What's Culture Got to Do with It? Prevention Programs for African American Adolescent Girls

ArticleinJournal of Health Care for the Poor and Underserved 16(4 Suppl B):38-47 · December 2005with7 Reads
DOI: 10.1353/hpu.2005.0109 · Source: PubMed
This paper examines prevention programming for African American girls by placing the prevention process within the larger African and African American cultural context. We provide an overview of the theories and issues we consider most relevant to African American culture, including Africentric theory, ethnic identity, gender identity and relational theory, developmental issues, the community context, and historical considerations. Drawing from our own drug prevention work, we provide examples of how to incorporate culture into prevention programs to make them most relevant for the target population. We also summarize our own efforts to create culturally appropriate prevention interventions and their impact on the girls in our programs. We conclude with suggested directions for future research into culture-specific prevention programs.
    • "Cultural perspectives relevant to the study's target population were also incorporated into this framework and used to guide focus group discussions. Examples of concepts relevant to HIV prevention that have been explored using these perspectives include communal behavior, self-image and self-concepts, racial identity, ethnic pride, adaptive coping, and health promotion [16, 17, 18]. In support of including African American perspectives in prevention programs, others have argued that the inclusion of values associated with such perspectives make interventions more effective and relevant to the target population [19, 20]. "
    [Show abstract] [Hide abstract] ABSTRACT: Persistent health disparities in HIV on racial and ethnic minorities are evident in recent national reports of HIV rates. Furthermore, high rates of other sexually transmitted infections among minority adolescents point to the need for risk reduction interventions. Research in disproportionately affected rural communities in the Southern United States suggests that sexual risk reduction interventions targeting these communities should address contextual factors that perpetuate health disparities. In this article, we report findings on a formative study that was conducted to identify rural adolescent perspectives on sociocontextual influences on sexual risk behaviors. Thirty eight rural adolescents ages 12-16 participated in initial and follow-up focus group sessions that were segmented by age group (12-14, 14-16) and gender (male, female). A comprehensive theoretical model addressing the complex interplay of multi-level factors associated with risk behavior guided the study. Qualitative content analyses were used to analyze transcribed audiotapes of focus group sessions and observation notes. Emergent themes supported the theoretical model and revealed modifiable contextual and decision-making factors; and related consequences that can be used in risk reduction interventions. Collaborating with target population provided relevant input for a user-centric approach to intervention development aimed at reducing sexual risk behaviors.
    Full-text · Article · Aug 2015 · Cultural Diversity and Ethnic Minority Psychology
    • "Cultural sensitivity is defined as " the extent to which ethnic/cultural characteristics , experiences, norms, values, behavioral patterns and beliefs of a target population as well as relevant historical, environmental, and social forces are considered in the design, delivery, and evaluation of targeted health promotion interventions " (Resnicow et al., 2002, p. 493). Studies that have been culturally tailored have shown that interventions are more effective when they are specifically designed for the populations they serve (Belgrave, Chase-Vaughn, Gray, Addison, & Cherry, 2000; Belgrave et al., 2004; Corneille et al., 2005; Dowda et al., 2004; Gans et al., 2003; Kreuter, Lukwago, Bucholtz, Clark, & Sanders-Thompson, 2003; Kumpfer, Alvarado, Smith, & Bellamy, 2002; Pittman, 2003). The interventions in this review varied with focuses on life skills orientation , goal setting, strengthening of self-efficacy, behavior modification, personal wellness programs, and enhancing physical education classes. "
    [Show abstract] [Hide abstract] ABSTRACT: Chronic diseases continue to be disproportionately higher in Black women in comparison with other ethnic groups, with physical inactivity being linked to the growing incidences of many of these diseases. The review of the literature indicates that attitude which is shaped by beliefs, self-efficacy, and cultural factors is a key variable in promoting physical activity (PA) in Black adolescent girls. Specific aims of this review were to identify PA interventions designed specifically for adolescent girls, with an emphasis on Black adolescent girls, and to identify what factor promotes PA in this group. The long-term goal is to use the information from this review to design effective PA programs aimed at Black adolescent girls. Physical activity and fitness were improved in four of the interventions in this review that focused on enhanced self-efficacy, goal setting, social support, and measures aimed at changing attitudes. Overall, this review shows that more effective interventions targeting Black adolescent girls are needed that consider the cultural factors (beliefs, self-efficacy, and family dynamics) that shape one’s attitude toward being physically active.
    Full-text · Article · Dec 2014
    • "The treatment manual was derived from extant empirically supported interventions and focus group data from the target population. Group sessions were informed by Afrocentric theory (Corneille, Ashcroft, & Belgrave, 2005), incorporating values such as spirituality, collectivism, transformation, and interdependence into the intervention. Specifically, Nia emphasizes the roles of strong, positive African American female mentors and heroines; uses African proverbs; and highlights the value of strong family and community bonds. "
    [Show abstract] [Hide abstract] ABSTRACT: This study examined (a) the relative efficacy of a culturally sensitive empowerment group intervention (Nia) aimed at increasing 3 protective factors-self-esteem, hopefulness, and effectiveness of obtaining resources-versus treatment as usual (TAU) for low-income, abused African American women who recently had attempted suicide and (b) the impact of participants' readiness to change with regard to their abusive relationship and suicidal behavior on their levels of each protective factor in the 2 conditions. The sample included 89 African American women who reported intimate partner violence (IPV) exposure and a recent suicide attempt. Multivariate general linear modeling revealed that those in Nia showed greater improvements in self-esteem, but not in hopefulness or effectiveness of obtaining resources. However, significant interactions emerged in which participants who were "less ready to change" (i.e., earlier in the stages of change process) their IPV situation and suicidal behavior endorsed greater levels of hopefulness and perceived effectiveness of obtaining resources, respectively, following Nia. Findings suggest that abused, suicidal African American women who are more reluctant initially to changing their abusive situation and suicidal behavior may benefit from even a brief, culturally informed intervention. (PsycINFO Database Record (c) 2014 APA, all rights reserved).
    Full-text · Article · Nov 2014
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