Theory and research suggest that racial discrimination is associated with attachment insecurity (Stern et al., 2022), whereas racial socialization is an integral aspect to fostering secure attachment with parents (Coard, 2022; Dunbar, Lozada, et al., 2022). In addition, with greater attachment security, people of color are more likely to deal with threats more effectively (Mikulincer & Shaver, 2022). The present study tested these theories by examining (a) latent profiles of racial discrimination experiences and racial socialization messages and (b) whether the latent profiles were related to secure attachment with parents and in turn, activism and self-esteem among Asian American adolescents. The sample included 301 Asian American adolescents who completed an online survey. There were three profiles: (a) high discrimination, high interpersonal racial socialization, moderate systemic racial socialization; (b) moderate discrimination, moderate interpersonal, and systemic racial socialization; and (c) low discrimination, low interpersonal, and systemic racial socialization. Adolescents in the high discrimination, high interpersonal racial socialization, moderate systemic racial socialization profile were more likely to engage in activism. Adolescents in the moderate discrimination, moderate interpersonal, and systemic racial socialization profile were also more likely to engage in greater activism through secure attachment to fathers. Although there were no differences among the profiles and self-esteem, secure attachment with both mothers and fathers was related to greater self-esteem. Findings highlight the importance of racial socialization and secure attachment with fathers in bolstering Asian American adolescents' fight for racial justice. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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http://dx.doi.org/10.1037/fam0001301 | DOI Listing |
Circ Cardiovasc Qual Outcomes
January 2025
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL. (N.A.C., X.H., L.C.P., H.N., N.S.S., A.M.P., P.G., D.M.L.-J., K.N.K., S.S.K.).
Background: Suboptimal cardiovascular health (CVH) in pregnancy is associated with adverse maternal and offspring outcomes. To guide public health efforts to reduce disparities in maternal CVH, we determined the contribution of individual- and neighborhood-level factors to racial and ethnic differences in early pregnancy CVH.
Methods: We included nulliparous individuals with singleton pregnancies who self-identified as Hispanic, non-Hispanic Black (NHB), or non-Hispanic White (NHW) and participated in the nuMoM2b cohort study (Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be).
Palliat Support Care
January 2025
Department of Family Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Objectives: Advance care planning (ACP) supports communication and medical decision-making and is best conceptualized as part of the care planning continuum. Black older adults have lower ACP engagement and poorer quality of care in serious illness. Surrogates are essential to effective ACP but are rarely integrated in care planning.
View Article and Find Full Text PDFBMC Med Ethics
January 2025
The Kirby Institute, UNSW Sydney, Sydney, Australia.
Background: The World Professional Association for Transgender Health guidelines Standards of Care 8 draw on ethical arguments based on individual autonomy, to argue that healthcare and other professionals should be advocates for trans people. Such guidelines presume the presence of medical services for trans people and a degree of consensus on medical ethics. Very little is known, however, about the ethical challenges associated with both providing and accessing trans healthcare, including gender affirmation, in the Global South.
View Article and Find Full Text PDFJ Behav Health Serv Res
January 2025
Transitions to Adulthood Center for Research, Department of Psychiatry, UMass Chan Medical Schoo, 222 Maple Avenue, Shrewsbury, MA, 01545, USA.
This study sought to understand how young adults (age 18-25) with histories of mental health disorders are coping with disrupted transitions to adulthood during the COVID-19 pandemic. A cross-sectional web survey was conducted in March-June 2021 of 967 US young adults with pre-pandemic psychiatric disability to assess their current psychiatric status, interrupted transitions, and associations with social determinants including income, community participation, and social context. Mental health was assessed with the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), and PTSD Checklist-Civilian Version.
View Article and Find Full Text PDFBackground: Formerly incarcerated individuals (FIIs) encounter difficulties with covering the cost of dental and medical care, adhering to medication regimens, and receiving fair treatment from health care providers. Yet, no published research has examined modifiable pathways to increase FIIs' health literacy (HL), which is essential for addressing the health needs of this vulnerable population.
Objective: The aim of this article is to examine neighborhood characteristics (neighborhood deprivation, racial and economic polarization, and residential segregation) and public assistance program enrollment as structural determinants of limited health literacy (LHL) among FIIs.
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