Clinical trial Recruiting at 2 sites Observational Ages 11 to 14

Structural racism and reward-based brain responses linked to substance use risk in Puerto Rican adolescents

Official title: Structural Stressors, Neurocognition in Reward Related Decision Making and Substance Use Risk

Run by Columbia University · NCT06221839 · Data updated 2026-11-12

We will try to see if signs of structural racism are linked to brain structure, reward-related brain activity, and higher substance use risk in Puerto Rican adolescents living in New York and Puerto Rico.

Quick facts

Study typeObservational
Ages11 Years to 14 Years
SexAll
Enrollment72 (estimated)
SponsorColumbia University
Academic / other
Locations2 sites (New York, New York and 1 other locations)
StatusRecruiting
StartedFebruary 3, 2026
Main results expectedAugust 2027
Study endsAugust 2027
Registry record updatedNovember 6, 2026
Trial IDNCT06221839 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Puerto Rican adolescents aged 11 to <15 who are biological or non-biological children of original Boricua Youth Study members, with a caregiver able to provide consent and who can attend visits at the study sites.

Probably not a fit

Older teens, non-Puerto Rican youth, those with major neurological disorders or MRI contraindications, and youth without caregiver consent are unlikely to receive benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational pilot (R61) will enroll Puerto Rican adolescents aged about 11 to <15 who are children of the original Boricua Youth Study sample to test associations between indicators of structural racism and brain measures. Researchers will collect MRI/fMRI during reward-related decision-making tasks, plus questionnaires on belief in a just world and substance use risk indicators from adolescents and caregivers. Participants come from the mainland US (mostly New York) and Puerto Rico (mostly San Juan), and if pilot results show relationships, the project will expand into a larger R33 phase. Data collection focuses on brain structure, brain function during reward tasks, and survey-based measures of social context and substance use risk.

Why it matters

Potential benefit: If successful, this work could identify brain-based pathways linking structural racism to substance use risk and inform targeted prevention strategies for Puerto Rican adolescents.

How similar studies have gone: Prior research links interpersonal discrimination and adolescent brain development to substance use risk, but applying structural racism indicators with fMRI in Puerto Rican youth is relatively novel and largely untested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. The adolescent participant is a biological or non-biological child of a member of the original Boricua Youth Study (BYS) sample.
2. The adolescent is between the ages of 11 to 14.5 at the time of recruitment, and 11 to \<15 at the time of study participation.
3. If the parent/caregiver is not an original BYS member, they have provided a consent to contact form.
4. Parent/caregiver is between the ages of 18-64.5 at the time of recruitment and 18 to \<65 at the time of study participation

Exclusion Criteria:

1. Major neurological disorder (e.g. seizure disorder) or cognitive impairment (e.g., moderate to severe Autism Spectrum Disorder, Intellectual Disability)
2. Exclusion criteria for the MRI scan only: MRI contraindications (e.g., irremovable metal on the body, pacemaker, braces, etc.; pregnancy (while required by NYSPI).

Where it's running

  • Columbia University Irving Medical Center
    New York, New York, United States
    Recruiting
  • University of Puerto Rico, Medical Sciences Campus
    San Juan, Puerto Rico, Puerto Rico
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.