Family-Level Factors and African American Children’s Behavioral Health Outcomes: A Systematic Review
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Considerable prior research targeting African American children has focused on the pervasiveness of problematic behavior and negative risk factors associated with their development, however the influence of family on better behavioral health outcomes has largely been ignored.
The purpose of this review is to examine empirical studies that focus on the association between family-level factors (e.g., parenting practices, family functioning) and African American children’s behavioral health. Specifically, we examined the studies’ characteristics, the relationship between various family-level factors and behavioral health outcomes, and the extent to which these studies consider racial, ethnic, and/or cultural nuances and competencies.
This review was guided by systematic review methods of Gough et al. (An introduction to systematic reviews. Sage, London, 2012) and Moher et al. (Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(6):e1000097, 2009). Thirty-five studies were included and assessed.
The majority of the studies’ samples were low-income, resided in female-headed households, and lived in urban areas. Parenting practices (66 % of studies) were by far the most frequently examined family-level factor associated with behavioral health outcomes. A few studies examined the moderating or mediating role of racial discrimination and/or racial socialization.
Findings from this review can inform the development or adaptation of family-based interventions that can effectively promote better behavioral health and resiliency of African American children and adolescents.
KeywordsFamily Behavioral health African American children Protective factors Adolescents
- Achenbach, T., & Rescorla, L. (2001). Manual for ASEBA school-age forms & profiles. Burlington, VT: University of Vermont.Google Scholar
- American Psychological Association, & Task Force on Resilience and Strength in Black Children and Adolescents. (2008). Resilience in African American children and adolescents: A vision for optimal development. Washington, DC: Author.Google Scholar
- Brody, G. H., Chen, Y., Murry, V. M., Ge, X., Simons, R. L., Gibbons, F. X., Gerrard, M., & Cutrona, C. E. (2006). Preceived discrimination and the adjustment of African American youths: A Five-Year longitudinal analysis with contextual moderation effects. Child Development, 77(5), 1170–1189.Google Scholar
- Brody, G. H., Ge, X., Kim, S. Y., Murry, V. M., Simons, R. L., Gibbons, F. X., et al. (2003). Neighborhood disadvantage moderates associations of parenting and older sibling problem attitudes and behavior with conduct disorders in African American children. Journal of Consulting and Clinical Psychology, 71(2), 211–222.CrossRefPubMedGoogle Scholar
- Buckingham-Howes, S., Oberlander, S. E., Hurley, K. M., Fitzmaurice, S., & Black, M. M. (2011). Trajectories of adolescent mother-grandmother psychological conflict during early parenting and children’s problem behaviors at age 7. Journal of Clinical Child and Adolescent Psychology, 40(3), 445–455.CrossRefPubMedGoogle Scholar
- Coard, S., & Sellers, R. (2005). African American families as a context for racial socialization. In V. McLoyd, N. Hill, & K. Dodge (Eds.), Emerging issues in African-American family life: Context, adaptation, and policy. New York: Guildford Press.Google Scholar
- Coker, T. R., Elliott, M. N., Kanouse, D. E., Grunbaum, J. A., Schwebel, D. C., Gilliland, M. J., et al. (2009). Perceived racial/ethnic discrimination among fifth-grade students and its association with mental health. American Journal of Public Health, 99(5), 878–884.PubMedCentralCrossRefPubMedGoogle Scholar
- Cooper, S., Brown, C., Metzger, I., Clinton, Y., & Guthrie, B. (2013). Racial discrimination and African American adolescents’ adjustment: Gender variation in family and community social support, promotive and protective factors. Journal of Child and Family Studies, 22(1), 15–29.CrossRefGoogle Scholar
- Grant, K. E., O’Koon, J. H., Davis, T. H., Roache, N. A., Poindexter, L. M., Armstrong, M. L., et al. (2000). Protective factors affecting low-income urban African American youth exposed to stress. Journal of Early Adolescence, 20, 388–417. doi: 10.1177/0272431600020004002
- Gough, D., Oliver, S., & Thomas, J. (2012). An introduction to systematic reviews. London: Sage.Google Scholar
- Hill, R. B. (1999). The strengths of African American families: Twenty-five years later. Lanham, MD: University Press of America.Google Scholar
- Kwon, J., Delaney-Black, V., Covington, C., Abell, S. C., Nordstrom-Bailey, B., Sokol, R. J., & Ager, J. (2006). The relations between maternal expressed emotion and children’s perceived self-competence, behavior and intelligence in African-American families. Early Child Development and Care, 176(2), 195–206.CrossRefGoogle Scholar
- McAdoo, H. P. (1997). Upward mobility across generations in African American families. In H. P. McAdoo (Ed.), Black families (3rd ed., pp. 139–162). Thousand Oaks, CA: Sage.Google Scholar
- McNeil, S., Harris-McKoy, D., Brantley, C., Fincham, F., & Beach, S. R. (2013). Middle class African American mothers’ depressive symptoms mediate perceived discrimination and reported child externalizing behaviors. Journal of Child and Family Studies, 1–8.Google Scholar
- Mitchell, S. J., Lewin, A., Horn, I. B., Rasmussen, A., Sanders-Phillips, K., Valentine, D., & Joseph, J. G. (2009). Violence exposure and the association between young African American mothers’ discipline and child problem behavior. Academic Pediatrics, 9(3), 157–163.PubMedCentralCrossRefPubMedGoogle Scholar
- Mitchell, S. J., Lewin, A., Rasmussen, A., Horn, I. B., & Joseph, J. G. (2010). Maternal distress explains the relationship of young African American mothers’ violence exposure with their preschoolers’ behavior. Journal of Interpersonal Violence, 26(3), 580–603.PubMedCentralCrossRefPubMedGoogle Scholar
- Murray, C. B., Stokes, J. E., & Peacock, M. J. (1999). Racial socialization of African American children: A review. In R. L. Jones (Ed.), African American children, youth and parenting (pp. 209–229). Virginia: Cobb & Henry.Google Scholar
- Oravecz, L. M., Osteen, P. J., Sharpe, T. L., & Randolph, S. M. (2011). Assessing low-income African-American pre-schoolers’ behaviour problems in relationship to community violence, inter-partner conflict, parenting, informal social support and social skills. Child and Family Social Work, 16(3), 310–324.CrossRefGoogle Scholar
- Schaefer, R. T. (2004). Racial and ethnic groups. Upper Saddle River, NJ: Pearson-Prentice Hall.Google Scholar
- Stevenson, H. C., Davis, G., & Abdul-Kabir, S. (2001). Stickin’ to, watchin’ over, and gettin’ with: An African American parent’s guide to discipline. San Francisco, CA: Jossey-Bass.Google Scholar
- Stevenson, H., Winn, D. M., Walker-Barnes, C., & Coard, S. (2005). Style matters: Towards a culturally relevant framework for interventions with African American families. In V. McLoyd, N. Hill, & K. Dodge (Eds.), Emerging issues in African-American family life: Context, adaptation, and policy. New York: Guildford Press.Google Scholar
- Ward, J. V. (2000). The skin we’re in: Teaching our teens to be emotionally strong, socially smart and spiritually connected. New York: Simon and Schuster.Google Scholar
- Wright, M. (1998). I’m chocolate, you’re vanilla: Raising healthy Black and biracial children in a race-conscious world. San Francisco, CA: Jossey-Bass.Google Scholar