Contextual Stress and Health Risk Behaviors Among African American Adolescents |
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| Authors: | Nikeea Copeland-Linder Sharon F. Lambert Yi-Fu Chen Nicholas S. Ialongo |
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| Affiliation: | (1) Division of General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine, 200 North Wolfe Street, Suite 2027, Baltimore, MD 21287, USA;(2) Department of Psychology, George Washington University, Washington, DC, USA;(3) Center for Family Research, University of Georgia, Athens, GA, USA;(4) Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA |
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| Abstract: | This study examined the longitudinal association between contextual stress and health risk behaviors and the role of protective factors in a community epidemiologically-defined sample of urban African American adolescents (N = 500; 46.4% female). Structural equation modeling was used to create a latent variable measuring contextual stress (community violence, neighborhood disorder, and experiences with racial discrimination). Contextual stress in 8th grade was associated with aggressive behavior and substance use 2 years later for boys. For girls, contextual stress predicted later substance use, but not aggressive behavior. High academic competence and self-worth reduced the impact of contextual stress on substance use for boys. Implications for intervention and directions for future research on health risk behaviors among African American adolescents are discussed. |
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