Although the neighborhood microsystem is recognized as an important domain for adolescent development, relative to the family and peer contexts, neighborhood factors have been understudied in relation to adolescent substance abuse. In addition, recent research suggests that risk factors for adolescent substance use may differ for African Americans when compared to Caucasian youth. This study investigated the association between perceived neighborhood disorganization and later substance use, as well as possible mediators of that association, among a community sample of urban African American adolescents. Perceptions of neighborhood disorganization (i.e., violence/safety and drug activity) in grade 7 were associated with increased tobacco, alcohol, and marijuana use in grade 9. For females, this association was mediated by attitudes about drug use and perceptions of drug harmfulness. Findings highlight the importance of neighborhood contextual variables for African American substance use. Implications and directions for future research are presented.

No abstract

When faced with difficulties and problems, people use a variety of cognitive and behavioral strategies to cope, and culture influences the strategies that are chosen. Unfortunately, little is known about how culture influences coping because most research is done with White samples. As coping is a key determinant of a person’s adaptation to stressful life events, it is imperative that researchers develop a nuanced understanding of African American coping that is specific enough to guide prevention and intervention efforts. Thus, the aim of this study was to (a) investigate how African Americans differ from one another in the way they cope and (b) examine whether the strategies they typically use to cope (dispositional coping) differ from those used to cope with racism (situation-specific coping). Results indicate that African Americans cope differently depending on the type of stressor—they use one set of strategies generally but rely on a different set to cope with racism. Results also revealed gender and acculturation differences in how African Americans cope.

No abstract

Our mixed methods approach not only helped to understand the physicians' perceptions of the problems and barriers to CRC screening in Appalachian Kentucky, but also elucidated how practices endeavor to overcome these barriers and identified the additional resources practices would like in order to promote CRC screening.