This study examined South African early adolescent youth (aged 10-14 years) and their female caregivers (N = 99 dyads) participating in an HIV prevention intervention over a period of 8 months. We examined youth perceptions of neighborhood cohesion, safety, and collective monitoring as they related to concurrent and longitudinal associations with youth (externalizing behavior and hope about the future) and family (parent-youth relationship quality, parental involvement, and parental responsiveness to sex communication) functioning while controlling for baseline characteristics. Neighborhood perceptions were significantly associated (p < .05) with short- and longer term outcomes. Gender differences suggested a greater protective association of perceived neighborhood conditions with changes in functioning for boys versus girls. Unexpected associations were also observed, including short-term associations suggesting a link between better neighborhood quality and poorer family functioning. We account for the culture of this South African community when contextualizing our findings and conclude with recommendations for interventions targeting neighborhood contexts.

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Author Biographies

Nicholas Tarantino is a clinical and community psychologist who is currently completing a postdoctoral fellowship at Alpert Medical School of Brown University. He earned his PhD from Georgia State University. His research involves the development of culturally informed preventive interventions for young people and families affected by HIV.

Nada M. Goodrum is a doctoral candidate in the Clinical Psychology program at Georgia State University. Her research is broadly focused on youth development within the family context. Her work examines contextual risk and protective factors and processes that contribute to youth adjustment, particularly among families affected by HIV.

Christina Salama is a postdoctoral fellow in pediatric neuropsychology at Kennedy Krieger Institute/Johns Hopkins School of Medicine. She completed her PhD at Georgia State University. Her research examines the neuropsychological and family predictors of functional outcomes in children with various medical conditions, including infectious disease and brain tumor.

Rebecca H. LeCroix is a doctoral candidate in the Clinical and Community Psychology programs at Georgia State University. She earned her master’s degree in clinical/counseling psychology at the University of South Alabama. Her research focuses on disclosure events, particularly disclosure of HIV status and sexual minority status, within family relationships.

Karie Gaska is an evaluation fellow at the Centers for Disease Control and Prevention. She earned her PhD in clinical and community psychology from Georgia State University. Her research interests are in health equity, program evaluation, and culturally informed treatment.

Sarah L. Cook, PhD, is a professor of psychology and associate dean of the Honors College at Georgia State University. Her research explores how science conceptualizes and measures the problem of sexual violence, ethical issues in researching it, how to prevent it, and how it intersects with other problems such as HIV/AIDS in South Africa.

Donald Skinner, PhD, is the director of Research on Health and Society (RHS), a research unit with the Division of Community Health at Stellenbosch University. He researches the social aspects of health with particular emphasis on HIV, substance use, violence, and TB. He has a strong interest in qualitative and community-based participatory research.

Lisa P. Armistead received her PhD in 1993 from the University of Georgia. She is associate provost for graduate programs and distinguished professor of psychology at Georgia State University. Her research focuses on the role of families in the lives of children, with particular emphasis on the intersection of HIV and families.

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