Cross-Cultural Perspectives on Illness and Wellness: Implications for Depression1

The purpose of this research is to determine the relationships among race, socioeconomic status (SES) and depressive symptomatology. Contrary to the findings of over 20 years ofpsychiatric epidemiology, two research teams have recently reported that Blacks, primarily those oflow SES, are significantly more depressed than Whites occupying the same status. Using the same epidemiologic field survey data as one of these research groups (Whites = 1,648; Blacks = 450), the issues of race, SES, and depression are reopened for examination. Depressive symptomatology was measured by the Florida Health Study Depression Scale. The findings indicated that, in general, Blacks had significantly higher levels of depressive symptomatology than Whites. However, these differences were eliminated once SES, a composite of occupational status, education, and household income, was statistically controlled. Race, in other words, was not found to be an independent predictor of depression. The author concludes that poverty is hazardous to one's psychological well-being and that race, by itself, is merely a proxy for socioeconomic status. In addition, methodological issues associated with the conceptualization and opera~ tionalization of socioeconomic status and mental health constructs such as depression are explored.     

Cross-cultural perspectives on illness and wellness: Implications for depression

The purpose of this research is to determine the relationships among race, socioeconomic status (SES) and depressive symptomatology. Contrary to the findings of over 20 years of psychiatric epidemiology, two research teams have recently reported that Blacks, primarily those of low SES, are significantly more depressed than Whites occupying the same status. Using the same epidemiologic field survey data as one of these research groups (Whites=1,648; Blacks=450), the issues of race, SES, and depression are reopened for examination. Depressive symptomatology was measured by the Florida Health Study Depression Scale. The findings indicated that, in general, Blacks had significantly higher levels of depressive symptomatology than Whites. However, these differences were eliminated once SES, a composite of occupational status, education, and household income, was statistically controlled. Race, in other words, was not found to be an independent predictor of depression. The author concludes that poverty is hazardous to one's psychological well-being and that race, by itself, is merely a proxy for socioeconomic status. In addition, methodological issues associated with the conceptualization and operationalization of socioeconomic status and mental health constructs such as depression are explored.Paper presented at the Conference on Multicultural Perspectives on Mental Illness, May 1994, St. John's University.     

The urban neighborhood and cognitive functioning in late middle age

This study examines the association of cognitive functioning with urban neighborhood socioeconomic disadvantage and racial/ethnic segregation for a U.S. national sample of persons in late middle age, a time in the life course when cognitive deficits begin to emerge. The key hypothesis is that effects of neighborhood on cognitive functioning are not uniform but are most pronounced among subgroups of the population defined by socioeconomic status and race/ethnicity. Data are from the third wave of the Health and Retirement Survey for the birth cohort of 1931 to 1941, which was 55 to 65 years of age in 1996 (analytic N = 4,525), and the 1990 U.S. Census. Neighborhood socioeconomic disadvantage has an especially large negative impact on cognitive functioning among persons who are themselves poor, an instance of compound disadvantage. These findings have policy implications supporting "upstream" interventions to enhance cognitive functioning, especially among those most adversely affected by neighborhood socioeconomic disadvantage.     

Nonlethal intimate partner violence: examining race, gender, and income patterns

The correlation between race of victim and intimate partner violence (IPV) is examined. Previous research showing a relationship between Black victims and higher levels of violence were based on uni-variate examinations and often do not consider other important factors. This paper presents national estimates of IPV by victim's race using the National Crime Victimization Survey (NCVS), 1993-1999. The estimates based only on race are then disaggregated to account for the victim's gender and household income. Uni-variate findings demonstrate that victim's race is significantly related to rates of intimate partner violence. However, after controlling for both victim's gender and annual household income, the victim's race is no longer significant. The importance of understanding intimate partner violence through a person's socioeconomic status rather than race is discussed.     

Grandfather caregivers: race and ethnic differences in poverty

We use data from the 2006 American Community Survey to examine race and ethnic differences in the effects of marital status and co-residence of the middle generation on the likelihood of poverty among grandfathers who have primary responsibility for co-resident grandchildren (N = 3,379). Logistic regression results indicate that race/ethnicity and household composition are significant predictors of poverty for grandfather caregivers: non-Hispanic white grandfathers, those who are married, and those with a co-resident middle generation are the least likely to be poor. The effects of race/ethnicity, marital status, and the presence of a middle generation are, however, contingent upon one another. Specifically, the negative effect of being married is lower among grandfathers who are Hispanic, African American, non-Hispanic, and non-Hispanics of other race/ethnic groups compared to whites. In addition, having a middle generation in the home has a larger negative effect on poverty for race/ethnic minority grandfathers than for non-Hispanic whites. Finally, the combined effects of marriage and a middle generation vary across race/ethnic group and are associated with lower chances of poverty among some groups compared with others. We use the theory of cumulative disadvantage to interpret these findings and suggest that race/ethnicity and household composition are synergistically related to economic resources for grandfather caregivers.     

Can Family Relationships Explain the Race Paradox in Mental Health?

Biomedical research consistently finds that Blacks have worse physical health than Whites, an expected pattern given Blacks' greater exposure to psychosocial stress, poverty, and discrimination. Yet there is surprising lack of consensus regarding race differences in mental health, with most scholars finding similar or better mental health outcomes among Blacks than Whites. Past research often attributes this “race paradox in mental health” to the notion that Blacks have stronger family networks than Whites, yet few studies have explicitly tested whether stronger family relationships among Blacks (if they exist) can account for these findings. Using data from the 2003–2005 National Survey of American Life (N = 4,259) revealed that minimal race differences in family relationships fail to explain the race paradox in mental health. The results have implications for mental health measurement, the provision of culturally appropriate mental health care, and how scholars understand the nature of family relationships among Black Americans.     

Race and Population Change: A Longitudinal Look at Cleveland Neighborhoods

This paper investigates the relationship of racial composition to neighborhood population change from 1910 to 1990 in the Cleveland metropolitan area. To better understand the long-term dynamics of urban neighborhood change, we focus our analysis upon the longitudinal relationship of race, socioeconomic status, and life cycle stage to changes in neighborhood population densities. First, we find that the more established neighborhoods of the African-American community have experienced dramatic declines in population since 1950, a pattern that represents a clear change from the earlier part of the twentieth century. Second, population loss is experienced through a variety of mechanisms, including the demolition of dwellings, the increase in housing vacancy, and the decline of household size. Third, much of this population loss should be interpreted within the context of high economic distress, occurring most frequently in older African-American communities. Over time, economic distress appears to be more important than race in and of itself in leading to the loss of neighborhood populations.     

Still Life in Black and White: Effects of Racial and Class Attitudes on Prospects for Residential Integration in Atlanta

I use the 1993 Atlanta Survey of Urban Inequality to evaluate the effects of five types of racial and class attitudes on assessments of the desirability of residential integration: (1) preferences for neighbors of the same race, (2) perceived racial differences in social class characteristics, (3) Whites'perceptions of group threat from Blacks, (4) Blacks'perceptions of discrimination, and (5) negative racial stereotypes. For Whites the strongest predictors of resistance to integration are negative racial stereotypes and perceptions of group threat from Blacks. For Blacks in-group preferences, negative racial stereotypes and, to a small extent, beliefs that Whites tend to discriminate against other groups are positively associated with resistance to integration. I conclude by arguing that since racial attitudes are linked to attitudes about residential integration, open housing advocates should focus their efforts on addressing persistent racial mistrusts and prejudices.     

Partner Choice and the Differential Retreat From Marriage

The contemporary retreat from marriage in the United States has had a differential impact across socioeconomic and racial groups. Here, 1990 marriage rates and propensities for Virginia, North Carolina, and Wisconsin are analyzed regarding (a) the likelihood that persons in different groups ever marry and (b) patterns of partner choice with respect to race and educational level. Marriage remains strong in most race‐education groups but is substantially lower among Blacks and among those with less than 12 years of education. Patterns of partner choice have shifted to show greater symmetry between the educational levels of brides and grooms. Changes have been modest with regard to the level and pattern of interracial (Black‐White) marriage. Marriage is increasingly a union of equals, but a union chosen more by Whites than by Blacks and more by the well educated than by the poorly educated.     

Early-life origins of the race gap in men's mortality

Using a life course framework, we examine the early life origins of the race gap in men's all-cause mortality. Using the National Longitudinal Survey of Older Men (1966-1990), we evaluate major social pathways by which early life conditions differentiate the mortality experiences of blacks and whites. Our findings indicate that early life socioeconomic conditions, particularly parental occupation and family structure, explain part of the race gap in mortality. Black men's higher rates of death are associated with lower socioeconomic standing in early life and living in homes lacking both biological parents. However these effects operate indirectly through adult socioeconomic achievement processes, as education, family income, wealth, and occupational complexity statistically account for the race gap in men's mortality. Our findings suggest that policy interventions to eliminate race disparities in mortality and health should address both childhood and adult socioeconomic conditions.     

Family Structure,Residential Mobility,and Environmental Inequality

This study combines micro‐level data on families with children from the Panel Study of Income Dynamics with neighborhood‐level census and industrial hazard data to examine the association between family structure and residential proximity to neighborhood pollution. Results indicate the existence of significant family structure differences in household proximity to industrial pollution in U.S. metropolitan areas between 1990 and 1999, with single mother and single‐father families experiencing neighborhood pollution levels that are on average 46% and 26% greater, respectively, than those experienced by two‐parent families. Moreover, the pollution gap between single mother and two‐parent families persists with controls for household and neighborhood race, ethnic, socioeconomic, and sociodemographic characteristics. Examination of underlying migration patterns reveals that single‐mother, single‐father, and two‐parent families are equally likely to move in response to pollution but that mobile single‐parent families move into neighborhoods with significantly higher pollution levels than do mobile two parent families.     

Neighborhood disadvantage, stress, and drug use among adults

This paper explores the relationships among neighborhood disadvantage, stress, and the likelihood of drug use in a sample of adults (N = 1,101). Using the 1995 Detroit Area Study in conjunction with tract-level data from the 1990 census, we find a positive relationship between neighborhood disadvantage and drug use, and this relationship remains statistically significant net of controls for individual-level socioeconomic status. Neighborhood disadvantage is moderately associated with drug related behaviors, indirectly through increased social stressors and higher levels of psychological distress among residents of disadvantaged neighborhoods. A residual effect of neighborhood disadvantage remains, net of a large number of socially relevant controls. Finally, results from interactive models suggest that the relationship between neighborhood disadvantage and drug use is most pronounced among individuals with lower incomes.     

The dynamics of race,ethnicity and economic development: the Brazilian experience

Since the 1970s scholars have questioned the myth of a racial democracy in Brazil. Their critique is rooted in the prolonged socioeconomic inequalities that continue along racial/color lines to prevail within the Brazilian society, reinforced by regional inequalities in the economic development of the five regions that comprise the country. Additionally, these regions have an ethno-racial dimension that further supports the claim of a racial hegemonic democracy. Through cross-sectional analyses this paper shows that race/color and educational attainment determine earnings potential in Brazil. The paper also demonstrates the existence of a weak correlation among race/color, region and earnings potential in Brazil.     

A Room With a View or a Room of One's Own? Housing and Social Stratification

This study attempts to understand the role that housing plays in the system of social stratification. First, it generates a model of how housing outcomes are stratified along dimensions of socioeconomic status and race. Second, it asks what role housing conditions play in the system of educational stratification of offspring. Using two-generational data from the Panel Study of Income Dynamics, this paper demonstrates that home ownership is predicted by family income and race and that this indicator has a significant effect in predicting the educational attainment of offspring. Household crowding is also related to income and race and also affects the educational attainment of offspring. Meanwhile, housing quality—as measured by the physical condition of the unit—is not related to income or race and has no effect on educational attainment. Of particular note is that when socioeconomic status and housing conditions are held constant, African-Americans demonstrate more than a half-grade advantage over their non-black counterparts in years of completed schooling. In conclusion, the paper argues that housing matters not only for the immediate well-being of families, but also for the life-chances of the subsequent generation, and should be a standard variable in the conception of class background.     

The consumer expenditures of elderly women: Racial,marital, and rural/urban impacts

This research, using data from the interview component of the 1990 Consumer Expenditure Survey (CES), examines the main and interaction effects of race, marital status, and residence on the economic well-being of women 65 years or older (N=3,205). Economic well-being is measured by total annualized expenditures of the household for goods and services. The first hypothesis is supported: race, marital status, and urban or rural residence each has a major effect on the economic well-being of older women after adjusting for the effects of age and household size. The characteristics of nonwhite, nonmarried, and rural are associated with lower economic well-being. The second hypothesis is not supported: race, marital status, and residence do not interact to produce differences in the economic well-being of older women. Both hypotheses are examined by analysis of covariance. The results show the economic diversity of older women and the persistent effects of race, marital status, and rural or urban residence on the economic well-being of older women regardless of age and household size. This research was conducted at the Agricultural Research Service, United States Department of Agriculture (Family Economics Research Group), Hyattsville, MD, July 1992, where Dr. Kivett was a Visiting Scientist at the time. Appreciation is expressed to the staff of the Family Economics Research Group for their technical assistance at all stages of the research. and 1992 Visiting Professor at the Family Economics Research Group, Agricultural Research Service, U.S. Department of Agriculture. Her current research interests include the family supports and relationships of older retired migrants. She received her Ph.D. from the University of North Carolina at Greensboro. Her current research interests include the economic status of elderly American households. She received her Ph.D. from the University of Maryland.     

Effects of urbanism,race, and class on happiness and physical health

The joint effects of urbanism, race, and socioeconomic status on self reported health and happiness are studied. Relationships of “neighborhood fear” and unemployment with health and happiness are also studied within different urban/rural race‐class categories. It is hypothesized that 1) lower socioeconomic status (SES) blacks residing in central cities will report the poorest health and lowest happiness and 2) “neighborhood fear” and unemployment will be most strongly related to health and happiness among central city lower SES blacks. The sample is pooled data from the 1972–1983 National Opinion Research Center (NORC) General Social Surveys. Findings indicate that urbanism has a modest negative relationship to happiness, but low SES urban blacks are not uniquely low in happiness. Contrary to the central city hypothesis, neighborhood fear is most strongly related to health among suburban blacks with less than high school or high school graduation attainment. A relative deprivation explanation is advanced. Unemployment negatively relates to the happiness of blacks and whites in a variety of urban‐SES‐race categories.     

RACE,GENDER, AND STATUS: A CONTENT ANALYSIS OF PRINT ADVERTISEMENTS IN FOUR POPULAR MAGAZINES

In this article, we consider the continuation of race gender stereotypes in advertising images by way of the product's suggestive messages, specifically, connotations of higher or lower social status and promises of intangible social rewards (e.g., friendship, appearance, romance). We examined 1, 709 advertisements in magazines whose primary reading audiences differ by race and/or gender: Life, Cosmopolitan, Ebony, and Essence (1988-1990). For the analysis, we created and then compared three dimensions of status (affluent, trendy, and everyday) and five product promises (celebrity identification, sex romance, appearance, marriage family, and good times) as they are modeled by and presented to male, female, Black, and White readers in the magazines examined. We hypothesized that these status-image portrayals differ by race and gender. We found that most ads make use of positive (i.e., high-status) images of Blacks and Whites and women and men and that differences between magazines are more pronounced than differences between models. Some patterns in the use of status and product promises may be suggestive of continued, though subtle, stereotyping.     

Institutional Access,Residential Segregation,and Urban Black Homicide*

Sociologists have frequently cited the importance of the local institutional base for bolstering social organization and control, and ultimately reducing crime rates. Local noneconomic institutions may be particularly relevant to controlling urban Black crime rates, because in the face of limited access to the legitimate labor force, access to institutions such as churches and civic organizations helps to extend social networks, increase civic engagement, transmit mainstream norms, and provide a forum from which to address community problems. This analysis examines the links between measures of access to such noneconomic institutions and Black homicide rates for a sample of large urban areas circa 1990. The results indicate that after controlling for socioeconomic disadvantage, racial inequality and various other relevant measures, institutional access is negatively associated with Black homicide rates. However, this violence constraining impact appears to be most dramatic in urban areas where Blacks are most highly segregated from Whites. Implications of these results are discussed.     

Racial/Ethnic Composition and Violence: Size‐of‐Place Variations in Percent Black and Percent Latino Effects on Violence Rates

According to racial invariance positions and mainstream sociological perspectives on race and crime, race differences in structural conditions should account for most if not all of the racial composition (or percent black) effect on aggregate‐level violence rates. However, prior research (mostly conducted prior to 1990) generally provides mixed or contrary evidence for this position, showing instead that greater concentrations of blacks are linked to increased violence even after accounting for racial differences in socioeconomic conditions. The current study uses recent data and a novel unit of analysis to go beyond extant research in two ways. First, we include percent Latino in our examination of the extent to which both racial and ethnic composition effects on violent crime rates are mediated by racial/ethnic disparities in socioeconomic disadvantage. Second, we test whether racial/ethnic composition effects are conditioned by size of place, through the use of census places as a uniquely varying unit of analysis. We find that both black and Latino composition effects are partly explained by controlling for structural conditions (especially structural disadvantage), but this characterizes smaller places much more than the largest, most urbanized places.     

Adolescent Outcome Measures in the NLSY97 Family Process Data Set: Variation by Race and Socioeconomic Conditions

This study uses nationally representative data from the National Longitudinal Surveys of Youth 1997 to analyze adolescent outcome indexes (delinquency, substance use, and emotional and behavior problems) by gender, race, household income, and family structure. Results from analysis of variance show that family structure is correlated with better adolescent outcomes, even after controlling for gender, race, and household income. For example, adolescents from two-parent biological homes consistently reported significantly less delinquency and use of illegal substances such as alcohol, tobacco, or marijuana than adolescents from single-mother or stepfamily households. All adolescents and their parents in two-parent biological families reported significantly lower incidences of behavioral and emotional problems than adolescents and their parents in single-mother or stepfamilies. Other findings with respect to gender, race, and income, as well as some interaction effects, were also indicated by the analysis.