, p > 0.05; exposure lag 1 coefficient = −0.70, p > 0.05; exposure lag 2 coefficient = −0.54, p > 0.05; exposure lag 3 coefficient = 0.95, p < 0.05). The observed increase in suicides concentrates among Black male youth (exposure lag 3 coefficient = 0.88, p < 0.05). [ABSTRACT FROM AUTHOR]

Racial disparities are evident in both educational outcomes and incarceration rates when comparing African American and white youth. It is essential to understand the school-to-prison pipeline and the ways in which school discipline practices and other factors disproportionately affect African American students, limit educational attainment, and increase risk for future incarceration in order to improve students' educational and life outcomes. This study explores how marijuana, anxiety and locus of control interact with school disciplinary practices in pushing students out of schools and into the criminal justice system. Analyses utilizing data from the Woodlawn Study, a longitudinal study of African Americans followed from first grade through adolescence, young adulthood, and midlife (n = 1,242), reveal that suspension or expulsion, frequent marijuana use, and locus of control (males only) all predict criminal justice system involvement above and beyond not graduating from high school, but do not interact significantly. This study offers avenues for intervention to reduce disparities. [ABSTRACT FROM AUTHOR]

To test whether adolescents' perceived ADHD symptoms may improve while monitoring them throughout the day. In a sample of 90 adolescents (Mage = 14.7; 66% boys, 34% girls; 76.7% White, 13.3% Black or African American, 8.9% more than one race, 1.1% "other") treated for ADHD by their pediatricians, this study examined: (1) whether self-rated ADHD symptoms decreased across 17 days of 4 times daily ecological momentary assessment (EMA) of symptoms and (2) whether completing versus missing an EMA survey was associated with lower self-rated ADHD symptoms in the subsequent hours. Multilevel regression analyses showed that, on average, adolescents' perceived ADHD symptoms (inattention, hyperactivity, impulsivity, and total across domains) decreased across 17 days of EMA. Within person, symptoms were lower following completed versus missed EMA surveys. Significant moderating effects showed that the effect of completing the prior EMA survey weakened across the day and over the course of the 17 days. This study is the first to document acute improvements in self-rated ADHD symptoms using EMA in adolescents' naturalistic environments. Symptom monitoring throughout the day may help adolescents improve their day-to-day ADHD, at least acutely, and holds promise as one component of mobile-health ADHD interventions. [ABSTRACT FROM AUTHOR]

This paper evaluates an innovative framework for spoken dialect density prediction on children's and adults' African American English. A speaker's dialect density is defined as the frequency with which dialect-specific language characteristics occur in their speech. Rather than treating the presence or absence of a target dialect in a user's speech as a binary decision, instead, a classifier is trained to predict the level of dialect density to provide a higher degree of specificity in downstream tasks. For this, self-supervised learning representations from HuBERT, handcrafted grammar-based features extracted from ASR transcripts, prosodic features, and other feature sets are experimented with as the input to an XGBoost classifier. Then, the classifier is trained to assign dialect density labels to short recorded utterances. High dialect density level classification accuracy is achieved for child and adult speech and demonstrated robust performance across age and regional varieties of dialect. Additionally, this work is used as a basis for analyzing which acoustic and grammatical cues affect machine perception of dialect. [ABSTRACT FROM AUTHOR]

Tourette syndrome (TS) affects about 0.5% of the population worldwide, but only sparse and conflicting data exist on TS prevalence among minority samples. Here we used VISITTS (a survey preceded by a short video showing tic phenomenology) and community outreach to provide estimates of tic disorder prevalence in African Americans. Community health workers (CHWs) left flyers at households in a predominantly minority neighborhood and approached people at a community health fair. Of 606 such contacts, 222 individuals agreed to discuss the study. Of these, 70% enrolled, of whom 82% identified as Black and 64% female. The VISITTS was well received. Lifetime prevalence of TS or another chronic tic disorder (TS/CTD) was 3.2%, and 31% endorsed any lifetime simple tic. The number of enrolled Black participants is remarkable compared to earlier TS studies, allowing one of the first prevalence estimates in this population (TS 2.3%, TS/CTD 3.9%). Tic disorders were endorsed only by Black respondents, though the small White sample precluded statistical comparison. Women had higher rates than men of TS (M:F = 0:1) and of any lifetime simple tic (M:F = 0.85), differing significantly from the expected 4:1 ratio (p =.009 and p <.001, respectively). For TS/CTD the ratio was 1.2:1 (p >.15). We conclude that VISITTS is a feasible tic screening tool in a minority population, that CHW community outreach increases enrollment of Black participants, that TS/CTD is no less common in this population, and that tics were as common in female as in male respondents. [ABSTRACT FROM AUTHOR]

The study aims to examine (1) the association between bullying victimization and suicidal thoughts and (2) neighborhood conditions as a moderated mediated model of the association between bullying victimization, emotional distress, and suicidal thoughts. The sample consists of 414 African American youths (ages 12–17) in Chicago's Southside neighborhoods. Variables included suicidal thoughts, bullying victimization, emotional distress, neighborhood conditions, age, sex, and government assistance. Analyses included descriptive statistics, bivariate correlations, and multivariate regression analyses. The study found that bullying victimization was not directly associated with suicidal thoughts. However, bullying victimization was positively associated with emotional distress, which was related to suicidal thoughts. Moreover, emotional distress as a mediator of the association between bullying victimization and suicidal thoughts was observed when neighborhood conditions were a moderator. The findings suggest that bullying victimization and suicidal thoughts are major concerns for African American adolescents, and prevention and intervention need to be cost-effective. [ABSTRACT FROM AUTHOR]

Research on African American youth's emotional development provides an incomplete understanding of the cultural influences that shape emotion‐related skills such as emotion expression, regulation, and understanding. In this article, I propose the multiple cultural frameworks of triple quandary theory to characterize the nature of mainstream cultural experiences and minority cultural experiences in current research on emotional development in African American youth. I also discuss Afrocultural ethos as an aspect of African American cultural experiences that shapes African American emotional development, using affect and orality as examples that can be explored and embedded within emotional development research. Finally, I describe important factors for researchers to consider in the study of Afrocultural ethos in affective developmental science. [ABSTRACT FROM AUTHOR]

• Exposure to parental depression in adolescence predicted proinflammatory phenotype at age 31. • This effect was mediated by unsupportive parenting in adolescence. • These findings highlight how experiences in childhood may become biologically embedded. Although the biological embedding model of adversity proposes that stressful experiences in childhood create a durable proinflammatory phenotype in immune cells, research to date has relied on study designs that limit our ability to make conclusions about whether the phenotype is long-lasting. The present study leverages an ongoing 20-year investigation of African American youth to test research questions about the extent to which stressors measured in childhood forecast a proinflammatory phenotype in adulthood, as indicated by exaggerated cytokine responses to bacterial stimuli, monocyte insensitivity to inhibitory signals from hydrocortisone, and low-grade inflammation. Parents reported on their depressive symptoms and unsupportive parenting tendencies across youths' adolescence. At age 31, youth participants (now adults) completed a fasting blood draw. Samples were incubated with lipopolysaccharide and doses of hydrocortisone to evaluate proinflammatory processes. Additionally, blood samples were tested for indicators of low-grade inflammation, including IL-6, IL-8, IL-10, and TNF-α, and soluble urokinase plasminogen activator receptor. Analyses revealed that parental depression across youths' adolescence prospectively predicted indicators of proinflammatory phenotypes at age 31. Follow-up analyses suggested that unsupportive parenting mediated these associations. These findings suggest that exposure to parental depression in adolescence leaves an imprint on inflammatory activity that can be observed 20 years later. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic disproportionately affected older adults, particularly those with pre-existing chronic health conditions. To address the health disparity and challenges faced by under-resourced African American older adults in South Los Angeles during this period, we implemented a hybrid (virtual/in-person), pre-post, community-based participatory intervention research project utilizing a faith-based lay health advisor model (COVID-19 Health Ambassador Program (CHAP)). We recruited COVID-19 Health Ambassadors (CHAs) and African American older adults (participants) from faith-based organizations who partook in CHA-led meetings and follow-ups that educated and supported the participants. This paper seeks to evaluate this intervention's implementation using the Consolidated Framework for Implementation Research (CFIR) as a reporting tool with an emphasis on fidelity, challenges, and adaptations based on data collected via stakeholder interviews and surveys. Results: CHAP was delivered to 152 participants by 19 CHAs from 17 faith-based organizations. CHAs assisted with chronic disease management, resolved medication-related challenges, encouraged COVID-19 vaccination, reduced psychological stress and addressed healthcare avoidance behaviors such as COVID-19 vaccine hesitancy among the participants. Challenges encountered include ensuring participant engagement and retention in the virtual format and addressing technological barriers for CHAs and participants. Adaptations made to better suit the needs of participants included providing communication tools and additional training to CHAs to improve their proficiency in using virtual platforms in addition to adapting scientific/educational materials to suit our participants' diverse cultural and linguistic needs. Conclusion: The community-centered hybrid approach in addition to our partnership with faith-based organizations and their respective COVID-19 health ambassadors proved to be essential in assisting underserved African American older adults manage chronic health conditions and address community-wide health disparities during the COVID-19 pandemic. Adaptability, cultural sensitivity, and teamwork are key to implementing health interventions especially in underserved populations. [ABSTRACT FROM AUTHOR]

Objective: Suicide rates among African American adolescents have increased exponentially in recent years. The socioecological stressors that can increase suicide risk for African American adolescents, in conjunction with unique suicide risk manifestations within this group, require culturally sensitive preventive interventions. This study examines the efficacy of the Adapted-Coping With Stress course (A-CWS), a culturally tailored preventive intervention, to reduce suicidal ideation in African American adolescents, utilizing a randomized controlled design. Method: Participants included 410 ninth-grade students in a large Midwestern city; most students identified as Black/African American. Participants were randomly assigned to either the A-CWS intervention or standard care control condition. All participants were assessed at baseline, immediately postintervention, and 6 and 12 months postintervention. Results: Treatment effects were examined using latent growth models comparing suicidal ideation trajectories in control and intervention conditions. Analyses were conducted using both intention-to-treat and treatment-as-received samples (i.e., intervention condition participants who attended at least 80% of sessions). In both intention-to-treat and treatment-as-received analyses, there was a significant treatment effect: Individuals in the A-CWS intervention condition with higher baseline ideation evidenced a superior reduction in suicidal ideation over the course of the study, relative to their counterparts in the standard care control condition. Conclusion: Findings indicate that the A-CWS preventive intervention is efficacious in reducing suicidal ideation among African American adolescents with higher levels of baseline suicidal ideation and that effects sustain over time, with the strongest effect evidenced 12 months postintervention. What is the public health significance of this article?: This study indicates that the Adapted-Coping With Stress course, a culturally tailored suicide prevention program for African American adolescents, is associated with reductions in suicidal ideation among African American adolescents with higher levels of pretreatment ideation. Effects were most pronounced 12 months after participating in the intervention. [ABSTRACT FROM AUTHOR]

Summary: Maternal psychological control has been linked consistently to poorer adjustment for adolescents, however, studies of variability in the association between psychological control and adjustment are rare. Sleep serves crucial bioregulatory functions that promote well‐being and protect youths against poor adjustment associated with negative family environments. We hypothesised that the link between maternal psychological control and adolescent maladjustment would be strongest for youths with poorer actigraphy‐based sleep. The current study included 245 adolescents (Mage = 15.79 years, 52.2% girls, 33.1% Black/African American and 66.9% White/European American; 43% at or below the poverty line). Adolescents reported on their mothers' psychological control toward them, as well as their internalising and externalising symptoms (aggressive and rule breaking behaviours). Several sleep variables were derived: minutes, onset time, and variability in each parameter over 1 week. For youths with shorter, less consistent sleep (both mean levels and variability in minutes and onset), maternal psychological control was associated with adjustment difficulties, especially externalising symptoms. This association was not significant for youth obtaining longer, more consistent sleep. The results were most evident for variability in sleep minutes and onset as moderators of effects. The findings suggest that longer and more consistent sleep is an important protective factor in the context of more controlling parenting. [ABSTRACT FROM AUTHOR]

"Breaks in the Air: The Birth of Rap Radio in New York City" by John Klaess is a significant contribution to the history of New York hip-hop culture. The book explores the early days of rap radio in New York, when stations like WBLS played a crucial role in shaping the sound and culture of hip-hop. Klaess uses interviews and cassette recordings to provide insights into the inseparable relationship between rap, radio, and diverse listening communities. The book also examines the impact of deregulation on the commercial radio industry and the role of radio in advancing Black social progress. Overall, "Breaks in the Air" offers a valuable perspective on the history of rap radio in New York City. [Extracted from the article]

A premise of positive youth development is that social competencies can develop in adversity and co-exist with problem behaviors. This research tested whether African American youth ages 9–17 who had experienced significant family stressors would form groups that displayed combinations of adversity, problem behavior, and strengths. Parents of a nationally representative sample of African Americans children were interviewed on child difficulties and strengths as part of the CDC's 2019 National Health Interview Survey. About 15% of the national sample of African American youth had experienced violence or parental incarceration, depression, or drug abuse. Latent class analysis (LCA) using indicators of adversity and strengths identified four distinct classes. Class 1 included youth who experienced multiple adversities, exhibited few strengths, and were high in behavior problems. Members of both classes 2 and 3 were more likely to experience parental incarceration but exhibited altruism. Class 3 also experienced parental mental health problems. Members of class 4 had the highest exposure to violence but were comparatively high in altruism and affability. Regression analysis revealed that the groups differed from one another on emotional health but not on physical health controlling for age and gender. These findings support a focus by mental health prevention programs on building on the strengths of children growing up in adversity. [ABSTRACT FROM AUTHOR]

There are distinct individual trajectories of depressive symptoms across adolescence which are most often differentiated into low, moderate/stable, and high/increasing groups. Research has found genetic predisposition for depression associated with trajectories characterized by greater depressive symptoms. However, the majority of this research has been conducted in White youth. Moreover, a separate literature indicates that trajectories with elevated depressive symptoms can result in substance use. It is critical to identify depressive symptom trajectories, genetic predictors, and substance use outcomes in diverse samples in early adolescence to understand distinct processes and convey equitable benefits from research. Using data from the Adolescent Cognitive Brain Development Study (ABCD), we examined parent-reported depressive symptom trajectories within Black/African American (AA, n = 1783), White/European American (EA, n = 6179), and Hispanic/Latinx (LX, n = 2410) youth across four annual assessments in early adolescence (age 9–10 to 12–13). We examined racially/ethnically aligned polygenic scores (Dep-PGS) as predictors of trajectories as well as substance use intent and perceived substance use harm as outcomes at age 12–13. Differential trajectories were found in AA, EA, and LX youth but low and high trajectories were represented within each group. In EA youth, greater Dep-PGS were broadly associated with membership in trajectories with greater depressive symptoms. Genetic effects were not significant in AA and LX youth. In AA youth, membership in the low trajectory was associated with greater substance use intent. In EA youth, membership in trajectories with higher depressive symptoms was associated with greater substance use intent and less perceived harm. There were no associations between trajectories and substance use intent and perceived harm in LX youth. These findings indicate that there are distinct depressive symptom trajectories in AA, EA, and LX youth, accompanied by unique associations with genetic predisposition for depressive symptoms and substance use outcomes. [ABSTRACT FROM AUTHOR]

Black male youth are at greatest risk of disparate contact and detention in the U.S. juvenile justice system. This study aims to identify recidivism risk/need patterns among African American male youth in the Ohio juvenile justice system, utilizing cluster analysis of risk assessment data from the Ohio Youth Assessment System-Disposition (OYAS-DIS). We found four distinct risk patterns and accompanying recidivism rates in the Black male youth population. Two of the clusters exhibited moderate levels of risk. However, they had significantly different recidivism outcomes, suggesting certain combinations of risk factors have more or less impact the propensity for crime in the Black male sample. Implications for policy and practice are discussed, as well as future directions for research. [ABSTRACT FROM AUTHOR]

This study explored how mentoring begins and the benefits provided for African American sexual and/or gender minority (SGM) youth. Participants were mentors and mentees living in three Mid-Atlantic cities. Mentees (ages 15–21, n = 14) identified as African American; cisgender male, transgender female, or non-binary assigned male; and had sexual interest in men. Mentor participants (ages 18+, n = 13) mentored such youth. Qualitative in-depth interviews were conducted with mentoring relationship partners (both partners did not necessarily participate). All interviews were audio-recorded, transcribed, and imported into Atlas.ti. Using a basic interpretive qualitative analysis, a codebook was developed through inductive and deductive techniques. Analysis focused on mentees' and mentors' descriptions and interpretations about how they formed a mentoring relationship and any observed benefits that arose. Themes showed mentoring relationships were formed through introductions via social circles or social media. Mentoring was described as providing a trusted confidant and support with identity formation, relationships, transitioning to adulthood, and health. Results indicate a potential for natural mentoring relationships to provide trusted adult support to SGM adolescents in ways that are experienced as authentic and beneficial to the mental health of African American SGM male youth. [ABSTRACT FROM AUTHOR]

The Social Security Act is undoubtedly one of the nation’s most important accomplishments in addressing Americans’ economic insecurity, poverty and human suffering. However, since its enactment in 1935, it has fallen short in delivering on the promise of equitable economic protection for African Americans and similarly situated persons of color. This Article examines two exclusionary and discriminatory statutory provisions which have disproportionately injured African Americans and other persons of color. Although arising from different time periods more than 35 years apart, directed to decidedly different issues, and affecting vastly different communities of color, they are bound by a common thread of the American experience: racism and white supremacy, abetted by political disenfranchisement. These provisions are exemptions, one in the original Social Security Act of 1935 Old Age Insurance program, excluding agricultural and domestic workers who were disproportionately African American, and one in the 1972 Amendments to the Act, excluding residents of U.S. Territories from the Supplemental Security Income program (who are overwhelmingly non-white—Latino/a, Black, AANHPI, or mixed race). These exclusions are grounded in historical racism, stemming from the “badges and incidents” of slavery and solicitude to protecting a postbellum plantation and sharecropping economy; or from American colonialism and imperialism at the turn of the twentieth century in the territories. Although equal protection principles supply a useful lens with which to examine these provisions’ racially disparate scope and nature, the equal protection doctrines as applied by courts have proven largely inadequate as a remedial tool to alter policy or redress injury as reflected in the Court’s 2022 Vaello Madero decision. The Article concludes with suggestions for advancing racial justice in Social Security programs in addressing the legacy of exclusion and informing responses to other threats of programmatic disparate treatment. [ABSTRACT FROM AUTHOR]

This study examines whether shift‐and‐persist coping, a coping strategy defined by accepting challenges and remaining hopeful for the future, is associated with psychosocial and physical health and/or moderates the effects of contextual stress (i.e., racial discrimination, financial strain) on health among African American adolescents living in the rural Southeastern United States. Participants (N = 299, 56% boys, Mage = 12.91) completed measures of shift‐and‐persist coping, contextual stress, and psychosocial and physical health. Shift‐and‐persist coping was generally associated with better health but did not buffer the effects of contextual stress. Results suggest that shift‐and‐persist coping may serve as a source of resilience among African American adolescents living in a context where many experience heightened contextual stress. [ABSTRACT FROM AUTHOR]

Little is known regarding the polygenic underpinnings of anomalous resting-state functional connectivity (rsFC) in youth bipolar disorder (BD). The current study examined the association of polygenic risk for BD (BD-PRS) with whole-brain rsFC at the large-scale network level in youth with and without BD. 99 youth of European ancestry (56 BD, 43 healthy controls [HC]), ages 13–20 years, completed resting-state fMRI scans. BD-PRS was calculated using summary statistics from the latest adult BD genome-wide association study. Data-driven independent component analyses of the resting-state fMRI data were implemented to examine the association of BD-PRS with rsFC in the overall sample, and separately in BD and HC. In the overall sample, higher BD-PRS was associated with lower rsFC of the salience network and higher rsFC of the frontoparietal network with frontal and parietal regions. Within the BD group, higher BD-PRS was associated with higher rsFC of the default mode network with orbitofrontal cortex, and altered rsFC of the visual network with frontal and occipital regions. Within the HC group, higher BD-PRS was associated with altered rsFC of the frontoparietal network with frontal, temporal and occipital regions. In conclusion, the current study found that BD-PRS generated based on adult genetic data was associated with altered rsFC patterns of brain networks in youth. Our findings support the usefulness of BD-PRS to investigate genetically influenced neuroimaging markers of vulnerability to BD, which can be observed in youth with BD early in their course of illness as well as in healthy youth. [ABSTRACT FROM AUTHOR]

America recently celebrated the 75th anniversary of the desegregation of the military, and while some might boast that the Black population within the military (around 17%) is more representative than the Black population in America (around 12%), there is still more that should be done to promote equity in armed service in the USA. Of course, such representation is positive, but it does not tell the whole story of how well Black service members are surviving and thriving. This paper will link manifestations of thriving and surviving over time to present-day recruiting shortfalls. [ABSTRACT FROM AUTHOR]

Objective: African American adolescents (N = 372), recruited from public housing in three large U.S. cities, participated in this study that explores individual, familial, and sociocontextual correlates of maternal caregiving profiles, based on supervision and encouragement. Background: Maternal caregivers play an important role in ensuring the safety and welfare of adolescents as they encounter multiple challenges in their social environment. Public housing magnifies the risk of experiencing such challenges for African American adolescents. Evidence on the experiences of African American adolescents living in public housing is scarce. Our study contributes to this body of knowledge by exploring profiles of maternal caregivers, based on supervision and encouragement, their association with demographics, and familial and sociocontextual challenges among adolescents in public housing. Method: Using multinomial logistic regression, we explore the associations between profiles of maternal caregiving, based on supervision and encouragement and adolescent characteristics, adolescents' experiences, and assessment of their family (e.g., quality of parent–child relationship, family conflict) and sociocontextual (e.g., peer influence, victimization, witnessing of community violence). Results: Adolescents living in households with high levels of maternal encouragement and supervision reported a high‐quality relationship with their caregivers and less witnessing of community violence. These adolescents were also less likely to report victimization. Conclusions: The study identified parenting strategies that could potentially reduce risks of adverse exposures among urban African American youth in public housing. Practitioners and policymakers must consider programs to bolster these strategies and further serve urban African American adolescents in challenging environments. [ABSTRACT FROM AUTHOR]

Urban schools are becoming increasingly linguistically diverse. However, principals are not adequately prepared to address linguistic variation, and in particular, issues related to African American Language (AAL). This study explores the language ideological voices of urban school administrators. Focus group sessions were conducted with 15 administrators of predominantly African American schools about the function of AAL in their students' lives. Participants demonstrated variation in views toward AAL and struggled to name the language. These discussions were mediated by multiple, even competing, language ideologies, as they attempted to converse about the use of AAL in schools. [ABSTRACT FROM AUTHOR]

This article challenges and explores an after-school literacy tutor program in a semi-urban midwestern state. As after-school programs continue to be widely used across the United States, there is also continued efforts to engage students in continued academic learning after school. Hynes and Sanders (2011) studied the experiences of various racial groups in after-school programs across the United States. They found that African American children were more likely to use after-school programs than White students, and most children participating in after-school programs lived in 'urban' (un-defined) areas. They also discovered more options for after-school programs in the Southern region of the United States, which has a larger portion of African American students (After School Alliance, 2009; Hynes and Sanders, 2011). [ABSTRACT FROM AUTHOR]

Bullying victimization remains to be a public health concern in the United States, especially among sexual and ethnic minority youth. However, few studies have examined how school outcomes might be associated with bullying victimization among heterosexual and sexual minority African American youth and the factors that may attenuate that relationship. To address this gap, this study surveyed 462 heterosexual and 102 sexual minority African American youth residing in Chicago's Southside neighborhoods, who participated in the Resiliency Project. Study variables included bullying victimization, school outcomes (i.e., school connectedness, and academic grades), and future orientation. Bullying victimization was associated with a significant increase in feeling disconnected from school among both heterosexual and sexual minority adolescents; however, there was no significant association observed between bullying victimization and receiving low grades among either group. Future orientation did not moderate the association between bullying victimization and school outcomes among heterosexual adolescents; however, positive future orientation did attenuate the association between bullying victimization and feeling disconnected from school among sexual minority adolescents. Prevention programs that focus on promoting school connectedness need to consider the role of future orientation for sexual minority youth. [ABSTRACT FROM AUTHOR]

Individuals who are Asian or Asian American, Black or African American, Native American or American Indian or Alaska Native, Native Hawaiian or Pacific Islander, and Hispanic or Latino (i.e., presently considered racial ethnic minoritized groups in the USA) lacked equal access to resources for mitigating risk during COVID-19, which highlighted public health disparities and exacerbated inequities rooted in structural racism that have contributed to many injustices, such as failing public school systems and unsafe neighborhoods. Minoritized groups are also vulnerable to climate change wherein the most severe harms disproportionately fall upon underserved communities. While systemic changes are needed to address these pervasive syndemic conditions, immediate efforts involve examining strategies to promote equitable health and well-being-which served as the impetus for this study. We conducted a descriptive analysis on the prevalence of culturally tailored interventions and reporting of sample characteristics among 885 programs with evaluations published from 2010 to 2021 and recorded in the Blueprints for Healthy Youth Development registry. Inferential analyses also examined (1) reporting time trends and (2) the relationship between study quality (i.e., strong methods, beneficial effects) and culturally tailored programs and racial ethnic enrollment. Two percent of programs were developed for Black or African American youth, and 4% targeted Hispanic or Latino populations. For the 77% of studies that reported race, most enrollees were White (35%) followed by Black or African American (28%), and 31% collapsed across race or categorized race with ethnicity. In the 64% of studies that reported ethnicity, 32% of enrollees were Hispanic or Latino. Reporting has not improved, and there was no relationship between high-quality studies and programs developed for racial ethnic youth, or samples with high proportions of racial ethnic enrollees. Research gaps on racial ethnic groups call for clear reporting and better representation to reduce disparities and improve the utility of interventions. [ABSTRACT FROM AUTHOR]

Objective: The objective of this study was to examine the agreement between African American and Latinx parents and their school-age children regarding the amount of ethnic–racial socialization (ERS) parents provided and relations to youth ethnic–racial identity development. Method: The sample included 353 parents and their 10–11 year-old children (57% Latinx; 55% boys), who both completed surveys 1 year apart. Latent difference scores were used to quantify agreement between parents and youth and to examine the relation between agreement and family and child characteristics including youth ethnic–racial identity development. Results: Parents reported higher levels of ERS than children, and differences were greater for preparation for bias than cultural socialization. Higher levels of cultural socialization and greater discrepancies between parent and youth reports were associated with greater ethnic–racial identity development 1 year later. Greater discrepancies in report of bias preparation were associated with less ethnic–racial identity development, but this effect was not significant once the impact of parent-reported bias preparation was accounted for. Conclusion: Incorporating both parent and youth reports of ERS provides a more complete picture of these practices and associated outcomes. Implications for the study of ERS and clinical intervention are discussed. Public Significance Statement: Minoritized parents routinely strive to increase their child's understanding of their group's cultural history and how to cope with discrimination. Less is known regarding how well school-age children incorporate these messages from parents. Findings indicate that differences in school-age children's perceptions of ethnic–racial socialization are associated with differences in ethnic–racial identity development. [ABSTRACT FROM AUTHOR]

As marijuana use is increasingly decriminalized in the United States, the research suggests that understanding the importance of risk and protective factors within each racial/ethnic group is key to buffering the impact marijuana has on youth. Therefore, the current study examined the potential impacts of psychosocial factors included in the Theory of Planned Behavior—perceived risk, peer disapproval, and parental involvement—on marijuana use in a nationally representative sample of African American youth (n = 1768). Increased perceived risk, peer disapproval, and parental involvement were each associated with lower rates of last year marijuana use. Implications for prevention and treatment are discussed. [ABSTRACT FROM AUTHOR]

A major strategy to reduce the impact of breast cancer (BC) among African Americans (AA) is patient navigation, defined here as individualized assistance for reducing barriers to healthcare use. The primary focus of this study was to estimate the added value of incorporating breast health promotion by navigated participants and the subsequent BC screenings that network members may obtain. In this study, we compared the cost-effectiveness of navigation across 2 scenarios. First, we examine the effect of navigation on AA participants (scenario 1). Second, we examine the effect of navigation on AA participants and their networks (scenario 2). We leverage data from multiple studies in South Chicago. Our primary outcome (BC screening) is intermediate, given limited available quantitative data on the long-term benefits of BC screening for AA populations. When considering participant effects alone (scenario 1), the incremental cost-effectiveness ratio was $3845 per additional screening mammogram. When including participant and network effects (scenario 2), the incremental cost-effectiveness ratio was $1098 per additional screening mammogram. Our findings suggest that inclusion of network effects can contribute to a more precise, comprehensive assessment of interventions for underserved communities. • Social network methods are useful tools that have the potential to improve cost estimation about navigation and other interventions. • This article leverages a patient navigation study for improving breast health among African American women in Chicago to assess the utility of applying social network approaches for economic evaluation. • Our work highlights that integration of social network and economic evaluation methods may provide comprehensive, precise assessments for informed healthcare-related decision making. [ABSTRACT FROM AUTHOR]

School discipline disparities for African American students in urban schools continue to be a topic of contention. While research has rightfully called into question the practices and preparation of teachers and principals, the role that assistant principals serve as disciplinary gatekeepers has gone relatively unnoticed in the literature. The purpose of this study was to explore the experiences of five assistant principals at two urban middle schools to ascertain how they addressed issues of race amid applying school discipline interventions for African American students. The findings are analyzed and discussed through a critical race theoretical framework. [ABSTRACT FROM AUTHOR]

This study investigated the relationship between youth violence exposures (i.e., peer and neighborhood) and early sexual initiation. It also explored whether caring relationships with teachers might moderate this relationship and whether results differed for heterosexual versus non-heterosexual African American youth. The study sample (N = 580) comprised 475 heterosexual and 105 non-heterosexual youths, 319 female and 261 male, ages 13 to 24 years (M age = 15.8). Students were assessed for peer and neighborhood violence, relationship with teachers, early sexual initiation, sexual orientation, and socioeconomic status. Major results indicated a positive relationship between exposure to peer and neighborhood violence and early sexual initiation for heterosexual youth but not those who identified as non-heterosexual. Further, identifying as female (vs. male) was significantly associated with later sexual initiation for both heterosexual and non-heterosexual youth. In addition, caring teachers moderated the relationship between exposure to peer violence and age of sexual initiation among non-heterosexual youth. Programs and interventions to curtail violence sequelae would need to consider the unique effects of various types of youth violence exposures and the significance of sexual orientation. [ABSTRACT FROM AUTHOR]

Deprivation and segregation indices are often examined as possible explanations for observed health disparities in population-based studies. In this study, we assessed the role of recognized deprivation and segregation indices specifically as they affect survival in a cohort of self-identified Black women diagnosed with ovarian cancer who enrolled in the African American Cancer Epidemiology Study. Mediation analysis was used to examine the direct and indirect effects between deprivation or segregation and overall survival via a Bayesian structural equation model with Gibbs variable selection. The results suggest that high socioeconomic status-related indices have an association with increased survival, ranging from 25% to 56%. In contrast, index of concentration at the extremes-race does not have a significant impact on overall survival. In many cases, the indirect effects have very wide credible intervals; consequently, the total effect is not well estimated despite the estimation of the direct effect. Our results show that Black women living in higher socioeconomic status neighborhoods are associated with increased survival with ovarian cancer using area-level economic indices such as Yost or index of concentration at the extremes-income. In addition, the Kolak urbanization index has a similar impact and highlights the importance of area-level deprivation and segregation as potentially modifiable social factors in ovarian cancer survival. [ABSTRACT FROM AUTHOR]

Little is known about sexual and gender minority youth (SGMY) who have sex with men's unique patterns of substance use, even though they are at risk for substance use and adverse mental and other health outcomes. We used latent class analysis to examine typologies of substance use and multinomial logistic regression to investigate mental health outcomes (depression and anxiety) and HIV/STI testing correlates associated with different classes of substance use in a sample of SGMY who have sex with men in the USA and use substances (n = 414) who participated in an online survey. The average age was 22.50 years old (SD = 3.22). A four-class solution was identified representing: 'depressant and stimulant use' (3.4%), 'high polysubstance use' (4.6%), 'low substance use with moderate cannabis use' (79.2%), and 'high cannabis, stimulant and alcohol use' (12.8%). Membership to a specified substance use class varied by age, previous arrest, gender identity, anxiety, and lifetime HIV testing. Multivariate logistic regression results indicated that participants in the high polysubstance use (AOR = 5.48, 95% CI 1.51, 19.97) and high cannabis use class (AOR = 3.87, 95% CI 1.25, 11.94) were significantly more likely than those in the low substance use with moderate cannabis use class to report previous arrest. Those in the high polysubstance use class were also significantly less likely to have been tested for HIV than those in the low substance use with moderate cannabis use class (AOR = 0.21, 95% CI 0.05, 0.93). Findings will guide the development and implementation of tailored approaches to addressing the intersection of substance use and HIV risk among SGMY. [ABSTRACT FROM AUTHOR]

Objective: Evidence suggests that greater social integration is related to lower mortality rates. However, studies among African-Americans are limited. We examined whether higher social integration was associated with lower mortality in 5306 African-Americans from the Jackson Heart Study, who completed the Berkman-Syme Social Network Index in 2000–2004 and were followed until 2018. Methods: We estimated hazard ratios (HR) of mortality by categories of the Social Network Index (i.e., high social isolation, moderate social isolation [reference group], moderate social integration, high social integration) using Cox proportional hazard models. Covariates included baseline sociodemographics, depressive symptoms, health conditions, and health behaviors. Results: Compared with moderate isolation, moderate integration was associated with an 11% lower mortality rate (HR = 0.89, 95% confidence interval [CI] 0.77, 1.03), and high integration was associated with a 25% lower mortality rate (HR = 0.75, 95% CI 0.64, 0.87), controlling for sociodemographics and depressive symptoms; compared with moderate isolation, high isolation was related to a 34% higher mortality rate (HR = 1.34, 95% CI 1.00, 1.79). Further adjustment of potential mediators (health conditions and health behaviors) only slightly attenuated HRs (e.g., HRmoderate integration = 0.90, 95% CI 0.78, 1.05; HRhigh integration = 0.77, 95% CI 0.66, 0.89). Conclusion: Social integration may be a psychosocial health asset with future work needed to identify biobehavioral processes underlying observed associations with mortality among African-Americans. [ABSTRACT FROM AUTHOR]

This article builds upon prior work by suggesting how public, K-12 education systems across the United States can address longstanding opportunity gaps in STEM education. More specifically, we bring together the work of critical perspectives in education, STEM pathway research, as well as best practices from teaching and learning scholarship. We suggest that through critical, interconnected, and aligned approaches to pedagogy, curricula, and instruction, educators can effectively advance the holistic success of Black youth. We begin by summarizing some of the systemic barriers to STEM pathways for Black students. We then highlight how extant studies have pointed to 3 essential teaching and learning strategies that empower Black youth toward academic, social, and civic engagement. We suggest that through: (1) culturally responsive, relevant, and sustaining pedagogies, (2) problem- and project-based, participatory curricula, and (3) a commitment to civic action and civic engagement, we can reduce and one day remove STEM opportunity gaps. When this collection of practices is offered to students in holistic ways through in and out-ofschool opportunities, studies have shown the positive impact that these teaching and learning approaches can have on Black students' experiences, engagement, and academic success outcomes throughout the K-12 pathway. [ABSTRACT FROM AUTHOR]

Objective: Racial inequities in mental health care utilization (MHCU) are well documented. Marginalized racial groups are more likely to report psychosis-like experiences (PLEs) and are at elevated risk for racial discrimination and trauma, impacting PLE severity. Little is known about how factors associated with race impact treatment seeking among individuals reporting PLEs. The present study examined associations between race, trauma, discrimination, PLEs, and MHCU among people endorsing high levels of PLEs. Method: Participants were Asian/Asian American, Black/African American, or White/European American college students ages 18–25 years meeting PLE self-report measure cutoff scores (N = 177). Binary logistic and multiple linear regressions were used to examine associations between past, current, and prospective MHCU and race, potentially traumatic events, discrimination, and PLEs. Results: Participants endorsing more PLEs were more likely to report past and current treatment and to be considering future services. Asian/Asian American and Black/African American participants were less likely to endorse past, current, and prospective future mental health care. Potentially traumatic events predicted increased utilization of past treatment. Conclusions: Results suggest service differences among participants, such that Black/African American and Asian/Asian American young adults reporting PLEs were less likely than White/European American counterparts to seek treatment even when accounting for traumatic events and discrimination. These findings highlight the need to further elucidate MHCU among marginalized racial groups experiencing psychosis-like symptoms. Public Significance Statement: Marginalized racial groups are less likely to receive adequate mental health care. The present study examined this issue within the context of psychosis-like experiences (PLEs), which are fairly common, and have been associated with an elevated risk for psychotic disorders and other mental health concerns. Asian/Asian American and Black/African American college students were significantly less likely than their White/European American counterparts to report past or current use of mental health services or express interest in future treatment. Since prevention of psychosis relies heavily on early identification and treatment, it is important to consider the association between race and contextual factors with treatment-seeking patterns, and potentially increase efforts to enhance treatment acceptability for diverse populations and engage groups less likely to receive care. [ABSTRACT FROM AUTHOR]

Harriet Tubman's life has attracted the attention of disability scholars because she suffered from a disability while serving on the Underground Railroad. In this paper, I utilize historical and ethical methods to grapple with an ethical quandary in a small portion of her narrative, particularly her authoritarian rule regarding shooting weakened fugitive slaves who considered returning to slavery. Was Tubman, a former slave who had been abused by slaveholders, being insensitive toward feeble fugitive slaves under her direction? Was her threat inconsequential in lieu of her overall abolitionist feats and since she never shot anyone and was ultimately effective at leading passengers to freedom? While Tubman pragmatically employed the threat of violence to help lead enslaved Blacks to freedom, her rule to shoot weakened fugitive slaves who turned back problematically condoned corporal punishment, an assimilationist method slaveholders employed to control Blacks and to whip and shape them according to their will. Because Tubman employed the threat of violence to inspire weakened runaways to keep moving forward and not return to slavery parallels many African American Christian parents' affirmation of whipping Black youth to deter them from going down the wrong paths and from succumbing to the criminal justice system in our 21st-century society where white supremacy looms large, I consider the ethical lessons African American parents, especially of disabled children, can learn from this challenging part of her narrative. [ABSTRACT FROM AUTHOR]

The study examines if African American adolescents' academic self-esteem moderates relations between negative youth experiences and academic achievement. Grounded in a PVEST perspective, the study collected responses from 364 Black adolescents (69% girls) in a southern, urban city. The primary finding in the study confirmed the hypothesis that students who report more negative youth experiences would also report lesser achievement and that negative relations would be buffered by the presence of Academic Self-Esteem. The study also outlines sex differences as Black males appear to be more vulnerable to negative youth experiences. Despite reporting more encounters with neighborhood-based discrimination, Black males appear to benefit academically when negative experiences are coupled with high academic self-esteem. The highest achievement in our sample was reported by students with high academic self-esteem who also reported higher instances of negative youth experiences. Intervention efforts and suggestions for future directions are discussed. [ABSTRACT FROM AUTHOR]

The purpose of this study was to examine whether the use of a prompting technique increased pre-school teachers' use of behavior-specific praise (BSP) statements. Two early childhood teachers participated in the study; one served children aged three to four years, the other four to five years. Both classes consisted of students from low income neighborhoods and all were Black or African American. A single-subject research design was used to determine if an electronic prompting device called a MotivAider increased teachers' use of BSP statements. Rates of BSP statements, general praise statements, and corrective statements were scored. Results indicated that the use of the MotivAider increased BSP statements for both teachers, minimally increased general praise for one teacher and reduced the number of corrective statements by both teachers. [ABSTRACT FROM AUTHOR]

A large body of research has identified peer exposure as a key factor driving adolescent substance use. However, findings on the role of sex partners are less robust and mixed. This study aims to fill this gap by examining the independent contribution of close friends' and sex partners' alcohol and marijuana use on adolescents' use of these substances. A secondary data analysis of social network data collected in 2000–2002 from a household sample of African American youth (14–19 years old) in the Bayview and Hunter's Point neighborhoods of San Francisco was conducted. Index participants and their nominated close friends and romantic sex partners (N = 104 triads) self-reported recent alcohol and marijuana use (defined as any use in the past 3 months). Generalized estimated equations were used to estimate the independent association between adolescent's recent substance use and their friend's and sex partner's use. Adolescents with a marijuana-using romantic sex partner had a nearly six-fold higher odds of using marijuana compared to adolescents with a non-using partner, controlling for close friend's marijuana use and other confounders [OR:5.69, 95%CI: 1.94, 16.7]; no association with close friend's marijuana use was found. A similar pattern was observed for alcohol use. Adolescents with an alcohol-using romantic sex partner had increased odds of using alcohol compared to adolescents with a non-using partner, controlling for close friend's alcohol use and other confounders [OR:2.40, 95%CI: 1.02, 5.63]; no association with close friend's alcohol use was found. Romantic sex partners may play a unique and significant role in adolescent substance use. Peer-focused interventions may be more effective if they consider romantic sex partners. Future research should consider the role of romantic sex partners in changing social context related to substance use from adolescence to young adulthood. [ABSTRACT FROM AUTHOR]

This descriptive, exploratory, sequential mixed-methods study investigated youths' articulations about racism via an open-ended survey question, and the extent to which these articulations differed based on youths' demographic characteristics. This study included 384 youth who identified as African American (n = 98), Latinx/o/Hispanic (n = 74), Asian/Pacific Islander (n = 52), Multiracial (n = 38), Native American (n = 20), and White (n = 100). Youth were between 14 and 18 years of age (M age = 16.66, SD = 1.28) and were primarily cisgender girls (51.3%) followed by cisgender boys (44.5%) and transgender (4.2%) youth. Thematic analysis was used to analyze youths' responses, finding that youth displayed an analysis of intrapersonal/interpersonal racism, structural racism, and color-evasive ideology. Cross-tabulation analysis revealed that youth from lower socioeconomic statues (SES) were more likely than higher SES youth to describe racism as an intrapersonal/interpersonal phenomenon, and girls and transgender youth were more likely than boys to express a structural analysis of racism. Study findings suggest that youths' beliefs about racism are multidimensional and primarily characterize racism as an intrapersonal/interpersonal phenomenon. Results may be used to inform the development of youth programs that aim to discuss racism in critical ways. [ABSTRACT FROM AUTHOR]

Racial-ethnic inequity is deeply entrenched in U.S. social systems, yet adolescents' voices and understanding around inequity are not often directly examined. The current qualitative study uses focus group data from African American (n = 21), Chinese- (n = 17), Indian- (n = 13), and Mexican- (n = 17) origin adolescents (M age = 12.93 years; SD = 1.23; 51% boys) to provide insight on how youth navigate their attitudes and beliefs about these issues. Using a racial-ethnic socialization lens, we explore proximal (e.g., parents, peers, teachers) and distal (e.g., media, society) ways in which adolescents come to understand racial-ethnic inequity. Three themes characterized adolescents' discussions. School diversity, of peers and of thought, and messages around egalitarianism were two prominent influences on their perceptions. A third theme related to perceptions of social hierarchies, which appeared to be shaped by stereotypes, peer interactions, and ideas about inequity itself. Emergent themes suggest that the school context is a particularly salient social setting that encompasses multiple sources of socialization (e.g., teachers, classmates, academics, climate), and parents, peers, and the media also play prominent roles. [ABSTRACT FROM AUTHOR]

Using a nationally representative sample of African American adolescents from the National Survey of American Life Adolescent supplement (NSAL-A), this study examines intraracial diversity in two key dimensions of family organization—family structure and family integration—and assesses their relationship with youths' educational performance, namely, grades, grade repetition, and number of suspensions. Results show that there is substantial within-group heterogeneity in family organization among African Americans, and that patterns of organization vary systematically by level of household resources, specifically household income. Results also indicate that the relationship between family structure and family integration and Black adolescents' educational performance differs by resource level. These factors are generally unrelated to the grades, grade repetition, and number of suspensions of adolescents from low-income households, but they are associated with these outcomes for adolescents from the most economically advantaged households. Irrespective of household income, findings demonstrate that the substantive impact of family organization on Black youths' educational outcomes is small, which suggests that family organization has a more limited relationship with Black Americans' life chances than previously theorized. [ABSTRACT FROM AUTHOR]

Behavioral difficulties among African American youth are disproportionately detrimental to their future well-being compared to when demonstrated by White American youth. The majority of gene-environment studies of behavior have been conducted with European ancestry samples, limiting our knowledge of these processes among African Americans. This study examined the influence of positive and negative neighborhood conditions, in the context of genetic risk, on behavioral difficulties among low-income African American adolescents. Data were from the Genes, Environment, and Neighborhood Initiative study of African American youth in high-poverty neighborhoods, n = 524, M age = 15.89, SD = 1.42. DNA samples were collected using the Oragene Discovery 500 series, and polygenic risk scores for behavioral difficulties computed. Neighborhood informal social control, social cohesion, physical disorder, and social disorder were assessed. Adolescent alcohol use, hyperactivity/inattention and conduct problems were examined as outcomes. After controlling for polygenic risk, lower levels of neighborhood social disorder and higher levels of social cohesion were associated with fewer youth-reported hyperactivity/inattention and conduct problems. Less social disorder also was associated with fewer parent-reported behavioral difficulties. Neighborhood characteristics did not moderate associations between genetic risk and the outcomes. Higher levels of positive and lower levels of negative neighborhood characteristics can be associated with lower levels of behavioral difficulties among African American youth living in poverty, even after taking into account genetic risk. [ABSTRACT FROM AUTHOR]

Studies suggest that religion is a protective factor for substance misuse and mental health concerns among Black/African American youth despite reported declines in their religious involvement. However, few studies have investigated the associations among religion, substance misuse, and mental health among Black youth. Informed by Critical Race Theory, we evaluated the correlations between gender, depression, substance misuse, and unprotected sex on mental health. Using multiple linear regression, we assessed self-reported measures of drug use and sex, condom use, belief in God, and religiosity on mental health among a sample of Black youth (N = 638) living in a large midwestern city. Results indicated drug use, and sex while on drugs and alcohol, were significant and positively associated with mental health symptoms. Belief in God was negatively associated with having sex while on drugs and alcohol. The study's findings suggest that despite the many structural inequalities that Black youth face, religion continues to be protective for Black youth against a myriad of prevalent problem behaviors. [ABSTRACT FROM AUTHOR]

Church attendance, prayer, and faith practices play a significant role in the life experiences among African Americans, especially youth. Few studies on religious behaviors among African American youth investigate the relationship between theological orientations and racial identity. These orientations include biblical principles, other-worldliness, and social legacy. A total of 187 African American adolescents (M age = 15) attending 18 predominantly Black churches in two Midwestern cities participated in the study. Results provided support for two theological orientations that were associated with racial/ethnic identity in distinct ways. More specifically, other-worldliness was linked to more negative feelings about the appearance of African American adolescents and being more likely to endorse negative stereotypes about African Americans. Adolescents who perceived their church as communicating a theology based upon biblical principles reported rejecting negative stereotypes about African Americans. Study findings suggest theological orientations may be associated with shaping racial/ethnic identity attitudes among African American adolescents. [ABSTRACT FROM AUTHOR]

Background: The study was conducted in a Dallas lead smelter community following an Environmental Protection Agency (EPA) Superfund Cleanup project. Lead smelters operated in the Dallas community since the mid-1930s.Aim: To test the hypothesis that cadmium (Cd) exposure is associated with chronic kidney disease (CKD) ≥ stage 3.Subjects and methods: Subjects were African American residents aged ≥19 to ≤ 89 years (n=835). CKD ≥ stage 3 was predicted by blood Cd concentration with covariates.Results: In logistic regression analysis, CKD ≥ stage 3 was predicted by age ≥ 50 years (OR = 4.41, p < 0.0001), Cd level (OR = 1.89, p <.05), hypertension (OR = 3.15, p < 0.03), decades living in the community (OR = 1.34, p < 0.003) and T2DM (OR = 2.51, p < 0.01). Meta-analysis of 11 studies of Cd and CKD ≥ stage 3 yielded an ORRANDOM of 1.40 (p < 0.0001). Chronic environmental Cd exposure is associated with CKD ≥ stage 3 in a Dallas lead smelter community controlling covariates.Conclusion: Public health implications include screening for heavy metals including Cd, cleanup efforts to remove Cd from the environment and treating CKD with newer renal-sparing medications (e.g., SGLT-2 inhibitors, GLP-1s). [ABSTRACT FROM AUTHOR]

Purpose: To identify and describe factors related to low-income, African American youth's participation in neighborhood youth physical activity opportunities (YPAO). Approach: Formative research. Setting: Face-to-face focus groups in New Castle County, Delaware. Participants: Fifty-five adults (parents/guardians of youth, YPAO providers, small business representatives) living and/or working in low-income, African American neighborhoods. Method: Nine, 60-90 minute focus groups were conducted from December 2018 through March 2019. Focus group questions were developed a priori and included domains related to neighborhood YPAOs. The domains were awareness of YPAOs, benefits and barriers to providing YPAOs, ways to increase youth participation in YPAOs, and strategies for creating, improving, and sustaining YPAOs. Focus group recordings were transcribed, and thematic analysis was performed to identify themes related to increasing youth participation in YPAOs. Results: Four major themes related to YPAOs emerged: 1) exposure/access, 2) parent buy-in/accountability (e.g., personal values and trust with YPAOs), 3) technology, and 4) increasing a sense of community. Three minor themes included liability, advertising, and schools. Small businesses desired to support YPAOs mainly through non-monetary means, while mutually benefitting from receiving local recognition. Conclusion: Developing strategies to incorporate effective community partnerships, creative program ideas with advertising, and active, multisector involvement including small businesses into practice has the potential to increase engagement of low-income, African American youth in YPAOs. [ABSTRACT FROM AUTHOR]

Evidence suggests small businesses could play a significant role in bringing quality youth physical activity opportunities (YPAOs) to urban areas. Knowing more about their involvement with YPAOs in African American neighborhoods would be of significant value given the relatively low PA rates of African American youth. The current study examined associations between small businesses and YPAOs in low-income, African American urban neighborhoods. Surveys were conducted with 46.4% (n = 223) of eligible small business owners/managers and 44.2% (n = 38) of eligible YPAO providers in 20 low-income, African American urban neighborhoods to ascertain business and YPAO characteristics. Audits were conducted at the YPAOs and parks (n = 28) in the study areas to obtain counts of users and data on amenities/incivilities. Analyses included multiple linear regression. Only 33.6% of all businesses were currently supporting YPAOs. The percentage of businesses supporting only local YPAOs (YPAOs near the business) was significantly associated with the number of YPAOs in the area, number of YPAO amenities, youth participants, teams, amenity quality, and the severity of incivilities after controlling for neighborhood demographics. Businesses supporting only local YPAOs were at their location longer, and their owners were more likely to have a sports background, children, and believe small businesses should support YPAOs than business not supporting local YPAOs. This study provides evidence that YPAOs in low-income, African American urban neighborhoods are improved by support from small businesses. Efforts to enhance PA among African American youth living in low-income urban neighborhoods could benefit from involving small businesses. [ABSTRACT FROM AUTHOR]