Promoting Equity and Reducing Health Disparities Among Racially/Ethnically Diverse Adolescents: A Position Paper of the Society for Adolescent Health and Medicine

Barkley, Lisa; Kodjo, Cheryl; West, Kimberly J.; Vo, Dzung X.; Chulani, Veenod L.; Svetaz, María Verónica; Sylvester, Mae Seely; Kaul, Paritosh; Sanchez, Manuel Oscos

doi:10.1016/j.jadohealth.2013.03.021

Cited by 13 publications

(5 citation statements)

References 6 publications

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“…Consistent with previous literature addressing HIV prevention in black/African-American and Hispanic/Latino communities, HIV prevention strategies that include cultural approaches, such as supportive family and community networks [63–67], have an important role in decreasing racial/ethnic disparities in HIV infection consistent with domestic and global health equity goals [68,69]. One intervention consisted of a school curriculum (no mandatory parental component) and social development intervention (focused on social competence skills to manage situations in which high-risk behaviors occur) that randomized black/African-American middle school youth [70].…”

Section: Discussionsupporting

confidence: 54%

Impact of Parent-Child Communication Interventions on Sex Behaviors and Cognitive Outcomes for Black/African-American and Hispanic/Latino Youth: A Systematic Review, 1988–2012

Sutton

Lasswell

Lanier

et al. 2014

Journal of Adolescent Health

155

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Purpose We reviewed human immunodeficiency virus (HIV) and sexually transmitted infection (STI)- behavioral interventions implemented with disproportionately affected black/African-American and Hispanic/Latino youth and designed to improve parent-child communications about sex. We compared their effectiveness in improving sex-related behavior or cognitive outcomes. Methods A search of electronic databases identified peer-reviewed studies published between 1988 and 2012. Eligible studies were U.S.-based parent-child communication interventions with active parent components, experimental and quasiexperimental designs, measurement of youth sexual health outcomes, and enrollment of ≥50% black/African-American or Hispanic/Latino youth. We conducted systematic, primary reviews of eligible papers to abstract data on study characteristics and youth outcomes. Results Fifteen studies evaluating 14 interventions were eligible. Although youth outcome measures and follow-up times varied, 13 of 15 studies (87%) showed at least one significantly improved youth sexual health outcome compared with controls (p < .05). Common components of effective interventions included joint parent and child session attendance, promotion of parent/family involvement, sexuality education for parents, developmental and/or cultural tailoring, and opportunities for parents to practice new communication skills with their youth. Conclusions Parent-child communication interventions that include parents of youth disproportionately affected by HIV/STIs can effectively reduce sexual risk for youth. These interventions may help reduce HIV/STI-related health disparities and improve sexual health outcomes.

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Section: Discussionsupporting

confidence: 54%

Impact of Parent-Child Communication Interventions on Sex Behaviors and Cognitive Outcomes for Black/African-American and Hispanic/Latino Youth: A Systematic Review, 1988–2012

Sutton

Lasswell

Lanier

et al. 2014

Journal of Adolescent Health

155

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“…Therefore, there is a need for research, policy, and practice that pushes for further understanding of relations between prenatal sociocultural stress and infant outcomes, that reduces stress exposure, and that promotes resilience in this context. Having a comprehensive understanding of the role of structural racism in health disparities is critical for anyone engaging in this work, and advocates have called for researcher and practitioner training in topics such as structural competency, cultural humility, structural determinants of disease, defining race as a social and power construct, and institutional inequities as a root cause of injustice (Bailey et al, 2017;Barkley et al, 2013;Cerdeña et al, 2020;Metzl et al, 2018;Metzl & Hansen, 2014). Lastly, while interventions focused on prenatal health and child and family well-being are needed and important, true primary prevention to achieve health equity necessitates the creation of policies and systems that no longer systematically undermine the health of people of color (National Scientific Council on the Developing Child, 2020).…”

Section: Discussionmentioning

confidence: 99%

Intergenerational risk and resilience pathways from discrimination and acculturative stress to infant mental health

et al. 2022

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Preconception and prenatal stress impact fetal and infant development, and women of color are disproportionately exposed to sociocultural stressors like discrimination and acculturative stress. However, few studies examine links between mothers’ exposure to these stressors and offspring mental health, or possible mitigating factors. Using linear regression, we tested associations between prenatally assessed maternal acculturative stress and discrimination on infant negative emotionality among 113 Latinx/Hispanic, Asian American, Black, and Multiethnic mothers and their children. Additionally, we tested interactions between stressors and potential pre- and postnatal resilience-promoting factors: community cohesion, social support, communalism, and parenting self-efficacy. Discrimination and acculturative stress were related to more infant negative emotionality at approximately 12 months old (M = 12.6, SD = .75). In contrast, maternal report of parenting self-efficacy when infants were 6 months old was related to lower levels of infant negative emotionality. Further, higher levels of parenting self-efficacy mitigated the relation between acculturative stress and negative emotionality. Preconception and prenatal exposure to sociocultural stress may be a risk factor for poor offspring mental health. Maternal and child health researchers, policymakers, and practitioners should prioritize further understanding these relations, reducing exposure to sociocultural stressors, and promoting resilience.

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“…The concept of health equity, as it relates to factors of “discrimination, bias, institutionalized racism, unequal [access to] and provision of resources, and unequal environmental challenges in community and educational institutions” (Society for Adolescent Health & Medicine, 2013, p. 804), needs to be explored further. This cuts across all of the domains of clinical work, research, mentoring, and advocacy that I have discussed above.…”

Section: Discussionmentioning

confidence: 99%

“…This cuts across all of the domains of clinical work, research, mentoring, and advocacy that I have discussed above. A position paper from the Society for Adolescent Health and Medicine (2013) brilliantly discusses the issue of health equity for adolescents (a particular interest of mine) across the domains of advocacy, clinical care and health promotion, education and health services, professional and workforce development, and research. It provides a nice model and suggestions for achieving health equity as it relates to racial and ethnic minority status.…”

Section: Discussionmentioning

confidence: 99%

Award for Distinguished Contributions to Diversity in Pediatric Psychology: Reflections on diversity as the spice of life (and work).

Lescano¹

2015

Clinical Practice in Pediatric Psychology

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Diversity is broadly defined to include the variety that can be found within gender, race/ethnicity, socioeconomic status, geographic location, sexual orientation, religion, and ability/disability. In line with having received the inaugural 2015 Award for Distinguished Contributions to Diversity in Pediatric Psychology, the objective of this article is to share some reflections on the diversity of experience I have encountered in my work as a clinician, researcher, mentor, and advocate. Within each section, I share a few experiences that have affected and shaped me and then attempt to connect the overarching theme of those experiences with recent, related literature. The article concludes with a reflection on the status of diversity within the Society of Pediatric Psychology (SPP) and its publications (Clinical Practice in Pediatric Psychology and Journal of Pediatric Psychology) and some future considerations for SPP as an organization in search of advancing diversity in all aspects of its mission and vision.

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Promoting Equity and Reducing Health Disparities Among Racially/Ethnically Diverse Adolescents: A Position Paper of the Society for Adolescent Health and Medicine

Cited by 13 publications

References 6 publications

Impact of Parent-Child Communication Interventions on Sex Behaviors and Cognitive Outcomes for Black/African-American and Hispanic/Latino Youth: A Systematic Review, 1988–2012

Impact of Parent-Child Communication Interventions on Sex Behaviors and Cognitive Outcomes for Black/African-American and Hispanic/Latino Youth: A Systematic Review, 1988–2012

Intergenerational risk and resilience pathways from discrimination and acculturative stress to infant mental health

Award for Distinguished Contributions to Diversity in Pediatric Psychology: Reflections on diversity as the spice of life (and work).

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