ArticlePrevention science : the official journal of the Society for Prevention Research2024
The Strong African American Families Program: Disrupting the Negative Consequences of Racial Discrimination Through Culturally Tailored, Family-Based Prevention.
Article in Prevention science : the official journal of the Society for Prevention Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- A meta-analytic review of the relationship between racial discrimination and alcohol and other drug use outcomes in minoritised racial/ethnic groups.Addiction (Abingdon, England) · 2025Pooled it
- Family-Centered Prevention Attenuates the Association Between Structural Racism Risk and Black Adolescents' Low Self-regulation and Externalizing Behaviors: Secondary Analysis of a Randomized Clinical Trial.Prevention science : the official journal of the Society for Prevention Research · 2025Trial
- Family-Centered Prevention to Reduce Discrimination-Related Depressive Symptoms Among Black Adolescents: Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2023Trial
- Parental Competencies as Familial Protective Factors in Adolescent Substance Use Prevention: A Scoping Review.Children (Basel, Switzerland) · 2026Review
- Systematic Review: Culturally Tailored Digital Substance Use Prevention Interventions for Black Adolescents.JAACAP open · 2026Review
- Neighborhood Deprivation, Trauma Profiles, Coping, and Stress Prospectively Predict Depressive Symptoms Among Young African American Mothers in the InterGEN Study: A Latent Class Analysis.Journal of racial and ethnic health disparities · 2026Article
- Centering Community in Evidence-Based Prevention: Enhancing Evidence Criteria and Processes Across a State-Level Prevention System.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Racial Identity and Racial Socialization: A Scoping Review of Clinical, School-Based, and Community Interventions and Trauma Among Black Youth Since COVID-19.Journal of black studies · 2026Article
- A social-contextual analysis of African American adolescents' coping self-efficacy.School psychology (Washington, D.C.) · 2026Article
- Parent-Based Sexual and Reproductive Health Interventions for Black Youth: a Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Beyond choice: social realities shaping pregnancy decisions and family planning agency among Black women in the south.Frontiers in public health · 2026Article
- Development of a Family-Based Prevention Model for Adolescent Mental Health Problems: A Socio-Ecological Approach in the Indonesian Context.Psychology research and behavior management · 2026Article
- Refugee women's experiences in accessing maternal healthcare: qualitative exploration from Krisan and Ampain refugee camps in Western Region, Ghana.Reproductive health · 2025Article
- A Scoping Review of Family-Based Prevention Strategies in Adolescent Mental Health.Psychology research and behavior management · 2025Review
- Brief Parent-Child Substance Use Education Intervention for Black Families in Urban Cities in New Jersey: Protocol for a Formative Study Design.JMIR research protocols · 2024Article
- Introduction to Special Issue on Advancing Health Equity Among Black Communities.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Commentary for Special Issue on Advancing Health Equity Among Black Communities: Implications for Research Funders (and Researchers).Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Sleep and Fatigue as Mediators of Racial Discrimination and Internalizing Symptoms in Black Adolescent-Caregiver Dyads.Research on child and adolescent psychopathology · 2023Article
- Racial Inequity in Pediatric Anesthesia.Current anesthesiology reports · 2023Review
- Implications of built and social environments on the academic success among African American youth: testing Strong African American Families intervention effects on parental academic racial socialization.Frontiers in psychology · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
Racism continues to be a major source of stress for African Americans and can impair psychological functioning. Adolescents experiencing discrimination may engage in self-soothing, but risky behaviors, which leave them at risk for negative life trajectories. Black pride has been identified as a key factor in explaining the heterogeneity in responses to discrimination. Racial socialization, strategies parents use to promote Black pride and protect youth from discrimination, is an important focus of family-based prevention programs serving African American families. This study tests the efficacy of a culturally tailored preventive intervention for rural African American families to disrupt the negative consequences of discrimination on adolescent psychological functioning. Four waves of data from the Strong African American Families (SAAF) efficacy trial (Murry & Brody in Journal of Marital & Family Therapy 30(3):271-283, 2004) with 667 African American families in rural Georgia were used for this study. Structural equation modeling was used to test study hypotheses. Adolescent experiences with discrimination at age 15 predicted concurrent psychological functioning and multiple risk behaviors at age 16, including sexual risk behavior, substance use problems, academic failure, and juvenile justice involvement. Mediation analyses demonstrated that psychological functioning was a significant mediator of these relations. The SAAF program was associated with increases in racial socialization, which in turn fostered gains in adolescent Black pride. Black pride was indirectly associated with reduced risk behavior through adolescent psychological functioning, but Black pride did not moderate the effect of discrimination on psychological functioning. This study confirms that family-based prevention can support African American adolescent mental health in the context of discrimination. However, more emphasis on reducing exposure to discrimination is needed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.