Abstract
Increasing knowledge of factors that promote health among youth from diverse backgrounds is an important step towards addressing health disparities. Although many promotive factors have been identified individually, there is an overabundance of research on risk factors, and a comparable dearth of knowledge regarding the influence of combinations of promotive factors. The current study examined how promotive factors across family, school, and community contexts co-occur to promote health among youth of different race/ethnicity. Utilizing a nationally representative sample of Black (10%), Latinx (12%), and White (77%) youth ages 12–17 (N = 30,668), latent class analysis was employed to identify classes of youth who endorsed homogenous patterns of promotive factors. Associations between class membership and health were explored. Each subsample was best characterized by its own 4-class model, with significant differences in patterns of promotive factors experienced by Black, Latinx, and White youth. Youth health outcomes also varied significantly by class membership (p < .05). Greater access to more promotive factors was associated with better health, and low access to community and school promotive factors was associated with worse health. Results suggest that increasing promotive factors in school, family, and community settings may help to prevent poor health outcomes; however, jointly addressing discrimination against racial/ethnic minority youth through education, policy, and practice is also needed to address health disparities.
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References
Alegria, M., Greif Green, J., McLaughlin, K., & Loder, S. (2015). Disparities in child and adolescent mental health and mental health services in the U.S. New York, NY: William T Grant Foundation. Retrieved from https://philanthropynewyork.org/sites/default/files/resources/Disparities_in_child_and_adolescent_health.pdf. Accessed 23 June 2016.
American Academy of Pediatrics. (2012). Patient- and family-centered care and the pediatrician’s role. Pediatrics, 129, 394–404. https://doi.org/10.1542/peds.2011-3084.
American Psychological Association. (2008). Task Force on Resilience and Strength in Black Children and Adolescents. Resilience in African American children and adolescents: A vision for optimal development. Washington, D.C. Retrieved from: https://www.apa.org/pi/families/resources/resiliencerpt.pdf. Accessed 20 May 2017.
American Psychological Association. (2017). Working Group for Addressing Racial and Ethnic Disparities in Youth Mental Health. Addressing the Mental Health Needs of Racial and Ethnic Minority Youth: A Guide for Practitioners. Retrieved from: https://www.apa.org/pi/families/resources/mental-health-needs.pdf. Accessed 20 May 2017.
Applied Survey Research. (2014). Youth developmental literature review. Retrieved from: http://storage.ugal.com/3283/2014-cs-Youth_Development_Lit_Review.pdf. Accessed 15 May 2017.
Asparouhov, T., & Muthén, B. (2015). Auxiliary variables in mixture modeling: Using the BCH method in Mplus to estimate a distal outcome model and an arbitrary secondary model. Retrieved from: https://www.statmodel.com/examples/webnotes/webnote21.pdf. Accessed 20 Apr 2017.
Assari, S., Thomas, A., Caldwell, C. H., & Mincy, R. B. (2017). Blacks’ diminished health return of family structure and socioeconomic status; 15 years of follow-up of a national urban sample of youth. Journal of Urban Health, 1–15. http://doi.org/10.1007/s11524-017-0217-3.
Bolck, A., Croon, M., & Hagenaars, J. (2004). Estimating latent structure models with categorical variables: One-step versus three-step estimators. Political Analysis, 12, 3–27. https://doi.org/10.2307/25791751.
Bos, H. M., Knox, J. R., van Rijn-van Gelderen, L., & Gartrell, N. K. (2016). Same-sex and different-sex parent households and child health outcomes: Findings from the National Survey of Children’s Health. Journal of Developmental and Behavioral Pediatrics, 37, 179–187.
Bronfenbrenner, U., & Morris, P. A. (2006). The bioecological model of human development. In R. M. Lerner & W. Damon (Eds.), Handbook of child psychology: Theoretical models of human development (Vol. 1, 6th ed., pp. 793–828). Hoboken: John Wiley & Sons Inc. https://doi.org/10.1002/9780470147658.chpsy0114.
Child Trends Data Bank (2015). Volunteering. Retrieved from: https://www.childtrends.org/wp-content/uploads/2015/12/20_Volunteering.pdf. Accessed 19 Mar 2018.
Cprek, S. E., Williams, C. M., Asaolu, I., Alexander, L. A., & Vanderpool, R. C. (2015). Three positive parenting practices and their correlation with risk of childhood developmental, social, or behavioral delays: An analysis of the National Survey of Children’s Health. Maternal and Child Health Journal, 19, 2403–2411. https://doi.org/10.1007/s10995-015-1759-1.
Barkley, L., Kodjo, C., West, K. J., Vo, D. X., Chulani, V. L., Svetaz, M. V., et al. (2013). Promoting equity and reducing health disparities among racially/ethnically diverse adolescents: A position paper of the Society for Adolescent Health and Medicine. Journal of Adolescent Health, 52, 804–807. https://doi.org/10.1016/j.jadohealth.2013.03.021.
Barton, A. W., Beach, S. R. H., Wells, A. C., Ingels, J. B., Corso, P. S., Sperr, M. C., et al. (2018). The protecting strong African American families program: A randomized controlled trial with rural African American couples. Prevention Science, 19.
Benzies, K., & Mychasiuk, R. (2009). Fostering family resiliency: A review of the key protective factors. Child and Family Social Work, 14, 103–114. https://doi.org/10.1111/j.1365-2206.2008.00586.x.
Bethell, C., Gombojav, N., Solloway, M., & Wissow, L. (2016). Adverse childhood experiences, resilience and mindfulness-based approaches: Common Denominator Issues for Children with Emotional, Mental, or Behavioral Problems. Child & Adolescent Psychiatric Clinics, 25, 139–156. https://doi.org/10.1016/j.chc.2015.12.001.
Bireda, A. D., & Pillay, J. (2017). Perceived parent – Child communication and well- being among Ethiopian adolescents. International Journal of Adolescence and Youth, (April), 1–9. https://doi.org/10.1080/02673843.2017.1299016.
Cabrera, N. J. (2013). Positive development of minority children. Social Policy Report, 27. https://doi.org/10.1002/j.2379-3988.2013.tb00075.x.
Caspe, M., & Lopez, M. E. (2006). Lessons from family-strengthening interventions: Learning from evidence-based practice. Cambridge, MA: Harvard Family Research Project Retrieved from: http://psychrights.org/research/digest/CriticalThinkRxCites/caspe.pdf. Accessed 30 June 2016.
Celeux, G., & Soromenho, G. (1996). An entropy criterion for assessing the number of clusters in a mixture model. Journal of Classification, 13, 195–212.
Cooke, C. L., Bowie, B. H., & Carrère, S. (2014). Perceived discrimination and children’s mental health symptoms. ANS. Advances in Nursing Science, 37, 299–314.
Cronin, S., Becher, E. H., Schmiesing Christians, K., Maher, M., & Dibb, S. (2015). Parents and stress: understanding experiences, context and responses. Children’s Mental Health eReview. St. Paul, MN: Children, Youth & Family Consortium. Retrieved from: https://conservancy.umn.edu/bitstream/handle/11299/172384/parental-stress-2015.pdf?sequence=1&isAllowed=y. Accessed 1 June 2017.
Dawson-McClure, S., Calzada, E. J., & Brotman, L. M. (2017). Engaging parents in preventive interventions for young children: Working with cultural diversity within low-income, urban neighborhoods. Prevention Science, 18, 660–670.
Eisenberg, M. E., Olson, R. E., Neumark-Sztainer, D., Story, M., & Bearinger, L. H. (2004). Correlations between family meals and psychosocial well-being among adolescents. Archives of Pediatrics & Adolescent Medicine, 158, 792. https://doi.org/10.1001/archpedi.158.8.792.
García Coll, C., Lamberty, G., Jenkins, R., Pipes McAdoo, H., Crnic, K., Hanna Wasik, B., et al. (1996). An integrative model for the study of developmental competencies in minority children. Child Development, 67, 1891–1914. https://doi.org/10.1111/j.1467-8624.1996.tb01834.x.
Gonzales, N. A., Wong, J. J., Toomey, R. B., Millsap, R., Dumka, L. E., & Mauricio, A. M. (2014). School engagement mediates long-term prevention effects for Mexican American adolescents. Prevention Science, 15, 929–939. https://doi.org/10.1007/s11121-013-0454-y.
Hurwich-Reiss, E., Rindlaub, L. A., Wadsworth, M. E., & Markman, H. J. (2014). Cultural adaptation of a family strengthening intervention for low-income Spanish-speaking families. Journal of Latina/o Psychology, 2, 21–36. https://doi.org/10.1037/lat0000010.
Kandasamy, V., Hirai, A. H., Ghandour, R. M., & Kogan, M. D. (2018). Parental perception of flourishing in school-aged children: 2011–2012 National Survey of Children’s Health. Journal of Developmental and Behavioral Pediatrics, 39, 497–507.
Kia-Keating, M., Dowdy, E., Morgan, M. L., & Noam, G. G. (2011). Protecting and promoting: An integrative conceptual model for healthy development of adolescents. Journal of Adolescent Health, 48, 220–228. https://doi.org/10.1016/j.jadohealth.2010.08.006.
Kitsantas, P., Kornides, M. L., Cantiello, J., & Wu, H. (2013). Chronic physical health conditions among children of different racial/ethnic backgrounds. Public Health, 126, 546–553. https://doi.org/10.1016/j.puhe.2013.02.006.
Kohn-Wood, L. P., & Hooper, L. M. (2014). Cultural competency, culturally tailored care, and the primary care setting: Possible solutions to reduce racial/ethnic disparities in mental health care. Journal of Mental Health Counseling, 36, 173–188. https://doi.org/10.17744/mehc.36.2.d73h217l81tg6uv3.
Kreipe, R. E. (2011). Focusing on populations to improve the health of individual adolescents and young adults. Journal of Adolescent Health, 49, 111–112. https://doi.org/10.1016/j.jadohealth.2011.06.004.
Laska, M. N., Pasch, K. E., Lust, K., Story, M., & Ehlinger, E. (2009). Latent class analysis of lifestyle characteristics and health risk behaviors among college youth. Prevention Science, 10, 376–386. https://doi.org/10.1007/s11121-009-0140-2.
Lee, L. C., Harrington, R. A., Louie, B. B., & Newschaffer, C. J. (2008). Children with autism: Quality of life and parental concerns. Journal of Autism and Developmental Disorders, 38, 1147–1160. https://doi.org/10.1007/s10803-007-0491-0.
Marmot, M. (2005). Social determinants of health inequalities. Lancet, 365, 1099–1104.
Masyn, K. E. (2013). Latent class analysis and finite mixture modeling. The Oxford handbook of quantitative methods (Vol. 2).
Muthén, L., & Muthén, B. O. (1998-2017). Mplus user’s guide (Eighth ed.). Los Angeles, CA: Muthén & Muthén.
Nylund-Gibson, K., & Choi, A. Y. (2018). Ten frequently asked questions about latent class analysis. Translational Issues in Psychological Science, 4, 440–461.
O’Neil, A., Jacka, F. N., Quirk, S. E., Cocker, F., Taylor, C. B., Oldenburg, B., & Berk, M. (2015). A shared framework for the common mental disorders and non-communicable disease: Key considerations for disease prevention and control. BMC Psychiatry, 15(15). https://doi.org/10.1186/s12888-015-0394-0.
Perez-Brena, N. J., Rivas-Drake, D., Toomey, R. B., & Umaña-Taylor, A. J. (2018). Contributions of the integrative model for the study of developmental competencies in minority children: What have we learned about adaptive culture? 73, 713–726.
Risco, C. M., Collado, A. D., Reynolds, E. K., Lejuez, C. W., & MacPherson, L. (2016). Evaluation of the environmental supports scale with a community sample of adolescents. Prevention Science, 17, 493–502. https://doi.org/10.1007/s11121-016-0637-4.
Sabina, C., & Banyard, V. (2015). Moving toward well-being: The role of protective factors in violence research. Psychology of Violence, 5, 337–342. https://doi.org/10.1037/a0039686.
Sanders-Phillips, K. (2009). Racial discrimination: A continuum of violence exposure for children of color. Clinical Child and Family Psychology Review, 12, 174–195. https://doi.org/10.1007/s10567-009-0053-4.
Seaton, E. K., Gee, G. C., Neblett, E., & Spanierman, L. (2018). New directions for racial discrimination research as inspired by the integrative model, 73, 768–780.
Slopen, N., Shonkoff, J. P., Albert, M. A., Yoshikawa, H., Jacobs, A., Stoltz, R., & Williams, D. R. (2016). Racial disparities in child adversity in the U.S. American Journal of Preventive Medicine, 50, 47–56. https://doi.org/10.1016/j.amepre.2015.06.013.
Smith, E. P., Osgood, D. W., Oh, Y., & Caldwell, L. C. (2018). Promoting afterschool quality and positive youth development: Cluster randomized trial of the pax good behavior game. Prevention Science, 19, 159–173. https://doi.org/10.1007/s11121-017-0820-2.
Southwick, S. M., & Charney, D. S. (2012). The science of resilience: Implications for the prevention and treatment of depression. Science (New York, N.Y.), 338(October), 79–82. https://doi.org/10.1126/science.1222942.
Syvertsen, A. K., Cleveland, M. J., Gayles, J. G., Tibbits, M. K., & Faulk, M. T. (2010). Profiles of protection from substance use among adolescents. Prevention Science, 11, 185–196. https://doi.org/10.1007/s11121-009-0154-9.
Toomey, S. L., Chien, A. T., Elliott, M. N., Ratner, J., & Schuster, M. A. (2013). Disparities in unmet need for care coordination: The National Survey of Children’s Health. Pediatrics, 131, 217–224. https://doi.org/10.1542/peds.2012-1535.
Williams, D. R., & Mohammed, S. A. (2013). Racism and health: Pathways and scientific evidence. American Behaviour Science, 57. https://doi.org/10.1177/0002764213487340.
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Liu, S.R., Kia-Keating, M. & Nylund-Gibson, K. Patterns of Family, School, and Community Promotive Factors and Health Disparities Among Youth: Implications for Prevention Science. Prev Sci 20, 1103–1113 (2019). https://doi.org/10.1007/s11121-019-01021-5
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DOI: https://doi.org/10.1007/s11121-019-01021-5