The Influence of Descriptive and Injunctive Norms on U.S. Adolescent Marijuana Use: A Systematic Review of the Literature.

OBJECTIVE: Prior research among adolescents has identified injunctive and descriptive norms as predictors of marijuana use. Yet, there is no consensus on which norm (i.e., injunctive or descriptive) or referent group (e.g., parents, peers, closest friend) is most consistently related to adolescent marijuana use. The objective of this review is to synthesize literature on perceived social norms and adolescent marijuana use and to identify the referents most commonly studied in relation to adolescent marijuana use. METHOD: A systematic review, following PRISMA guidelines, assessed studies published from 1998 to 2018 that reported the impact of adolescents' perceived injunctive norms and descriptive norms on self-reported marijuana use. Seventeen peer-reviewed English-language studies met inclusion criteria. RESULTS: Across cross-sectional and longitudinal studies, injunctive norms and descriptive norms significantly predicted adolescent marijuana use. Peer norms were the most commonly measured descriptive norm and were found to be most positively related to marijuana use. Parental norms were the most measured injunctive norm and were also positively related to use. CONCLUSIONS: Injunctive norms and descriptive norms are key factors in considering adolescent marijuana use, although peer descriptive norms may be most influential. The lack of systematic definition and measurement of marijuana use, norms, and referents was apparent in the literature. Future research should systemize norm constructs and explore differences in the norm-marijuana use relationship among adolescents with intersecting identities (e.g., gender, race) and social network referents (e.g., family, peer groups).

Ending the HIV epidemic for all, not just some: structural racism as a fundamental but overlooked social-structural determinant of the US HIV epidemic.

PURPOSE OF REVIEW: We review the recent theoretical and empirical literature on structural racism, social determinants of health frameworks within the context of HIV prevention and treatment, and criticism of the national responses to the US epidemic. RECENT FINDINGS: In line with growing mainstream attention to the role of structural racism and health inequities, recent editorials and studies cite ending structural racism as an essential step to ending the US HIV epidemic. Recent studies demonstrate that barriers rooted in structural racism such as incarceration, housing instability, police discrimination, neighborhood disadvantage, health service utilization and community violence, and poor or no access to social services, transportation, and childcare, are barriers to HIV prevention. Recent articles also criticize national responses to HIV such as the ending the HIV epidemic (EHE) and National HIV/AIDS Strategy plans for failing to address structural racism and prioritize community engagement in EHE efforts. SUMMARY: Collectively, the articles in this review highlight a growing consensus that the US has no real chance of EHE for all, absent a meaningful and measurable commitment to addressing structural racism and intersectional discrimination as core determinants of HIV, and without more equitable engagement with community-based organizations and communities disproportionately affected by HIV.

Beyond "heartfelt condolences": A critical take on mainstream psychology's responses to anti-Black police brutality.

Anti-Black police brutality in the United States is not a new problem, but at least a 400-year old one. Mainstream psychology has responded to this critical racial and social justice issue by conceptualizing it primarily as an outcome of police officers' social cognition (e.g., threat perceptions) or implicit racial biases. Such individualistic and cognitive perspectives, however, ignore the fundamental role of anti-Black structural racism in facilitating the ability of law enforcement to terrorize, brutalize, and kill Black people with impunity. As with the media and public attention, mainstream psychology has also tended to frame acts of anti-Black police brutality as outliers, or occasional lethal and spectacular events, rather than as a broad spectrum of routine acts that structure policing and police brutality as a world for Black people in the United States. Informed by critical psychology, and the critical theoretical frameworks of critical race theory, intersectionality, and Afro-Pessimism, the goal of this article is to critically engage with the topic of anti-Black police brutality. By critically engage, we mean expose and challenge the economic, social, and material power relations that disproportionately expose Black people to police brutality; and conceptualize police brutality not as a series of aberrant incidents, but as a structure that in essence constructs and reifies Blackness and Whiteness. We also introduce the Anti-Black Police Brutality Continuum, a conceptual framework of police brutality as a broad spectrum of routine manifestations of anti-Black structural racism, and criticize mainstream psychology's deferral of a critical and transformative response to anti-Black police brutality. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Strengths despite stress: Social-structural stressors and psychosocial buffers of depressive symptoms among U.S. Black men.

We examined the association between social-structural stressors-racial discrimination, incarceration, and unemployment-and depressive symptoms among 578 predominantly low-income urban Black men, ages 18-45. We also examined the extent to which two protective factors-social support and problem-solving coping-moderated the relationship between social-structural stressors and depressive symptoms. Results showed that more everyday racial discrimination and incarceration, but not unemployment, significantly predicted more depressive symptoms. The links between discrimination, incarceration, and depressive symptoms were stronger for men who reported lower levels of problem-solving coping and social support than those with higher levels. Our study suggests that interventions emphasizing protective factors may help Black men cope with some of the deleterious effects of racial discrimination and incarceration. It also underscores a need for structural interventions that reduce racial discrimination and incarceration. Depression among Black men is not simply a biomedical or psychological condition, but also a critical health equity issue. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The Stroman Effect: Participants in MEN Count, an HIV/STI Reduction Intervention for Unemployed and Unstably Housed Black Heterosexual Men, Define Its Most Successful Elements.

Interventionists often prioritize quantitative evaluation criteria such as design (e.g., randomized controlled trials), delivery fidelity, and outcome effects to assess the success of an intervention. Albeit important, criteria such as these obscure other key metrics of success such as the role of the interactions between participants and intervention deliverers, or contextual factors that shape an intervention's activities and outcomes. In line with advocacy to expand evaluation criteria for health interventions, we designed this qualitative study to examine how a subsample of Black men in MEN Count, an HIV/STI risk reduction and healthy relationship intervention with employment and housing stability case management for Black men in Washington, DC, defined the intervention's success. We also examined the contextual factors that shaped participation in the study's peer counseling sessions. We conducted structured interviews with 38 Black men, ages 18 to 60 years (M = 31.1, SD = 9.33) who completed at least one of three peer counseling sessions. Analyses highlighted three key themes: (a) the favorable impact of Mr. Stroman, the lead peer counselor, on participants' willingness to participate in MEN Count and disclose their challenges-we dubbed this the "Stroman Effect"; (b) the importance of Black men intervention deliverers with relatable life experiences; and (c) how contextual factors such as the HIV/AIDS epidemic, needs for housing and employment services and safe spaces to talk about challenges, and absentee fathers shaped participation. We discuss the study's implications for sustainable programs after funding ends and future multilevel health interventions to promote health equity for poor urban Black men.

Negative Police Encounters and Police Avoidance as Pathways to Depressive Symptoms Among US Black Men, 2015-2016.

Objectives. To examine negative police encounters and police avoidance as mediators of incarceration history and depressive symptoms among US Black men and to assess the role of unemployment as a moderator of these associations.Methods. Data were derived from the quantitative phase of Menhood, a 2015-2016 study based in Washington, DC. Participants were 891 Black men, 18 to 44 years of age, who completed computer surveys. We used moderated mediation to test the study's conceptual model.Results. The results showed significant indirect effects of incarceration history on depressive symptoms via negative police encounters and police avoidance. Unemployment moderated the indirect effect via police avoidance. Participants with a history of incarceration who were unemployed reported significantly higher police avoidance and, in turn, higher depressive symptoms. Moderation of unemployment on the indirect effect via negative police encounters was not significant.Conclusions. There is a critical need to broaden research on the health impact of mass incarceration to include other aspects of criminal justice involvement (e.g., negative police encounters and police avoidance) that negatively affect Black men's mental health.

Prevalence, Diagnosis, and Treatment Rates of Mood Disorders among Opioid Users under Criminal Justice Supervision.

BACKGROUND: Individuals involved in the criminal justice system have disproportionately high rates of psychiatric disorders when compared to the general U.S. POPULATION: If left untreated, the likelihood of subsequent arrest increases and risk for adverse health consequences is great, particularly among opioid users. OBJECTIVES: To explore the prevalence, characteristics, and treatment of mood disorders among justice involved opioid-dependent populations. METHODS: The current study enrolled 258 treatment-seeking opioid-dependent individuals under community-based criminal justice supervision (e.g., probation, parole) screened from the larger parent study, Project STRIDE, a seek/test/treat randomized control trial (RCT) examining HIV and opioid use treatment. During baseline, individuals were screened for depression using the Patient Health Questionnaire-9 (PHQ-9) and screened for bipolar disorder using the Mood Disorder Questionnaire (MDQ) tool. RESULTS: Overall, 78 (30%) participants screened positive for moderate to severe depression and 54 (21%) screened positive for bipolar disorder. Participants self-reported mood disorders at higher rates than they screened positive for these conditions. Participants screening positive for these conditions experienced significantly greater family, legal, and medical problems on the Addiction Severity Index-Lite (ASI-Lite) than those who did not screen positive. Incidence of a lifetime suicide attempt was found to be associated with a positive screen for both mood disorders. Prescribed psychotropic treatment utilization was similar among those who screened positive for depression or bipolar disorder with approximately 38% reporting taking medication. IMPORTANCE: Findings suggest universal mood disorder screening to improve comprehensive psychiatric care and treatment of opioid-dependent justice-involved individuals.

Housing Experiences among Opioid-Dependent, Criminal Justice-Involved Individuals in Washington, D.C.

Residential mobility and type of housing contributes to an individual's likelihood and frequency of drug/alcohol use and committing criminal offenses. Little research has focused simultaneously on the influence of housing status on the use of drugs and criminal behavior. The present study examines how residential mobility (transitions in housing) and recent housing stability (prior 30 days) correlates with self-reported criminal activity and drug/alcohol use among a sample of 504 addicted, treatment-seeking opioid users with a history of criminal justice involvement. Findings suggest that those with a greater number of housing transitions were considerably less likely to self-report criminal activity, and criminal involvement was highest among those who were chronically homeless. Residential mobility was unassociated with days of drug and alcohol use; however, residing in regulated housing (halfway houses and homeless shelters) was associated with a decreased frequency of substance use. The finding that residing at sober-living housing facilities with regulations governing behavior (regulated housing) was associated with a lower likelihood of illicit substance use may suggest that regulated housing settings may influence behavior. Further research in this area should explore how social networks and other related variables moderate the effects of housing type and mobility on crime and substance use.