Kristina Hood

Who Is Likely to Help and Hurt? Profiles of African American Adolescents with Prosocial and Aggressive Behavior.

Prosocial behavior and aggression among children and adolescents are important indicators of social and interpersonal competence. The goal of this study was to investigate whether there are different prototypes among African American adolescents that can help explain prosocial and aggressive (relational and overt) behaviors. Also of interest was whether these profiles differed for boys and girls. The selection of independent variables (e.g., empathy, anger management, normative beliefs about aggression, and ethnic identity) was guided by an information processing model of aggression and prosocial behaviors. The sample consisted of 789 (57% female) African American adolescents between the ages of 11 and 14. Cluster analysis produced three profiles that were similar for boys and girls. These were labeled “well-adjusted,” “poorly adjusted,” and “low identity.” A fourth profile was labeled “low empathy” for girls and “poor anger management” for boys. These four clusters significantly differentiated who engaged in prosocial behavior and relational and overt aggression. Findings suggest that prevention programs may consider targeting well-adjusted youth to serve as peer modes. Additionally, programs that promote empathy, anger management, ethnic identity, and normative beliefs against aggression may be useful for reducing aggression and increasing prosocial behavior among poorly adjusted youth.

Beyond traditional gender roles and identity: does reconceptualisation better predict condom-related outcomes for African-American women?

African-American women continue to be at high risk for HIV and better prevention efforts are needed. The current paper sought to investigate the relationship between gender roles and condom-related outcomes among African American women. The sample consisted of 398 African-American women, who were administered a survey that contained measures of condom-related outcomes and gender role beliefs. We factor analysed their responses and three domains emerged: caretaking/mindful, interpersonal sensitivity and persistent/active coping. Results indicated that the interpersonal sensitivity domain was a significant predictor of condom use and intention with higher interpersonal sensitivity scores associated with less condom use and intentions. The persistent/active coping domain was a significant predictor of condom negotiation efficacy and condom use with higher scores in this domain associated with more condom negotiation efficacy and use. Results suggest that re-conceptualisations offer a better understanding of underlying traits that may influence condom-related outcomes for this population.

Misleading Sexual Partners About HIV Status Among Persons Living with HIV/AIDS

Most people living with HIV/AIDS (PLWHA) disclose their serostatus to their sexual partners and take steps to protect their partners from HIV. Prior research indicates that some PLWHA portray themselves to their sexual partners as HIV-negative or otherwise misrepresent their HIV status. The aim of this study was to document the prevalence of misleading sexual partners about HIV status and to identify factors associated with misleading. A sample of 310 PLWHA completed a self-administered questionnaire assessing demographic information, disclosure, HIV knowledge, HIV altruism, psychopathy, and sexual risk behavior. Participants were also asked “Since you were diagnosed as having HIV, have you ever misled a sexual partner about your HIV status?” Overall, 18.6% of participants indicated that they had misled a sexual partner. Those who had misled a partner at some point since their diagnosis reported more current HIV transmission risk behaviors, including unprotected anal or vaginal sex with a partner who was HIV-negative or whose HIV status was unknown. Participants who had misled a partner did not differ from those who had not in terms of demographic characteristics. Individuals who had misled a partner scored significantly lower on a measure of HIV knowledge than those who had not misled a partner. HIV altruism and psychopathy were associated with sexual risk behavior, but did not differ between those who had misled and those who had not. Disclosure of HIV status can reduce HIV transmission, but only if people are candid. Interventions aimed at increasing knowledge and accurate disclosure may reduce the spread of HIV.

STRESS AND TOBACCO USE AMONG AFRICAN-AMERICAN ADOLESCENTS: THE BUFFERING EFFECT OF CULTURAL FACTORS*

Tobacco is a leading contributor to morbidity and mortality and a primary reason for health disparities among African Americans. In this study we explore the role of stress in smoking and cultural factors that protect against stress among African-American adolescents. Our sample consisted of 239 youth who were recruited into the study while enrolled in 8th and 12th grade. Measures of risk factors (stress, school transition stress, and community disorganization), moderator or protective factors (religious support and intergenerational connections), and 30-day tobacco use were collected. Hierarchical multiple regression analyses were conducted. Intergenerational connections moderated the effect of stress on past 30-day tobacco use. Religious support moderated the effect of neighborhood disorganization on past 30-day tobacco use. Religious support also moderated the effect of stress on past 30-day tobacco use. The findings have implications for prevention efforts to consider religious beliefs and practices and also to link youth with supportive adults in their community.

The role of trust in health decision making among African American men recruited from urban barbershops.

OBJECTIVE To examine factors within the patient-provider relationship that influence which role African American men aged 40-70 years prefer when making health care decisions. METHODS We recruited 40 African American men from barbershops in the Richmond, Virginia, metropolitan area to participate in semistructured interviews. At the completion of each interview, participants completed a brief self-administered demographic survey. The semistructured interviews were audiotaped and transcribed verbatim and then imported into a qualitative software program for organizing, sorting, and coding data. The principles of thematic analysis and template approach were used in this study. The survey data were analyzed using descriptive statistics. RESULTS Trust was a major theme that emerged from the semistructured interviews. The men listed trust in the health care provider as the primary reason for choosing a collaborative or active role in the decision-making process. Within the theme of trust, 4 subthemes emerged: expertise, information sharing, active listening, and relationship length. Thirty-five out of the 40 men interviewed preferred an active or collaborative role in the decision-making process; only 5 preferred passive decision making. CONCLUSIONS Trust emerged as an important factor that influenced role preference for African American men when making health care decisions in the context of the patient-provider relationship. Future studies that help identify which other factors influence health care decision-making roles among African American men may have implications for addressing health disparities among this population and improve the quality of their health care.

The Impact of Perceived Group Support on the Effectiveness of an HIV Prevention Intervention for African American Women

The enormous HIV/AIDS disparity among African American women and women in other ethnic groups dictates the need to implement the most effective HIV prevention interventions. This study examined the impact of perceived group support on HIV protective behaviors (i.e., attitudes and behaviors related to condom use, alcohol, and drugs) of African American women participating in an HIV prevention intervention. Participants were 398 heterosexual, unmarried African American women older than 18 years who agreed to participate in Sisters Informing Sisters on Topics about AIDS, a widely used HIV prevention program for African American women. Regression analyses revealed that higher perceived support contributed to (1) higher condom negotiation efficacy, (2) higher condom use efficacy, (3) consistent condom use for sexually active participants, (4) higher perception of drug harmfulness, and (5) drug disapproval at posttest. These effects were found while controlling for pretest measures of condom and drug attitudes and use along with age, partner status, length of relationship, and education. The findings suggest that HIV intervention efforts should attend to ways in which women receive and provide support to one another.

Perceptions of Risks and Benefits Among Nonprescription Stimulant Consumers, Diverters, and Non-Users

ABSTRACT Background: Few studies have examined perceptions of legal and health risks along with the perceived benefits of nonprescription stimulant (NPS) use in college students (e.g., using stimulants such as Ritalin, Vvyanse, Concerta, or Adderall without a prescription). Objective: This study sought to better understand how college students perceived legal and health risks, as well as motivations associated with NPS use. The perceived risks and benefits were examined between those involved and those uninvolved. Method: The sample comprised 988 undergraduates at a southeastern university. Of the participants, 65.3% (645) were females, 69.1% (682) were freshmen, and 76.5% (756) were Caucasian. Participants from a convenience sample of general psychology students (enrolled August to December 2013) completed an on-line survey regarding behaviors and beliefs about the risks/benefits and motivations related to NPS use. Non-parametric Kruskal–Wallis analyses were conducted to examine perceptions of risks and motivations between those involved and those uninvolved in NPS use. Results: In the sample, 8.1% (n = 80) had a current prescription, with 30 individuals classified as diverters. Of participants, 23.1% (n = 228) reported that they were consumers of NPS medication. Results of the Kruskal–Wallis analyses showed that, compared with uninvolved students, those involved with stimulant medications perceived significantly greater cognitive benefits but less legal and health risks. Conclusions/Importance: College students involved in the misuse (using a stimulant without a prescription or diverting stimulant medication to others) of NPS medications may underestimate associated risks and overestimate benefits.