Yzette Lanier

Examining the Role of Culture-Specific Coping as a Predictor of Resilient Outcomes in African Americans From High-Risk Urban Communities

This investigation examined the role of culture-specific coping in relation to resilient outcomes in African Americans from high-risk urban communities. Participants (N = 385) were administered a survey questionnaire packet containing measures of culture-specific coping, traditional resilience factors (cognitive ability, social support, and familial factors), and resilient outcomes (physical, psychological, social, and environmental quality of life). Structural equation modeling was used to test the degree to which culture-specific coping would uniquely contribute to the prediction of quality of life above and beyond traditional predictive factors of resilience. Findings indicated that spiritual and collective coping were statistically significant predictors of quality of life outcomes above and beyond the traditional predictive factors. Overall, the findings indicated that both traditional and cultural factors were predictors of resilient outcomes (i.e., positive quality of life indicators) for African Americans.

Spiritual Well-Being as a Mediator of the Relation between Culture-Specific Coping and Quality of Life in a Community Sample of African Americans

This study examines the antecedent factors affecting the quality of life of African Americans. A theoretical model is proposed that identifies the effects of culture-specific coping and spiritual well-being as predictors of quality of life. A sample of 281 African Americans was administered a battery of questionnaires that examined the constructs of interest. The theoretical model was tested within a structural equation—modeling framework to identify both direct and indirect effects. Results indicate overall model fit, with both culture-specific coping and spiritual well-being as significant predictors of quality of life. Spiritual well-being partially mediated the effects of culture-specific coping on quality of life. The article concludes with a discussion of the studys findings in relation to quality of life issues for African Americans.

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

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.

A Confirmatory Test of the Factor Validity of Scores on the Spiritual Well-Being Scale in a Community Sample of African Americans

This study examined a five-factor model of the Spiritual Well-Being Scale (SWBS; Ellison, 1983) proposed by Miller, Fleming, and Brown-Anderson (1998). A confirmatory factor analytic procedure was conducted to determine whether the Miller et al. model fit the data for the current sample of African Americans. For comparative purposes, several alternative SWBS models were included in the studys design. The findings indicated that none of the SWBS models provided an adequate fit to the data for the current sample. Implications for future use of the SWBS with African American populations are discussed.

Moderator effects of cognitive ability and social support on the relation between race-related stress and quality of life in a community sample of Black Americans

The current study examined the combined moderating effects of cognitive ability and social support on the relation between race-related stress and quality of life in a sample of Black Americans. Participants (N = 323) were administered the Wonderlic Personnel Test (WPT; E. F. Wonderlic Associates, Inc., 1983), the Multidimensional Social Support Scale (MDSS; Winefield, Winefield, & Tiggemann, 1992), the Index of Race-Related Stress-Brief (Utsey, 1999), and the WHOQOL-BREF (The WHO Group, 1998). The findings indicated that cognitive ability and social support, conjointly, moderated the relation between individual and cultural race-related stress and quality of life for Black Americans in the current sample. The paper concludes by discussing the studys findings, limitations, and by offering recommendations for future research related to this area of inquiry.

Reframing the Context of Preventive Health Care Services and Prevention of HIV and Other Sexually Transmitted Infections for Young Men: New Opportunities to Reduce Racial/Ethnic Sexual Health Disparities

Young Black males, aged 13 to 29 years, have the highest annual rates of HIV infections in the United States. Young Black men who have sex with men (MSM) are the only subgroup with significant increases in HIV incident infections in recent years. Black men, particularly MSM, are also disproportionately affected by other sexually transmitted infections (STIs). Therefore, we must strengthen HIV and STI prevention opportunities during routine, preventive health care visits and at other, nontraditional venues accessed by young men of color, with inclusive, nonjudgmental approaches. The Affordable Care Act and National HIV/AIDS Strategy present new opportunities to reframe and strengthen sexual health promotion and HIV and STI prevention efforts with young men of color.

Brief Sexual Histories and Routine HIV/STD Testing by Medical Providers

Clinicians who routinely take patient sexual histories have the opportunity to assess patient risk for sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV), and make appropriate recommendations for routine HIV/STD screenings. However, less than 40% of providers conduct sexual histories with patients, and many do not receive formal sexual history training in school. After partnering with a national professional organization of physicians, we trained 26 (US and US territory-based) practicing physicians (58% female; median age=48 years) regarding sexual history taking using both in-person and webinar methods. Trainings occurred during either a 6-h onsite or 2-h webinar session. We evaluated their post-training experiences integrating sexual histories during routine medical visits. We assessed use of sexual histories and routine HIV/STD screenings. All participating physicians reported improved sexual history taking and increases in documented sexual histories and routine HIV/STD screenings. Four themes emerged from the qualitative evaluations: (1) the need for more sexual history training; (2) the importance of providing a gender-neutral sexual history tool; (3) the existence of barriers to routine sexual histories/testing; and (4) unintended benefits for providers who were conducting routine sexual histories. These findings were used to develop a brief, gender-neutral sexual history tool for clinical use. This pilot evaluation demonstrates that providers were willing to utilize a sexual history tool in clinical practice in support of HIV/STD prevention efforts.

Strengthening the Network of Mentored, Underrepresented Minority Scientists and Leaders to Reduce HIV-Related Health Disparities

OBJECTIVES We reviewed data for the Minority HIV/AIDS Research Initiative (MARI), which was established in 2003 to support underrepresented minority scientists performing HIV prevention research in highly affected communities. METHODS MARI was established at the Centers for Disease Prevention and Control as a program of competitively awarded, mentored grants for early career researchers conducting HIV prevention research in highly affected racial/ethnic and sexual minority communities. We have described progress from 2003 to 2013. RESULTS To date, MARI has mentored 27 scientist leaders using low-cost strategies to enhance the development of effective HIV prevention interventions. These scientists have (1) developed research programs in disproportionately affected communities of color, (2) produced first-authored peer-reviewed scientific and programmatic products (including articles and community-level interventions), and (3) obtained larger, subsequent funding awards for research and programmatic work related to HIV prevention and health disparities work. CONCLUSIONS The MARI program demonstrates how to effectively engage minority scientists to conduct HIV prevention research and reduce racial/ethnic investigator disparities and serves as a model for programs to reduce disparities in other public health areas in which communities of color are disproportionately affected.

Development of a Barbershop-Based HIV/STI Risk Reduction Intervention for Young Heterosexual African American Men:

Young, heterosexual African American men ages 18 to 24 years continue to be at high risk for HIV and other sexually transmitted infections. However, few interventions have been designed to meet the needs of this “forgotten” population. The article describes the systematic development of a theory-based, culturally-tailored, gender-specific, barbershop-based HIV risk reduction intervention for heterosexual African American men ages 18 to 24. The process included developing a community advisory board, selecting a guiding theoretical framework, incorporating community-based participatory research principles, and conducting formative research with African American males, barbers, and barbershop owners. The result was Shape Up: Barbers Building Better Brothers, a 2-day, HIV risk reduction intervention focused on increasing HIV knowledge and condom use and reducing the number of sexual partners. Intervention sessions were facilitated by barbers who used iPads to deliver the content. As a high-risk population, this intervention has great public health significance for the health of African American men and their sexual partners.

Examining Racial Discrimination Frequency, Racial Discrimination Stress, and Psychological Well-Being Among Black Early Adolescents:

Racial discrimination is a ubiquitous experience for Black adolescents; it has been linked to poorer psychological outcomes including higher depressive symptoms and lower self-esteem. However, the mechanisms through which racial discrimination is associated with psychological well-being are still not well understood, particularly among Black early adolescents. The current study investigated two dimensions of racial discrimination: racial discrimination frequency (RDfreq) and racial discrimination stress (RDstress). Specifically, we explored the prevalence of RDfreq and RDstress among Black youth and whether RDstress mediated the association between RDfreq and psychological well-being. Seventy-four Black middle school students (68.1% female; mean age = 12.1) completed self-report questionnaires assessing RDfreq, RDstress, depression, and self-esteem; 72 were included in the final analyses. Mediation analyses were conducted using bootstrapping. Ninety percent of the sample reported experiencing some type of racial discrimination and 99% reported that these experiences bothered them. Controlling for age, gender, and ethnicity, RDstress partially mediated the relationship between RDfreq and depression. Study findings elucidate one pathway in which racial discrimination influences psychological well-being.