Abstract
Racial discrimination is a documented risk factor for sexual risk behaviors among young Black men. Mechanisms of effect and protective processes remain to be investigated. This study examined the mediating effect of emotional distress, self-regulation, and substance use on the association between racial discrimination and sexual risk behaviors. Sexual risk behaviors included in this study were inconsistent condom use and sexual concurrency (sexual partnerships that overlap overtime). The protective effect of protective social ties was also investigated. A sample of 505 heterosexually active men aged 19–22 years were recruited and surveyed for 3 time points. Men answered questions on racial discrimination, sexual risk behaviors, emotional distress, self-regulation, and substance use. Mediation and moderation models were tested. Racial discrimination (T1) significantly and positively predicted emotional distress (T2). Emotional distress, substance use, and self-regulation partially mediated the association between racial discrimination and sexual risk behaviors. Protective social ties attenuated the effects of emotional distress on substance use and self-regulation. Racial discrimination is an important context for sexual risk behaviors. Minority stress may translate to sexual risk behavior through psychosocial mediators, such as emotional distress, self-regulation, and substance use. Protective social ties may buffer against emotional distress to reduce substance use and increase self-regulation. The findings of this study can provide new insights through the investigation of risk and protective processes that influence sexual risk behaviors among young Black men.
Similar content being viewed by others
References
Adimora, A. A., Schoenbach, V. J., & Doherty, I. A. (2007). Concurrent sexual partnerships among men in the United States. American Journal of Public Health, 97(12), 2230–2237.
Andershed, A. K., Gibson, C. L., & Andershed, H. (2016). The role of cumulative risk and protection for violent offending. Journal of Criminal Justice, 45(Suppl. C), 78–84. https://doi.org/10.1016/j.jcrimjus.2016.02.006.
Anderson, S., Donlan, A. E., McDermott, E. R., & Zaff, J. F. (2015). Ecology matters: Neighborhood differences in the protective role of self-control and social support for adolescent antisocial behavior. American Journal of Orthopsychiatry, 85(6), 536.
Ayala, G., Bingham, T., Kim, J., Wheeler, D. P., & Millett, G. A. (2012). Modeling the impact of social discrimination and financial hardship on the sexual risk of HIV among Latino and Black men who have sex with men. American Journal of Public Health, 102(S2), S242–S249.
Beaver, K. M., Mancini, C., DeLisi, M., & Vaughn, M. G. (2011). Resiliency to victimization: The role of genetic factors. Journal of Interpersonal Violence, 26(5), 874–898.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107(2), 238.
Bollen, K. A. (1989). A new incremental fit index for general structural equation models. Sociological Methods & Research, 17(3), 303–316.
Bowleg, L., Fitz, C. C., Burkholder, G. J., Massie, J. S., Wahome, R., Teti, M., … Tschann, J. M. (2014). Racial discrimination and posttraumatic stress symptoms as pathways to sexual HIV risk behaviors among urban Black heterosexual men. AIDS Care, 26(8), 1050–1057.
Brody, G. H., & Ge, X. (2001). Linking parenting processes and self-regulation to psychological functioning and alcohol use during early adolescence. Journal of Family Psychology, 15(1), 82–94.
Brody, G. H., Kogan, S. M., & Chen, Y.-F. (2012). Perceived discrimination and longitudinal increases in adolescent substance use: Gender differences and mediational pathways. American Journal of Public Health, 102(5), 1006–1011. https://doi.org/10.2105/ajph.2011.300588.
Brown, J. M., Miller, W. R., & Lawendowski, L. A. (1999). The self-regulation questionnaire. In L. VandeCreek & T. L. Jackson (Eds.), Innovations in clinical practice: A sourcebook (Vol. 17, pp. 281–292). Sarasota, FL: Professional Resource Press/Professional Resource Exchange.
Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods and Research, 21(2), 230–258.
Carpenter, J., Andrykowski, M., Wilson, J., Hall, L., Kay Rayens, M., Sachs, B., & Cunningham, L. (1998). Psychometrics for two short forms of the Center for Epidemiologic Studies-Depression Scale. Issues in Mental Health Nursing, 19(5), 481–494.
Centers for Disease Control and Prevention. (2017). HIV Surveillance Report 2016, 28. Retrieved March 1, 2018 from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.
Cho, J., & Kogan, S. M. (2016). Risk and protective processes predicting rural african american young men’s substance abuse. American Journal of Community Psychology, 58(3–4), 422–433.
Cohen, M. S., Chen, Y. Q., McCauley, M., Gamble, T., Hosseinipour, M. C., Kumarasamy, N., … Godbole, S. V. (2011). Prevention of HIV-1 infection with early antiretroviral therapy. New England Journal of Medicine, 365(6), 493–505.
Cox, M. J., & Paley, B. (1997). Families as systems. Annual Review of Psychology, 48(1), 243–267.
DiClemente, R. J., Wingood, G. M., Crosby, R. A., Sionean, C., Brown, L. K., Rothbaum, B., … Davies, S. (2001). A prospective study of psychological distress and sexual risk behavior among Black adolescent females. Pediatrics, 108(5), e85–e85.
Dunst, C. J., & Leet, H. E. (1987). Measuring the adequacy of resources in households with young children. Child: Care, Health and Development, 13(2), 111–125.
Eisenberg, N., Valiente, C., Spinrad, T. L., Cumberland, A., Liew, J., Reiser, M., & Losoya, S. H. (2009). Longitudinal relations of children’s effortful control, impulsivity, and negative emotionality to their externalizing, internalizing, and co-occurring behavior problems. Developmental Psychology, 45(4), 988–1008. https://doi.org/10.1037/a0016213.
Elliott, D. S., & Menard, S. (1996). Delinquent friends and delinquent behavior: Temporal and developmental patterns. In J. D. Hawkins (Ed.), Delinquency and crime: Current theories (pp. 28–67). Cambridge: Cambridge University Press.
Ethier, K. A., Kershaw, T. S., Lewis, J. B., Milan, S., Niccolai, L. M., & Ickovics, J. R. (2006). Self-esteem, emotional distress and sexual behavior among adolescent females: Inter-relationships and temporal effects. Journal of Adolescent Health, 38(3), 268–274.
Fleming, P. L., Lansky, A., Lee, L. M., & Nakashima, A. K. (2006). The epidemiology of HIV/AIDS in women in the southern United States. Sexually Transmitted Diseases, 33(7), S32–S38.
Flouri, E., Tzavidis, N., & Kallis, C. (2010). Adverse life events, area socioeconomic disadvantage, and psychopathology and resilience in young children: The importance of risk factors’ accumulation and protective factors’ specificity. European Child and Adolescent Psychiatry, 19(6), 535–546. https://doi.org/10.1007/s00787-009-0068-x.
Furman, W., & Buhrmester, D. (1985). Children’s perceptions of the personal relationships in their social networks. Developmental Psychology, 21(6), 1016.
Gibbons, F. X., O’hara, R. E., Stock, M. L., Gerrard, M., Weng, C. Y., & Wills, T. A. (2012). The erosive effects of racism: Reduced self-control mediates the relation between perceived racial discrimination and substance use in African American adolescents. Journal of Personality and Social Psychology, 102(5), 1089.
Hall, H. I., Li, J., & McKenna, M. T. (2005). HIV in predominantly rural areas of the United States. Journal of Rural Health, 21(3), 245–253.
Hallfors, D. D., Iritani, B. J., Miller, W. C., & Bauer, D. J. (2007). Sexual and drug behavior patterns and HIV and STD racial disparities: The need for new directions. American Journal of Public Health, 97(1), 125–132. https://doi.org/10.2105/AJPH.2005.075747.
Hamama, L., & Ronen-Shenhav, A. (2013). The role of developmental features, environmental crises, and personal resources (self-control and social support) in adolescents’ aggressive behavior. Aggression and Violent Behavior, 18(1), 26–31.
Hayes, J. A., Chun-Kennedy, C., Edens, A., & Locke, B. D. (2011). Do double minority students face double jeopardy? Testing minority stress theory. Journal of College Counseling, 14(2), 117–126.
Heckathorn, D. D. (1997). Respondent-driven sampling: A new approach to the study of hidden populations. Social Problems, 44(2), 174–199.
Heckathorn, D. D. (2002). Respondent-driven sampling II: Deriving valid population estimates from chain-referral samples of hidden populations. Social Problems, 49(1), 11–34.
Hicks, M. R., Kogan, S. M., Cho, J., & Oshri, A. (2017). Condom use in the context of main and casual partner concurrency: Individual and relationship predictors in a sample of heterosexual African American men. American Journal of Men’s Health, 11(3), 585–591.
Hladik, F., & McElrath, M. J. (2008). Setting the stage–HIV host invasion. Nature Reviews Immunology, 8(6), 447–457.
Hudson, D. L., Puterman, E., Bibbins-Domingo, K., Matthews, K. A., & Adler, N. E. (2013). Race, life course socioeconomic position, racial discrimination, depressive symptoms and self-rated health. Social Science and Medicine, 97, 7–14.
Joe, G. W., Broome, K. M., Rowan-Szal, G. A., & Simpson, D. D. (2002). Measuring patient attributes and engagement in treatment. Journal of Substance Abuse Treatment, 22(4), 183–196.
Johnson, S. D., Cunningham-Williams, R. M., & Cottler, L. B. (2003). A tripartite of HIV-risk for African American women: the intersection of drug use, violence, and depression. Drug and Alcohol Dependence, 70(2), 169–175.
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Hawkins, J., … Zaza, S. (2016). Youth Risk Behavior Surveillance—United States, 2015. Morbidity and Mortality Weekly Report. Surveillance Summaries, 65(6), 1–174.
Kogan, S. M., Allen, K. A., Gonzales-Backen, M., Bae, D., & Cho, J. (2018). Romantic relationships among emerging adult African–American men: A latent profile analysis. Journal of Social and Personal Relationships, 0265407518776130.
Kogan, S. M., & Brody, G. H. (2010). Linking parenting and informal mentor processes to depressive symptoms among rural African American young adult men. Cultural Diversity and Ethnic Minority Psychology, 16(3), 299–306.
Kogan, S. M., Brody, G. H., & Chen, Y.-F. (2011a). Natural mentoring processes deter externalizing problems among rural African American emerging adults: A prospective analysis. American Journal of Community Psychology, 48(3–4), 272–283. https://doi.org/10.1007/s10464-011-9425-2.
Kogan, S. M., Brody, G. H., Chen, Y. F., Grange, C. M., Slater, L. M., & DiClemente, R. J. (2010). Risk and protective factors for unprotected intercourse among rural African American young adults. Public Health Reports, 125(5), 709–717.
Kogan, S. M., Brody, G. H., Crawley, C., Logan, P., & Murry, V. M. (2007). Correlates of elevated depressive symptoms among rural African American adults with type 2 diabetes. Ethnicity and Disease, 17(1), 106–112.
Kogan, S. M., Cho, J., Barton, A. W., Duprey, E. B., Hicks, M. R., & Brown, G. L. (2016a). The influence of community disadvantage and masculinity ideology on number of sexual partners: A prospective analysis of young adult, rural Black men. Journal of Sex Research, 54, 1–7. https://doi.org/10.1080/00224499.2016.1223798.
Kogan, S. M., Cho, J., Brody, G. H., & Beach, S. R. (2017). Pathways linking marijuana use to substance use problems among emerging adults: A prospective analysis of young Black men. Addictive Behaviors, 72, 86–92.
Kogan, S. M., Cho, J., & Oshri, A. (2016b). The influence of childhood adversity on rural Black men’s sexual risk behavior. Annals of Behavioral Medicine, 50, 1–10. https://doi.org/10.1007/s12160-016-9807-7.
Kogan, S. M., Wejnert, C., Chen, Y.-F., Brody, G. H., & Slater, L. M. (2011b). Respondent-driven sampling with hard-to-reach emerging adults: An introduction and case study with rural African Americans. Journal of Adolescent Research, 26(1), 30–60.
Liao, K. Y.-H., Kashubeck-West, S., Weng, C.-Y., & Deitz, C. (2015). Testing a mediation framework for the link between perceived discrimination and psychological distress among sexual minority individuals. Journal of Counseling Psychology, 62(2), 226–241.
Martin, L. A., Neighbors, H. W., & Griffith, D. M. (2013). The experience of symptoms of depression in men vs women: Analysis of the national comorbidity survey replication. JAMA Psychiatry, 70(10), 1100–1106. https://doi.org/10.1001/jamapsychiatry.2013.1985.
Mays, V. M., Cochran, S. D., & Barnes, N. W. (2007). Race, race-based discrimination, and health outcomes among African Americans. Annual Review of Psychology, 58, 201–225.
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.
Mossakowski, K. N., & Zhang, W. (2014). Does social support buffer the stress of discrimination and reduce psychological distress among Asian Americans? Social Psychology Quarterly, 77(3), 273–295.
Murry, V. M., & Brody, G. H. (2004). Partnering with community stakeholders: Engaging rural African American families in basic research and the Strong African American Families preventive intervention program. Journal of Marital and Family Therapy, 30(3), 271–283.
Murry, V. M., Heflinger, C. A., Suiter, S. V., & Brody, G. H. (2011). Examining perceptions about mental health care and help-seeking among rural African American families of adolescents. Journal of Youth and Adolescence, 40(9), 1118–1131.
Muthén, L. K., & Muthén, B. O. (2010). 1998–2010 Mplus user‘s guide. Los Angeles, CA: Author.
Oshri, A., Kogan, S., Liu, S., Sweet, L., & Mackillop, J. (2017). Pathways linking adverse childhood experiences to cigarette smoking among young black men: A prospective analysis of the role of sleep problems and delayed reward discounting. Annals of Behavioral Medicine, 51(6), 890–898.
Poundstone, K. E., Strathdee, S. A., & Celentano, D. D. (2004). The social epidemiology of human immunodeficiency virus/acquired immunodeficiency syndrome. Epidemiologic Reviews, 26(1), 22–35.
Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185–227.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.
Roberts, M. E., Gibbons, F. X., Gerrard, M., Weng, C. Y., Murry, V. M., Simons, L. G., & Lorenz, F. O. (2012). From racial discrimination to risky sex: Prospective relations involving peers and parents. Developmental Psychology, 48(1), 89–102.
Sampson, R. J., Raudenbush, S. W., & Earls, F. (2009). Neighborhoods and violent crime: A multilevel study of collective efficacy. In P. Hynes & P. Lopez (Eds.), Urban health: Readings in the social, built, and physical environments of US cities (pp. 79–97). Boston, MA: Jones and Bartlett.
Schwinn, T. M., & Schinke, S. P. (2014). Alcohol use and related behaviors among late-adolescent urban youths: Peer and parent influences. Journal of Child and Adolescent Substance Abuse, 23(1), 58–64.
Sharp, P. M., & Hahn, B. H. (2011). Origins of HIV and the AIDS pandemic. Cold Spring Harbor Perspectives in Medicine, 1(1), a006841.
Shrier, L. A., Harris, S. K., Sternberg, M., & Beardslee, W. R. (2001). Associations of depression, self-esteem, and substance use with sexual risk among adolescents. Preventive Medicine, 33(3), 179–189.
Simons, R. L., Chao, W., Conger, R. D., & Elder, G. H. (2001). Quality of parenting as mediator of the effect of childhood defiance on adolescent friendship choices and delinquency: A growth curve analysis. Journal of Marriage and Family, 63(1), 63–79.
Simons, R. L., Simons, L. G., Burt, C. H., Drummund, H., Stewart, E., Brody, G. H., & Cutrona, C. (2006). Supportive parenting moderates the effect of discrimination upon anger, hostile view of relationships, and violence among African American boys. Journal of Health and Social Behavior, 47(4), 373–389. https://doi.org/10.1177/002214650604700405.
Simons-Morton, B., Chen, R., Abroms, L., & Haynie, D. L. (2004). Latent growth curve analyses of peer and parent influences on smoking progression among early adolescents. Health Psychology, 23(6), 612–621.
Smith, G. T., & Cyders, M. A. (2016). Integrating affect and impulsivity: The role of positive and negative urgency in substance use risk. Drug and Alcohol Dependence, 163(Suppl. 1), S3–S12. https://doi.org/10.1016/j.drugalcdep.2015.08.038.
Sue, D. W., Capodilupo, C. M., Torino, G. C., Bucceri, J. M., Holder, A., Nadal, K. L., & Esquilin, M. (2007). Racial microaggressions in everyday life: Implications for clinical practice. American Psychologist, 62(4), 271–286.
Sue, D. W., Nadal, K. L., Capodilupo, C. M., Lin, A. I., Torino, G. C., & Rivera, D. P. (2008). Racial microaggressions against Black Americans: Implications for counseling. Journal of Counseling and Development, 86(3), 330–338.
Tice, D. M., Bratslavsky, E., & Baumeister, R. F. (2001). Emotional distress regulation takes precedence over impulse control: If you feel bad, do it! Journal of Personality and Social Psychology, 80, 53–67.
Tice, D. M., Bratslavsky, E., & Baumeister, R. F. (2018). Emotional distress regulation takes precedence over impulse control: If you feel bad, do it! In R. F. Baumeister (Ed.), Self-regulation and self-control (pp. 275–306). United Kingdom: Routledge
Troisi, A., & D’Argenio, A. (2004). The relationship between anger and depression in a clinical sample of young men: the role of insecure attachment. Journal of Affective Disorders, 79(1), 269–272. https://doi.org/10.1016/S0165-0327(02)00406-8.
Umberson, D., Crosnoe, R., & Reczek, C. (2010). Social relationships and health behavior across life course. Annual Review of Sociology, 36, 139–157.
Viner, R. M., Ozer, E. M., Denny, S., Marmot, M., Resnick, M., Fatusi, A., & Currie, C. (2012). Adolescence and the social determinants of health. The Lancet, 379(9826), 1641–1652.
Wald, M., & Martinez, T. (2003). Connected by 25: Improving the life chances of the country’s most vulnerable 14–24 year olds. William and Flora Hewlett Foundation Working Paper. Palo Alto, CA: Stanford University.
Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: evidence and needed research. Journal of Behavioral Medicine, 32(1), 20–47.
Williams, R. D., & Williams-Morris, R. (2000). Racism and mental health: the African American experience. Ethnicity and Health, 5(3–4), 243–268.
Wills, T. A., & Ainette, M. G. (2010). Temperament, self-control, and adolescent substance use: A two-factor model of etiological processes.
Acknowledgements
We would like to thank Eileen Neubaum-Carlan, M.S., for her helpful comments in the preparation of this article.
Funding
This research was supported by Award Number R01 DA029488 from the National Institute on Drug Abuse. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse, or the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hicks, M.R., Kogan, S.M. Racial Discrimination, Protective Processes, and Sexual Risk Behaviors Among Black Young Males. Arch Sex Behav 48, 507–519 (2019). https://doi.org/10.1007/s10508-018-1341-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10508-018-1341-1