{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:33Z","timestamp":1786978173880,"version":"build-2736575974"},"reference-count":63,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T00:00:00Z","timestamp":1712793600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["1K01DA042134"],"award-info":[{"award-number":["1K01DA042134"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["T32DA007292"],"award-info":[{"award-number":["T32DA007292"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The present study examined the association between safety perceptions and communication with a trusted adult about sex and drugs among Black adolescents exposed to adverse childhood experiences (ACEs) and the role of gender as a potential moderator in this association. Data were drawn from a small, randomized control pilot test of an adapted evidence\u2010based intervention conducted from 2022 to 2023 in Baltimore, Maryland. The sample included 57 Black adolescents who had been exposed to ACEs (\n                    <jats:italic>M<\/jats:italic>\n                    <jats:sub>age<\/jats:sub>\n                    = 15.14 years,\n                    <jats:italic>SD<\/jats:italic>\n                    = 0.81l; 47.4% female, 52.6% male). Information about safety perceptions, health communication, health behaviors, and demographic characteristics was measured using an electronic survey at baseline. Group differences by gender emerged among ACEs and substance use behaviors. Safety perceptions were significantly associated with communication with a trusted adult,\n                    <jats:italic>B<\/jats:italic>\n                    = 0.31,\n                    <jats:italic>SE<\/jats:italic>\n                    = 0.24,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.039. As youth felt more unsafe, their communication with a trusted adult about sex and drugs increased; this association did not differ by gender. Health communication was also associated with ACEs. Black adolescents living with a parent with mental health challenges reported increased communication,\n                    <jats:italic>B<\/jats:italic>\n                    = 0.60,\n                    <jats:italic>SE<\/jats:italic>\n                    = 0.20,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.005, whereas youth experiencing homelessness had reduced health communication,\n                    <jats:italic>B<\/jats:italic>\n                    = \u20100.63,\n                    <jats:italic>SE<\/jats:italic>\n                    = 0.24,\n                    <jats:italic>p<\/jats:italic>\n                    =\u00a0.012. A lack of perceived safety significantly impacts health communication; however, having trusted adults outside of the home, school, and neighborhood can serve as a protective factor in reducing substance use and sexual risk\u2010taking among this population.\n                  <\/jats:p>","DOI":"10.1002\/jts.23044","type":"journal-article","created":{"date-parts":[[2024,4,11]],"date-time":"2024-04-11T06:09:53Z","timestamp":1712815793000},"page":"662-671","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Assessing the association between safety perceptions and communication about sex and drugs among Black adolescents exposed to adversity"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0200-8518","authenticated-orcid":false,"given":"Bianca D.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Mental Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bailey Holmes","family":"Spencer","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior, and Society Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakiyyah","family":"Nur\u2010Singletary","sequence":"additional","affiliation":[{"name":"Binghamton University  Binghamton New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Adane","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naya","family":"Moser","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terrinieka\u202fW.","family":"Powell","sequence":"additional","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2006.04.007"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887\u2010021\u201002620\u20104"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2001.tb00294.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/B0-08-043076-7\/00366-1"},{"key":"e_1_2_8_6_1","first-page":"894","volume-title":"Handbook of child psychology: Theoretical models of human development","author":"Benson P. L.","year":"2006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18105170"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a117473"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2011.02.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020102"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00318"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/00332941221100459"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2009.70.943"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2019.04.010"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcap.12038"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajcp.12434"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.2003.92.1.339"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20103797(98)00017\u20108"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2016.1267693"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsw\/bcad107"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.5172\/jamh.3.2.50"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010020\u201001188\u20106"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2022.107043"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2019.1708618"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1027338514930"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X20982433"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.21101000"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.2004.00218.x"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su7201a3"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840510386612"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010023\u201015984\u20102"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.11.006"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272431604268712"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/0735648X.2020.1835693"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978\u2010020\u201000938\u20103"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2008.12.005"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2014.04.003"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0001004"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/13603124.2016.1157211"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1053\/apnu.2002.36231"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/10826084.2019.1618337"},{"key":"e_1_2_8_42_1","unstructured":"Office of the Surgeon General. (2016).FacingAddiction in America:The Surgeon General's Report on Alcohol Drugs and Health.https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK424857\/pdf\/Bookshelf_NBK424857.pdf"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/jora.12733"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010002\u20100540\u20100"},{"key":"e_1_2_8_45_1","unstructured":"Pal I.(2020 January 18).Adverse childhood experiences and social isolation over the life course[Conference presentation]. Society for Social Work and Research 24th Annual Conference \u2010 Reducing Racial and Economic Inequality Washington DC United States.https:\/\/sswr.confex.com\/sswr\/2020\/webprogram\/Paper40523.html"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2017.1283565"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/00224278211003227"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010022\u201001729\u20108"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01336-1"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-018-0873-8"},{"key":"e_1_2_8_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547\u20105069.2002.00139.x"},{"key":"e_1_2_8_52_1","unstructured":"Sacks V. &Murphey D.(2018).The prevalence of adverse childhood experiences nationally by state and by race or ethnicity.https:\/\/www.childwelfare.gov\/topics\/preventing\/overview\/framework\/aces\/"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0227331"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.17730\/humo.56.3.u43078hx54g5366l"},{"issue":"2","key":"e_1_2_8_55_1","first-page":"160","article-title":"Development of a culturally, theoretically and developmentally based survey instrument for assessing risk behaviors among African\u2010American early adolescents living in urban low\u2010income neighborhoods","volume":"7","author":"Stanton B.","year":"1995","journal-title":"AIDS Education and Prevention"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1996.02170290029004"},{"key":"e_1_2_8_57_1","volume-title":"Prevention, intervention, and policy strategies to reduce the individual and societal costs associated with adverse childhood experiences (ACEs) for children in Baltimore City","author":"Thompson E.","year":"2019"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360\u20100443.2003.00312.x"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2023.106092"},{"key":"e_1_2_8_60_1","unstructured":"U.S. Department of Education. (2018).Student perceptions of safety and their impact on creating a safe school environment fact sheet.https:\/\/rems.ed.gov\/docs\/Student_Perceptions_Safety_Fact_Sheet_508C.pdf"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010015\u20101036\u2010z"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.2731"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022146518814251"},{"key":"e_1_2_8_64_1","doi-asserted-by":"publisher","DOI":"10.1177\/0743558416684948"}],"container-title":["Journal of Traumatic Stress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jts.23044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T02:44:02Z","timestamp":1722480242000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jts.23044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,11]]},"references-count":63,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1002\/jts.23044"],"URL":"https:\/\/doi.org\/10.1002\/jts.23044","archive":["Portico"],"relation":{},"ISSN":["0894-9867","1573-6598"],"issn-type":[{"value":"0894-9867","type":"print"},{"value":"1573-6598","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,11]]},"assertion":[{"value":"2024-01-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}