RESUMEN

Social determinants of health (SDOH)-conditions in which children live, learn, and play-affect child health and well-being. Publicly funded services in education and child welfare systems are important resources to support child well-being, but cross-system coordination is rare. Leveraging integrated administrative data from 60,287 6th graders enrolled in public schools in Minnesota, we used latent class analysis (LCA) to examine patterns of cross-system SDOH, including educational services and involvement in child welfare. Five classes emerged. The largest class was characterized by a few multi-system SDOH and had low service needs. Two classes had differing patterns of school service use, one with a greater likelihood of special education service use alone and the other characterized by the use of multiple school services. Two classes were characterized by cross-system SDOH/service use (e.g., homelessness, child protection, placement in care, mental health, and special education services). We then assessed whether race/ethnicity predicted class membership and tested educational distal outcomes. American Indian, Black, and Latinx children had higher odds of exposure to both cross-system SDOH classes. Students facing any SDOH, particularly those with greater multi-system SDOH exposure, had worse attendance and academic achievement. Our study indicates that children are navigating complex experiences of SDOH and service needs, with a disproportional likelihood that Black children, Indigenous children, and other children of color (BIPOC) experience SDOH. Identifying patterns of SDOH provides an opportunity for policymakers and practitioners to intervene to promote health equity. By understanding facilitators and barriers to child well-being, the results inform how child-serving systems can strive toward health equity.

Asunto(s)

RESUMEN

BACKGROUND: Adolescent dating violence (ADV) continues to be a health concern. Most previous research has examined physical and or sexual ADV with little attention to verbal violence. METHODS: Drawing on the social-ecological framework, the current study examined the moderating influence of school adult connectedness on experiences of verbal only, physical and/or sexual violence (combination ADV), and mental health outcomes among 11th graders (n = 31,459) in one Midwestern state. RESULTS: Overall, 24.0% and 28.8% of adolescents met thresholds for depression and anxiety symptoms, respectively. Rates of mental health symptoms were higher among adolescents reporting ADV compared to those who did not report experience of ADV. In logistic regressions, higher level of school adult connectedness was associated with lower odds of depressive and anxiety symptoms, respectively. In moderation analyses, school adult connectedness was protective for mental health outcomes regardless of ADV experience. CONCLUSION: Adolescent dating violence-including verbal violence alone-can be traumatic for young people. Schools can leverage the protective nature of school adult connection to promote mental health for all students, including adolescents who have experienced ADV. Incorporating trauma-informed education practice of providing unconditional positive regard toward adolescents might be 1-way schools can support adolescents in cultivating healthy relationships and well-being.

Asunto(s)

RESUMEN

Purpose: This study examines the prevalence of reported family physical abuse and the concurrent association between abuse and suicide attempts by adolescent gender identity. Methods: This study used the Profiles of Student Life: Attitudes and Behaviors dataset (N = 121,150 adolescents aged 11-19 [mean = 14.74, standard deviation = 1.78]) collected from 61 participating school districts and programs across the United States by Search Institute from 2012 to 2015. Multigroup logistic regression was used to examine the association between family abuse and suicide attempts by gender identity. Correlates included race/ethnicity, age, parent education, rurality, binge drinking, and tobacco use. Results: Results indicated that cisgender adolescents (i.e., participants who did not select a transgender identity) reported significantly less family abuse compared to gender minority adolescents. Family physical abuse was associated with higher odds of suicide attempts among all adolescents. The association was stronger for female adolescents compared to male adolescents but not significantly different across gender minority adolescents, including those who identify as transgender female to male, transgender male to female, and transgender without identifying or being unsure of their gender identity. The association between family physical abuse and suicide attempts was stronger among heterosexual female adolescents compared to sexual minority female, heterosexual male, sexual minority male, heterosexual gender minority, or sexual and gender minority adolescents. Conclusions: Findings highlight the importance of identifying and treating family abuse to prevent suicide attempts, particularly among gender and sexual minority adolescents.

Asunto(s)

Asunto(s)

RESUMEN

Educational environments can often feel hostile and inequitable for Latina/o students and teachers, with limited resources and support to humanize their experiences. Counterstorytelling methodologies can be used by students and teachers to center lived experiences, contest deficit narratives, and uncover community cultural wealth (CCW). Drawing on a CCW lens, situated in critical race theory and Latina/o critical theory, we examine a university-high school service learning collaboration in an urban setting that focused on educational equity and counterstorytelling (5 high school classes, 80 students, and 1 teacher; 1 university class, 29 undergraduates, 1 graduate student, and 1 university professor) using ethnographic observations and reflections. In a context of relationship building and discussions of educational equity across the university-high school partnership, we engaged in a counterstorytelling process that uncovered existing CCW and helped to cultivate positive relational pedagogy (social capital) and college going culture (aspirational and navigational capital) and fostered critical reflection and hope (resistant capital). Centering the unique knowledge of students can allow the teacher to facilitate a more equitable learning environment that acknowledges students' resilience.

Asunto(s)

RESUMEN

Immigrant and refugee youth have higher rates of trauma than youth who are not transnational. While youth are incredibly resilient, trauma and toxic stress can result in poor health outcomes that persist throughout life. However, clinical interventions can promote resilience and decrease the negative impact of trauma. This article will review the principles of trauma-informed care and its application for the care of immigrant and refugee youth and their families by sharing concrete and feasible strategies for primary care providers and systems.

RESUMEN

OBJECTIVES: Our primary objective was to examine prevalence rates of suicide behavior across 6 gender identity groups: female; male; transgender, male to female; transgender, female to male; transgender, not exclusively male or female; and questioning. Our secondary objective was to examine variability in the associations between key sociodemographic characteristics and suicide behavior across gender identity groups. METHODS: Data from the Profiles of Student Life: Attitudes and Behaviors survey (N = 120 617 adolescents; ages 11-19 years) were used to achieve our objectives. Data were collected over a 36-month period: June 2012 to May 2015. A dichotomized self-reported lifetime suicide attempts (never versus ever) measure was used. Prevalence statistics were compared across gender identity groups, as were the associations between sociodemographic characteristics (ie, age, parents' highest level of education, urbanicity, sexual orientation, and race and/or ethnicity) and suicide behavior. RESULTS: Nearly 14% of adolescents reported a previous suicide attempt; disparities by gender identity in suicide attempts were found. Female to male adolescents reported the highest rate of attempted suicide (50.8%), followed by adolescents who identified as not exclusively male or female (41.8%), male to female adolescents (29.9%), questioning adolescents (27.9%), female adolescents (17.6%), and male adolescents (9.8%). Identifying as nonheterosexual exacerbated the risk for all adolescents except for those who did not exclusively identify as male or female (ie, nonbinary). For transgender adolescents, no other sociodemographic characteristic was associated with suicide attempts. CONCLUSIONS: Suicide prevention efforts can be enhanced by attending to variability within transgender populations, particularly the heightened risk for female to male and nonbinary transgender adolescents.

Asunto(s)

RESUMEN

Few studies have examined how the amalgamation of minority stressors for youth with multiple marginalized identities is associated with well-being. Additionally, among youth with multiple marginalized identities, identity centrality may clarify the associations between specific types of minority stressors (i.e., bias-based peer victimization, perceived discrimination) and adjustment. This study sought to identify intersectional profiles of perceived peer victimization, perceived discrimination, and identity centrality, specific to either Latinx ethnicity or sexual minority identity in the United States. Demographic characteristics associated with each profile (i.e., age, socioeconomic status, gender nonconformity, survey language, gender, rurality) were examined, as well as associations between profiles and grade point average, self-esteem, and depression. In a sample of 219 in-school Latinx sexual minority youth (47% secondary, 53% postsecondary; Mage = 19 years, SD = 2.3), four profiles of intersectional minority stress (perceived victimization, discrimination) and identity centrality were identified: (a) low stress, low centrality; (b) low stress, high centrality; (c) moderate stress, moderate centrality, and (d) high stress, moderate centrality. Men, youth who were relatively older, socioeconomically advantaged, gender nonconforming, and those living in urban areas had higher probabilities of membership in profiles with moderate and high stress. Compared to the low stress, low centrality profile, profiles with higher levels of intersectional stress were associated with maladjustment, whereas the profile characterized by low stress, high centrality had higher levels of self-esteem. (PsycINFO Database Record

Asunto(s)

RESUMEN

The processes of identity exploration and resolution are salient during adolescence and young adulthood, and awareness of sexual orientation identity, in particular, is heightened in early adolescence. Much of the research on sexual orientation identity development has focused on identity milestones (e.g., age of awareness and disclosure) or internalized homonegativity, rather than the developmental processes of exploration and resolution. Psychometric properties of the Sexual Orientation Identity Development Scale, which was adapted from a developmentally-informed measure of ethnic-racial identity, were evaluated in a sample of 382 Latina/o sexual minority adolescents and young adults. Results supported the reliability and validity of the adapted measure, as well as measurement equivalence across language (Spanish and English) and development (adolescence and young adulthood).