A substance use prevention framework: Considering the social context for African American girls

Shifting patterns of substance use (that is, early initiation, increased ma rijuana use, narrowing differences in gender use) and the disproportionate socioeconomic obstacles that are related to substance use among ethnically diverse adolescent females create the need to develop ethnic and gender-spe cific substance use prevention frameworks. This article describes and appli es a substance use prevention framework to African American females. Gender socialization and self-efficacy are presented as key concepts, along with the assertion that every substance use prevention framework should examine the influences of specific societal factors (such as racism, sexism, classi sm, and ageism) on substance use. Rationale and guidelines for designing et hnically sensitive and gender-specific research projects and intervention p rograms regarding substance use prevention are offered. Public health nurse s (PHNs) are uniquely positioned to use this framework in their work with A frican American adolescent girls, specifically, and in general with other e thnically diverse groups.