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Caldwell and Sandusky focus on Black adolescents and the most common adolescent mental health concern: depression. They discuss prevalence estimates and identify environmental and cultural risk and protective factors associated with depression. Specifically, they consider the role of racial discrimination and neighborhood influences as structural factors that have implications for psychopathology. The authors also examine what is known about the relationship between depression and risky sexual behaviors as a way to better understand the complexity of adolescent mental health and a prevalent problem behavior among Black youth. By highlighting structural conditions that can impinge on the mental health of Black youth, Caldwell and Sandusky avoid the tendency to attribute poor outcomes solely to inherent predispositions of adolescents, thus providing a more comprehensive approach for conceptualizing adolescent depression. Why do racial discrimination and neighborhood characteristics influence the association between adolescent depression and risky sexual behaviors?
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